Tallahatchie General Hospital
Tallahatchie General Hospital in Charleston, MS publishes cash prices for 219 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 162 of 217 procedures and above it for 51. By typical cash price it ranks #5 of 36 Mississippi hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
141 Dr. T.t. Lewis Circle / Po Box 230, Charleston, MS 38921 Collected Sep 27, 2026 Source price file (662) 647-5535
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 251304 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE-BRACHIAL | $162.97 | $232.81 | $98.23–$186.25 | 27% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE-BRACHIAL | $162.97 | $232.81 | $98.23–$186.25 | — | 30% |
| Breast ultrasound, complete, one breast CPT 76641 PF US BREAST | $76.80 | $96.00 | $67.74–$81.04 | 59% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY ANGIOGRAM | $1,084.65 | $1,549.50 | $135.66–$1,239.60 | 5% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PULMONARY ANGIOGRAM | $1,084.65 | $1,549.50 | $135.66–$1,239.60 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/ PELVIS WO | $1,049.39 | $1,499.13 | $184.20–$1,199.30 | 24% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/ PELVIS WO | $1,049.39 | $1,499.13 | $184.20–$1,199.30 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,184.32 | $1,691.88 | $272.15–$1,353.50 | 32% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,184.32 | $1,691.88 | $272.15–$1,353.50 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W & WO CONTRAST | $1,184.32 | $1,691.88 | $272.15–$1,353.50 | 37% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W & WO CONTRAST | $1,184.32 | $1,691.88 | $272.15–$1,353.50 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $1,181.78 | $975.00 | $135.66–$780.00 | 23% above | -21% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $1,181.78 | $975.00 | $135.66–$780.00 | — | -21% |
| CT scan of the abdomen without contrast CPT 74150 PF CT SCAN ABDOMEN WITH OUT CONTRAST | $125.60 | $157.00 | $81.04–$125.60 | 85% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,049.39 | $870.00 | $81.04–$696.00 | 24% above | -21% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $1,049.39 | $870.00 | $81.04–$696.00 | — | -21% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL SINUS W/O CONTRAST | $826.00 | $452.00 | $81.04–$361.60 | 17% above | -83% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTRAST | $826.14 | $1,180.20 | $81.04–$944.16 | 17% above | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL SINUS W/O CONTRAST | $826.00 | $452.00 | $81.04–$361.60 | — | -83% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O CONTRAST | $826.14 | $1,180.20 | $81.04–$944.16 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $826.00 | $720.00 | $81.04–$576.00 | 10% above | -15% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $826.00 | $720.00 | $81.04–$576.00 | — | -15% |
| CT scan of the head with contrast CPT 70460 CT HEAD BRAIN W CONTRAST | $881.78 | $1,259.69 | $135.66–$1,007.75 | 3% below | 30% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD BRAIN W CONTRAST | $881.78 | $1,259.69 | $135.66–$1,007.75 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN W AND WO CONTRAST | $958.53 | $1,369.33 | $135.66–$1,095.46 | 8% below | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD BRAIN W AND WO CONTRAST | $958.53 | $1,369.33 | $135.66–$1,095.46 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $826.14 | $870.00 | $81.04–$696.00 | 7% below | 5% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $826.14 | $870.00 | $81.04–$696.00 | — | 5% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $826.00 | $531.00 | $81.04–$424.80 | 7% below | -56% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $826.00 | $531.00 | $81.04–$424.80 | — | -56% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,181.78 | $1,688.25 | $135.66–$1,350.60 | 21% above | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $1,181.78 | $1,688.25 | $135.66–$1,350.60 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DUPLEX SCAN EXTRACRANIAL ARTERIES | $491.72 | $842.40 | $184.20–$673.92 | at median | 42% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DUPLEX SCAN EXTRACRANIAL ARTERIES | $491.72 | $842.40 | $184.20–$673.92 | — | 42% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW | $112.20 | $160.29 | $67.09–$128.23 | 16% below | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW | $112.20 | $160.29 | $67.09–$128.23 | — | 30% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $91.88 | $131.25 | $67.09–$105.00 | 13% below | 30% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE | $91.88 | $131.25 | $67.09–$105.00 | 13% below | 30% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE | $91.88 | $131.25 | $67.09–$105.00 | — | 30% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $91.88 | $131.25 | $67.09–$105.00 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PF US RENAL COMPLETE | $77.60 | $97.00 | $68.44–$83.16 | 77% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE | $142.81 | $330.00 | $81.04–$264.00 | 58% below | 57% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE | $142.81 | $330.00 | $81.04–$264.00 | — | 57% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 PF CT CHEST THORAX WITHOUT CONTRAST | $113.60 | $142.00 | $81.04–$113.60 | 86% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST THORAX WO CONTRAST | $826.00 | $1,180.00 | $81.04–$944.00 | 1% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST THORAX WO CONTRAST | $826.00 | $1,180.00 | $81.04–$944.00 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $888.48 | $1,269.26 | $135.66–$1,015.41 | 11% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ THORAX WITH CONTRAST | $888.53 | $1,269.33 | $135.66–$1,015.46 | 11% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $888.48 | $1,269.26 | $135.66–$1,015.41 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/ THORAX WITH CONTRAST | $888.53 | $1,269.33 | $135.66–$1,015.46 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX SCAN LOWER EXTREM ART BILAT | $343.60 | $490.86 | $184.20–$392.69 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX SCAN LOWER EXTREM ART BILAT | $343.60 | $490.86 | $184.20–$392.69 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER VENOUS BILATERAL | $343.60 | $687.00 | $184.20–$549.60 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAPPING FOR WOUND CARE | $343.60 | $490.86 | $184.20–$392.69 | 33% below | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LOWER VENOUS BILATERAL | $343.60 | $687.00 | $184.20–$549.60 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN MAPPING FOR WOUND CARE | $343.60 | $490.86 | $184.20–$392.69 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE | $639.84 | $914.05 | $417.82–$731.24 | 32% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE | $639.84 | $914.05 | $417.82–$731.24 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PF US ABDOMEN (GB, LIV, SPLN OR PANC) | $61.60 | $77.00 | $54.33–$77.00 | 77% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD | $123.73 | $176.75 | $81.04–$141.40 | 54% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $123.73 | $176.75 | $81.04–$141.40 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US OB </= 14 WEEKS GESTATION | $168.70 | $241.00 | $81.04–$192.80 | 19% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US OB </= 14 WEEKS GESTATION | $168.70 | $241.00 | $81.04–$192.80 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PF US PELVIC (NONOBSTETRIC) | $72.00 | $90.00 | $63.50–$81.04 | 73% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS (NON-OBSTETRICAL) | $142.11 | $203.01 | $81.04–$162.41 | 47% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS (NON-OBSTETRICAL) | $142.11 | $203.01 | $81.04–$162.41 | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PF US PREGNANT UTERUS COMPLETE | $104.80 | $131.00 | $81.04–$104.80 | 70% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PF US PREGNANT UTERUS L | $68.00 | $85.00 | $59.98–$81.04 | 66% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OF THE PELVIS OBSTETRICAL-DIAGNOSTIC | $102.52 | $146.45 | $81.04–$117.16 | 49% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB >/= 14 WEEKS GESTATION | $102.52 | $146.45 | $81.04–$117.16 | 49% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1ST TRANSABDOMINAL FOLLOW-UP | $102.52 | $146.45 | $81.04–$117.16 | 49% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1ST TRANSABDOMINAL FOLLOW-UP | $102.52 | $146.45 | $81.04–$117.16 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OF THE PELVIS OBSTETRICAL-DIAGNOSTIC | $102.52 | $146.45 | $81.04–$117.16 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB >/= 14 WEEKS GESTATION | $102.52 | $146.45 | $81.04–$117.16 | — | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $224.87 | $321.24 | $81.04–$256.99 | 25% below | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $224.87 | $321.24 | $81.04–$256.99 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 PF US ABDOMEN COMPLET | $84.80 | $106.00 | $74.79–$89.16 | 76% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $164.02 | $234.32 | $81.04–$187.46 | 54% below | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $164.02 | $234.32 | $81.04–$187.46 | — | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 PF US SCROTUM & CONTENTS | $67.20 | $84.00 | $59.27–$81.04 | 75% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS | $152.71 | $200.00 | $81.04–$160.00 | 43% below | 24% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS | $152.71 | $200.00 | $81.04–$160.00 | — | 24% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PF US SOFT TISSUE HEAD NECK THYROID | $59.20 | $74.00 | $52.21–$83.65 | 78% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID COMPLETE | $133.62 | $190.89 | $81.04–$152.71 | 50% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK THYROID | $133.62 | $450.00 | $81.04–$360.00 | 50% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $133.62 | $190.89 | $81.04–$152.71 | 50% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK THYROID | $133.62 | $450.00 | $81.04–$360.00 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK | $133.62 | $190.89 | $81.04–$152.71 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID COMPLETE | $133.62 | $190.89 | $81.04–$152.71 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB 1 VIEW | $104.48 | $149.26 | $67.09–$119.41 | 12% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $104.48 | $149.26 | $67.09–$119.41 | 12% below | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $104.48 | $149.26 | $67.09–$119.41 | — | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB 1 VIEW | $104.48 | $149.26 | $67.09–$119.41 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L SPINE 2 OR 3 VIEWS | $96.60 | $138.00 | $81.04–$110.40 | 27% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L SPINE 2 OR 3 VIEWS | $96.60 | $138.00 | $81.04–$110.40 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L SPINE MIN 4 VIEWS | $94.19 | $134.55 | $81.04–$107.64 | 49% below | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L SPINE MIN 4 VIEWS | $94.19 | $134.55 | $81.04–$107.64 | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE MINIMUM OF 3 VIE | $93.91 | $134.16 | $67.09–$107.33 | 29% below | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE MINIMUM OF 3 VIE | $93.91 | $134.16 | $67.09–$107.33 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 2 OR 3 VIEW | $96.60 | $138.00 | $67.09–$110.40 | 27% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE 2 OR 3 VIEW | $96.60 | $138.00 | $67.09–$110.40 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $98.38 | $140.54 | $81.04–$112.43 | 21% below | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS | $98.38 | $140.54 | $81.04–$112.43 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX | $100.42 | $143.45 | $67.09–$114.76 | 18% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX | $100.42 | $143.45 | $67.09–$114.76 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT) | $16.80 | $24.00 | $4.77–$19.20 | 55% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $16.80 | $24.00 | $4.77–$19.20 | 55% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(SGPT) | $16.80 | $24.00 | $4.77–$19.20 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $16.80 | $24.00 | $4.77–$19.20 | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $16.80 | $24.00 | $4.66–$19.20 | 54% below | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST(SGOT) | $16.80 | $24.00 | $4.66–$19.20 | 54% below | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $16.80 | $24.00 | $4.66–$19.20 | — | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST(SGOT) | $16.80 | $24.00 | $4.66–$19.20 | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $142.80 | $204.00 | $42.87–$163.20 | 8% below | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $142.80 | $204.00 | $42.87–$163.20 | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS IGE | $19.45 | $27.79 | $4.70–$22.23 | 24% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $26.60 | $38.00 | $4.70–$30.40 | 69% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL (CUSTOM) SE REGION | $1,856.00 | $2,320.00 | $4.70–$1,856.00 | 11692% above | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS IGE | $19.45 | $27.79 | $4.70–$22.23 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $26.60 | $38.00 | $4.70–$30.40 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL (CUSTOM) SE REGION | $1,856.00 | $2,320.00 | $4.70–$1,856.00 | — | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG | $70.00 | $100.00 | $11.66–$80.00 | 51% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG | $70.00 | $100.00 | $11.66–$80.00 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN Q249 | $122.50 | $175.00 | $10.88–$140.00 | 70% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $122.50 | $175.00 | $10.88–$140.00 | 70% above | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN Q249 | $122.50 | $175.00 | $10.88–$140.00 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $122.50 | $175.00 | $10.88–$140.00 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $81.90 | $444.00 | $35.33–$355.20 | 41% below | 82% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (NATRIURETIC PEPTIDE) | $102.20 | $146.00 | $35.33–$116.80 | 27% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP2 (NATRIURETIC PEPTIDE) | $102.20 | $146.00 | $35.33–$116.80 | 27% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $81.90 | $444.00 | $35.33–$355.20 | — | 82% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP2 (NATRIURETIC PEPTIDE) | $102.20 | $146.00 | $35.33–$116.80 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (NATRIURETIC PEPTIDE) | $102.20 | $146.00 | $35.33–$116.80 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $32.20 | $88.00 | $7.61–$70.40 | 56% below | 63% |
| Basic metabolic panel (blood test) CPT 80048 BMP | $57.40 | $82.00 | $7.61–$65.60 | 22% below | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $32.20 | $88.00 | $7.61–$70.40 | — | 63% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP | $57.40 | $82.00 | $7.61–$65.60 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY GROSS | $164.50 | $235.00 | $40.72–$188.00 | 150% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY GROSS | $164.50 | $235.00 | $40.72–$188.00 | — | 30% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $41.30 | $59.00 | $9.29–$47.20 | 53% below | 30% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $41.30 | $59.00 | $9.29–$47.20 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ***VENIPUNCTURE FEE | $5.60 | $8.00 | $6.40–$9.15 | 41% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PF DRAWING BLOOD | $12.00 | $15.00 | $8.18–$12.00 | 26% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ***VENIPUNCTURE FEE | $5.60 | $8.00 | $6.40–$9.15 | — | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $11.90 | $17.00 | $3.54–$13.60 | 63% below | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $11.90 | $17.00 | $3.54–$13.60 | 63% below | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM | $11.90 | $17.00 | $3.54–$13.60 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $11.90 | $17.00 | $3.54–$13.60 | — | 30% |
| Blood lead test CPT 83655 LEAD BLOOD | $182.70 | $261.00 | $10.90–$208.80 | 262% above | 30% |
| Blood lead test CPT 83655 HEAVY METALS, BLOOD | $367.20 | $459.00 | $10.90–$367.20 | 629% above | 20% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $182.70 | $261.00 | $10.90–$208.80 | — | 30% |
| Blood lead test inpatient CPT 83655 HEAVY METALS, BLOOD | $367.20 | $459.00 | $10.90–$367.20 | — | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM | $45.15 | $64.50 | $6.77–$51.60 | 6% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM | $45.15 | $64.50 | $6.77–$51.60 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $70.00 | $100.00 | $2.93–$98.23 | 49% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO | $81.90 | $117.00 | $2.93–$98.23 | 74% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $70.00 | $100.00 | $2.93–$98.23 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO | $81.90 | $117.00 | $2.93–$98.23 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $28.00 | $40.00 | $4.66–$32.00 | 16% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $28.00 | $40.00 | $4.66–$32.00 | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF PCR SEND OUT | $77.79 | $111.13 | $33.54–$88.90 | 4% above | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF PCR SEND OUT | $77.79 | $111.13 | $33.54–$88.90 | — | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $69.22 | $64.00 | $18.73–$51.20 | 19% below | -8% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $69.22 | $64.00 | $18.73–$51.20 | — | -8% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $62.30 | $89.00 | $18.73–$71.20 | 44% below | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $62.30 | $89.00 | $18.73–$71.20 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID | $91.00 | $130.00 | $46.18–$104.00 | 46% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV ANTIGEN | $91.00 | $130.00 | $46.18–$104.00 | 46% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID SEND OUT | $91.00 | $130.00 | $46.18–$104.00 | 46% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID | $91.00 | $130.00 | $46.18–$104.00 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV ANTIGEN | $91.00 | $130.00 | $46.18–$104.00 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID SEND OUT | $91.00 | $130.00 | $46.18–$104.00 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $90.30 | $129.00 | $31.58–$103.20 | 17% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA | $90.30 | $129.00 | $31.58–$103.20 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIDS | $36.40 | $52.00 | $12.05–$41.60 | 51% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $38.50 | $55.00 | $12.05–$44.00 | 48% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOFIT BY NMR (LIPO FRACTIONATION W/ LI | $180.00 | $225.00 | $12.05–$180.00 | 144% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPIDS | $36.40 | $52.00 | $12.05–$41.60 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $38.50 | $55.00 | $12.05–$44.00 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPOFIT BY NMR (LIPO FRACTIONATION W/ LI | $180.00 | $225.00 | $12.05–$180.00 | — | 20% |
