Hospital Minden, LA

Springhill Medical Center

Springhill Medical Center in Springhill, LA publishes cash prices for 222 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 Louisiana median for 164 of 219 procedures and above it for 52. By typical cash price it ranks #2 of 28 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2001 Doctors Drive, PO Box 920, Springhill, LA, 71075 Collected Sep 27, 2026 Source price file (318) 539-1000

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 190088 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHOGRAM	$163.20	$479.99	$76.29–$359.99	31% below	66%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHOGRAM	$163.20	$479.99	$76.29–$359.99	—	66%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$344.69	$1,013.79	$304.11–$760.34	43% below	66%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$344.69	$1,013.79	$304.11–$760.34	—	66%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PEL W CON PER PROTOCOL	$336.46	$989.60	$240.00–$742.20	79% below	66%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PEL W CON PER PROTOCOL	$336.46	$989.60	$240.00–$742.20	—	66%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PEL WWO CON PER PROTOCOL	$336.46	$989.60	$240.00–$742.20	80% below	66%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PEL WWO CON PER PROTOCOL	$336.46	$989.60	$240.00–$742.20	—	66%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	82% below	66%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	—	66%
CT scan of the head with contrast CPT 70460 CT BRAIN W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	80% below	66%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	—	66%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	80% below	66%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	—	66%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CV CAROTID DOP	$210.34	$618.64	$223.61–$463.98	55% below	66%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CV CAROTID DOP	$210.34	$618.64	$223.61–$463.98	—	66%
Chest X-ray, 2 views CPT 71046 HC CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	46% below	66%
Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL 2V PORTABLE	$73.94	$217.48	$25.14–$164.69	46% below	66%
Chest X-ray, 2 views CPT 71046 BC CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	46% below	66%
Chest X-ray, 2 views CPT 71046 NW CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	46% below	66%
Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	46% below	66%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	—	66%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	—	66%
Chest X-ray, 2 views inpatient CPT 71046 BC CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	—	66%
Chest X-ray, 2 views inpatient CPT 71046 NW CHEST PA LATERAL 2V	$73.94	$217.48	$25.14–$164.69	—	66%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LATERAL 2V PORTABLE	$73.94	$217.48	$25.14–$164.69	—	66%
Chest X-ray, single view CPT 71045 NW CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view CPT 71045 HC CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view CPT 71045 BC CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view CPT 71045 XR CHEST 1V PORTABLE	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view CPT 71045 XR CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view CPT 71045 XR CHEST SPECIAL VIEW 1V	$73.94	$217.48	$19.00–$164.69	34% below	66%
Chest X-ray, single view inpatient CPT 71045 XR CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	—	66%
Chest X-ray, single view inpatient CPT 71045 NW CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	—	66%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V PORTABLE	$73.94	$217.48	$19.00–$164.69	—	66%
Chest X-ray, single view inpatient CPT 71045 BC CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	—	66%
Chest X-ray, single view inpatient CPT 71045 HC CHEST AP ONLY	$73.94	$217.48	$19.00–$164.69	—	66%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SPECIAL VIEW 1V	$73.94	$217.48	$19.00–$164.69	—	66%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AB AORTA	$99.60	$292.94	$88.16–$219.70	66% below	66%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AB RENAL COMPLETE	$99.60	$292.94	$88.16–$219.70	66% below	66%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AB AORTA	$99.60	$292.94	$88.16–$219.70	—	66%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AB RENAL COMPLETE	$99.60	$292.94	$88.16–$219.70	—	66%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DXA BONE DENSITY STUDY	$99.60	$292.94	$34.14–$219.70	41% below	66%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	83% below	66%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON PER PROTOCOL	$163.20	$479.99	$240.00–$359.99	—	66%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US CV ART LOW BILAT	$210.34	$618.64	$300.53–$463.98	—	66%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US CV ART LOW BILAT	$210.34	$618.64	$300.53–$463.98	—	66%
