Hospital

Johnson Regional Medical Center

Johnson Regional Medical Center in Clarksville, AR publishes cash prices for 214 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 Arkansas median for 113 of 209 procedures and above it for 87. By typical cash price it ranks #13 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1100 East Poplar Street, Clarksville, AR 72830 Collected Sep 27, 2026 Source price file (479) 754-5454

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 040002 · 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 5 actions for a hospital named Johnson Regional Medical Center in Clarksville, AR:

Aug 16, 2024 Warning notice
Nov 22, 2024 Corrective action plan requested
Jan 15, 2025 Corrective action plan requested
Mar 12, 2025 Case closed
Jul 31, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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.

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 Arkansas	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 STD EXT ART 2 LEVEL	$133.75	$243.18	$27.30–$243.18	36% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 STD EXT ART 2 LEVEL	$133.75	$243.18	$27.30–$243.18	—	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$195.84	$356.07	$36.00–$356.07	16% below	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$195.84	$356.07	$36.00–$356.07	—	45%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE AN/OR JNT SCAN;WHOL BODY	$474.44	$862.63	$59.00–$862.63	22% below	45%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE AN/OR JNT SCAN;WHOL BODY	$474.44	$862.63	$59.00–$862.63	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO	$514.89	$936.17	$174.94–$936.17	53% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO	$514.89	$936.17	$157.45–$936.17	—	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,101.28	$2,002.32	$108.30–$2,002.32	26% below	45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,101.28	$2,002.32	$108.30–$2,002.32	—	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST	$1,388.43	$2,524.43	$206.27–$2,524.43	10% below	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS WITH CONTRAST	$1,388.43	$2,524.43	$206.27–$2,524.43	—	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS WO/W CONTRAST	$1,521.90	$2,767.10	$272.95–$2,767.10	23% below	45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS WO/W CONTRAST	$1,521.90	$2,767.10	$272.95–$2,767.10	—	45%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$926.06	$1,683.74	$174.94–$1,683.74	18% below	45%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$926.06	$1,683.74	$157.45–$1,683.74	—	45%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/CONTRAST	$730.39	$1,327.98	$107.60–$1,327.98	18% below	45%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/CONTRAST	$730.39	$1,327.98	$96.84–$1,327.98	—	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$753.11	$1,369.28	$107.60–$1,369.28	4% below	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$753.11	$1,369.28	$96.84–$1,369.28	—	45%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$752.43	$1,368.05	$107.60–$1,368.05	12% below	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$752.43	$1,368.05	$96.84–$1,368.05	—	45%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/CONTRAST	$825.33	$1,500.61	$151.79–$1,500.61	6% below	45%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W/CONTRAST	$825.33	$1,500.61	$151.79–$1,500.61	—	45%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRIAN W & W/O CONT	$869.41	$1,580.74	$174.94–$1,580.74	17% below	45%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRIAN W & W/O CONT	$869.41	$1,580.74	$157.45–$1,580.74	—	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$691.30	$1,256.91	$107.60–$1,256.91	26% below	45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$691.30	$1,256.91	$96.84–$1,256.91	—	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONT	$794.86	$1,445.19	$107.60–$1,445.19	15% below	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONT	$794.86	$1,445.19	$96.84–$1,445.19	—	45%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$926.06	$1,683.74	$174.94–$1,683.74	12% below	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$926.06	$1,683.74	$157.45–$1,683.74	—	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL; BILATERAL	$368.79	$670.53	$70.00–$670.53	—	45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTRACRANIAL; BILATERAL	$368.79	$670.53	$70.00–$670.53	—	45%
Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEWS	$119.47	$217.23	$21.87–$217.23	17% below	45%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEWS	$119.47	$217.23	$21.87–$217.23	—	45%
Chest X-ray, single view CPT 71045 X-RAY CHEST 1 VIEW	$48.15	$87.55	$11.86–$87.55	55% below	45%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST 1 VIEW	$48.15	$87.55	$11.86–$87.55	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND, RENAL OR AORTA	$236.23	$429.51	$44.00–$429.51	16% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRASOUND, RENAL OR AORTA	$236.23	$429.51	$44.00–$429.51	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE GEST	$269.43	$489.87	$145.14–$489.87	8% above	45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SINGLE GEST	$269.43	$489.87	$145.14–$489.87	—	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$603.61	$1,097.47	$107.60–$1,097.47	22% below	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$603.61	$1,097.47	$96.84–$1,097.47	—	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST	$1,023.27	$1,860.49	$171.10–$1,860.49	at median	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST	$1,023.27	$1,860.49	$157.45–$1,860.49	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY DIAG BILATERAL	$165.64	$301.17	$111.86–$301.17	—	45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY DIAG BILATERAL	$165.64	$301.17	$100.67–$301.17	—	45%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX SCAN LOW-EXTR ART;BILAT	$313.90	$570.72	$73.00–$570.72	—	45%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX SCAN LOW-EXTR ART;BILAT	$313.90	$570.72	$73.00–$570.72	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX SCAN EXTR VEINS; BILAT	$309.82	$563.31	$42.00–$563.31	—	45%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX SCAN EXTR VEINS; BILAT	$309.82	$563.31	$42.00–$563.31	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W DOPPLER COMPLETE	$797.92	$1,450.76	$196.06–$1,450.76	28% below	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W DOPPLER COMPLETE	$797.92	$1,450.76	$196.06–$1,450.76	—	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$634.71	$1,154.01	$296.26–$1,154.01	3% above	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$634.71	$1,154.01	$296.26–$1,154.01	—	45%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST TYPE III >6 HR	$163.95	$298.08	$94.20–$875.00	44% below	45%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TEST TYPE III >6 HR	$163.95	$298.08	$94.20–$298.08	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND,ABD SINGLE ORGAN	$220.09	$400.16	$20.00–$400.16	17% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND,ABD SINGLE ORGAN	$220.09	$400.16	$20.00–$400.16	—	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LDCT	$313.22	$569.49	$78.83–$630.00	106% above	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LDCT	$313.22	$569.49	$70.95–$569.49	—	45%
MRI of the abdomen without contrast CPT 74181 MRI,ABDOMEN	$1,289.69	$2,344.90	$201.06–$2,344.90	7% above	45%
MRI of the abdomen without contrast inpatient CPT 74181 MRI,ABDOMEN	$1,289.69	$2,344.90	$201.06–$2,344.90	—	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI,ABDOMEN WO/W GAD	$1,263.52	$2,297.31	$347.19–$2,297.31	at median	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI,ABDOMEN WO/W GAD	$1,263.52	$2,297.31	$329.93–$2,297.31	—	45%