| Complete blood count (CBC) with differential CPT 85025 **CBC AUTO DIFF | $26.60 | $38.00 | $6.99–$30.40 | 36% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $26.60 | $38.00 | $6.99–$30.40 | 36% below | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $26.60 | $38.00 | $6.99–$30.40 | — | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 **CBC AUTO DIFF | $26.60 | $38.00 | $6.99–$30.40 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $21.70 | $31.00 | $5.82–$24.80 | 38% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 ***CBC HEMOGRAM | $21.70 | $31.00 | $5.82–$24.80 | 38% below | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 ***CBC HEMOGRAM | $21.70 | $31.00 | $5.82–$24.80 | — | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $21.70 | $31.00 | $5.82–$24.80 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $58.10 | $83.00 | $9.50–$66.40 | 45% below | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $58.10 | $83.00 | $9.50–$66.40 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER PLASMA;QUANT | $88.49 | $126.42 | $9.16–$101.14 | 14% above | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $88.49 | $126.42 | $9.16–$101.14 | 14% above | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $88.49 | $126.42 | $9.16–$101.14 | — | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER PLASMA;QUANT | $88.49 | $126.42 | $9.16–$101.14 | — | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $66.50 | $95.00 | $20.01–$76.00 | 31% below | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $66.50 | $95.00 | $20.01–$76.00 | — | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL | $69.30 | $277.00 | $25.15–$221.60 | 31% below | 75% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $83.30 | $119.00 | $25.15–$95.20 | 18% below | 30% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $69.30 | $277.00 | $25.15–$221.60 | — | 75% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM | $83.30 | $119.00 | $25.15–$95.20 | — | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $56.00 | $80.00 | $16.72–$64.00 | 46% below | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $56.00 | $80.00 | $16.72–$64.00 | — | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $336.00 | $480.00 | $17.67–$384.00 | 112% above | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $336.00 | $480.00 | $17.67–$384.00 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $42.70 | $77.00 | $12.27–$61.60 | 45% below | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $42.70 | $77.00 | $12.27–$61.60 | — | 45% |
| Folate (folic acid) blood test CPT 82746 B12-FOLATE | $28.80 | $36.00 | $13.23–$28.80 | 60% below | 20% |
| Folate (folic acid) blood test CPT 82746 FOLATE- SERUM | $52.50 | $75.00 | $13.23–$60.00 | 27% below | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 B12-FOLATE | $28.80 | $36.00 | $13.23–$28.80 | — | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE- SERUM | $52.50 | $75.00 | $13.23–$60.00 | — | 30% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $51.10 | $73.00 | $15.25–$58.40 | 45% below | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $51.10 | $73.00 | $15.25–$58.40 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $27.30 | $39.00 | $8.12–$31.20 | 46% below | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $27.30 | $39.00 | $8.12–$31.20 | — | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $76.30 | $109.00 | $22.92–$87.20 | 7% below | 30% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $76.30 | $109.00 | $22.92–$87.20 | — | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $215.95 | $281.00 | $198.27–$224.80 | 7% above | 23% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $215.95 | $281.00 | $198.27–$224.80 | — | 23% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 2H | $38.50 | $55.00 | $11.58–$44.00 | 48% below | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 2H | $38.50 | $55.00 | $11.58–$44.00 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC/CHLAMYDIA | $81.60 | $102.00 | $31.58–$81.60 | 47% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA | $90.30 | $129.00 | $31.58–$103.20 | 63% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 THIN PREP PAP SMEAR W/GC, CHL, TRICH | $650.40 | $813.00 | $31.58–$650.40 | 1075% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 THIN PREP PAP SMEAR W/HPV, GC, CHL, TRIC | $931.20 | $1,164.00 | $31.58–$931.20 | 1582% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC/CHLAMYDIA | $81.60 | $102.00 | $31.58–$81.60 | — | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA | $90.30 | $129.00 | $31.58–$103.20 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 THIN PREP PAP SMEAR W/GC, CHL, TRICH | $650.40 | $813.00 | $31.58–$650.40 | — | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 THIN PREP PAP SMEAR W/HPV, GC, CHL, TRIC | $931.20 | $1,164.00 | $31.58–$931.20 | — | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI QUANT | $46.20 | $66.00 | $15.17–$52.80 | 18% below | 30% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI QUANT | $46.20 | $66.00 | $15.17–$52.80 | — | 30% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN | $99.75 | $142.50 | $12.94–$114.00 | 11% below | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN | $99.75 | $142.50 | $12.94–$114.00 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT | $660.28 | $943.25 | $76.59–$754.60 | 214% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT | $660.28 | $943.25 | $76.59–$754.60 | — | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV1 & HIV2 ANTIBODY | $56.70 | $81.00 | $12.34–$64.80 | 21% below | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1 & HIV2 ANTIBODY | $56.70 | $81.00 | $12.34–$64.80 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 AEL HIV SCREENING | $80.15 | $114.50 | $21.67–$91.60 | 60% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 WESTERN BLOT HIV | $360.00 | $450.00 | $21.67–$360.00 | 620% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 AEL HIV SCREENING | $80.15 | $114.50 | $21.67–$91.60 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 WESTERN BLOT HIV | $360.00 | $450.00 | $21.67–$360.00 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $30.10 | $43.00 | $8.74–$34.40 | 44% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C | $58.94 | $84.20 | $8.74–$67.36 | 10% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN | $30.10 | $43.00 | $8.74–$34.40 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C | $58.94 | $84.20 | $8.74–$67.36 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP BSAB | $26.60 | $38.00 | $9.67–$30.40 | 53% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP BSAB | $26.60 | $38.00 | $9.67–$30.40 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN | $26.60 | $38.00 | $9.30–$30.40 | 47% below | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN | $26.60 | $38.00 | $9.30–$30.40 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $37.10 | $49.00 | $12.84–$39.20 | 46% below | 24% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $37.10 | $49.00 | $12.84–$39.20 | — | 24% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA | $161.88 | $231.25 | $38.56–$185.00 | 6% below | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA | $161.88 | $231.25 | $38.56–$185.00 | — | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS IgG | $24.50 | $35.00 | $11.87–$28.00 | 36% below | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS IgG | $24.50 | $35.00 | $11.87–$28.00 | — | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $49.70 | $71.00 | $17.42–$56.80 | 7% above | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $49.70 | $71.00 | $17.42–$56.80 | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY | $38.86 | $55.52 | $11.66–$44.42 | 2% below | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY | $38.86 | $55.52 | $11.66–$44.42 | — | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $68.25 | $97.50 | $16.13–$78.00 | 16% below | 30% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $68.25 | $97.50 | $16.13–$78.00 | — | 30% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $29.40 | $42.00 | $10.29–$33.60 | 46% below | 30% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $29.40 | $42.00 | $10.29–$33.60 | — | 30% |
| Iron blood test (serum iron) CPT 83540 IRON | $21.00 | $54.00 | $5.82–$43.20 | 44% below | 61% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $21.00 | $54.00 | $5.82–$43.20 | — | 61% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC WITH IRON | $25.90 | $37.00 | $7.87–$29.60 | 41% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 N/A IRON BINDING CAPACITY | $57.60 | $72.00 | $7.87–$57.60 | 31% above | 20% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC WITH IRON | $25.90 | $37.00 | $7.87–$29.60 | — | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 N/A IRON BINDING CAPACITY | $57.60 | $72.00 | $7.87–$57.60 | — | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $25.90 | $108.00 | $7.81–$86.40 | 67% below | 76% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $25.90 | $108.00 | $7.81–$86.40 | — | 76% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $55.30 | $79.00 | $16.67–$63.20 | 41% below | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) | $55.30 | $79.00 | $16.67–$63.20 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID | $16.17 | $23.10 | $6.20–$18.48 | 60% below | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $29.40 | $52.50 | $6.20–$42.00 | 27% below | 44% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID | $16.17 | $23.10 | $6.20–$18.48 | — | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $29.40 | $52.50 | $6.20–$42.00 | — | 44% |
