Eastern State Hospital
Eastern State Hospital in Lexington, KY publishes cash prices for 117 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Click a procedure to compare it with other hospitals nearby.
1350 Bull Lea Rd, Lexington, KY 40511 Collected Sep 22, 2026 Source price file (859) 246-8000
Psychiatric hospital No emergency department CCN 184004 · CMS hospital register NPI 1790816395
The price file shows no self-pay discount
For 129 of the 129 prices listed here, the cash price in Eastern State Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Eastern State Hospital in Lexington, KY:
- Feb 17, 2026 Corrective action plan requested
- May 20, 2026 Corrective action plan requested
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(SPGT)TRANS;ALAN AMINO | $12.00 | $12.00 | $473.00–$1,143.91 | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST(SGOT)TRANS;ASPAR AMINO | $11.74 | $11.74 | $473.00–$1,143.91 | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $108.05 | $108.05 | $473.00–$1,143.91 | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC. IGE QUANT/SEM | $35.13 | $35.13 | $473.00–$1,143.91 | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANT-CCP | $55.00 | $55.00 | $473.00–$1,143.91 | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $27.43 | $27.43 | $473.00–$1,143.91 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $76.99 | $76.99 | $473.00–$1,143.91 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $20.55 | $20.55 | $473.00–$1,143.91 | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH BX W/O CO D | $105.31 | $105.31 | $473.00–$1,143.91 | — |
| Blood culture for bacteria inpatient CPT 87040 CULTUREBACTERIAL;BLOOD | $38.56 | $38.56 | $473.00–$1,143.91 | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $4.75 | $4.75 | $473.00–$1,143.91 | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD | $8.89 | $8.89 | $473.00–$1,143.91 | — |
| Blood lead test inpatient CPT 83655 LEAD QUANTITATIVE | $44.85 | $44.85 | $473.00–$1,143.91 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUALITATIVE | $16.83 | $16.83 | $473.00–$1,143.91 | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE ABO | $8.33 | $8.33 | $473.00–$1,143.91 | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING;ABO | $36.22 | $36.22 | $473.00–$1,143.91 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $7.36 | $7.36 | $473.00–$1,143.91 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CYCLIC CITRULLINATED PEPIDE | $8.44 | $8.44 | $473.00–$1,143.91 | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE PCR | $71.80 | $71.80 | $473.00–$1,143.91 | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNO FOR TUMOR AG CA-19-9 | $61.30 | $61.30 | $473.00–$1,143.91 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAYMDIA TRACH. AMP PROBE | $136.50 | $136.50 | $473.00–$1,143.91 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $25.85 | $25.85 | $473.00–$1,143.91 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC COMPLETE AUTO AND DIFF | $17.64 | $17.64 | $473.00–$1,143.91 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC COMPLETE AUTO | $14.65 | $14.65 | $473.00–$1,143.91 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH. METABOLIC PANEL | $25.58 | $25.58 | $473.00–$1,143.91 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $25.60 | $25.60 | $473.00–$1,143.91 | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT. | $36.00 | $36.00 | $473.00–$1,143.91 | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $66.50 | $66.50 | $473.00–$1,143.91 | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $85.99 | $85.99 | $473.00–$1,143.91 | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $42.14 | $42.14 | $473.00–$1,143.91 | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $30.90 | $30.90 | $473.00–$1,143.91 | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID;SERUM | $33.35 | $33.35 | $473.00–$1,143.91 | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3; FREE | $38.43 | $38.43 | $473.00–$1,143.91 | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 THYROXINE; FREE | $20.46 | $20.46 | $473.00–$1,143.91 | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE-FREE SER. | $80.31 | $80.31 | $473.00–$1,143.91 | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $32.40 | $32.40 | $473.00–$1,143.91 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 POST GLUCOSE DOSE (INC. GLUC.) | $14.23 | $14.23 | $473.00–$1,143.91 | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TEST (GTT) 3 SPEC. | $43.08 | $43.08 | $473.00–$1,143.91 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC URINE BY PCR (DNA PROBE) | $79.60 | $79.60 | $473.00–$1,143.91 | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI | $39.68 | $39.68 | $473.00–$1,143.91 | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG STOOL | $750.00 | $750.00 | $473.00–$1,143.91 | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD | $154.39 | $154.39 | $473.00–$1,143.91 | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 ROUTINE-HIV | $31.10 | $31.10 | $473.00–$1,143.91 | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1&HIV-2 SINGLE ASSAY | $33.78 | $33.78 | $473.00–$1,143.91 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB WITH REFLEXT | $15.00 | $15.00 | $473.00–$1,143.91 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED | $22.01 | $22.01 | $473.00–$1,143.91 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP. B SURFACE AB (HBSAB) | $24.35 | $24.35 | $473.00–$1,143.91 | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG (HBSAG) | $23.45 | $23.45 | $473.00–$1,143.91 | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $87.65 | $87.65 | $473.00–$1,143.91 | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS W REFLEX GENOTYPE | $120.00 | $120.00 | $473.00–$1,143.91 | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES CULTURE | $11.91 | $11.91 | $473.00–$1,143.91 | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES IGM 1 ANTIBODY | $24.59 | $24.59 | $473.00–$1,143.91 | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES IGM 2 ANTIBODY | $36.03 | $36.03 | $473.00–$1,143.91 | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN; HIGH SENS. | $45.00 | $45.00 | $473.00–$1,143.91 | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $70.00 | $70.00 | $473.00–$1,143.91 | — |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $43.38 | $43.38 | $473.00–$1,143.91 | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $14.69 | $14.69 | $473.00–$1,143.91 | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT | $19.84 | $19.84 | $473.00–$1,143.91 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $15.20 | $15.20 | $473.00–$1,143.91 | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE) | $42.01 | $42.01 | $473.00–$1,143.91 | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD | $15.63 | $15.63 | $473.00–$1,143.91 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $34.05 | $34.05 | $473.00–$1,143.91 | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TEST | $33.13 | $33.13 | $473.00–$1,143.91 | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUMBLOOD; CHEMICAL | $15.20 | $15.20 | $473.00–$1,143.91 | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) | $73.47 | $73.47 | $473.00–$1,143.91 | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ABS;SCRNING | $34.76 | $34.76 | $473.00–$1,143.91 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE (TOTAL) | $170.00 | $170.00 | $473.00–$1,143.91 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC AG(PSA);TOT | $41.73 | $41.73 | $473.00–$1,143.91 | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR | $85.00 | $85.00 | $473.00–$1,143.91 | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE(PTH) | $125.44 | $125.44 | $473.00–$1,143.91 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $13.61 | $13.61 | $473.00–$1,143.91 | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $106.88 | $106.88 | $473.00–$1,143.91 | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL | $43.95 | $43.95 | $473.00–$1,143.91 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME | $8.91 | $8.91 | $473.00–$1,143.91 | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU TEST | $35.00 | $35.00 | $473.00–$1,143.91 | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 (RAPID) STREP GROUP A | $26.26 | $26.26 | $473.00–$1,143.91 | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR;QUAN | $12.56 | $12.56 | $473.00–$1,143.91 | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA; ANTIBODY | $39.60 | $39.60 | $473.00–$1,143.91 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDRATE-AUTOMATED | $6.81 | $6.81 | $473.00–$1,143.91 | — |
| Stool ova and parasites exam inpatient CPT 87177 O&PDIR SMEARSCONC. & ID | $19.55 | $19.55 | $473.00–$1,143.91 | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOODOCC-GUAIAC COLOREC SCREEN | $7.29 | $7.29 | $473.00–$1,143.91 | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOODOCCULTBY FECAL HGB | $90.00 | $90.00 | $473.00–$1,143.91 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRLRPRART; QUAL | $9.69 | $9.69 | $473.00–$1,143.91 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 ROUTINE-SYPHILIS | $38.81 | $38.81 | $473.00–$1,143.91 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $85.20 | $85.20 | $473.00–$1,143.91 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST | $250.00 | $250.00 | $473.00–$1,143.91 | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL | $80.80 | $80.80 | $473.00–$1,143.91 | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ABS;LIVER/KIDN | $31.11 | $31.11 | $473.00–$1,143.91 | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES | $31.11 | $31.11 | $473.00–$1,143.91 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $38.11 | $38.11 | $473.00–$1,143.91 | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID-SERUM | $10.25 | $10.25 | $473.00–$1,143.91 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINAL. AUTO W/MICRO | $89.94 | $89.94 | $473.00–$1,143.91 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINAL. NONAUTO W/MICRO | $12.65 | $12.65 | $473.00–$1,143.91 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINAL. AUTO W/O MICRO | $5.10 | $5.10 | $473.00–$1,143.91 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINAL. NONAUTO W/O MICRO | $7.26 | $7.26 | $473.00–$1,143.91 | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULT. QUANT. COLONY CT | $18.31 | $18.31 | $473.00–$1,143.91 | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST VISUAL COLOR | $36.06 | $36.06 | $473.00–$1,143.91 | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $34.19 | $34.19 | $473.00–$1,143.91 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY WITH FRACTION | $60.00 | $60.00 | $473.00–$1,143.91 | — |
| Zinc blood test inpatient CPT 84630 ZINC QUANTITATIVE;BLOOD | $24.33 | $24.33 | $473.00–$1,143.91 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREG . (HCG SERUM QUANT) | $34.15 | $34.15 | $473.00–$1,143.91 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERVATION; MUSCLE | $137.43 | $137.43 | $473.00–$1,143.91 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Comprehensive eye exam, returning patient inpatient CPT 92014 ESTAB EYE EXAM COMPREHEN | $242.00 | $242.00 | $473.00–$1,143.91 | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMP AUDI THRESH EVAL & SPCH | $150.00 | $150.00 | $473.00–$1,143.91 | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG INCL RECORD AWAKE & DRO | $250.00 | $250.00 | $473.00–$1,143.91 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INTERP AND REPORT | $61.05 | $61.05 | $473.00–$1,143.91 | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 ESTAB EYE EXAM INTERMED | $175.00 | $175.00 | $473.00–$1,143.91 | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ PROPHYLACTIC | $15.00 | $15.00 | $473.00–$1,143.91 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INIT COMP PREV EXAM AGE 18-39 | $170.00 | $170.00 | $473.00–$1,143.91 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INIT COMP PREV EXAM AGE 40-64 | $186.00 | $186.00 | $473.00–$1,143.91 | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INITIAL COMP PREV EXAM AGE 65+ | $195.00 | $195.00 | $473.00–$1,143.91 | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC COMP PREV AGE 18-39 | $150.00 | $150.00 | $473.00–$1,143.91 | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC COMP PREV AGE 40-64 | $160.00 | $160.00 | $473.00–$1,143.91 | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PERIODIC COMP PREV AGE 65+ | $169.00 | $169.00 | $473.00–$1,143.91 | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG INTERV EXAM & HIST | $30.15 | $30.15 | $473.00–$1,143.91 | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SERV | $130.00 | $130.00 | $473.00–$1,143.91 | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PATIENT - LEVEL 2 | $130.00 | $130.00 | $473.00–$1,143.91 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TRIV .5ML IM_EP/ZP | $81.49 | $81.49 | $473.00–$1,143.91 | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC IM PRESERV FREE | $91.10 | $91.10 | $473.00–$1,143.91 | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC ADULT DOSE IM | $37.50 | $37.50 | $473.00–$1,143.91 | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE QUAD | $69.94 | $69.94 | $473.00–$1,143.91 | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC (FLUZONE) HD IM_EP/ZP | $91.50 | $91.50 | $473.00–$1,143.91 | — |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLUENZA VAC LIVE INTRANASAL | $40.00 | $40.00 | $473.00–$1,143.91 | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVANER PNEUMONIA | $266.00 | $266.00 | $473.00–$1,143.91 | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACCINE 20-VAL .5 | $243.95 | $243.95 | $473.00–$1,143.91 | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC TD | $61.00 | $61.00 | $473.00–$1,143.91 | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TETNAUS | $100.00 | $100.00 | $473.00–$1,143.91 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VAC IMMUNIZATION ADMIN FEE | $57.00 | $57.00 | $473.00–$1,143.91 | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VAC IMMUN ADMIN EACH ADDL | $46.00 | $46.00 | $473.00–$1,143.91 | — |
Source file: https://ukhealthcare.uky.edu/sites/default/files/2026-06/610600439_eastern-state-hospital_standardcharges.csv