MRI of the brain, no contrast dye CPT 70551 MRI,BRAIN & STEM W/O CONTRAST	$1,186.82	$2,157.85	$201.39–$2,157.85	5% below	45%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI,BRAIN & STEM W/O CONTRAST	$1,186.82	$2,157.85	$201.36–$2,157.85	—	45%
MRI of the brain, with and without contrast dye CPT 70553 MRI,BRAIN & STEM W/O & W CONT	$1,633.50	$2,970.01	$326.88–$2,970.01	6% below	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI,BRAIN & STEM W/O & W CONT	$1,633.50	$2,970.01	$326.88–$2,970.01	—	45%
MRI of the lower back, no contrast dye CPT 72148 MRI, LUMBAR SPINE W/O CONTRAST	$1,455.62	$2,646.59	$196.40–$2,646.59	28% above	45%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI, LUMBAR SPINE W/O CONTRAST	$1,455.62	$2,646.59	$196.40–$2,646.59	—	45%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI,SPINAL CANAL LUMBAR WO/W G	$1,490.35	$2,709.72	$327.88–$2,709.72	6% below	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI,SPINAL CANAL LUMBAR WO/W G	$1,490.35	$2,709.72	$327.88–$2,709.72	—	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI,SPINAL CANAL THORACIC; WO	$1,515.22	$2,754.94	$195.40–$2,754.94	48% above	45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI,SPINAL CANAL THORACIC; WO	$1,515.22	$2,754.94	$195.40–$2,754.94	—	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI,SPINAL CANAL CERV WO/W GAD	$1,704.49	$3,099.06	$328.55–$3,099.06	4% above	45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI,SPINAL CANAL CERV WO/W GAD	$1,704.49	$3,099.06	$328.55–$3,099.06	—	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI,SPINAL CANAL CERVICAL; WO	$1,657.58	$3,013.78	$195.73–$3,013.78	44% above	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI,SPINAL CANAL CERVICAL; WO	$1,657.58	$3,013.78	$195.73–$3,013.78	—	45%
MRI of the pelvis without and with contrast CPT 72197 MRI,PELVIS; WO/W GAD	$1,263.52	$2,297.31	$345.86–$2,297.31	at median	45%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI,PELVIS; WO/W GAD	$1,263.52	$2,297.31	$329.93–$2,297.31	—	45%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS; W/O CONTRAST	$730.39	$1,327.98	$223.73–$1,327.98	22% below	45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI,PELVIS; W/O CONTRAST	$730.39	$1,327.98	$201.36–$1,327.98	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARADIAL PERF SPECT; MULTI	$1,210.16	$2,200.29	$266.71–$2,200.29	38% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARADIAL PERF SPECT; MULTI	$1,210.16	$2,200.29	$266.71–$2,200.29	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND,PELVIC; COMPLETE	$423.23	$769.51	$40.00–$769.51	17% above	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND,PELVIC; COMPLETE	$423.23	$769.51	$40.00–$769.51	—	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US, OB >/= 14 WKS;SINGLE GEST	$281.21	$511.29	$56.00–$511.29	1% below	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US, OB >/= 14 WKS;SINGLE GEST	$281.21	$511.29	$56.00–$511.29	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG TRANSAB 1ST TRIM READ	$52.12	$94.76	$57.34	82% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US, OB < 14 WKS; SINGLE GEST	$263.14	$478.44	$42.75–$478.44	8% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG TRANSAB 1ST TRIM READ	$52.12	$94.76	$57.34	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US, OB < 14 WKS; SINGLE GEST	$263.14	$478.44	$42.75–$478.44	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND,PREGNANCY;LIMITED	$156.92	$285.31	$26.00–$285.31	5% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND,PREGNANCY;LIMITED	$156.92	$285.31	$26.00–$285.31	—	45%
Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY SCREEN, BILATERAL	$131.65	$239.37	$92.75–$239.37	—	45%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAPHY SCREEN, BILATERAL	$131.65	$239.37	$83.48–$239.37	—	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOW STUDY/W/VIDEO	$107.24	$194.98	$29.00–$194.98	50% below	45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOW STUDY/W/VIDEO	$107.24	$194.98	$29.00–$194.98	—	45%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND, TRANSVAGINAL	$399.84	$726.97	$68.00–$726.97	19% above	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND, TRANSVAGINAL	$399.84	$726.97	$68.00–$726.97	—	45%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL READ	$52.12	$94.76	$43.32	85% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 US, OB TRANSVAGINAL	$263.14	$478.44	$58.50–$478.44	23% below	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY TRANSVAGINAL READ	$52.12	$94.76	$43.32	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US, OB TRANSVAGINAL	$263.14	$478.44	$58.50–$478.44	—	45%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL;COMPLETE	$459.26	$835.02	$56.00–$835.02	1% above	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMINAL;COMPLETE	$459.26	$835.02	$56.00–$835.02	—	45%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND,SCROTUM & CONTENTS	$270.33	$491.52	$31.00–$491.52	23% below	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND,SCROTUM & CONTENTS	$270.33	$491.52	$31.00–$491.52	—	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND,NECK,HEAD,THYROID	$228.36	$415.19	$54.00–$415.19	41% below	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND,NECK,HEAD,THYROID	$228.36	$415.19	$54.00–$415.19	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI WITH KUB	$84.86	$154.29	$30.00–$174.94	65% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY UPPER GI WITH KUB	$84.86	$154.29	$30.00–$174.94	—	45%
X-ray of the abdomen, 1 view CPT 74018 X-RAY ABDOMEN 1 VIEW	$113.64	$206.62	$20.26–$206.62	22% below	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY ABDOMEN 1 VIEW	$113.64	$206.62	$20.26–$206.62	—	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY SPINE/LUMBOSACRAL AP/LAT	$92.06	$167.38	$28.00–$167.38	52% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY SPINE/LUMBOSACRAL AP/LAT	$92.06	$167.38	$28.00–$167.38	—	45%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY SPINE LUMBAR COMPL/W/OBL	$92.06	$167.38	$40.00–$167.38	68% below	45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY SPINE LUMBAR COMPL/W/OBL	$92.06	$167.38	$40.00–$167.38	—	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY,SPINE,THORACIC,ANTEROPOST	$92.06	$167.38	$24.00–$167.38	54% below	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY,SPINE,THORACIC,ANTEROPOST	$92.06	$167.38	$24.00–$167.38	—	45%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY NASASL BONES COMPL MIN 3	$48.15	$87.55	$23.00–$87.55	55% below	45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY NASASL BONES COMPL MIN 3	$48.15	$87.55	$23.00–$87.55	—	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY,SPINE CERVICAL 3 OR LESS	$48.15	$87.55	$28.00–$87.55	60% below	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY,SPINE CERVICAL 3 OR LESS	$48.15	$87.55	$28.00–$87.55	—	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY PELVIS 1 OR 2 VIEWS	$92.06	$167.38	$21.00–$167.38	41% below	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS 1 OR 2 VIEWS	$92.06	$167.38	$21.00–$167.38	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY SACRUM & COCCYX > 2	$48.15	$87.55	$17.00–$87.55	61% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY SACRUM & COCCYX > 2	$48.15	$87.55	$17.00–$87.55	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$27.08	$49.23	$6.04–$49.23	2% above	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$27.08	$49.23	$5.44–$49.23	—	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$30.53	$55.52	$5.91–$55.52	at median	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$30.53	$55.52	$5.31–$55.52	—	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$248.35	$451.55	$54.30–$451.55	17% above	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$248.35	$451.55	