| Liver function blood test panel CPT 80076 LIVER | $39.20 | $56.00 | $7.35–$44.80 | 52% below | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $39.20 | $108.00 | $7.35–$86.40 | 52% below | 64% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $39.20 | $108.00 | $7.35–$86.40 | — | 64% |
| Liver function blood test panel inpatient CPT 80076 LIVER | $39.20 | $56.00 | $7.35–$44.80 | — | 30% |
| Lyme disease antibody test CPT 86618 LYMES | $41.65 | $59.50 | $15.33–$47.60 | 48% below | 30% |
| Lyme disease antibody test inpatient CPT 86618 LYMES | $41.65 | $59.50 | $15.33–$47.60 | — | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM | $28.70 | $45.00 | $6.03–$36.00 | 16% below | 36% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $118.13 | $168.75 | $6.03–$135.00 | 248% above | 30% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $28.70 | $45.00 | $6.03–$36.00 | — | 36% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $118.13 | $168.75 | $6.03–$135.00 | — | 30% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA Q34166 | $42.00 | $60.00 | $11.59–$48.00 | 1% above | 30% |
| Measles (rubeola) antibody test CPT 86765 MMR, MEASLES, MUMPS, RUBELLA PANEL | $264.00 | $330.00 | $11.59–$264.00 | 533% above | 20% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA Q34166 | $42.00 | $60.00 | $11.59–$48.00 | — | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 MMR, MEASLES, MUMPS, RUBELLA PANEL | $264.00 | $330.00 | $11.59–$264.00 | — | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $15.40 | $22.00 | $4.66–$17.60 | 59% below | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT | $15.40 | $22.00 | $4.66–$17.60 | — | 30% |
| Obstetric blood test panel CPT 80055 OB PANEL | $156.45 | $223.50 | $43.03–$178.80 | at median | 30% |
| Obstetric blood test panel inpatient CPT 80055 OB PANEL | $156.45 | $223.50 | $43.03–$178.80 | — | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $55.30 | $79.00 | $16.55–$63.20 | 12% below | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL | $219.20 | $274.00 | $16.55–$219.20 | 248% above | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $55.30 | $79.00 | $16.55–$63.20 | — | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL | $219.20 | $274.00 | $16.55–$219.20 | — | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $55.30 | $79.00 | $16.55–$63.20 | 36% below | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $55.30 | $79.00 | $16.55–$63.20 | — | 30% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR W/GC, CHL, TRICH | $650.40 | $813.00 | $23.95–$650.40 | 2059% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR W/HPV, GC, CHL, TRIC | $931.20 | $1,164.00 | $23.95–$931.20 | 2991% above | 20% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR W/GC, CHL, TRICH | $650.40 | $813.00 | $23.95–$650.40 | — | 20% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR W/HPV, GC, CHL, TRIC | $931.20 | $1,164.00 | $23.95–$931.20 | — | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLGOY CERVICAL OR VAGINAL | $38.85 | $55.50 | $18.23–$44.40 | 29% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLGOY CERVICAL OR VAGINAL | $38.85 | $55.50 | $18.23–$44.40 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $184.45 | $263.50 | $37.15–$210.80 | 15% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH | $288.64 | $412.34 | $37.15–$329.87 | 80% above | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $184.45 | $263.50 | $37.15–$210.80 | — | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH | $288.64 | $412.34 | $37.15–$329.87 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS A | $21.70 | $31.00 | $5.41–$24.80 | 45% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME | $32.55 | $46.50 | $5.41–$37.20 | 17% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $39.87 | $56.95 | $5.41–$45.56 | 1% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT, CIRCULTAING | $412.80 | $516.00 | $5.41–$412.80 | 949% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CLA CIRCU LUPUS ANTICOAG ASS | $473.60 | $592.00 | $5.41–$473.60 | 1104% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOS SYND RFX PANEL (CIRCULATING LUP | $2,043.20 | $2,554.00 | $5.41–$2,043.20 | 5092% above | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS A | $21.70 | $31.00 | $5.41–$24.80 | — | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME | $32.55 | $46.50 | $5.41–$37.20 | — | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $39.87 | $56.95 | $5.41–$45.56 | — | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT, CIRCULTAING | $412.80 | $516.00 | $5.41–$412.80 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CLA CIRCU LUPUS ANTICOAG ASS | $473.60 | $592.00 | $5.41–$473.60 | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOS SYND RFX PANEL (CIRCULATING LUP | $2,043.20 | $2,554.00 | $5.41–$2,043.20 | — | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE | $62.30 | $48.00 | $18.77–$38.40 | 32% below | -30% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $62.30 | $48.00 | $18.77–$38.40 | — | -30% |
| Prolactin blood test CPT 84146 PROLACTIN | $58.10 | $198.00 | $17.44–$158.40 | 47% below | 71% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $58.10 | $198.00 | $17.44–$158.40 | — | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME FOR LUPUS SCREEN | $33.60 | $48.00 | $3.86–$38.40 | 5% below | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $36.41 | $52.01 | $3.86–$41.61 | 3% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 VON WILLEBRAND PANEL | $1,028.00 | $1,285.00 | $3.86–$1,028.00 | 2801% above | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME FOR LUPUS SCREEN | $33.60 | $48.00 | $3.86–$38.40 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $36.41 | $52.01 | $3.86–$41.61 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 VON WILLEBRAND PANEL | $1,028.00 | $1,285.00 | $3.86–$1,028.00 | — | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST ANY NUMBER OF CLASSES | $54.99 | $78.55 | $11.34–$62.84 | 51% above | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST ANY NUMBER OF CLASSES | $54.99 | $78.55 | $11.34–$62.84 | — | 30% |
| Rapid flu test (influenza antigen) CPT 87804 COVID-19+FLU A&B COMBO INHOUSE | $88.00 | $110.00 | $14.90–$88.00 | 105% above | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 COVID-19+FLU A&B COMBO INHOUSE | $88.00 | $110.00 | $14.90–$88.00 | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CULTURE STREPTOCOCCUS | $23.80 | $34.00 | $14.88–$27.20 | 54% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CULTURE STREPTOCOCCUS | $23.80 | $34.00 | $14.88–$27.20 | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATIOD FACTOR QUANT | $14.70 | $21.00 | $5.10–$16.80 | 62% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $24.15 | $34.50 | $5.10–$27.60 | 38% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 N/A RHEUMATOID FACTOR QUAN | $42.40 | $53.00 | $5.10–$42.40 | 8% above | 20% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATIOD FACTOR QUANT | $14.70 | $21.00 | $5.10–$16.80 | — | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $24.15 | $34.50 | $5.10–$27.60 | — | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 N/A RHEUMATOID FACTOR QUAN | $42.40 | $53.00 | $5.10–$42.40 | — | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TITERS | $37.10 | $53.00 | $12.95–$42.40 | 26% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 MMR, MEASLES, MUMPS, RUBELLA PANEL | $264.00 | $330.00 | $12.95–$264.00 | 424% above | 20% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITERS | $37.10 | $53.00 | $12.95–$42.40 | — | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 MMR, MEASLES, MUMPS, RUBELLA PANEL | $264.00 | $330.00 | $12.95–$264.00 | — | 20% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $23.10 | $33.00 | $8.01–$26.40 | 55% below | 30% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $23.10 | $33.00 | $8.01–$26.40 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD;SCREEN;INS | $11.90 | $17.00 | $3.94–$13.60 | 34% below | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD;SCREEN;INS | $11.90 | $17.00 | $3.94–$13.60 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $38.50 | $55.00 | $3.84–$44.00 | 50% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $38.50 | $55.00 | $3.84–$44.00 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $117.60 | $168.00 | $55.78–$134.40 | 13% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB | $117.60 | $168.00 | $55.78–$134.40 | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $77.70 | $60.00 | $23.23–$48.00 | 35% below | -30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BIOAVAILABLE ADULT MALE | $182.40 | $228.00 | $23.23–$182.40 | 53% above | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $77.70 | $60.00 | $23.23–$48.00 | — | -30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BIOAVAILABLE ADULT MALE | $182.40 | $228.00 | $23.23–$182.40 | — | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE Q5081 | $37.80 | $54.00 | $13.10–$43.20 | 7% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $53.20 | $187.00 | $13.10–$149.60 | 51% above | 72% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 ANTIBODY | $105.11 | $150.15 | $13.10–$120.12 | 198% above | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE Q5081 | $37.80 | $54.00 | $13.10–$43.20 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY | $53.20 | $187.00 | $13.10–$149.60 | — | 72% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 ANTIBODY | $105.11 | $150.15 | $13.10–$120.12 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $45.50 | $65.00 | $15.12–$52.00 | 36% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID PANEL 3 | $220.80 | $276.00 | $15.12–$220.80 | 208% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $45.50 | $65.00 | $15.12–$52.00 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID PANEL 3 | $220.80 | $276.00 | $15.12–$220.80 | — | 20% |
