Hospital

Wayne County Hospital

Wayne County Hospital in Monticello, KY publishes cash prices for 240 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 Kentucky median for 199 of 239 procedures and above it for 36. By typical cash price it ranks #3 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

166 Hospital Street Monticello KY 42633 Collected Sep 27, 2026 Source price file (606) 348-9343

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 181321 · CMS hospital register

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 3 actions for a hospital named Wayne County Hospital in Monticello, KY:

Sep 2, 2025 Corrective action plan requested
Nov 14, 2025 Case closed
Jun 11, 2026 Warning notice

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS	$65.94	$101.45	$65.94–$101.45	81% below	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS	$65.94	$101.45	$65.94–$101.45	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY ABI	$146.61	$225.55	$146.61–$225.55	72% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 A B I	$271.83	$418.20	$271.83–$418.20	47% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STUDY ABI	$146.61	$225.55	$146.61–$225.55	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 A B I	$271.83	$418.20	$271.83–$418.20	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$142.94	$219.90	$142.94–$219.90	66% below	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$142.94	$219.90	$142.94–$219.90	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 WHOLE BODY BONE SCAN	$544.96	$838.40	$544.96–$838.40	66% below	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 WHOLE BODY BONE SCAN	$544.96	$838.40	$544.96–$838.40	—	35%
Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMPLE	$162.01	$249.25	$162.01–$249.25	58% below	35%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI COMPLE	$162.01	$249.25	$162.01–$249.25	—	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI LIMITE	$170.04	$261.60	$170.04–$261.60	48% below	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI LIMITE	$170.04	$261.60	$170.04–$261.60	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$698.95	$1,075.30	$698.95–$1,075.30	53% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$698.95	$1,075.30	$698.95–$1,075.30	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONTR	$749.16	$1,152.55	$749.16–$1,152.55	64% below	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O	$995.54	$1,531.60	$995.54–$1,531.60	52% below	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CONTR	$749.16	$1,152.55	$749.16–$1,152.55	—	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O	$995.54	$1,531.60	$995.54–$1,531.60	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PLV W CONTR	$689.26	$1,060.40	$689.26–$1,060.40	72% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PLV W CONTR	$689.26	$1,060.40	$689.26–$1,060.40	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO CON	$1,241.24	$1,909.60	$1,241.24–$1,909.60	55% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL W/WO CON	$1,241.24	$1,909.60	$1,241.24–$1,909.60	—	35%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$595.17	$915.65	$595.17–$915.65	54% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$595.17	$915.65	$595.17–$915.65	—	35%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST	$595.17	$915.65	$595.17–$915.65	51% below	35%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONTRAST	$595.17	$915.65	$595.17–$915.65	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO	$583.47	$897.65	$583.47–$897.65	49% below	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS & FACIAL WO	$642.40	$988.30	$642.40–$988.30	44% below	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO	$583.47	$897.65	$583.47–$897.65	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS & FACIAL WO	$642.40	$988.30	$642.40–$988.30	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$595.17	$915.65	$595.17–$915.65	48% below	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$595.17	$915.65	$595.17–$915.65	—	35%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$595.17	$915.65	$595.17–$915.65	55% below	35%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$595.17	$915.65	$595.17–$915.65	—	35%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO CONTRAS	$1,017.97	$1,566.10	$1,017.97–$1,566.10	32% below	35%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO CONTRAS	$1,017.97	$1,566.10	$1,017.97–$1,566.10	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTR	$655.43	$1,008.35	$655.43–$1,008.35	53% below	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTR	$655.43	$1,008.35	$655.43–$1,008.35	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTR	$595.17	$915.65	$595.17–$915.65	56% below	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTR	$595.17	$915.65	$595.17–$915.65	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$655.43	$1,008.35	$655.43–$1,008.35	52% below	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$655.43	$1,008.35	$655.43–$1,008.35	—	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS DUPLEX	$480.35	$739.00	$480.35–$739.00	53% below	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTIDS DUPLEX	$480.35	$739.00	$480.35–$739.00	—	35%
Chest X-ray, 2 views CPT 71046 CHEST SPECIAL VIEWS	$69.62	$107.10	$69.62–$107.10	73% below	35%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW	$82.00	$126.15	$82.00–$126.15	68% below	35%
Chest X-ray, 2 views inpatient CPT 71046 CHEST SPECIAL VIEWS	$69.62	$107.10	$69.62–$107.10	—	35%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW	$82.00	$126.15	$82.00–$126.15	—	35%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$64.61	$99.40	$64.61–$99.40	65% below	35%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$64.61	$99.40	$64.61–$99.40	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$147.62	$227.10	$147.62–$227.10	79% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$198.19	$304.90	$198.19–$304.90	72% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY W ARTERIAL	$251.06	$386.25	$251.06–$386.25	65% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL	$147.62	$227.10	$147.62–$227.10	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA	$198.19	$304.90	$198.19–$304.90	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEY W ARTERIAL	$251.06	$386.25	$251.06–$386.25	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$164.35	$252.85	$164.35–$252.85	51% below	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA SCAN	$164.35	$252.85	$164.35–$252.85	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAS	$595.17	$915.65	$595.17–$915.65	45% below	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAS	$595.17	$915.65	$595.17–$915.65	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$595.17	$915.65	$595.17–$915.65	55% below	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$595.17	$915.65	$595.17–$915.65	—	35%
Diagnostic mammogram, both breasts CPT 77066 DIGITAL DX BIL MAMMO	$291.56	$448.55	$291.56–$448.55	4% below	35%
Diagnostic mammogram, both breasts inpatient CPT 77066 DIGITAL DX BIL MAMMO	$291.56	$448.55	$291.56–$448.55	—	35%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DX UNI MAMMO	$199.52	$306.95	$199.52–$306.95	14% below	35%
Diagnostic mammogram, one breast CPT 77065 DIGITAL MAMMO ADD VI	$199.52	$306.95	$199.52–$306.95	14% below	35%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DX UNI MAMMO	$199.52	$306.95	$199.52–$306.95	—	35%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL MAMMO ADD VI	$199.52	$306.95	$199.52–$306.95	—	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US EXTREM ART LEG BI	$371.57	$571.65	$371.57–$571.65	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US EXTREM ART LEG BI	$371.57	$571.65	$371.57–$571.65	—	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXTREM VEINS BILA	$405.37	$623.65	$405.37–$623.65	58% below	35%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXTREM VEINS BILA	$405.37	$623.65	$405.37–$623.65	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/WO M MODE	$324.71	$499.55	$324.71–$499.55	81% below	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO DOPPLER	$427.47	$657.65	$427.47–$657.65	75% below	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W/WO M MODE	$324.71	$499.55	$324.71–$499.55	—	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO DOPPLER	$427.47	$657.65	$427.47–$657.65	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN INTERPRET	$220.61	$339.40	$220.61–$339.40	81% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN W/WO INTE	$229.65	$353.30	$229.65–$353.30	81% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN W/WO	$555.00	$853.85	$555.00–$853.85	53% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN INTERPRET	$220.61	$339.40	$220.61–$339.40	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN W/WO INTE	$229.65	$353.30	$229.65–$353.30	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN W/WO	$555.00	$853.85	$555.00–$853.85	—	35%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEW	$57.92	$89.10	$57.92–$89.10	84% below	35%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEW	$57.92	$89.10	$57.92–$89.10	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$184.44	$283.75	$184.44–$283.75	69% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN	$184.44	$283.75	$184.44–$283.75	69% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ	$199.52	$306.95	$199.52–$306.95	66% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE ORGAN	$184.44	$283.75	$184.44–$283.75	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$184.44	$283.75	$184.44–$283.75	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ	$199.52	$306.95	$199.52–$306.95	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$116.48	$179.20	$116.48–$179.20	78% below	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$116.48	$179.20	$116.48–$179.20	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JOINT WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	29% below	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JOINT WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT WW	$1,938.53	$2,982.35	$1,938.53–$2,982.35	15% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXT JOINT WW	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	31% below	35%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	15% below	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	30% below	35%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	10% below	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	29% below	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	15% below	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	35% below	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	15% below	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	28% below	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	13% below	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO	$1,938.53	$2,982.35	$1,938.53–$2,982.35	—	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	33% below	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT JOINT WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	29% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXT JOINT WO	$1,142.83	$1,758.20	$1,142.83–$1,758.20	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMIT / FU	$162.01	$249.25	$162.01–$249.25	60% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMIT / FU	$162.01	$249.25	$162.01–$249.25	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US TRANSABD/PELVIS	$198.19	$304.90	$198.19–$304.90	70% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US TRANSABD/PELVIS	$198.19	$304.90	$198.19–$304.90	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS >=14W	$168.06	$258.55	$168.06–$258.55	61% below	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >=14W	$168.06	$258.55	$168.06–$258.55	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB SURVEY LIMITED	$198.51	$305.40	$198.51–$305.40	60% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB SURVEY LIMITED	$198.51	$305.40	$198.51–$305.40	—	35%
Screening mammogram, both breasts CPT 77067 DIGITAL MAMMO SCREEN	$261.43	$402.20	$261.43–$402.20	46% above	35%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL MAMMO SCREEN	$261.43	$402.20	$261.43–$402.20	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 OR > VIEW	$87.36	$134.40	$87.36–$134.40	75% below	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 OR > VIEW	$87.36	$134.40	$87.36–$134.40	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W/CINE/VID	$152.30	$234.30	$152.30–$234.30	67% below	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWAL FUNC W/CINE/VID	$152.30	$234.30	$152.30–$234.30	—	35%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAG/PELVIS	$321.36	$494.40	$321.36–$494.40	45% below	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAG/PELVIS	$321.36	$494.40	$321.36–$494.40	—	35%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$199.52	$306.95	$199.52–$306.95	75% below	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$199.52	$306.95	$199.52–$306.95	—	35%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM/TESTES	$162.01	$249.25	$162.01–$249.25	72% below	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM/TESTES	$162.01	$249.25	$162.01–$249.25	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/NECK	$162.01	$249.25	$162.01–$249.25	71% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PARATHYROID	$162.01	$249.25	$162.01–$249.25	71% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/NECK	$162.01	$249.25	$162.01–$249.25	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US PARATHYROID	$162.01	$249.25	$162.01–$249.25	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O AIR CONT W/K	$151.65	$233.30	$151.65–$233.30	65% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O AC W/SM INTE	$323.38	$497.50	$323.38–$497.50	24% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/O AIR CONT W/K	$151.65	$233.30	$151.65–$233.30	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/O AC W/SM INTE	$323.38	$497.50	$323.38–$497.50	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US GROIN W/VAS DUP	$190.13	$292.50	$190.13–$292.50	68% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US EXTREM VEINS UNIL	$260.42	$400.65	$260.42–$400.65	56% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US GROIN W/VAS DUP	$190.13	$292.50	$190.13–$292.50	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US EXTREM VEINS UNIL	$260.42	$400.65	$260.42–$400.65	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEW	$69.97	$107.65	$69.97–$107.65	79% below	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEW	$69.97	$107.65	$69.97–$107.65	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 VIEW UNILATERA	$82.68	$127.20	$82.68–$127.20	65% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2 VIEW UNILATERA	$82.68	$127.20	$82.68–$127.20	—	35%
X-ray of the abdomen, 1 view CPT 74018 ABD 1 VIEW	$100.10	$154.00	$100.10–$154.00	63% below	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD 1 VIEW	$100.10	$154.00	$100.10–$154.00	—	35%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$57.92	$89.10	$57.92–$89.10	78% below	35%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$57.92	$89.10	$57.92–$89.10	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER MIN 2 VIEW	$57.92	$89.10	$57.92–$89.10	76% below	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER MIN 2 VIEW	$57.92	$89.10	$57.92–$89.10	—	35%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$57.92	$89.10	$57.92–$89.10	81% below	35%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$57.92	$89.10	$57.92–$89.10	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS	$65.94	$101.45	$65.94–$101.45	80% below	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS	$65.94	$101.45	$65.94–$101.45	—	35%
X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEW	$69.62	$107.10	$69.62–$107.10	81% below	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEW	$69.62	$107.10	$69.62–$107.10	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEW	$71.63	$110.20	$71.63–$110.20	74% below	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1-2 VIEW	$71.63	$110.20	$71.63–$110.20	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2 OR 3 VIEW	$90.06	$138.55	$90.06–$138.55	75% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2 OR 3 VIEW	$90.06	$138.55	$90.06–$138.55	—	35%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEW	$105.11	$161.70	$105.11–$161.70	80% below	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4 VIEW	$105.11	$161.70	$105.11–$161.70	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEW	$71.31	$109.70	$71.31–$109.70	76% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEW	$71.31	$109.70	$71.31–$109.70	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEW	$86.03	$132.35	$86.03–$132.35	72% below	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3 VIEW	$86.03	$132.35	$86.03–$132.35	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 OR 3 VIEW	$58.92	$90.65	$58.92–$90.65	83% below	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2 OR 3 VIEW	$58.92	$90.65	$58.92–$90.65	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 AP PELVIS 1 OR 2 VIE	$58.57	$90.10	$58.57–$90.10	77% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP & FROG	$68.97	$106.10	$68.97–$106.10	72% below	