$48.87–$451.55	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - GREEN PEA	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - FISH, COD	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - EGG WHITE	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - COCONUT	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - PEANUT	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - WALNUT	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST = SESAME SEED	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CASHEW	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH (BETUAL VERRUCOSA (t3)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS (g2)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS (m3)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - OAT	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - MILK	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-TOMATO	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-SOYBEAN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST WHEAT lgG	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA (m6)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEIN ALLERGEN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALLERGEN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT ALLERGEN	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - ALMOND	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SCALLOP	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CLAM	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (e1)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (t10)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS (g6)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (w14)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSH ELDER (Iva)(w16)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLUM NOTATUM (m1)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN/HICKORY (t22)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK (QUERCUS ALBA)(t70)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY (t70)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR (JUNIPERUS SAB)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER,ACER NEGINDO)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM (ULMUS AMERICANA)(t8)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER (e5)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM (m2)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH (i6)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED (short w1)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE (d2)	$16.43	$29.87	$5.95–$29.87	at median	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL - LAMB/MUTTON IgE	$18.58	$33.78	$5.95–$33.78	13% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL - PORK IgE	$18.58	$33.78	$5.95–$33.78	13% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL - BEEF IgE	$18.58	$33.78	$5.95–$33.78	13% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL - GALACTOSE 1,3 IgE	$18.58	$33.78	$5.95–$33.78	13% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - PORK (f26) IgE	$21.41	$38.93	$5.95–$38.93	30% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA 1,3IGE 092524	$50.99	$92.70	$5.95–$92.70	210% above	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEIN ALLERGEN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSH ELDER (Iva)(w16)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLUM NOTATUM (m1)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN/HICKORY (t22)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK (QUERCUS ALBA)(t70)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY (t70)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - CASHEW	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-TOMATO	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-SOYBEAN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WHEAT lgG	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA (m6)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CORN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED (w14)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA ALLERGEN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST = SESAME SEED	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SHRIMP	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - SCALLOP	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - CLAM	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT (t10)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON ALLERGEN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT ALLERGEN	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - ALMOND	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS (g6)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR (JUNIPERUS SAB)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER,ACER NEGINDO)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM (ULMUS AMERICANA)(t8)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER (e5)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE (d2)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED (short w1)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH (i6)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM (m2)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (e1)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH (BETUAL VERRUCOSA (t3)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS (g2)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS (m3)	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - OAT	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - MILK	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - GREEN PEA	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - FISH, COD	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - EGG WHITE	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - COCONUT	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - PEANUT	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - WALNUT	$16.43	$29.87	$5.36–$29.87	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL - BEEF IgE	$18.58	$33.78	$5.36–$33.78	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL - LAMB/MUTTON IgE	$18.58	$33.78	$5.36–$33.78	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL - GALACTOSE 1,3 IgE	$18.58	$33.78	$5.36–$33.78	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL - PORK IgE	$18.58	$33.78	$5.36–$33.78	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - PORK (f26) IgE	$21.41	$38.93	$5.36–$38.93	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE-ALPHA 1,3IGE 092524	$50.99	$92.70	$5.36–$92.70	—	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$91.83	$166.96	$14.76–$166.96	49% above	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$91.83	$166.96	$13.29–$166.96	—	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA R/L	$65.60	$119.27	$13.78–$119.27	32% above	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA R/L	$65.60	$119.27	$12.40–$119.27	—	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE/BNP	$114.26	$207.75	$44.76–$207.75	38% above	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE/BNP	$114.26	$207.75	$40.28–$207.75	—	45%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$215.44	$391.71	$9.64–$391.71	94% above	45%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$215.44	$391.71	$8.68–$391.71	—	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology	$28.16	$51.19	$25.48–$73.72	74% below	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV - Surgical pathology	$28.16	$51.19	$28.00–$73.72	—	45%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$48.72	$88.58	$11.76–$88.58	27% below	45%
Blood culture for bacteria CPT 87040 CULTURE BACTERIAL BLOOD AEROB	$61.18	$111.24	$11.76–$111.24	9% below	45%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$48.72	$88.58	$10.59–$88.58	—	45%