| Trichomonas test (NAAT) CPT 87661 CHLAMYDIA TRACHOMATIS AMPLIFIED | $64.00 | $80.00 | $31.58–$64.00 | 33% above | 20% |
| Trichomonas test (NAAT) inpatient CPT 87661 CHLAMYDIA TRACHOMATIS AMPLIFIED | $64.00 | $80.00 | $31.58–$64.00 | — | 20% |
| Uric acid blood test CPT 84550 URIC ACID;BLOOD | $20.30 | $29.00 | $4.07–$23.20 | 42% below | 30% |
| Uric acid blood test inpatient CPT 84550 URIC ACID;BLOOD | $20.30 | $29.00 | $4.07–$23.20 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 ***URINALYSIS MICROSCOPIC | $23.10 | $33.00 | $2.85–$26.40 | 31% below | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 ***URINALYSIS MICROSCOPIC | $23.10 | $33.00 | $2.85–$26.40 | — | 30% |
| Urinalysis with microscope exam, manual CPT 81000 UA | $15.40 | $22.00 | $3.62–$17.60 | 58% below | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS | $15.40 | $22.00 | $3.62–$17.60 | 58% below | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA | $15.40 | $22.00 | $3.62–$17.60 | — | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS | $15.40 | $22.00 | $3.62–$17.60 | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIP AUTOMATED | $11.90 | $17.00 | $2.03–$13.60 | 21% below | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP AUTOMATED | $11.90 | $17.00 | $2.03–$13.60 | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS (DIPSTICK)NO M | $10.50 | $15.00 | $3.13–$12.00 | 26% below | 30% |
| Urinalysis without microscope exam, manual CPT 81002 ***UA NO MICRO (DIPSTICK) | $10.50 | $15.00 | $3.13–$12.00 | 26% below | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS (DIPSTICK)NO M | $10.50 | $15.00 | $3.13–$12.00 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ***UA NO MICRO (DIPSTICK) | $10.50 | $15.00 | $3.13–$12.00 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SENS CHARGE | $21.00 | $30.00 | $7.26–$24.00 | 54% below | 30% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL QUANTITATIVE CHARGE | $34.65 | $49.50 | $7.26–$39.60 | 25% below | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE SENS CHARGE | $21.00 | $30.00 | $7.26–$24.00 | — | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 BACTERIAL QUANTITATIVE CHARGE | $34.65 | $49.50 | $7.26–$39.60 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 UCG | $17.50 | $25.00 | $7.75–$20.00 | 56% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE | $18.90 | $27.00 | $7.75–$21.60 | 52% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 UCG | $17.50 | $25.00 | $7.75–$20.00 | — | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE | $18.90 | $27.00 | $7.75–$21.60 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $45.50 | $65.00 | $13.57–$52.00 | 45% below | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $45.50 | $65.00 | $13.57–$52.00 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $86.10 | $123.00 | $26.64–$98.40 | 7% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY | $86.10 | $123.00 | $26.64–$98.40 | 7% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY | $86.10 | $123.00 | $26.64–$98.40 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D | $86.10 | $123.00 | $26.64–$98.40 | — | 30% |
| Zinc blood test CPT 84630 ZINC | $34.30 | $45.00 | $10.25–$36.00 | 50% below | 24% |
| Zinc blood test CPT 84630 URINE HEAVY METALS | $536.00 | $670.00 | $10.25–$536.00 | 689% above | 20% |
| Zinc blood test inpatient CPT 84630 ZINC | $34.30 | $45.00 | $10.25–$36.00 | — | 24% |
| Zinc blood test inpatient CPT 84630 URINE HEAVY METALS | $536.00 | $670.00 | $10.25–$536.00 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $61.25 | $87.50 | $13.55–$70.00 | 25% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $70.00 | $100.00 | $13.55–$80.00 | 14% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE | $61.25 | $87.50 | $13.55–$70.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER | $70.00 | $100.00 | $13.55–$80.00 | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PF CLOSED TX OF METACARPAL RX W/MANI | $292.00 | $365.00 | $176.98–$292.00 | 7% below | 20% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $365.00 | $365.00 | $182.80–$292.00 | 16% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE | $365.00 | $365.00 | $182.80–$292.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $268.10 | $383.00 | $121.82–$383.00 | 30% below | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $268.10 | $383.00 | $121.82–$383.00 | — | 30% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH REMOVAL OF TUMOR ETC | $1,587.60 | $2,268.00 | $898.50–$1,814.40 | 5% below | 30% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH REMOVAL OF TUMOR ETC | $1,587.60 | $2,268.00 | $898.50–$1,814.40 | — | 30% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH SUBMUCOSAL INJECTION | $973.00 | $1,390.00 | $332.16–$1,112.00 | 31% below | 30% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY | $1,407.00 | $2,010.00 | $898.50–$1,608.00 | at median | 30% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH CONTROL OF BLEEDING | $1,407.00 | $2,010.00 | $898.50–$1,608.00 | at median | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH SUBMUCOSAL INJECTION | $973.00 | $1,390.00 | $332.16–$1,112.00 | — | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH CONTROL OF BLEEDING | $1,407.00 | $2,010.00 | $898.50–$1,608.00 | — | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY | $1,407.00 | $2,010.00 | $898.50–$1,608.00 | — | 30% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC | $1,182.30 | $1,689.00 | $694.75–$1,351.20 | at median | 30% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC | $1,182.30 | $1,689.00 | $694.75–$1,351.20 | — | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CRYO/ELECTRODES(1 LESION) | $55.00 | $55.00 | $38.81–$55.00 | 54% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF BENIGN LESION | $85.79 | $122.55 | $53.35–$122.55 | 29% below | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PF DESTRCT-ANY METHD-BEN LES WIANE 1 | $88.00 | $110.00 | $53.35–$110.00 | 27% below | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CRYO/ELECTRODES(1 LESION) | $55.00 | $55.00 | $38.81–$55.00 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION OF BENIGN LESION | $85.79 | $122.55 | $53.35–$122.55 | — | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO | $56.00 | $80.00 | $11.64–$64.00 | 27% above | 30% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATIO | $56.00 | $80.00 | $11.64–$64.00 | — | 30% |
| Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN | $56.00 | $80.00 | $38.18–$64.00 | 12% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 PF EAR/IRRIGATION | $72.00 | $90.00 | $38.18–$72.00 | 12% above | 20% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED CERUMEN | $56.00 | $80.00 | $38.18–$64.00 | — | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC | $702.80 | $1,004.00 | $694.75–$803.20 | 11% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC | $702.80 | $1,004.00 | $694.75–$803.20 | — | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PF I&D ABSCESS SIMPL/SNGL | $92.00 | $115.00 | $81.14–$115.00 | 31% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I AND D SKIN ABSCESS SIMPLE WOUND CARE | $157.40 | $224.85 | $100.18–$179.88 | 19% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE | $157.40 | $224.85 | $100.18–$179.88 | 19% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE | $157.40 | $224.85 | $100.18–$179.88 | 19% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PF INCISION & DRAINAGE ABSCESS SIMPLE | $200.00 | $250.00 | $100.18–$200.00 | 51% above | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D SKIN ABSCESS SIMPLE WOUND CARE | $157.40 | $224.85 | $100.18–$179.88 | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE | $157.40 | $224.85 | $100.18–$179.88 | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE | $157.40 | $224.85 | $100.18–$179.88 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $88.30 | $126.14 | $46.40–$126.14 | 45% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH | $116.12 | $165.88 | $46.40–$165.88 | 28% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $88.30 | $126.14 | $46.40–$126.14 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON SHEATH | $116.12 | $165.88 | $46.40–$165.88 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/ASPIRATION | $83.30 | $119.00 | $51.70–$119.00 | 47% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTE/ASP/MAJ JOINT | $314.93 | $449.90 | $224.95–$359.92 | 100% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS/ASPIRATION | $83.30 | $119.00 | $51.70–$119.00 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTE/ASP/MAJ JOINT | $314.93 | $449.90 | $224.95–$359.92 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INTER JT | $68.60 | $98.00 | $43.66–$98.00 | 47% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INTER JT | $68.60 | $98.00 | $43.66–$98.00 | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT W/O US | $117.55 | $167.93 | $42.83–$167.93 | 3% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT W/O US | $117.55 | $167.93 | $42.83–$167.93 | — | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER 2.5<LESS SCALP/TRK/EXTR=NOT HDS/FT | $140.00 | $140.00 | $98.78–$140.00 | 39% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF LAYER CLO SCLP/TRUNK 2.5 CM/LESS | $164.00 | $205.00 | $144.65–$205.00 | 28% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLO SCLP/TRUNK 2.5 CM/LESS | $205.00 | $205.00 | $144.65–$205.00 | 10% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INT SCALP/TRUNK | $267.40 | $382.00 | $202.00–$305.60 | 17% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER 2.5<LESS SCALP/TRK/EXTR=NOT HDS/FT | $140.00 | $140.00 | $98.78–$140.