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 AP PELVIS 1 OR 2 VIE	$58.57	$90.10	$58.57–$90.10	—	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP & FROG	$68.97	$106.10	$68.97–$106.10	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX 2 VI	$71.63	$110.20	$71.63–$110.20	76% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX 2 VI	$71.63	$110.20	$71.63–$110.20	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT	$17.75	$27.30	$17.75–$27.30	73% below	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT	$17.75	$27.30	$17.75–$27.30	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$14.07	$21.65	$14.07–$21.65	79% below	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST	$14.07	$21.65	$14.07–$21.65	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$134.58	$207.05	$134.58–$207.05	56% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP PROFILE ACUTE	$140.92	$216.80	$140.92–$216.80	54% below	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$134.58	$207.05	$134.58–$207.05	—	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP PROFILE ACUTE	$140.92	$216.80	$140.92–$216.80	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PEANUT IGE	$21.42	$32.95	$21.42–$32.95	73% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP	$22.75	$35.00	$22.75–$35.00	83% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CRAB	$22.75	$35.00	$22.75–$35.00	83% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST LOBSTER	$22.75	$35.00	$22.75–$35.00	83% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST OYSTER	$22.75	$35.00	$22.75–$35.00	83% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN AB	$26.46	$40.70	$26.46–$40.70	113% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G ALLERGY	$37.15	$57.15	$37.15–$57.15	200% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IGE CASHEW NUT	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 F201_IGE PECAN NUT	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 F003-IGE CODFISH	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 F369-IGE CATFISH	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP 068114	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IGE EGGWHITE	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TEST SPECIFI	$39.16	$60.25	$39.16–$60.25	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ERYTHROMYCIN ALLERGY	$42.84	$65.90	$42.84–$65.90	245% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST #7904	$149.63	$230.20	$149.63–$230.20	1107% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PEANUT IGE	$21.42	$32.95	$21.42–$32.95	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHRIMP	$22.75	$35.00	$22.75–$35.00	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST OYSTER	$22.75	$35.00	$22.75–$35.00	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CRAB	$22.75	$35.00	$22.75–$35.00	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST LOBSTER	$22.75	$35.00	$22.75–$35.00	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN AB	$26.46	$40.70	$26.46–$40.70	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G ALLERGY	$37.15	$57.15	$37.15–$57.15	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IGE CASHEW NUT	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IGE CODFISH	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201_IGE PECAN NUT	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F369-IGE CATFISH	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TEST SPECIFI	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP 068114	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IGE EGGWHITE	$39.16	$60.25	$39.16–$60.25	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ERYTHROMYCIN ALLERGY	$42.84	$65.90	$42.84–$65.90	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST #7904	$149.63	$230.20	$149.63–$230.20	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB	$26.78	$41.20	$26.78–$41.20	70% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB IGG/IGA	$108.45	$166.85	$108.45–$166.85	23% above	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB	$26.78	$41.20	$26.78–$41.20	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB IGG/IGA	$108.45	$166.85	$108.45–$166.85	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 164855	$57.92	$89.10	$57.92–$89.10	30% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA 164947	$57.92	$89.10	$57.92–$89.10	30% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CENTROMERE	$81.67	$125.65	$81.67–$125.65	1% below	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA 164947	$57.92	$89.10	$57.92–$89.10	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 164855	$57.92	$89.10	$57.92–$89.10	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CENTROMERE	$81.67	$125.65	$81.67–$125.65	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP TEST	$68.28	$105.05	$68.28–$105.05	66% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-TELOPEPTIDE	$93.05	$143.15	$93.05–$143.15	53% below	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP TEST	$68.28	$105.05	$68.28–$105.05	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N-TELOPEPTIDE	$93.05	$143.15	$93.05–$143.15	—	35%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANE	$96.40	$148.30	$96.40–$148.30	10% below	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANE	$96.40	$148.30	$96.40–$148.30	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH IV 88305	$91.07	$140.10	$91.07–$140.10	49% below	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH IV 88305	$91.07	$140.10	$91.07–$140.10	—	35%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$64.61	$99.40	$64.61–$99.40	50% below	35%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$64.61	$99.40	$64.61–$99.40	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LABS DRAWN	$6.70	$10.30	$6.70–$10.30	62% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.04	$13.90	$9.04–$13.90	48% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DF COLLECTION MAIL O	$22.43	$34.50	$22.43–$34.50	28% above	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LABS DRAWN	$6.70	$10.30	$6.70–$10.30	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$9.04	$13.90	$9.04–$13.90	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DF COLLECTION MAIL O	$22.43	$34.50	$22.43–$34.50	—	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$11.70	$18.00	$11.70–$18.00	81% below	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR PP	$42.19	$64.90	$42.19–$64.90	31% below	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$11.70	$18.00	$11.70–$18.00	—	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR PP	$42.19	$64.90	$42.19–$64.90	—	35%
Blood lead test CPT 83655 LEAD	$47.55	$73.15	$47.55–$73.15	48% below	35%
Blood lead test inpatient CPT 83655 LEAD	$47.55	$73.15	$47.55–$73.15	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST QLT	$51.22	$78.80	$51.22–$78.80	45% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST QLT	$51.22	$78.80	$51.22–$78.80	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$24.44	$37.60	$24.44–$37.60	56% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CKBC ABO GROUP	$32.14	$49.45	$32.14–$49.45	42% below	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$24.44	$37.60	$24.44–$37.60	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CKBC ABO GROUP	$32.14	$49.45	$32.14–$49.45	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTION PROTEIN	$33.48	$51.50	$33.48–$51.50	49% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$39.16	$60.25	$39.16–$60.25	41% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTION PROTEIN	$33.48	$51.50	$33.48–$51.50	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$39.16	$60.25	$39.16–$60.25	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE DNA AMPL	$100.10	$154.00	$100.10–$154.00	3% below	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE DNA AMPL	$100.10	$154.00	$100.10–$154.00	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 CARB AB 19-9 SERIAL	$64.94	$99.90	$64.94–$99.90	59% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 CARB AG CA 19-9	$64.94	$99.90	$64.94–$99.90	59% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 Q4698	$71.96	$110.70	$71.96–$110.70	54% below	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARB AG CA 19-9	$64.94	$99.90	$64.94–$99.90	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARB AB 19-9 SERIAL	$64.94	$99.90	$64.94–$99.90	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 Q4698	$71.96	$110.70	$71.96–$110.70	—	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 002303	$139.26	$214.25	$139.26–$214.25	19% below	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 002303	$139.26	$214.25	$139.26–$214.25	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRAC -LCR	$81.67	$125.65	$81.67–$125.65	31% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATI	$145.28	$223.50	$145.28–$223.50	22% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRAC -LCR	$81.67	$125.65	$81.67–$125.65	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATI	$145.28	$223.50	$145.28–$223.50	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$163.70	$251.85	$163.70–$251.85	14% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$163.70	$251.85	$163.70–$251.85	—	35%