Blood culture for bacteria inpatient CPT 87040 CULTURE BACTERIAL BLOOD AEROB	$61.18	$111.24	$10.59–$111.24	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAWING - LABORATORY	$15.30	$27.81	$13.84–$27.81	28% above	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAWING - LABORATORY	$15.30	$27.81	$25.03–$27.81	—	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE POSTPRANDIAL	$30.53	$55.52	$4.48–$55.52	5% above	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POSTPRANDIAL	$30.53	$55.52	$4.03–$55.52	—	45%
Blood lead test CPT 83655 LEAD BLOOD LEVEL	$37.73	$68.60	$13.81–$68.60	4% above	45%
Blood lead test CPT 83655 HEAVY METAL SCREEN - LEAD	$87.86	$159.75	$13.81–$159.75	143% above	45%
Blood lead test inpatient CPT 83655 LEAD BLOOD LEVEL	$37.73	$68.60	$12.42–$68.60	—	45%
Blood lead test inpatient CPT 83655 HEAVY METAL SCREEN - LEAD	$87.86	$159.75	$12.42–$159.75	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$56.93	$103.52	$8.57–$103.52	51% above	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$56.93	$103.52	$7.72–$103.52	—	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$29.85	$54.28	$4.26–$119.67	49% below	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$29.85	$54.28	$4.26–$119.67	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$41.35	$75.19	$5.91–$75.19	3% above	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$41.35	$75.19	$5.31–$75.19	—	45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$98.40	$178.91	$42.49–$178.91	8% below	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$98.40	$178.91	$38.24–$178.91	—	45%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$146.72	$266.77	$23.72–$266.77	76% above	45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$146.72	$266.77	$21.35–$266.77	—	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$104.12	$189.31	$23.72–$189.31	52% above	45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$104.12	$189.31	$21.35–$189.31	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR	$97.15	$176.65	$51.31–$176.65	27% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2RNA-QUAL-RT-PCR39448	$66.90	$121.64	$51.31–$121.64	50% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR	$97.15	$176.65	$46.18–$176.65	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2RNA-QUAL-RT-PCR39448	$66.90	$121.64	$46.18–$121.64	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLYMD TRACH DNA AMP PROBE	$78.35	$142.45	$40.00–$142.45	5% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLYMD TRACH DNA AMP PROBE	$78.35	$142.45	$36.00–$142.45	—	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIAC RISK PROFILE	$123.61	$224.75	$15.26–$224.75	50% above	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIAC RISK PROFILE	$123.61	$224.75	$13.74–$224.75	—	45%
Complete blood count (CBC) with differential CPT 85025 CBC/PLT/DIFF/AUTO	$48.95	$88.99	$8.86–$88.99	at median	45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/DIFF/AUTO	$48.95	$88.99	$7.97–$88.99	—	45%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$32.46	$59.02	$7.38–$59.02	7% above	45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$32.46	$59.02	$6.64–$59.02	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$410.26	$745.93	$12.04–$745.93	220% above	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$410.26	$745.93	$10.83–$745.93	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$160.04	$290.98	$25.34–$290.98	129% above	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$160.04	$290.98	$22.81–$290.98	—	45%
Estradiol blood test CPT 82670 ESTRADIOL	$126.39	$229.79	$31.85–$229.79	21% above	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$126.39	$229.79	$28.67–$229.79	—	45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (FOLIC STIM. HORMONE)	$128.99	$234.53	$21.18–$234.53	79% above	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (FOLIC STIM. HORMONE)	$128.99	$234.53	$19.06–$234.53	—	45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$118.06	$214.65	$22.38–$214.65	10% below	45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$118.06	$214.65	$20.14–$214.65	—	45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN R/L	$73.81	$134.21	$15.54–$134.21	8% above	45%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN R/L	$73.81	$134.21	$13.98–$134.21	—	45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID R/L	$104.86	$190.65	$16.76–$190.65	66% above	45%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID R/L	$104.86	$190.65	$15.08–$190.65	—	45%
Free T3 thyroid hormone test CPT 84481 FREE T3	$212.10	$385.63	$19.31–$385.63	233% above	45%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$212.10	$385.63	$17.38–$385.63	—	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$83.79	$152.34	$10.28–$152.34	74% above	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$83.79	$152.34	$9.25–$152.34	—	45%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$150.63	$273.88	$29.04–$273.88	79% above	45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE-FREE	$150.63	$273.88	$26.13–$273.88	—	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE 1 HR 50G	$39.37	$71.59	$5.42–$71.59	14% above	45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL GLUCOSE 1 HR 50G	$39.37	$71.59	$4.87–$71.59	—	45%
Glucose tolerance test, 3 samples CPT 82951 GTT - 1ST 3 SPECIMENS	$75.74	$137.71	$14.67–$137.71	17% above	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT - 1ST 3 SPECIMENS	$75.74	$137.71	$13.20–$137.71	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NUCLEIC ACID AMPLIFICATION	$78.35	$142.45	$40.00–$142.45	2% above	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NUCLEIC ACID AMPLIFICATION	$78.35	$142.45	$36.00–$142.45	—	45%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN	$122.31	$222.38	$6.12–$222.38	73% above	45%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN	$122.31	$222.38	$6.12–$222.38	—	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA/PCR QUANT (VIRAL LOAD)	$268.18	$487.60	$97.01–$487.60	19% above	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA/PCR QUANT (VIRAL LOAD)	$268.18	$487.60	$87.31–$487.60	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG W HIV 1&2 AG IA	$68.21	$124.01	$27.45–$124.01	15% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG W HIV 1&2 AG IA	$68.21	$124.01	$24.71–$124.01	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$40.05	$72.82	$11.07–$72.82	2% above	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$40.05	$72.82	$9.96–$72.82	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$63.62	$115.67	$12.24–$115.67	2% above	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$63.62	$115.67	$11.02–$115.67	—	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$51.49	$93.63	$11.78–$93.63	24% above	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$51.49	$93.63	$10.60–$93.63	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$107.58	$195.60	$16.27–$195.60	110% above	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$107.58	$195.60	$14.64–$195.60	—	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA, QUANTITATIVE	$769.25	$1,398.64	$48.84–$1,398.64	486% above	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA, QUANTITATIVE	$769.25	$1,398.64	$43.95–$1,398.64	—	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I - IGG	$62.99	$114.54	$13.55–$114.54	21% above	45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 - IGM, IFA (CSF)	$78.35	$142.45	$13.55–$142.45	51% above	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I - IGG	$62.99	$114.54	$13.53–$114.54	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 - IGM, IFA (CSF)	$78.35	$142.45	$13.53–$142.45	—	45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 - IGM, IFA (CSF)	$78.35	$142.45	$22.06–$142.45	35% above	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS II, IgG	$102.14	$185.71	$22.06–$185.71	77% above	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 - IGM, IFA (CSF)	$78.35	$142.45	$19.85–$142.45	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS II, IgG	$102.14	$185.71	$19.85–$185.71	—	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC ULTRASENS	$52.17	$94.86	$14.76–$94.86	1% above	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIAC ULTRASENS	$52.17	$94.86	$13.29–$94.86	—	45%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$182.47	$331.76	$20.43–$331.76	91% above	45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$182.47	$331.76	$18.39–$331.76	—	45%