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLO SCLP/TRUNK 2.5 CM/LESS | $205.00 | $205.00 | $144.65–$205.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INT SCALP/TRUNK | $267.40 | $382.00 | $202.00–$305.60 | — | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION OF LESION/BENIGN | $70.00 | $70.00 | $49.39–$70.00 | 66% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN XCP | $207.06 | $295.80 | $98.80–$295.80 | 1% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION OF LESION/BENIGN | $70.00 | $70.00 | $49.39–$70.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESION MRGN XCP | $207.06 | $295.80 | $98.80–$295.80 | — | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXICISION OF LESION | $90.00 | $90.00 | $63.50–$90.00 | 64% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXICISION OF LESION | $90.00 | $90.00 | $63.50–$90.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PL SIMP SINGLE | $91.00 | $130.00 | $89.15–$130.00 | 31% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 PF AVULSION NAIL PLATE/SIMPLE | $194.40 | $243.00 | $89.15–$194.40 | 47% above | 20% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PL SIMP SINGLE | $91.00 | $130.00 | $89.15–$130.00 | — | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL | $285.60 | $408.00 | $125.54–$326.40 | 3% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL | $285.60 | $408.00 | $125.54–$326.40 | — | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMOVAL FB SIMPLE | $100.00 | $100.00 | $70.56–$100.00 | 46% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 PF REMOVE FOREIGN BODY | $192.00 | $240.00 | $117.75–$240.00 | 4% above | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL INC F B SUBCUT | $225.75 | $322.50 | $117.75–$304.46 | 22% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB SKIN | $232.16 | $331.66 | $117.75–$304.46 | 25% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SUBQ | $240.00 | $240.00 | $169.34–$240.00 | 29% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMOVAL FB SIMPLE | $100.00 | $100.00 | $70.56–$100.00 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL INC F B SUBCUT | $225.75 | $322.50 | $117.75–$304.46 | — | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FB SKIN | $232.16 | $331.66 | $117.75–$304.46 | — | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SUBQ | $240.00 | $240.00 | $169.34–$240.00 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING | $1,146.60 | $1,638.00 | $694.75–$1,310.40 | 5% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENING | $1,146.60 | $1,638.00 | $694.75–$1,310.40 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCREENING HIGH RISK | $361.90 | $517.00 | $264.25–$517.00 | 51% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCREENING; HIGH RISK | $1,146.60 | $1,638.00 | $694.75–$1,310.40 | 57% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCREENING HIGH RISK | $361.90 | $517.00 | $264.25–$517.00 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCREENING; HIGH RISK | $1,146.60 | $1,638.00 | $694.75–$1,310.40 | — | 30% |
| Short arm cast (elbow to hand) CPT 29075 APP SHORT ARM CAST | $100.10 | $143.00 | $71.14–$143.00 | 28% below | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP SHORT ARM CAST | $100.10 | $143.00 | $71.14–$143.00 | — | 30% |
| Short arm splint (forearm and hand) CPT 29125 APP SPLINT FOREARM-WRIST | $70.70 | $101.00 | $53.55–$98.23 | 14% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 PF APPLY FOREARM SPLING | $92.00 | $115.00 | $53.55–$98.23 | 13% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF FINGER SPLINT | $120.00 | $120.00 | $84.67–$98.23 | 47% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $545.00 | $545.00 | $98.23–$436.00 | 567% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SPLINT FOREARM-WRIST | $70.70 | $101.00 | $53.55–$98.23 | — | 30% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF FINGER SPLINT | $120.00 | $120.00 | $84.67–$98.23 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $545.00 | $545.00 | $98.23–$436.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 APP SPLINT SHORT LEG | $81.20 | $116.00 | $58.91–$116.00 | 20% below | 30% |
| Short leg splint (calf to foot) CPT 29515 PF APPLICATION LOWER LEG SPLINT | $96.00 | $120.00 | $58.91–$120.00 | 6% below | 20% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $115.00 | $115.00 | $81.14–$115.00 | 13% above | — |
| Short leg splint (calf to foot) CPT 29515 APP SPLINT (SHORT LEG) | $136.29 | $194.70 | $120.24–$155.76 | 34% above | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SPLINT SHORT LEG | $81.20 | $116.00 | $58.91–$116.00 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $115.00 | $115.00 | $81.14–$115.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR TO 2.5 CM | $92.40 | $132.00 | $73.17–$132.00 | 43% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF SIMPL REPR SCLP/TRUNK 2/5 CM/LESS | $120.00 | $150.00 | $73.17–$150.00 | 26% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR TO 2.5 CM | $92.40 | $132.00 | $73.17–$132.00 | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $224.70 | $321.00 | $226.50–$304.46 | 14% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY- 1ST LESION | $280.00 | $400.00 | $94.86–$320.00 | 42% above | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $224.70 | $321.00 | $226.50–$304.46 | — | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY- 1ST LESION | $280.00 | $400.00 | $94.86–$320.00 | — | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS | $98.00 | $140.00 | $72.54–$140.00 | 8% above | 30% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS | $98.00 | $140.00 | $72.54–$140.00 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE/DX | $124.60 | $178.00 | $113.21–$178.00 | 58% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX | $470.47 | $672.10 | $474.23–$537.68 | 58% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE/DX | $124.60 | $178.00 | $113.21–$178.00 | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PHYS SIMPLE REP.2.6CM | $119.00 | $170.00 | $89.45–$151.42 | 27% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PF SIMPL REPR SCLP/TRUNK 2.6-7.5 CM | $160.00 | $200.00 | $89.45–$160.00 | 2% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PHYS SIMPLE REP.2.6CM | $119.00 | $170.00 | $89.45–$151.42 | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR UP TO 2.5 CM | $110.60 | $158.00 | $87.69–$151.42 | 32% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PF SIMPL REPR FACE/MUCOUS 2.5/LESS | $120.00 | $150.00 | $87.69–$150.00 | 26% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR UP TO 2.5 CM | $110.60 | $158.00 | $87.69–$151.42 | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANG BX SKIN SINGLE LESION | $221.95 | $317.07 | $76.11–$253.66 | 19% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANG BX SKIN SINGLE LESION | $221.95 | $317.07 | $76.11–$253.66 | — | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE OR MULT TRIGGE | $182.35 | $260.50 | $41.62–$224.95 | 14% above | 30% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SINGLE OR MULT TRIGGE | $182.35 | $260.50 | $41.62–$224.95 | — | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY | $1,232.00 | $1,760.00 | $714.45–$1,408.00 | 3% above | 30% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY | $1,232.00 | $1,760.00 | $714.45–$1,408.00 | — | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD WITH REMOVAL OF TUMOR ETC | $1,549.10 | $2,213.00 | $1,445.58–$1,770.40 | 16% above | 30% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD WITH REMOVAL OF TUMOR ETC | $1,549.10 | $2,213.00 | $1,445.58–$1,770.40 | — | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC | $961.80 | $1,374.00 | $714.45–$1,099.20 | 1% below | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC | $961.80 | $1,374.00 | $714.45–$1,099.20 | — | 30% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS | $112.06 | $160.08 | $87.20–$151.42 | 3% below | 30% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION OF BENIGN LESIONS | $112.06 | $160.08 | $87.20–$151.42 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CLINIC PHY DEBRIDEMENT SUB TISSUE | $102.06 | $145.80 | $100.03–$145.80 | 51% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ.T | $102.06 | $145.80 | $100.03–$145.80 | 51% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF DEBRIDE, SUBQ TISSUE | $260.00 | $325.00 | $100.03–$304.46 | 25% above | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE/SKIN SUBC TISSUE | $660.45 | $943.50 | $304.46–$754.80 | 217% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBQ.T | $102.06 | $145.80 | $100.03–$145.80 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE/SKIN SUBC TISSUE | $660.45 | $943.50 | $304.46–$754.80 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AC SET UP | $46.20 | $66.00 | $46.57–$66.00 | 25% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT (RETIRED CODE) | $58.80 | $84.00 | $59.27–$84.00 | 4% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT SWINGBED | $58.80 | $84.00 | $59.27–$84.00 | 4% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT ER/ CLINIC | $58.80 | $84.00 | $59.27–$84.00 | 4% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT BACK TO BACK | $176.40 | $252.00 | $154.99–$201.60 | 187% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT OBSERVATION | $187.60 | $268.00 | $154.99–$214.40 | 205% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT UPDRAFT INPATIENT | $205.80 | $294.00 | $154.99–$235.20 | 235% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AC SET UP | $46.20 | $66.00 | $46.57–$66.00 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT SWINGBED | $58.80 | $84.00 | $59.27–$84.00 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT ER/ CLINIC | $58.80 | $84.00 | $59.27–$84.00 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT (RETIRED CODE) | $58.80 | $84.00 | $59.27–$84.00 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT BACK TO BACK | $176.40 | $252.00 | $154.99–$201.60 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT OBSERVATION | $187.60 | $268.00 | $154.99–$214.40 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT UPDRAFT INPATIENT | $205.80 | $294.00 | $154.99–$235.20 | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 PF CRITICAL CARE E&M 1ST HOUR | $683.20 | $854.00 | $221.95–$683.20 | 13% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG FLOOR | $68.94 | $98.48 | $45.26–$78.78 | 12% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARDIAC EKG | $97.00 | $97.00 | $45.26–$77.60 | 24% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG ER (EXCLUDES ECG MONITOR) | $113.12 | $161.60 | $45.26–$129.28 | 44% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT EKG FLOOR | $68.94 | $98.48 | $45.26–$78.78 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CARDIAC EKG | $97.00 | $97.00 | $45.26–$77.60 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT EKG ER (EXCLUDES ECG MONITOR) | $113.12 | $161.60 | $45.26–$129.28 | — | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 AR MCD NON EMERG FAC LV1 | $42.27 | $60.38 | $42.60–$60.38 | 53% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMER VISIT E&M SELF LIMITED/MINOR | $42.27 | $60.38 | $42.60–$60.38 | 53% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 AR MCD ASSESMENT EMERG FAC LV 1 | $42.27 | $60.38 | $42.60–$60.38 | 53% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PF EMER VISIT E&M SELF LIMITED/MINOR | $60.00 | $75.00 | $11.87–$67.10 | 33% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 AR MCD NON EMERG FAC LV2 | $79.53 | $113.61 | $80.16–$113.61 | 35% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMER VISIT E&M LOW-MODERAT SEVERITY | $79.53 | $113.61 | $80.16–$113.61 | 35% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 AR MCD ASSESMENT EMERG FAC LV 2 | $79.53 | $113.61 | $80.16–$113.61 | 35% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PF EMER VISIT E&M LOW-MODERAT SEVERITY | $96.00 | $120.00 | $43.58–$120.00 | 21% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PF EMER DEPT VISIT E&M MODERATE SEVER | $106.40 | $133.00 | $74.86–$133.00 | 47% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 AR MCD NON EMERG FAC LV3 | $150.63 | $215.18 | $151.83–$211.00 | 26% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMER DEPT VISIT E&M MODERATE SEVER | $150.63 | $215.18 | $151.83–$211.00 | 26% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 AR MCD ASSESMENT EMERG FAC LV 3 | $150.63 | $215.18 | $151.83–$211.00 | 26% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E R PHYSICIAN FEE | $185.22 | $264.60 | $58.83–$211.68 | 9% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PF EMER VISIT E&M SEVER URGENT EVAL | $140.00 | $175.00 | $127.47–$175.00 | 52% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 AR MCD NON EMERG FAC LV4 | $217.46 | $310.65 | $219.20–$310.65 | 25% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER VISIT E&M HI SEVER URGENT EVAL | $217.46 | $310.65 | $219.20–$310.65 | 25% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 AR MCD ASSESMENT EMERG FAC LV 4 | $217.46 | $310.65 | $219.20–$310.65 | 25% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E R PHYSICIAN FEE | $260.82 | $372.60 | $100.39–$324.49 | 10% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PF ER E&M SEVERITY SIGNIF THREAT | $212.00 | $265.00 | $184.98–$265.00 | 59% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E R PHYSICIAN FEE | $336.42 | $480.60 | $145.66–$467.20 | 35% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER E&M-HIGH SEVERITY SIGNIF THREAT | $338.98 | $484.25 | $341.69–$467.20 | 34% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 AR MCD ASSESMENT EMERG FAC LV 5 | $338.98 | $484.25 | $341.69–$467.20 | 34% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 AR MCD NON EMERG FAC LV5 | $338.98 | $484.25 | $341.69–$467.20 | 34% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/ PATIENT PRESENT | $500.00 | $500.00 | $122.44–$400.00 | 150% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT PRESENT | $450.00 | $450.00 | $122.44–$360.00 | 245% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 REPORT REVIEW AND INTERPRETATION | $227.50 | $325.00 | $53.95–$260.00 | — | 30% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 REPORT REVIEW AND INTERPRETATION | $227.50 | $325.00 | $53.95–$260.00 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUS THER:HYDRATN 1H OPD | $174.41 | $249.15 | $160.55–$199.32 | 10% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INJ/IV INFUSION HYDRATION 31M TO 1HR ER | $180.95 | $258.50 | $160.55–$206.80 | 6% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUS THER:HYDRATN 1H OPD | $174.41 | $249.15 | $160.55–$199.32 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 INFUS THER:THERAP 1ST OPD | $174.41 | $249.15 | $160.55–$199.32 | 22% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 INJ/IV INFUSION TX INT UP TO 1HR ER | $225.61 | $322.30 | $160.55–$257.84 | 1% above | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUS THER:THERAP 1ST OPD | $174.41 | $249.15 | $160.55–$199.32 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IN/IM SUBCUTANEOUS INFUSION TX | $31.50 | $45.00 | $31.75–$45.00 | 47% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ:THERAPY&DIAG OPD | $35.42 | $50.60 | $35.70–$50.60 | 40% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ/IM SUBCUTANEOUS ER | $70.84 | $101.20 | $54.24–$80.96 | 20% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IN/IM SUBCUTANEOUS INFUSION TX | $31.50 | $45.00 | $31.75–$45.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ:THERAPY&DIAG OPD | $35.42 | $50.60 | $35.70–$50.60 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY EVALUATION | $150.00 | $150.00 | $105.84–$122.44 | 19% below | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSY EVALUATION | $150.00 | $150.00 | $105.84–$122.44 | — | — |
| New patient office visit, about 30 minutes CPT 99203 CARDIAC PF NEW PT VISIT LEVEL 3 | $94.40 | $118.00 | $67.27–$94.40 | 3% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT LEVEL 3 WOUND CARE | $126.60 | $180.85 | $67.27–$144.68 | 30% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 CLINIC PHY NEW PATIENT LEVEL 3 | $126.60 | $180.85 | $67.27–$144.68 | 30% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 WOUND CARE | $182.43 | $260.62 | $67.27–$208.50 | 88% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 CLINIC NEW PATIENT VISIT LEVEL 3 | $182.43 | $260.62 | $67.27–$208.50 | 88% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 PF NEW PATIENT VISIT LEVEL 3 WC | $239.20 | $299.00 | $67.27–$239.20 | 146% above | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT LEVEL 3 WOUND CARE | $126.60 | $180.85 | $67.27–$144.68 | — | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 WOUND CARE | $182.43 | $260.62 | $67.27–$208.50 | — | 30% |
| New patient office visit, about 45 minutes CPT 99204 CARDIAC PF NEW PT VISIT LEVEL 4 | $143.20 | $179.00 | $109.58–$143.20 | at median | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 WOUND CARE | $199.93 | $285.62 | $109.58–$228.50 | 40% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT LEVEL 4 | $199.93 | $459.00 | $109.58–$367.20 | 40% above | 56% |
| New patient office visit, about 45 minutes CPT 99204 CLINIC PHY NEW PATIENT LEVEL 4 | $215.03 | $307.18 | $109.58–$245.74 | 50% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 PF NEW PT VISIT LEVEL 4 | $367.20 | $459.00 | $109.58–$367.20 | 156% above | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 WOUND CARE | $199.93 | $285.62 | $109.58–$228.50 | — | 30% |