Complete blood count (CBC) with differential CPT 85025 CBC AUTO W DIFF	$70.98	$109.20	$70.98–$109.20	9% above	35%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W DIFF	$70.98	$109.20	$70.98–$109.20	—	35%
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$76.67	$117.95	$76.67–$117.95	22% above	35%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED	$76.67	$117.95	$76.67–$117.95	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$114.82	$176.65	$114.82–$176.65	21% below	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$114.82	$176.65	$114.82–$176.65	—	35%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QNT	$87.36	$134.40	$87.36–$134.40	19% below	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QNT	$87.36	$134.40	$87.36–$134.40	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 004020	$59.93	$92.20	$59.93–$92.20	62% below	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE 004020	$59.93	$92.20	$59.93–$92.20	—	35%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE	$86.35	$132.85	$86.35–$132.85	44% below	35%
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$86.35	$132.85	$86.35–$132.85	44% below	35%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM	$86.35	$132.85	$86.35–$132.85	—	35%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE	$86.35	$132.85	$86.35–$132.85	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMON	$57.23	$88.05	$57.23–$88.05	77% below	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMON	$57.23	$88.05	$57.23–$88.05	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$65.26	$100.40	$65.26–$100.40	74% below	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$65.26	$100.40	$65.26–$100.40	—	35%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$64.61	$99.40	$64.61–$99.40	57% below	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$64.61	$99.40	$64.61–$99.40	—	35%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$64.61	$99.40	$64.61–$99.40	54% below	35%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$64.61	$99.40	$64.61–$99.40	—	35%
Free T3 thyroid hormone test CPT 84481 FLU VACCINE < 3YR OL	$14.07	$21.65	$14.07–$21.65	93% below	35%
Free T3 thyroid hormone test CPT 84481 FREE T-3	$69.29	$106.60	$69.29–$106.60	66% below	35%
Free T3 thyroid hormone test inpatient CPT 84481 FLU VACCINE < 3YR OL	$14.07	$21.65	$14.07–$21.65	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T-3	$69.29	$106.60	$69.29–$106.60	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$70.30	$108.15	$70.30–$108.15	26% below	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$70.30	$108.15	$70.30–$108.15	—	35%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$78.65	$121.00	$78.65–$121.00	3% below	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$78.65	$121.00	$78.65–$121.00	—	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$234.33	$360.50	$234.33–$360.50	16% below	35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$234.33	$360.50	$234.33–$360.50	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR POST DO	$70.98	$109.20	$70.98–$109.20	26% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR POST DO	$70.98	$109.20	$70.98–$109.20	—	35%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 2 HR	$70.98	$109.20	$70.98–$109.20	53% below	35%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 HR	$70.98	$109.20	$70.98–$109.20	53% below	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 2 HR	$70.98	$109.20	$70.98–$109.20	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 HR	$70.98	$109.20	$70.98–$109.20	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEA	$106.44	$163.75	$106.44–$163.75	6% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEA	$106.44	$163.75	$106.44–$163.75	—	35%
H. pylori antibody blood test CPT 86677 H PYLORI IGG QN	$38.48	$59.20	$38.48–$59.20	66% below	35%
H. pylori antibody blood test CPT 86677 H PYLORI IGM 163204	$106.44	$163.75	$106.44–$163.75	7% below	35%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODIES	$120.51	$185.40	$120.51–$185.40	5% above	35%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG QN	$38.48	$59.20	$38.48–$59.20	—	35%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM 163204	$106.44	$163.75	$106.44–$163.75	—	35%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODIES	$120.51	$185.40	$120.51–$185.40	—	35%
H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL	$156.33	$240.50	$156.33–$240.50	13% below	35%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL	$156.33	$240.50	$156.33–$240.50	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCA QUAN	$321.04	$493.90	$321.04–$493.90	23% above	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BY PCA QUAN	$321.04	$493.90	$321.04–$493.90	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+ 2	$52.55	$80.85	$52.55–$80.85	40% below	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+ 2	$52.55	$80.85	$52.55–$80.85	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$57.59	$88.60	$57.59–$88.60	21% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$57.59	$88.60	$57.59–$88.60	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QN	$35.49	$54.60	$35.49–$54.60	69% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QL	$35.49	$54.60	$35.49–$54.60	69% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QN	$35.49	$54.60	$35.49–$54.60	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QL	$35.49	$54.60	$35.49–$54.60	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$33.15	$51.00	$33.15–$51.00	67% below	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$33.15	$51.00	$33.15–$51.00	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$35.49	$54.60	$35.49–$54.60	73% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C RIBA 143991	$130.23	$200.35	$130.23–$200.35	at median	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB	$35.49	$54.60	$35.49–$54.60	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C RIBA 143991	$130.23	$200.35	$130.23–$200.35	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANTIFICATION	$272.81	$419.70	$272.81–$419.70	at median	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HIV VIRAL LOAD 29273	$275.18	$423.35	$275.18–$423.35	1% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QN RFX G	$315.35	$485.15	$315.35–$485.15	16% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD	$323.38	$497.50	$323.38–$497.50	19% above	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANTIFICATION	$272.81	$419.70	$272.81–$419.70	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HIV VIRAL LOAD 29273	$275.18	$423.35	$275.18–$423.35	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QN RFX G	$315.35	$485.15	$315.35–$485.15	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD	$323.38	$497.50	$323.38–$497.50	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM	$59.93	$92.20	$59.93–$92.20	14% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGG 164897	$88.04	$135.45	$88.04–$135.45	26% above	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM	$59.93	$92.20	$59.93–$92.20	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGG 164897	$88.04	$135.45	$88.04–$135.45	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG 163033	$98.09	$150.90	$98.09–$150.90	22% above	35%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM	$98.09	$150.90	$98.09–$150.90	22% above	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGG 163033	$98.09	$150.90	$98.09–$150.90	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM	$98.09	$150.90	$98.09–$150.90	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACT PROTEIN HI S	$27.46	$42.25	$27.46–$42.25	71% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO 120766	$63.93	$98.35	$63.93–$98.35	33% below	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACT PROTEIN HI S	$27.46	$42.25	$27.46–$42.25	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIO 120766	$63.93	$98.35	$63.93–$98.35	—	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL	$152.65	$234.85	$152.65–$234.85	8% below	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL	$152.65	$234.85	$152.65–$234.85	—	35%
Insulin blood test CPT 83525 INSULIN TOTAL	$33.80	$52.00	$33.80–$52.00	69% below	35%