Insulin blood test CPT 83525 INSULIN R/L	$45.43	$82.61	$13.03–$82.61	1% below	45%
Insulin blood test inpatient CPT 83525 INSULIN R/L	$45.43	$82.61	$11.73–$82.61	—	45%
Iron blood test (serum iron) CPT 83540 IRON TOTAL	$33.14	$60.26	$7.38–$60.26	8% above	45%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL	$33.14	$60.26	$6.64–$60.26	—	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$42.66	$77.56	$9.96–$77.56	50% above	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$42.66	$77.56	$8.97–$77.56	—	45%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$90.36	$164.29	$9.90–$164.29	11% above	45%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$90.36	$164.29	$8.91–$164.29	—	45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$85.26	$155.02	$21.11–$155.02	29% above	45%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$85.26	$155.02	$19.00–$155.02	—	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$41.35	$75.19	$7.85–$75.19	36% above	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$41.35	$75.19	$7.07–$75.19	—	45%
Liver function blood test panel CPT 80076 HEPATIC PANEL	$116.42	$211.67	$9.31–$211.67	31% above	45%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL	$116.42	$211.67	$8.38–$211.67	—	45%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY TOTAL	$39.20	$71.28	$19.41–$71.28	49% below	45%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY TOTAL	$39.20	$71.28	$17.47–$71.28	—	45%
Magnesium blood test CPT 83735 MAGNESIUM-MG	$30.53	$55.52	$7.64–$55.52	5% below	45%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE	$34.44	$62.62	$7.64–$62.62	8% above	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM-MG	$30.53	$55.52	$6.87–$55.52	—	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE	$34.44	$62.62	$6.87–$62.62	—	45%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGM	$82.48	$149.97	$14.68–$149.97	79% above	45%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGG	$95.23	$173.14	$14.68–$173.14	106% above	45%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IGM	$82.48	$149.97	$13.21–$149.97	—	45%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IGG	$95.23	$173.14	$13.21–$173.14	—	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SLIDE TEST	$36.60	$66.54	$5.91–$66.54	20% above	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SLIDE TEST	$36.60	$66.54	$5.31–$66.54	—	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA - FREE	$104.75	$190.45	$20.96–$190.45	89% above	45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA - FREE	$104.75	$190.45	$18.87–$190.45	—	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA -	$74.44	$135.34	$20.96–$135.34	12% above	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA -	$74.44	$135.34	$18.87–$135.34	—	45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID PTH R/L	$158.22	$287.68	$47.06–$287.68	at median	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID PTH R/L	$158.22	$287.68	$42.35–$287.68	—	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PART THROMB TIME PTT	$41.98	$76.32	$6.85–$76.32	20% above	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT	$81.80	$148.73	$6.85–$148.73	135% above	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PART THROMB TIME PTT	$41.98	$76.32	$6.17–$76.32	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT	$81.80	$148.73	$6.17–$148.73	—	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL	$1,835.74	$3,337.72	$865.32–$3,337.72	37% above	45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL	$1,835.74	$3,337.72	$778.79–$3,337.72	—	45%
Progesterone blood test CPT 84144 PROGESTERONE	$108.88	$197.97	$23.78–$197.97	81% above	45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$108.88	$197.97	$21.40–$197.97	—	45%
Prolactin blood test CPT 84146 PROLACTIN	$92.00	$167.27	$22.09–$167.27	32% above	45%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$92.00	$167.27	$19.88–$167.27	—	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PT	$26.40	$48.00	$4.89–$48.00	3% below	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PT	$26.40	$48.00	$4.40–$48.00	—	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG	$35.29	$64.17	$16.40–$64.17	19% below	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$52.17	$94.86	$16.40–$94.86	20% above	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER IGG	$35.29	$64.17	$14.76–$64.17	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM	$52.17	$94.86	$14.76–$94.86	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ESR	$27.08	$49.23	$3.08–$49.23	7% above	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ESR	$27.08	$49.23	$2.77–$49.23	—	45%
Stool ova and parasites exam CPT 87177 OVA CYSTS PARA FECES	$40.05	$72.82	$10.15–$72.82	at median	45%
Stool ova and parasites exam inpatient CPT 87177 OVA CYSTS PARA FECES	$40.05	$72.82	$9.13–$72.82	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$11.67	$21.22	$4.87–$21.22	32% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, SERUM	$29.57	$53.77	$4.87–$53.77	72% above	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$11.67	$21.22	$4.38–$21.22	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, SERUM	$29.57	$53.77	$4.38–$53.77	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANIFERON TB GOLD	$125.93	$228.97	$70.66–$228.97	54% above	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANIFERON TB GOLD	$125.93	$228.97	$63.59–$228.97	—	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE R/L	$99.99	$181.80	$29.42–$181.80	26% above	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE R/L	$99.99	$181.80	$26.48–$181.80	—	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL LKM1AB	$52.51	$95.48	$16.59–$95.48	30% above	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE	$54.78	$99.60	$16.59–$99.60	36% above	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL LKM1AB	$52.51	$95.48	$14.93–$95.48	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE	$54.78	$99.60	$14.93–$99.60	—	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMLATING (TSH)	$58.86	$107.02	$19.15–$107.02	3% below	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMLATING (TSH)	$58.86	$107.02	$17.24–$107.02	—	45%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS	$52.51	$95.48	$40.00–$95.48	33% below	45%
Trichomonas test (NAAT) CPT 87661 SURESWAB - TRICHOMONAS	$159.87	$290.67	$40.00–$290.67	105% above	45%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS	$52.51	$95.48	$36.00–$95.48	—	45%
Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB - TRICHOMONAS	$159.87	$290.67	$36.00–$290.67	—	45%
Uric acid blood test CPT 84550 URIC ACID	$31.84	$57.89	$5.15–$57.89	11% below	45%
Uric acid blood test inpatient CPT 84550 URIC ACID	$31.84	$57.89	$4.64–$57.89	—	45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO	$22.32	$40.58	$3.61–$40.58	24% below	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO	$22.32	$40.58	$3.25–$40.58	—	45%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$11.67	$21.22	$3.66–$21.22	29% below	45%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUB URINE	$14.28	$25.96	$3.66–$25.96	13% below	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$11.67	$21.22	$3.57–$21.22	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 REDUCING SUB URINE	$14.28	$25.96	$3.57–$25.96	—	45%