| New patient office visit, about 60 minutes CPT 99205 CARDIAC PF NEW PT VISIT LEVEL 5 | $177.60 | $222.00 | $148.93–$177.60 | at median | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT LEVEL 5 WOUND CARE | $217.43 | $310.62 | $148.93–$248.50 | 22% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT LEVEL 5 WOUND CARE | $279.50 | $399.28 | $148.93–$319.42 | 57% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC PHY NEW PATIENT LEVEL 5 | $412.31 | $589.02 | $148.93–$471.22 | 132% above | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT LEVEL 5 WOUND CARE | $217.43 | $310.62 | $148.93–$248.50 | — | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT LEVEL 5 WOUND CARE | $279.50 | $399.28 | $148.93–$319.42 | — | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CARDIAC PF NEW PT VISIT LEVEL 2 | $66.40 | $83.00 | $38.56–$66.40 | 2% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC PHY NEW PATIENT LEVEL 2 | $83.22 | $118.88 | $38.56–$95.10 | 22% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF NEW PT VISIT LEVEL 2 | $96.00 | $120.00 | $38.56–$96.00 | 41% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT LEVEL 2 WOUND CARE | $164.50 | $235.00 | $38.56–$188.00 | 142% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC NEW PATIENT VISIT LEVEL 2 | $164.50 | $235.00 | $38.56–$188.00 | 142% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT LEVEL 2 WOUND CARE | $164.50 | $235.00 | $38.56–$188.00 | — | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENATIVE MEDICINE NEW 18-39 | $169.40 | $242.00 | $104.69–$193.60 | 20% above | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC PHY INTIAL PREVENTIVE MED EVAL | $158.90 | $227.00 | $121.04–$181.60 | 2% above | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 CLINIC INTIAL PREVENTIVE MED EVAL | $196.00 | $280.00 | $197.57–$224.00 | 26% above | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE MEDICINE | $228.55 | $326.50 | $131.42–$261.20 | 46% above | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 CLINIC PHY COMP PREV RE-EVAL | $119.00 | $170.00 | $94.55–$136.00 | 9% above | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 CLINIC PHY PREVENTATIVE MED EST PATIENT | $166.60 | $238.00 | $100.63–$190.40 | 38% above | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PT PREVENATIVE MED | $226.80 | $324.00 | $108.26–$259.20 | 57% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSY INDIV THERAPY/MED CHECK(30MIN) | $130.00 | $130.00 | $91.73–$122.44 | 7% below | — |
| Psychotherapy session, 30 minutes CPT 90832 PSY INDIVIDUAL THERAPY (30MIN) | $150.00 | $150.00 | $105.84–$122.44 | 7% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSY IND THERAPY WITH MED CHECK(50MIN) | $165.00 | $165.00 | $116.42–$132.00 | 2% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSY IND THERAPY (50MIN) | $165.00 | $165.00 | $116.42–$132.00 | 2% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO CESSATION COUNSEL 3-10MI | $33.60 | $48.00 | $33.87–$38.40 | 2% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO CESSATION COUNSEL 3-10MI | $33.60 | $48.00 | $33.87–$38.40 | — | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CARDIAC PF EST PT VISIT LEVEL 5 | $125.60 | $157.00 | $117.95–$135.54 | 3% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF ESTABLISHED PATIENT VISIT 5 WC | $174.40 | $218.00 | $117.95–$174.40 | 35% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC PHY LEVEL 5 | $195.30 | $279.00 | $117.95–$223.20 | 51% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC ESTABLISHED PATIENT LEVEL 5 | $216.30 | $309.00 | $117.95–$247.20 | 67% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5 WOUND CARE | $553.70 | $791.00 | $117.95–$632.80 | 329% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT LEVEL 5 WOUND CARE | $553.70 | $791.00 | $117.95–$632.80 | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CARDIAC PF EST PT VISIT LEVEL 3 | $64.00 | $80.00 | $54.22–$64.00 | 22% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 12-17 YEARS PERIODIC COMP PREV MEDICINE | $68.00 | $85.00 | $54.22–$68.00 | 17% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 1-4 YEAR PERIODIC COMP PREV MEDIC | $68.00 | $85.00 | $54.22–$68.00 | 17% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 18-39 YEARS PERIODIC COMP PREV MEDICINE | $84.00 | $105.00 | $54.22–$84.00 | 3% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 40-64 YEARS PERIODIC COMP PREV MEDICINE | $84.00 | $105.00 | $54.22–$84.00 | 3% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC PHY EST PATIENT LEVEL 3 | $84.86 | $121.23 | $54.22–$96.98 | 4% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3 | $84.86 | $121.23 | $54.22–$96.98 | 4% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF ESTABLISHED PATIENT VISIT 3 WC | $161.60 | $202.00 | $54.22–$161.60 | 98% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC ESTABLISHED PATIENT LEVEL 3 | $164.93 | $235.62 | $54.22–$188.50 | 102% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3 WOUND CARE | $164.93 | $235.62 | $54.22–$188.50 | 102% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3 WOUND CARE | $164.93 | $235.62 | $54.22–$188.50 | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CARDIAC PF EST PT VISIT LEVEL 4 | $93.60 | $117.00 | $79.84–$93.60 | 6% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC PHY EST PATIENT LEVEL 4 | $130.47 | $186.38 | $79.84–$149.10 | 31% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PT LEVEL 4 WOUND CARE | $130.47 | $186.38 | $79.84–$149.10 | 31% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF ESTABLISHED PATIENT VISIT 4 WC | $168.00 | $210.00 | $79.84–$168.00 | 68% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4 | $199.93 | $285.62 | $79.84–$228.50 | 100% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC ESTABLISHED PATIENT LEVEL 4 | $199.93 | $285.62 | $79.84–$228.50 | 100% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT LEVEL 4 WOUND CARE | $130.47 | $186.38 | $79.84–$149.10 | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LEVEL 4 | $199.93 | $285.62 | $79.84–$228.50 | — | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CARDIAC PF EST PT VISIT LEVEL 2 | $40.00 | $50.00 | $28.94–$40.00 | 44% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC PHY EST LEVEL 2 | $41.74 | $59.63 | $28.94–$47.70 | 42% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF ESTABLISHED PATIENT VISIT 2 WC | $66.00 | $66.00 | $28.94–$52.80 | 8% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC ESTABLISHED PATIENT LEVEL 2 | $147.43 | $210.62 | $28.94–$168.50 | 106% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2 WOUND CARE | $147.43 | $210.62 | $28.94–$168.50 | 106% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LEVEL 2 WOUND CARE | $147.43 | $210.62 | $28.94–$168.50 | — | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CARDIAC INTERMEDIATE CONSULT 3 | $128.00 | $160.00 | $128.00 | 9% below | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CARDIAC EXTENDED CONSULT 4 | $144.00 | $180.00 | $144.00 | 13% below | 20% |
| Spirometry (breathing test) CPT 94010 RT PFT PRE BRONCHO | $79.80 | $114.00 | $80.44–$114.00 | 37% below | 30% |
| Spirometry (breathing test) CPT 94010 FUNCTIONAL VITAL CAPACITY | $96.00 | $96.00 | $67.74–$96.00 | 24% below | — |
| Spirometry (breathing test) inpatient CPT 94010 RT PFT PRE BRONCHO | $79.80 | $114.00 | $80.44–$114.00 | — | 30% |
| Spirometry (breathing test) inpatient CPT 94010 FUNCTIONAL VITAL CAPACITY | $96.00 | $96.00 | $67.74–$96.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 RT PFT PRE/POST BRNOCHODILATOR | $135.10 | $193.00 | $136.18–$193.00 | 49% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPSM EVAL: SPIRO-BRONCHODILT | $175.00 | $175.00 | $123.48–$175.00 | 34% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT PFT PRE/POST BRNOCHODILATOR | $135.10 | $193.00 | $136.18–$193.00 | — | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPSM EVAL: SPIRO-BRONCHODILT | $175.00 | $175.00 | $123.48–$175.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $57.40 | $82.00 | $57.86–$82.00 | 43% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $57.40 | $82.00 | $57.86–$82.00 | — | 30% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $308.00 | $308.00 | $57.46–$246.40 | 10% above | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $308.00 | $308.00 | $57.46–$246.40 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CL- FLUARIX(FLU VACCINE) 0.5ML SYR 24-25 | $44.33 | $55.41 | $16.72–$44.33 | 24% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B ADULT 3DOSE SCHEDULE | $67.49 | $96.41 | $68.03–$77.13 | 10% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B ADULT 3DOSE SCHEDULE | $67.49 | $96.41 | $68.03–$77.13 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 | $661.50 | $945.00 | $666.79–$756.00 | 47% above | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 | $661.50 | $945.00 | $666.79–$756.00 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINATION | $35.00 | $35.00 | $24.70–$35.00 | 81% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VAC- Pneumovax Inj 0.5 ML | $74.90 | $107.00 | $75.50–$107.00 | 60% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE (PNEUMOVAX 23) | $199.74 | $199.74 | $133.47–$159.79 | 7% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINATION | $35.00 | $35.00 | $24.70–$35.00 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VAC- Pneumovax Inj 0.5 ML | $74.90 | $107.00 | $75.50–$107.00 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE (PNEUMOVAX 23) | $199.74 | $199.74 | $133.47–$159.79 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC-Decavac (tetanus/dipth) Inj .5 mL | $77.00 | $110.00 | $77.62–$88.00 | 19% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VAC-Decavac (tetanus/dipth) Inj .5 mL | $77.00 | $110.00 | $77.62–$88.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $19.20 | $24.00 | $16.93–$24.00 | 60% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM VACCINE | $31.50 | $45.00 | $31.75–$45.00 | 34% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION:TOXOID ADM | $31.50 | $45.00 | $31.75–$45.00 | 34% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MEDICARE FLU VAC AND ADMIN | $31.50 | $45.00 | $31.75–$45.00 | 34% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MEDICARE FLU VAC AND ADMIN | $31.50 | $45.00 | $31.75–$45.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM PRQ ID SUBQ/IM VACCINE | $31.50 | $45.00 | $31.75–$45.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECTION:TOXOID ADM | $31.50 | $45.00 | $31.75–$45.00 | — | 30% |
Source file: https://mytgh.com/wp-content/uploads/2026/03/646010664_tallahatchie-general-hospital_standardcharges.csv