Insulin blood test CPT 83525 INSULIN 004333	$34.81	$53.55	$34.81–$53.55	68% below	35%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$33.80	$52.00	$33.80–$52.00	—	35%
Insulin blood test inpatient CPT 83525 INSULIN 004333	$34.81	$53.55	$34.81–$53.55	—	35%
Iron blood test (serum iron) CPT 83540 FE	$32.79	$50.45	$32.79–$50.45	55% below	35%
Iron blood test (serum iron) inpatient CPT 83540 FE	$32.79	$50.45	$32.79–$50.45	—	35%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$53.24	$81.90	$53.24–$81.90	47% below	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$53.24	$81.90	$53.24–$81.90	—	35%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$55.22	$84.95	$55.22–$84.95	47% below	35%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$55.22	$84.95	$55.22–$84.95	—	35%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$68.97	$106.10	$68.97–$106.10	66% below	35%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$68.97	$106.10	$68.97–$106.10	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$20.09	$30.90	$20.09–$30.90	76% below	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$20.09	$30.90	$20.09–$30.90	—	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$158.02	$243.10	$158.02–$243.10	30% above	35%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$158.02	$243.10	$158.02–$243.10	—	35%
Lyme disease antibody test CPT 86618 LYMES AB SCREEN	$65.94	$101.45	$65.94–$101.45	1% above	35%
Lyme disease antibody test CPT 86618 LYME DISEASE 161992	$84.01	$129.25	$84.01–$129.25	29% above	35%
Lyme disease antibody test inpatient CPT 86618 LYMES AB SCREEN	$65.94	$101.45	$65.94–$101.45	—	35%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE 161992	$84.01	$129.25	$84.01–$129.25	—	35%
Magnesium blood test CPT 83735 URINE MAGNESIUM	$28.11	$43.25	$28.11–$43.25	49% below	35%
Magnesium blood test CPT 83735 MAGNESIUM	$41.18	$63.35	$41.18–$63.35	26% below	35%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM	$28.11	$43.25	$28.11–$43.25	—	35%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$41.18	$63.35	$41.18–$63.35	—	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG 096560	$54.57	$83.95	$54.57–$83.95	at median	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB, IGM	$54.57	$83.95	$54.57–$83.95	at median	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (STATE)	$55.90	$86.00	$55.90–$86.00	3% above	35%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG 096560	$54.57	$83.95	$54.57–$83.95	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB, IGM	$54.57	$83.95	$54.57–$83.95	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (STATE)	$55.90	$86.00	$55.90–$86.00	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST	$29.80	$45.85	$29.80–$45.85	53% below	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST	$29.80	$45.85	$29.80–$45.85	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE PROFILE	$58.24	$89.60	$58.24–$89.60	61% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE DIAGNOSTIC	$103.09	$158.60	$103.09–$158.60	31% below	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE PROFILE	$58.24	$89.60	$58.24–$89.60	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE DIAGNOSTIC	$103.09	$158.60	$103.09–$158.60	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL	$95.75	$147.30	$95.75–$147.30	60% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT	$139.59	$214.75	$139.59–$214.75	41% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$139.91	$215.25	$139.91–$215.25	41% below	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH N TERMINAL	$95.75	$147.30	$95.75–$147.30	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID INTACT	$139.59	$214.75	$139.59–$214.75	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH	$139.91	$215.25	$139.91–$215.25	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$38.16	$58.70	$38.16–$58.70	55% below	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$38.16	$58.70	$38.16–$58.70	—	35%
Progesterone blood test CPT 84144 PROGESTERONE 004317	$64.61	$99.40	$64.61–$99.40	62% below	35%
Progesterone blood test inpatient CPT 84144 PROGESTERONE 004317	$64.61	$99.40	$64.61–$99.40	—	35%
Prolactin blood test CPT 84146 PROLACTIN	$74.65	$114.85	$74.65–$114.85	53% below	35%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$74.65	$114.85	$74.65–$114.85	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$28.44	$43.75	$28.44–$43.75	46% below	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$28.44	$43.75	$28.44–$43.75	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN	$12.06	$18.55	$12.06–$18.55	69% below	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN	$85.35	$131.30	$85.35–$131.30	121% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN	$12.06	$18.55	$12.06–$18.55	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN	$85.35	$131.30	$85.35–$131.30	—	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$12.06	$18.55	$12.06–$18.55	77% below	35%
Rheumatoid factor (RF) test CPT 86431 RA QUANT 161463	$24.44	$37.60	$24.44–$37.60	53% below	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$12.06	$18.55	$12.06–$18.55	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANT 161463	$24.44	$37.60	$24.44–$37.60	—	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG 006197	$33.15	$51.00	$33.15–$51.00	67% below	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGM	$71.96	$110.70	$71.96–$110.70	27% below	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER STATE	$173.06	$266.25	$173.06–$266.25	75% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG 006197	$33.15	$51.00	$33.15–$51.00	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGM	$71.96	$110.70	$71.96–$110.70	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER STATE	$173.06	$266.25	$173.06–$266.25	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMAT	$28.44	$43.75	$28.44–$43.75	30% below	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMAT	$28.44	$43.75	$28.44–$43.75	—	35%
Stool ova and parasites exam CPT 87177 OVA & PARA DIRECT	$52.23	$80.35	$52.23–$80.35	44% below	35%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARA DIRECT	$52.23	$80.35	$52.23–$80.35	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT	$5.36	$8.25	$5.36–$8.25	80% below	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOSURE OCCULT	$50.54	$77.75	$50.54–$77.75	89% above	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCULT	$5.36	$8.25	$5.36–$8.25	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOSURE OCCULT	$50.54	$77.75	$50.54–$77.75	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$15.05	$23.15	$15.05–$23.15	69% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGEN	$30.45	$46.85	$30.45–$46.85	36% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL 006445	$33.15	$51.00	$33.15–$51.00	31% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 FREPONEMAL AB 006379	$44.85	$69.00	$44.85–$69.00	6% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN	$15.05	$23.15	$15.05–$23.15	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGEN	$30.45	$46.85	$30.45–$46.85	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL 006445	$33.15	$51.00	$33.15–$51.00	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 FREPONEMAL AB 006379	$44.85	$69.00	$44.85–$69.00	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$217.26	$334.25	$217.26–$334.25	40% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD	$217.26	$334.25	$217.26–$334.25	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$122.53	$188.50	$122.53–$188.50	10% above	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$122.53	$188.50	$122.53–$188.50	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$62.92	$96.80	$62.92–$96.80	32% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE	$73.32	$112.80	$73.32–$112.80	21% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROS	$78.33	$120.50	$78.33–$120.50	15% below	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$62.92	$96.80	$62.92–$96.80	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE	$73.32	$112.80	$73.32–$112.80	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROS	$78.33	$120.50	$78.33–$120.50	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$44.53	$68.50	$44.53–$68.50	66% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GENERATION	$141.93	$218.35	$141.93–$218.35	9% above	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$44.53	$68.50	$44.53–$68.50	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 3RD GENERATION	$141.93	$218.35	$141.93–$218.35	—	35%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$11.70	$18.00	$11.70–$18.00	79% below	35%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$11.70	$18.00	$11.70–$18.00	—	35%