Urine culture for bacteria, with colony count CPT 87086 CULTURE-URINE	$44.58	$81.06	$9.20–$81.06	at median	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE-URINE	$44.58	$81.06	$8.28–$81.06	—	45%
Urine pregnancy test, read by color change CPT 81025 PREG TEST- URINE	$31.84	$57.89	$8.74–$57.89	39% below	45%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST- URINE	$31.84	$57.89	$8.74–$57.89	—	45%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 R/L	$62.99	$114.54	$17.19–$114.54	16% above	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 R/L	$62.99	$114.54	$15.47–$114.54	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$121.00	$220.01	$33.74–$220.01	57% above	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$121.00	$220.01	$30.37–$220.01	—	45%
Zinc blood test CPT 84630 ZINC LEVEL	$48.04	$87.34	$12.98–$87.34	9% above	45%
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$48.04	$87.34	$11.69–$87.34	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA SUBUNIT HCG R/L	$97.38	$177.06	$11.54–$177.06	174% above	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA SUBUNIT HCG R/L	$97.38	$177.06	$11.54–$177.06	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION; EXTERNAL	$387.77	$705.04	$76.00–$705.04	14% below	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION; EXTERNAL	$387.77	$705.04	$76.00–$705.04	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION NB IP W/BLOCK	$1,146.03	$2,083.69	$94.87–$2,083.69	88% above	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION - OUTPATIENT	$1,220.81	$2,219.65	$94.87–$2,219.65	101% above	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION NB IP W/BLOCK	$1,146.03	$2,083.69	$94.87–$2,083.69	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION - OUTPATIENT	$1,220.81	$2,219.65	$94.87–$2,219.65	—	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN IMPACTION W/IRRIGATION	$16.54	$30.08	$14.97–$317.50	67% below	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN IMPACTION W/IRRIGATION	$16.54	$30.08	$15.98–$250.00	—	45%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$36.60	$66.54	$32.29–$317.50	39% below	45%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL	$36.60	$66.54	$32.29–$250.00	—	45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FIRST FACET 1 LEVEL	$671.93	$1,221.68	$89.88–$1,221.68	16% below	45%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FIRST FACET 1 LEVEL	$671.93	$1,221.68	$89.88–$1,221.68	—	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE SKIN ABSCESS	$102.48	$186.33	$92.73–$317.50	45% below	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE SKIN ABSCESS	$102.48	$186.33	$107.19–$250.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$227.00	$412.72	$45.27–$412.72	31% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$227.00	$412.72	$45.27–$412.72	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inter Joint/ Bursa Pro Fee	$56.65	$103.00	$11.66	61% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERM JOINT	$227.00	$412.72	$36.62–$412.72	55% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inter Joint/ Bursa Facility	$303.08	$551.05	$36.62–$551.05	107% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inter Joint/ Bursa Pro Fee	$56.65	$103.00	$11.66	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERM JOINT	$227.00	$412.72	$36.62–$412.72	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inter Joint/ Bursa Facility	$303.08	$551.05	$36.62–$551.05	—	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small Joint/Bursa Injection	$44.58	$81.06	$8.80	63% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT /BURSA TECH COMP	$347.60	$632.01	$35.62–$632.01	186% above	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small Joint/Bursa Injection	$44.58	$81.06	$8.80	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT /BURSA TECH COMP	$347.60	$632.01	$35.62–$632.01	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE RPR S/T/E <2.5cm	$227.00	$412.72	$151.13–$412.72	30% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMEDIATE RPR S/T/E <2.5cm	$227.00	$412.72	$151.13–$412.72	—	45%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlaminar L/S	$129.33	$235.15	$55.01	82% below	45%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlaminar Lum/Spine	$969.11	$1,762.02	$98.53–$1,762.02	35% above	45%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlaminar L/S	$129.33	$235.15	$55.01	—	45%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlaminar Lum/Spine	$969.11	$1,762.02	$98.53–$1,762.02	—	45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANEST AGENT/ STEROID EPI	$748.91	$1,361.66	$110.51–$1,361.66	1% below	45%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANEST AGENT/ STEROID EPI	$748.91	$1,361.66	$110.51–$1,361.66	—	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE; SINGLE	$102.48	$186.33	$53.26–$317.50	27% below	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE; SINGLE	$102.48	$186.33	$53.26–$250.00	—	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE GUIDE	$538.34	$978.81	$103.86–$978.81	11% below	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE GUIDE	$538.34	$978.81	$103.86–$978.81	—	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL NAILBED AND MATRIX	$227.00	$412.72	$101.86–$412.72	33% below	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL NAILBED AND MATRIX	$227.00	$412.72	$101.86–$412.72	—	45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JOINT	$250.39	$455.26	$208.00	85% below	45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JOINT	$2,369.56	$4,308.28	$191.40–$4,308.28	45% above	45%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JOINT	$250.39	$455.26	$208.00	—	45%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JOINT	$2,369.56	$4,308.28	$191.40–$4,308.28	—	45%
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL TISSUE SIMPLE	$227.00	$412.72	$106.19–$412.72	3% below	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL TISSUE SIMPLE	$227.00	$412.72	$106.19–$412.72	—	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY - SCREENING	$1,025.59	$1,864.71	$181.75–$1,864.71	64% above	45%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY - SCREENING	$1,025.59	$1,864.71	$181.75–$1,864.71	—	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY HIGHRISK SCREENING	$1,025.59	$1,864.71	$181.42–$1,864.71	64% above	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY HIGHRISK SCREENING	$1,025.59	$1,864.71	$181.42–$1,864.71	—	45%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$48.89	$88.89	$10.70	57% below	45%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$63.05	$114.64	$40.61–$317.50	45% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLICATION SAS FOREARM-HAND	$78.12	$142.04	$40.61–$317.50	31% below	45%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$48.89	$88.89	$10.70	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$63.05	$114.64	$40.61–$250.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SAS FOREARM-HAND	$78.12	$142.04	$40.61–$250.00	—	45%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$62.26	$113.20	$11.91	51% below	45%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$78.80	$143.27	$49.93–$317.50	38% below	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$62.26	$113.20	$11.91	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$78.80	$143.27	$49.93–$250.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE SCALP,ETC <2.5cm	$102.48	$186.33	$44.61–$317.50	57% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE SCALP,ETC <2.5cm	$102.48	$186.33	$44.61–$250.00	—	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT LUMBAR DX- 5 UNIT	$210.00	$381.82	$63.25–$655.31	45% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$360.92	$656.21	$63.25–$656.21	5% below	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCT LUMBAR DX- 5 UNIT	$210.00	$381.82	$63.25–$655.31	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$360.92	$656.21	$63.25–$656.21	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SIMPLE SCALP,ETC 2.6-7.5cm	$102.48	$186.33	$58.59–$317.50	69% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SIMPLE SCALP,ETC 2.6-7.5cm	$102.48	$186.33	$58.59–$250.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE <2.5cm	$102.48	$186.33	$55.26–$317.50	38% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE <2.5cm	$102.48	$186.33	$55.26–$250.00	—	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS/W/IMAGING GUIDE	$451.61	$821.12	$106.52–$821.12	40% below	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS/W/IMAGING GUIDE	$451.61	$821.12	$106.52–$821.12	—	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2	$48.44	$88.07	$14.03	68% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT(S) INJ,1 OR 2 MUSCL	$227.00	$412.72	$36.62–$412.72	50% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2	$361.54	$657.35	$36.62–$657.35	139% above	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2	$48.44	$88.07	$14.03	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PT(S) INJ,1 OR 2 MUSCL	$227.00	$412.72	$36.62–$412.72	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2	$361.54	$657.35	$36.62–$657.35	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SQ TISSUE	$227.00	$412.72	$60.25–$412.72	13% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SQ TISSUE	$227.00	$412.72	$60.25–$412.72	—	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$200.48	$364.52	$42.28–$414.70	53% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLO0D COMPONETS	$413.88	$752.52	$42.28–$752.52	2% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - ADMIN ICU	$413.88	$752.52	$42.28–$752.52	2% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - ADMIN LDRP	$413.88	$752.52	$42.28–$752.52	2% below	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$200.48	$364.52	$42.28–$414.70	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - ADMIN LDRP	$413.88	$752.52	$42.28–$752.52	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - ADMIN ICU	$413.88	$752.52	$42.28–$752.52	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLO0D COMPONETS	$413.88	$752.52	$42.28–$752.52	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/UPDRAFT TRMT;ADD'L PER DAY	$42.77	$77.77	$6.00–$181.78	45% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TXT ER	$107.80	$196.01	$6.00–$196.01	38% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI UPDRAFT INHALATION AIRWAY	$114.26	$207.75	$6.00–$207.75	46% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/UPDRAFT TRMT;ADD'L PER DAY	$42.77	$77.77	$6.00–$181.78	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TXT ER	$107.80	$196.01	$6.00–$196.01	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI UPDRAFT INHALATION AIRWAY	$114.26	$207.75	$6.00–$207.75	—	45%
Critical care, first 30 to 74 minutes CPT 99291 ER FACILITY CRITICAL CARE	$909.97	$1,654.49	$210.04–$1,654.49	37% above	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER FACILITY CRITICAL CARE	$909.97	$1,654.49	$210.04–$1,654.49	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM (EKG)	$87.24	$158.62	$6.32–$158.62	17% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG - ER	$95.85	$174.28	$6.32–$174.28	9% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM (EKG)	$87.24	$158.62	$6.32–$158.62	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG - ER	$95.85	$174.28	$6.32–$174.28	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB - LEVEL I EMERGENT CARE	$59.14	$107.53	$11.32–$263.00	46% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FACILITY - LEVEL I	$99.31	$180.56	$11.32–$263.00	9% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB - LEVEL I EMERGENT CARE	$59.14	$107.53	$11.32–$148.43	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FACILITY - LEVEL I	$99.31	$180.56	$11.32–$180.56	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB - LEVEL II EMERGENT CARE	$83.90	$152.54	$41.28–$368.00	45% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FACILITY - LEVEL 2	$159.64	$290.25	$41.28–$368.00	4% above	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB - LEVEL II EMERGENT CARE	$83.90	$152.54	$41.28–$169.42	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER FACILITY - LEVEL 2	$159.64	$290.25	$41.28–$290.25	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB - LEVEL III EMERGENT CARE	$116.98	$212.70	$70.24–$525.00	58% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FACILTIY - LEVEL 3	$372.59	$677.43	$70.24–$677.43	35% above	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB - LEVEL III EMERGENT CARE	$116.98	$212.70	$70.24–$212.70	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER FACILTIY - LEVEL 3	$372.59	$677.43	$70.24–$677.43	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB - LEVEL IV EMERGENT CARE	$224.16	$407.57	$119.50–$650.00	50% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FACILITY - LEVEL 4	$531.94	$967.17	$119.50–$967.17	18% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB - LEVEL IV EMERGENT CARE	$224.16	$407.57	$119.50–$407.57	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER FACILITY - LEVEL 4	$531.94	$967.17	$119.50–$967.17	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FACILITY - LEVEL 5	$691.53	$1,257.32	$173.10–$1,257.32	1% below	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER FACILITY - LEVEL 5	$691.53	$1,257.32	$173.10–$1,257.32	—	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST(TREADMILL)	$177.48	$322.70	$37.61–$322.70	54% below	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST(TREADMILL)	$177.48	$322.70	$37.61–$322.70	—	45%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT PER SESSION	$154.09	$280.16	$101.53–$280.16	3% below	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT PER SESSION	$154.09	$280.16	$101.53–$280.16	—	45%
Group psychotherapy session CPT 90853 IOP GROUP THERAPY PER SESION	$87.86	$159.75	$23.97–$159.75	22% below	45%
Group psychotherapy session inpatient CPT 90853 IOP GROUP THERAPY PER SESION	$87.86	$159.75	$23.97–$159.75	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 31m-1hr	$57.39	$104.34	$32.29–$196.08	68% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT HR LDR	$99.65	$181.18	$32.29–$196.08	44% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT HR -OP	$99.65	$181.18	$32.29–$196.08	44% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT HR-OBS	$120.44	$218.98	$32.29–$218.98	33% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 31m-1hr	$57.39	$104.34	$32.29–$196.08	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS INIT HR -OP	$99.65	$181.18	$32.29–$196.08	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS INIT HR LDR	$99.65	$181.18	$32.29–$196.08	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS INIT HR-OBS	$120.44	$218.98	$32.29–$218.98	—	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HOUR ER	$104.69	$190.34	$62.58–$196.08	43% below	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HR - OP	$104.69	$190.34	$62.58–$196.08	43% below	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HR - LDRP	$104.69	$190.34	$62.58–$196.08	43% below	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR - OBS	$104.69	$190.34	$62.58–$196.08	43% below	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HOUR ER	$104.69	$190.34	$62.58–$196.08	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HR - OP	$104.69	$190.34	$62.58–$196.08	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR - OBS	$104.69	$190.34	$62.58–$196.08	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HR - LDRP	$104.69	$190.34	$62.58–$196.08	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN SUBQ/IM INJECTION LDRP	$32.52	$59.12	$14.31–$64.04	57% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJECTION - ER	$32.52	$59.12	$14.31–$64.04	57% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMIN SUBQ/IM - OP	$33.76	$61.39	$14.31–$64.04	56% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUB Q/IM - OBS	$41.35	$75.19	$14.31–$75.19	46% below	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJECTION - ER	$32.52	$59.12	$14.31–$64.04	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN SUBQ/IM INJECTION LDRP	$32.52	$59.12	$14.31–$64.04	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ADMIN SUBQ/IM - OP	$33.76	$61.39	$14.31–$64.04	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUB Q/IM - OBS	$41.35	$75.19	$14.31–$75.19	—	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 INITIAL ASSESSMENT - IOP	$170.35	$309.72	$138.31–$309.72	16% above	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INITIAL ASSESSMENT - IOP	$170.35	$309.72	$124.48–$309.72	—	45%