Urinalysis with microscope exam, automated CPT 81001 URINE W/MICRO AUTO	$26.46	$40.70	$26.46–$40.70	52% below	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE W/MICRO AUTO	$26.46	$40.70	$26.46–$40.70	—	35%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY UA	$13.07	$20.10	$13.07–$20.10	51% below	35%
Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO	$22.43	$34.50	$22.43–$34.50	16% below	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY UA	$13.07	$20.10	$13.07–$20.10	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO	$22.43	$34.50	$22.43–$34.50	—	35%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS BY STRIP	$18.07	$27.80	$18.07–$27.80	5% above	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS BY STRIP	$18.07	$27.80	$18.07–$27.80	—	35%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$56.58	$87.05	$56.58–$87.05	44% below	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$56.58	$87.05	$56.58–$87.05	—	35%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$18.07	$27.80	$18.07–$27.80	72% below	35%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$18.07	$27.80	$18.07–$27.80	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 SERUM	$77.68	$119.50	$77.68–$119.50	16% below	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 SERUM	$77.68	$119.50	$77.68–$119.50	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D SERUM	$196.82	$302.80	$196.82–$302.80	45% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$235.01	$361.55	$235.01–$361.55	73% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D SERUM	$196.82	$302.80	$196.82–$302.80	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$235.01	$361.55	$235.01–$361.55	—	35%
Zinc blood test CPT 84630 ZINC SERUM PLASMA	$36.50	$56.15	$36.50–$56.15	69% below	35%
Zinc blood test CPT 84630 ZINC URINE	$36.50	$56.15	$36.50–$56.15	69% below	35%
Zinc blood test inpatient CPT 84630 ZINC URINE	$36.50	$56.15	$36.50–$56.15	—	35%
Zinc blood test inpatient CPT 84630 ZINC SERUM PLASMA	$36.50	$56.15	$36.50–$56.15	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TUMOR MARKER HCG QNT	$36.14	$55.60	$36.14–$55.60	78% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QN 004416	$61.26	$94.25	$61.26–$94.25	63% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN	$80.67	$124.10	$80.67–$124.10	51% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TRIPLE TEST	$97.40	$149.85	$97.40–$149.85	41% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TUMOR MARKER HCG QNT	$36.14	$55.60	$36.14–$55.60	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QN 004416	$61.26	$94.25	$61.26–$94.25	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN	$80.67	$124.10	$80.67–$124.10	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TRIPLE TEST	$97.40	$149.85	$97.40–$149.85	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERN	$747.18	$1,149.50	$747.18–$1,149.50	20% below	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERN	$747.18	$1,149.50	$747.18–$1,149.50	—	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C CERVICAL POLYP	$1,969.66	$3,030.25	$1,969.66–$3,030.25	51% below	35%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C CERVICAL POLYP	$1,969.66	$3,030.25	$1,969.66–$3,030.25	—	35%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERU	$22.43	$34.50	$22.43–$34.50	85% below	35%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACT CERUM	$125.19	$192.60	$125.19–$192.60	17% below	35%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERU	$22.43	$34.50	$22.43–$34.50	—	35%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACT CERUM	$125.19	$192.60	$125.19–$192.60	—	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION HEMORR	$1,186.25	$1,825.00	$1,186.25–$1,825.00	31% above	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION HEMORR	$1,186.25	$1,825.00	$1,186.25–$1,825.00	—	35%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD	$600.60	$924.00	$600.60–$924.00	63% below	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD	$600.60	$924.00	$600.60–$924.00	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 PARON ABCESS DRAIN	$94.74	$145.75	$94.74–$145.75	68% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D	$296.92	$456.80	$296.92–$456.80	at median	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PARON ABCESS DRAIN	$94.74	$145.75	$94.74–$145.75	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D	$296.92	$456.80	$296.92–$456.80	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT MAJOR JOI	$65.26	$100.40	$65.26–$100.40	86% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LARGE	$448.24	$689.60	$448.24–$689.60	5% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT MAJOR JOI	$65.26	$100.40	$65.26–$100.40	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LARGE	$448.24	$689.60	$448.24–$689.60	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT INTERMED	$63.28	$97.35	$63.28–$97.35	84% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTER	$403.36	$620.55	$403.36–$620.55	2% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT INTERMED	$63.28	$97.35	$63.28–$97.35	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTER	$403.36	$620.55	$403.36–$620.55	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION	$55.22	$84.95	$55.22–$84.95	85% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP/I	$358.51	$551.55	$358.51–$551.55	4% below	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION	$55.22	$84.95	$55.22–$84.95	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP/I	$358.51	$551.55	$358.51–$551.55	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC REPAIR INTERMEDI	$55.90	$86.00	$55.90–$86.00	81% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC REPAIR INTERMEDI	$55.90	$86.00	$55.90–$86.00	—	35%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION SINGLE	$298.61	$459.40	$298.61–$459.40	15% above	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION SINGLE	$298.61	$459.40	$298.61–$459.40	—	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS US GUID	$1,342.25	$2,065.00	$1,342.25–$2,065.00	17% above	35%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS US GUID	$1,342.25	$2,065.00	$1,342.25–$2,065.00	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL	$454.25	$698.85	$454.25–$698.85	9% below	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC OF NAIL	$454.25	$698.85	$454.25–$698.85	—	35%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB SUBCUTANE	$451.91	$695.25	$451.91–$695.25	7% above	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FB SUBCUTANE	$451.91	$695.25	$451.91–$695.25	—	35%
Short arm splint (forearm and hand) CPT 29125 APPL SPLNT SHORT ARM	$123.86	$190.55	$123.86–$190.55	34% below	35%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLI	$213.56	$328.55	$213.56–$328.55	14% above	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLNT SHORT ARM	$123.86	$190.55	$123.86–$190.55	—	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLI	$213.56	$328.55	$213.56–$328.55	—	35%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLI	$243.04	$373.90	$243.04–$373.90	12% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLI	$243.04	$373.90	$243.04–$373.90	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE HEAD	$153.30	$235.85	$153.30–$235.85	45% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE HEAD	$153.30	$235.85	$153.30–$235.85	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$786.34	$1,209.75	$786.34–$1,209.75	4% below	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$786.34	$1,209.75	$786.34–$1,209.75	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2.6CM - 7.5CM SUTURE	$289.22	$444.95	$289.22–$444.95	4% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 2.6CM - 7.5CM SUTURE	$289.22	$444.95	$289.22–$444.95	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUTURE FACE	$164.35	$252.85	$164.35–$252.85	43% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SUTURE FACE	$164.35	$252.85	$164.35–$252.85	—	35%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS US GUI	$940.06	$1,446.25	$940.06–$1,446.25	28% below	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS US GUI	$940.06	$1,446.25	$940.06–$1,446.25	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BREAST BX 1	$2,600.00	$4,000.00	$2,600.00–$4,000.00	25% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US GUIDE BREAST BX 1	$2,600.00	$4,000.00	$2,600.00–$4,000.00	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & TISSU	$431.83	$664.35	$431.83–$664.35	14% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN & TISSU	$431.83	$664.35	$431.83–$664.35	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$550.32	$846.65	$550.32–$846.65	9% below	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$550.32	$846.65	$550.32–$846.65	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM COLL/INDUCTIO	$31.14	$47.90	$31.14–$47.90	80% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM COLL/INDUCTIO	$31.14	$47.90	$31.14–$47.90	—	35%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION 1HR/LESS	$363.19	$558.75	$363.19–$558.75	28% below	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INFUSION 1HR/LESS	$363.19	$558.75	$363.19–$558.75	—	35%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HR	$1,066.52	$1,640.80	$1,066.52–$1,640.80	46% below	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HR	$1,066.52	$1,640.80	$1,066.52–$1,640.80	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$66.27	$101.95	$66.27–$101.95	66% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$66.27	$101.95	$66.27–$101.95	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$40.17	$61.80	$40.17–$61.80	72% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TRIAGE	$44.85	$69.00	$44.85–$69.00	69% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM 1	$142.94	$219.90	$142.94–$219.90	1% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$40.17	$61.80	$40.17–$61.80	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TRIAGE	$44.85	$69.00	$44.85–$69.00	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM 1	$142.94	$219.90	$142.94–$219.90	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$85.35	$131.30	$85.35–$131.30	70% below	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM II	$238.00	$366.15	$238.00–$366.15	17% below	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$85.35	$131.30	$85.35–$131.30	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM II	$238.00	$366.15	$238.00–$366.15	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$122.85	$189.00	$122.85–$189.00	71% below	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM III	$351.49	$540.75	$351.49–$540.75	17% below	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$122.85	$189.00	$122.85–$189.00	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM III	$351.49	$540.75	$351.49–$540.75	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$145.96	$224.55	$145.96–$224.55	87% below	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM IV	$515.84	$793.60	$515.84–$793.60	55% below	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$145.96	$224.55	$145.96–$224.55	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM IV	$515.84	$793.60	$515.84–$793.60	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$190.48	$293.05	$190.48–$293.05	84% below	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM V	$758.88	$1,167.50	$758.88–$1,167.50	35% below	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$190.48	$293.05	$190.48–$293.05	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM V	$758.88	$1,167.50	$758.88–$1,167.50	—	35%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PAT	$148.43	$228.35	$148.43–$228.35	59% below	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W PAT	$148.43	$228.35	$148.43–$228.35	—	35%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY TX W/O PATIEN	$178.75	$275.00	$178.75–$275.00	42% below	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY TX W/O PATIEN	$178.75	$275.00	$178.75–$275.00	—	35%
Group psychotherapy session CPT 90853 1 HR GOALS/BEHAVIOR	$74.23	$114.20	$74.23–$114.20	61% below	35%
Group psychotherapy session CPT 90853 1 HR COPING	$74.23	$114.20	$74.23–$114.20	61% below	35%
Group psychotherapy session CPT 90853 GROUP THERAPY	$178.75	$275.00	$178.75–$275.00	7% below	35%
Group psychotherapy session CPT 90853 FAMILY TX W/O PATIEN	$178.75	$275.00	$178.75–$275.00	7% below	35%
Group psychotherapy session inpatient CPT 90853 1 HR GOALS/BEHAVIOR	$74.23	$114.20	$74.23–$114.20	—	35%
Group psychotherapy session inpatient CPT 90853 1 HR COPING	$74.23	$114.20	$74.23–$114.20	—	35%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY	$178.75	$275.00	$178.75–$275.00	—	35%
Group psychotherapy session inpatient CPT 90853 FAMILY TX W/O PATIEN	$178.75	$275.00	$178.75–$275.00	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION </= 1HR	$331.40	$509.85	$331.40–$509.85	15% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION </= 1HR	$331.40	$509.85	$331.40–$509.85	—	35%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INITIAL 1	$328.74	$505.75	$328.74–$505.75	9% below	35%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THERAPY 1ST	$328.74	$505.75	$328.74–$505.75	9% below	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY INITIAL 1	$328.74	$505.75	$328.74–$505.75	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS THERAPY 1ST	$328.74	$505.75	$328.74–$505.75	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION	$121.52	$186.95	$121.52–$186.95	27% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ANTIBIOTIC INJECTION	$134.58	$207.05	$134.58–$207.05	40% above	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION	$121.52	$186.95	$121.52–$186.95	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ANTIBIOTIC INJECTION	$134.58	$207.05	$134.58–$207.05	—	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 EVAL/ASSESS NO MEDIC	$243.75	$375.00	$243.75–$375.00	at median	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 EVAL/ASSESS NO MEDIC	$243.75	$375.00	$243.75–$375.00	—	35%
New patient office visit, about 30 minutes CPT 99203 NEW PT INTERMEDIATE	$83.01	$127.70	$83.01–$127.70	36% below	35%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3	$89.70	$138.00	$89.70–$138.00	31% below	35%
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT LEVEL 3	$96.75	$148.85	$96.75–$148.85	25% below	35%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT INTERMEDIATE	$83.01	$127.70	$83.01–$127.70	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3	$89.70	$138.00	$89.70–$138.00	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT LEVEL 3	$96.75	$148.85	$96.75–$148.85	—	35%
New patient office visit, about 45 minutes CPT 99204 NEW PT EXTENDED EXAM	$99.74	$153.45	$99.74–$153.45	51% below	35%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT LEVEL 4	$125.87	$193.65	$125.87–$193.65	38% below	35%
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT LEVEL 4	$145.28	$223.50	$145.28–$223.50	29% below	35%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT EXTENDED EXAM	$99.74	$153.45	$99.74–$153.45	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT LEVEL 4	$125.87	$193.65	$125.87–$193.65	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT LEVEL 4	$145.28	$223.50	$145.28–$223.50	—	35%
New patient office visit, about 60 minutes CPT 99205 NEW PT COMPREHENSIVE	$117.85	$181.30	$117.85–$181.30	50% below	35%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT LEVEL 5	$143.94	$221.45	$143.94–$221.45	39% below	35%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT HIGH LEV	$181.77	$279.65	$181.77–$279.65	23% below	35%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT COMPREHENSIVE	$117.85	$181.30	$117.85–$181.30	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT LEVEL 5	$143.94	$221.45	$143.94–$221.45	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT HIGH LEV	$181.77	$279.65	$181.77–$279.65	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT BRIEF EXAM	$44.20	$68.00	$44.20–$68.00	55% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LIMITED EXAM	$64.94	$99.90	$64.94–$99.90	33% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2	$67.63	$104.05	$67.63–$104.05	30% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT LEVEL 2	$69.97	$107.65	$69.97–$107.65	28% below	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT BRIEF EXAM	$44.20	$68.00	$44.20–$68.00	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LIMITED EXAM	$64.94	$99.90	$64.94–$99.90	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL 2	$67.63	$104.05	$67.63–$104.05	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT LEVEL 2	$69.97	$107.65	$69.97–$107.65	—	35%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV WELL CHILD VT	$167.70	$258.00	$167.70–$258.00	44% above	35%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV WELL CHILD VT	$167.70	$258.00	$167.70–$258.00	—	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTAB PREV WELL CHIL	$148.95	$229.15	$148.95–$229.15	25% above	35%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 ESTAB PREV WELL CHIL	$148.95	$229.15	$148.95–$229.15	—	35%
Psychiatric evaluation with medical services CPT 90792 EVAL/ASSESS W MEDICA	$308.75	$475.00	$308.75–$475.00	26% above	35%