New patient office visit, about 30 minutes CPT 99203 LOW COMPLEXITY OFF VIS 30-44	$88.26	$160.47	$70.19	10% above	45%
New patient office visit, about 30 minutes inpatient CPT 99203 LOW COMPLEXITY OFF VIS 30-44	$88.26	$160.47	$70.19	—	45%
New patient office visit, about 45 minutes CPT 99204 OFFICE OP MOD COMP 45-59 MINS	$157.60	$286.55	$95.17	55% above	45%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OP MOD COMP 45-59 MINS	$157.60	$286.55	$95.17	—	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT EXP PROBLEM 15-29	$61.80	$112.36	$48.78	4% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT EXP PROBLEM 15-29	$283.25	$515.00	$46.94–$515.00	375% above	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT EXP PROBLEM 15-29	$61.80	$112.36	$48.78	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT EXP PROBLEM 15-29	$283.25	$515.00	$44.15–$515.00	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY 15M	$39.37	$71.59	$31.62–$71.59	at median	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY 15M	$39.37	$71.59	$28.61–$71.59	—	45%
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY 30 MIN W/WO FAM	$89.85	$163.36	$68.24–$163.36	10% below	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY 30 MIN W/WO FAM	$89.85	$163.36	$68.24–$163.36	—	45%
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN W/WO FAM	$122.93	$223.51	$90.21–$223.51	at median	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY 45 MIN W/WO FAM	$122.93	$223.51	$90.21–$223.51	—	45%
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY 60 MIN W/WO FAM	$122.93	$223.51	$111.24–$223.51	5% above	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY 60 MIN W/WO FAM	$122.93	$223.51	$124.48–$223.51	—	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT ESTABLILSHED LOW MDM 20	$56.48	$102.69	$51.11–$102.69	33% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OP EST LOW 20-29 MINS	$75.68	$137.61	$39.26	10% below	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPT ESTABLILSHED LOW MDM 20	$56.48	$102.69	$65.24–$102.69	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OP EST LOW 20-29 MINS	$75.68	$137.61	$39.26	—	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MOD COMPLEXITY VISIT 30-39 MIN	$110.35	$200.64	$75.76	13% above	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MOD COMPLEXITY VISIT 30-39 MIN	$110.35	$200.64	$75.76	—	45%
Spirometry (breathing test) CPT 94010 PFT SIMPLE SPIROMETRY	$85.14	$154.81	$24.00–$154.81	58% below	45%
Spirometry (breathing test) inpatient CPT 94010 PFT SIMPLE SPIROMETRY	$85.14	$154.81	$24.00–$154.81	—	45%
Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE/POST	$161.40	$293.45	$38.95–$293.45	40% below	45%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SPIROMETRY PRE/POST	$161.40	$293.45	$38.95–$293.45	—	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC	$76.99	$139.98	$69.67–$139.98	43% below	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC	$76.99	$139.98	$95.54–$139.98	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRIVALENT 2024-2025	$10.77	$19.58	$9.75–$22.57	71% below	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE TRIVALENT 2024-2025	$10.77	$19.58	$15.45–$500.00	—	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA (MMR)	$62.88	$114.33	$13.14–$114.33	56% below	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA (MMR)	$62.88	$114.33	$13.14–$500.00	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Syringe	$281.78	$512.32	$13.14–$512.32	69% below	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 Syringe	$281.78	$512.32	$13.14–$512.32	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNU-IMUNE 23 25U INJ	$130.01	$236.39	$13.14–$236.39	18% below	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNU-IMUNE 23 25U INJ	$130.01	$236.39	$13.14–$500.00	—	45%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE	$243.88	$443.42	$220.69–$443.42	74% below	45%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VACCINE	$243.88	$443.42	$262.98–$500.00	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS,DIPTERIA	$68.15	$123.91	$13.14–$123.91	13% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC TETANUS & DIPTHERIA	$68.15	$123.91	$13.14–$123.91	13% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS,DIPTERIA	$68.15	$123.91	$13.14–$500.00	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC TETANUS & DIPTHERIA	$68.15	$123.91	$13.14–$500.00	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TdaP 0.5ml VIAL	$30.31	$55.11	$13.14–$55.11	69% below	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TdaP 0.5ml VIAL	$30.31	$55.11	$13.14–$500.00	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE - REHAB	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE LDRP	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE- OBS	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE - MED/SURG	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/TOXOID ADMIN - OP	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE - GERO	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE - ICU	$28.38	$51.60	$13.14–$64.04	18% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE - M/S	$29.34	$53.35	$13.14–$64.04	22% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM IMMUNIZATION INITIAL	$42.60	$77.46	$13.14–$77.46	77% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE- OBS	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE - MED/SURG	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE - ICU	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE LDRP	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/TOXOID ADMIN - OP	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE - GERO	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE - REHAB	$28.38	$51.60	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE - M/S	$29.34	$53.35	$13.14–$64.04	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM IMMUNIZATION INITIAL	$42.60	$77.46	$13.14–$77.46	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN PNEUMONIA VACCINE - ICU	$29.34	$53.35	$13.14–$53.35	99% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN PNEUMONIA VAC - GERO	$29.34	$53.35	$13.14–$53.35	99% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM IMMUNIZATION ADD'L	$32.18	$58.50	$13.14–$58.50	118% above	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN PNEUMONIA VAC - GERO	$29.34	$53.35	$13.14–$53.35	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN PNEUMONIA VACCINE - ICU	$29.34	$53.35	$13.14–$53.35	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM IMMUNIZATION ADD'L	$32.18	$58.50	$13.14–$58.50	—	45%

Source file: https://www.jrmc.com/wp-content/uploads/2025/12/710403278_johnson-regional-medical-center_standardcharges.csv