Psychiatric evaluation with medical services inpatient CPT 90792 EVAL/ASSESS W MEDICA	$308.75	$475.00	$308.75–$475.00	—	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 PYSCHOTHERAPY FOR CR	$55.67	$85.65	$55.67–$85.65	78% below	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PYSCHOTHERAPY FOR CR	$55.67	$85.65	$55.67–$85.65	—	35%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL TX 16-37	$130.00	$200.00	$130.00–$200.00	19% below	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL TX 16-37	$130.00	$200.00	$130.00–$200.00	—	35%
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL TX 38-52	$195.00	$300.00	$195.00–$300.00	at median	35%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL TX 38-52	$195.00	$300.00	$195.00–$300.00	—	35%
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL TX 53-67	$260.00	$400.00	$260.00–$400.00	at median	35%
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL TX 53-67	$260.00	$400.00	$260.00–$400.00	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT COMPREHENSI	$94.41	$145.25	$94.41–$145.25	44% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 5	$125.87	$193.65	$125.87–$193.65	25% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT 45 MIN	$131.24	$201.90	$131.24–$201.90	22% below	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT COMPREHENSI	$94.41	$145.25	$94.41–$145.25	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 5	$125.87	$193.65	$125.87–$193.65	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP VISIT 45 MIN	$131.24	$201.90	$131.24–$201.90	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LOW LEVEL	$38.48	$59.20	$38.48–$59.20	56% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT INTERMEDIAT	$47.55	$73.15	$47.55–$73.15	45% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT 15 MIN	$54.24	$83.45	$54.24–$83.45	38% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL3	$62.92	$96.80	$62.92–$96.80	28% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT 25 MIN	$83.01	$127.70	$83.01–$127.70	5% below	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT LOW LEVEL	$38.48	$59.20	$38.48–$59.20	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT INTERMEDIAT	$47.55	$73.15	$47.55–$73.15	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT 15 MIN	$54.24	$83.45	$54.24–$83.45	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL3	$62.92	$96.80	$62.92–$96.80	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT 25 MIN	$83.01	$127.70	$83.01–$127.70	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT EXTENDED EX	$70.62	$108.65	$70.62–$108.65	41% below	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT 25 MIN	$83.01	$127.70	$83.01–$127.70	31% below	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 4	$89.70	$138.00	$89.70–$138.00	25% below	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT EXTENDED EX	$70.62	$108.65	$70.62–$108.65	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT 25 MIN	$83.01	$127.70	$83.01–$127.70	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 4	$89.70	$138.00	$89.70–$138.00	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 2	$40.50	$62.30	$40.50–$62.30	43% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT LIMITED EXA	$41.50	$63.85	$41.50–$63.85	42% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT 15 MIN	$54.24	$83.45	$54.24–$83.45	24% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT	$81.02	$124.65	$81.02–$124.65	14% above	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 2	$40.50	$62.30	$40.50–$62.30	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT LIMITED EXA	$41.50	$63.85	$41.50–$63.85	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT 15 MIN	$54.24	$83.45	$54.24–$83.45	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT	$81.02	$124.65	$81.02–$124.65	—	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OP CONSULT LOW COMPL	$113.13	$174.05	$113.13–$174.05	51% above	35%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OP CONSULT LOW COMPL	$113.13	$174.05	$113.13–$174.05	—	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OP CONSULT INTERMEDI	$170.40	$262.15	$170.40–$262.15	57% above	35%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OP CONSULT INTERMEDI	$170.40	$262.15	$170.40–$262.15	—	35%
Spirometry (breathing test) CPT 94010 SPIROMETERY BASIC	$193.15	$297.15	$193.15–$297.15	34% below	35%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETERY BASIC	$193.15	$297.15	$193.15–$297.15	—	35%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETERY PRE-POST	$362.86	$558.25	$362.86–$558.25	21% below	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETERY PRE-POST	$362.86	$558.25	$362.86–$558.25	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEU	$34.81	$53.55	$34.81–$53.55	78% below	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEU	$34.81	$53.55	$34.81–$53.55	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 36 MO + PFS	$32.47	$49.95	$32.47–$49.95	19% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 36 MO + PFS	$32.47	$49.95	$32.47–$49.95	—	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDISIL 9 INJ	$672.52	$1,034.65	$672.52–$1,034.65	48% below	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDISIL 9 INJ	$672.52	$1,034.65	$672.52–$1,034.65	—	35%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440	$193.60	$297.85	$193.60–$297.85	72% above	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440	$193.60	$297.85	$193.60–$297.85	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE	$162.31	$249.70	$162.31–$249.70	1% above	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE	$162.31	$249.70	$162.31–$249.70	—	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II RUBELLA VIRUS	$215.67	$331.80	$215.67–$331.80	27% above	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II RUBELLA VIRUS	$215.67	$331.80	$215.67–$331.80	—	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$347.78	$535.05	$347.78–$535.05	29% above	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENOMUNE VAC INJ	$358.18	$551.05	$358.18–$551.05	33% above	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$347.78	$535.05	$347.78–$535.05	—	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENOMUNE VAC INJ	$358.18	$551.05	$358.18–$551.05	—	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO	$1,046.53	$1,610.05	$1,046.53–$1,610.05	55% above	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO	$1,046.53	$1,610.05	$1,046.53–$1,610.05	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE	$200.53	$308.50	$200.53–$308.50	21% below	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23	$282.17	$434.10	$282.17–$434.10	11% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE	$200.53	$308.50	$200.53–$308.50	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23	$282.17	$434.10	$282.17–$434.10	—	35%
Rabies vaccine, one dose CPT 90675 RABAVERT INJ	$755.20	$1,161.85	$755.20–$1,161.85	13% above	35%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT INJ	$755.20	$1,161.85	$755.20–$1,161.85	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE	$110.01	$169.25	$110.01–$169.25	3% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP INJ	$119.83	$184.35	$119.83–$184.35	12% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL INJECTION	$255.74	$393.45	$255.74–$393.45	139% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE	$110.01	$169.25	$110.01–$169.25	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP INJ	$119.83	$184.35	$119.83–$184.35	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL INJECTION	$255.74	$393.45	$255.74–$393.45	—	35%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VACCINE	$198.51	$305.40	$198.51–$305.40	38% above	35%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VACCINE	$198.51	$305.40	$198.51–$305.40	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 T T INJ IM OR JET	$9.04	$13.90	$9.04–$13.90	88% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTER 1	$67.28	$103.50	$67.28–$103.50	10% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 D T INJ > 7 YR	$82.68	$127.20	$82.68–$127.20	11% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 T T INJ	$122.17	$187.95	$122.17–$187.95	64% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 T T INJ IM OR JET	$9.04	$13.90	$9.04–$13.90	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTER 1	$67.28	$103.50	$67.28–$103.50	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 D T INJ > 7 YR	$82.68	$127.20	$82.68–$127.20	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 T T INJ	$122.17	$187.95	$122.17–$187.95	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADDITIONAL	$9.04	$13.90	$9.04–$13.90	77% below	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADDITIONAL	$9.04	$13.90	$9.04–$13.90	—	35%

Source file: https://waynehospital.org/files/galleries/610847215_Wayne-County-Hospital_standardcharges.csv