Duplex ultrasound of the leg veins, both legs CPT 93970 US CV VEN DOP LOWER BIL	$210.34	$618.64	$224.60–$463.98	50% below	66%
Duplex ultrasound of the leg veins, both legs CPT 93970 US CV VEN DOP UPPER BIL	$210.34	$618.64	$224.60–$463.98	50% below	66%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US CV VEN DOP LOWER BIL	$210.34	$618.64	$224.60–$463.98	—	66%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US CV VEN DOP UPPER BIL	$210.34	$618.64	$224.60–$463.98	—	66%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US CV ECHO COMP	$441.36	$1,298.12	$176.67–$1,034.09	39% below	66%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US CV ECHO COMP	$441.36	$1,298.12	$176.67–$1,034.09	—	66%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATO BIL GB WO CCK	$344.69	$1,013.79	$342.57–$760.34	32% below	66%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATO BIL GB WO CCK	$344.69	$1,013.79	$342.57–$760.34	—	66%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM SPLIT N 6 YR UP 6 HRS OR >	$943.50	$2,775.00	$714.94–$2,081.25	19% below	66%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM/CPAP 6 YR UP 6 HRS OR >REC	$943.50	$2,775.00	$714.94–$2,081.25	19% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB LIVER	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB PANCREAS	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB SPLEEN	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB GALLBLADDER	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB APPENDIX	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB BLADDER	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB PYLORIC STENOSIS	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US AB LIMITED	$99.60	$292.94	$71.38–$219.70	67% below	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB LIMITED	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB APPENDIX	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB SPLEEN	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB PANCREAS	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB GALLBLADDER	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB LIVER	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB BLADDER	$99.60	$292.94	$71.38–$219.70	—	66%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US AB PYLORIC STENOSIS	$99.60	$292.94	$71.38–$219.70	—	66%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE FOR LUNG CANCER SCREENING	$73.94	$217.47	$111.45–$197.86	31% below	66%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE FOR LUNG CANCER SCREENING	$73.94	$217.47	$111.45–$197.86	—	66%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$279.04	$820.70	$420.61–$615.52	74% below	66%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WWO	$336.46	$989.60	$440.00–$742.20	75% below	66%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WWO	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the brain, no contrast dye both sides CPT 70551 MRI IAC BILATERAL WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO CONT	$279.04	$820.70	$420.61–$615.52	75% below	66%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$279.04	$820.70	$420.61–$615.52	75% below	66%
MRI of the brain, no contrast dye inpatient both sides CPT 70551 MRI IAC BILATERAL WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY WO CONT	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the brain, with and without contrast dye both sides CPT 70553 MRI IAC BILATERAL WWO	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WWO CONT	$336.46	$989.60	$440.00–$742.20	77% below	66%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST	$336.46	$989.60	$440.00–$742.20	77% below	66%
MRI of the brain, with and without contrast dye inpatient both sides CPT 70553 MRI IAC BILATERAL WWO	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY WWO CONT	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUM WO CON	$279.04	$820.70	$420.61–$615.52	78% below	66%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUM WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUM WWO CON	$336.46	$989.60	$440.00–$742.20	76% below	66%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUM WWO CON	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THOR WO CON	$279.04	$820.70	$420.61–$615.52	77% below	66%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THOR WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERV WWO CON	$336.46	$989.60	$440.00–$742.20	80% below	66%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERV WWO CON	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV WO CON	$279.04	$820.70	$420.61–$615.52	77% below	66%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERV WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS HIPS WWO CON	$336.46	$989.60	$440.00–$742.20	74% below	66%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS HIPS WWO CON	$336.46	$989.60	$440.00–$742.20	—	66%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS HIPS WO CON	$279.04	$820.70	$420.61–$615.52	75% below	66%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS HIPS WO CON	$279.04	$820.70	$420.61–$615.52	—	66%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO SPECT REST STRESS	$1,193.63	$3,510.68	$459.31–$2,633.01	4% below	66%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYO SPECT REST STRESS	$1,193.63	$3,510.68	$459.31–$2,633.01	—	66%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$99.60	$292.94	$86.93–$219.70	65% below	66%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC	$99.60	$292.94	$86.93–$219.70	—	66%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB PREG COMP >3RD TRI	$99.60	$292.94	$104.12–$219.70	64% below	66%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB PREG 2ND TRIMESTER	$99.60	$292.94	$104.12–$219.70	64% below	66%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB PREG >14W	$99.60	$292.94	$104.12–$219.70	64% below	66%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB PREG >14W	$99.60	$292.94	$104.12–$219.70	—	66%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB PREG COMP >3RD TRI	$99.60	$292.94	$104.12–$219.70	—	66%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB PREG 2ND TRIMESTER	$99.60	$292.94	$104.12–$219.70	—	66%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB PREG < 14W	$99.60	$292.94	$83.66–$219.70	63% below	66%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB PREG < 14W	$99.60	$292.94	$83.66–$219.70	—	66%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PLACENTA LOC	$99.60	$292.94	$59.51–$219.70	26% below	66%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB FETAL LIMITED	$99.60	$292.94	$59.51–$219.70	26% below	66%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB PLACENTA LOC	$99.60	$292.94	$59.51–$219.70	—	66%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB FETAL LIMITED	$99.60	$292.94	$59.51–$219.70	—	66%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO BILAT SCREEN	$80.28	$236.12	$113.53–$177.09	—	66%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM AGE 6 YRS UP 6 HRS OR >REC	$943.50	$2,775.00	$683.26–$2,081.25	30% below	66%
Transvaginal pelvic ultrasound CPT 76830 US GYN TRANSVAGINAL	$99.60	$292.94	$102.07–$219.70	51% below	66%
Transvaginal pelvic ultrasound inpatient CPT 76830 US GYN TRANSVAGINAL	$99.60	$292.94	$102.07–$219.70	—	66%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$99.60	$292.94	$67.29–$219.70	42% below	66%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$99.60	$292.94	$67.29–$219.70	—	66%
Ultrasound of the abdomen, complete CPT 76700 US AB ABDOMEN COMPLETE	$99.60	$292.94	$94.70–$219.70	70% below	66%
Ultrasound of the abdomen, complete inpatient CPT 76700 US AB ABDOMEN COMPLETE	$99.60	$292.94	$94.70–$219.70	—	66%
Ultrasound of the scrotum and testicles CPT 76870 US SP TESTICULAR	$99.60	$292.94	$84.47–$219.70	56% below	66%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SP TESTICULAR	$99.60	$292.94	$84.47–$219.70	—	66%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SP THYROID NECK	$99.60	$292.94	$101.25–$219.70	65% below	66%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SP THYROID NECK	$99.60	$292.94	$101.25–$219.70	—	66%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	35% below	66%
X-ray of the abdomen, 1 view CPT 74018 BC ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	35% below	66%
X-ray of the abdomen, 1 view CPT 74018 NW ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	35% below	66%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN LAT DECUBITUS	$73.94	$217.48	$23.09–$164.69	35% below	66%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	35% below	66%
X-ray of the abdomen, 1 view inpatient CPT 74018 BC ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	—	66%
X-ray of the abdomen, 1 view inpatient CPT 74018 NW ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	—	66%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	—	66%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN LAT DECUBITUS	$73.94	$217.48	$23.09–$164.69	—	66%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN AP ONLY KUB	$73.94	$217.48	$23.09–$164.69	—	66%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 BC SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	34% below	66%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LS 2 3V	$99.60	$292.94	$30.87–$219.70	34% below	66%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	34% below	66%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 NW SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	34% below	66%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LS 2 3V	$99.60	$292.94	$30.87–$219.70	—	66%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 BC SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	—	66%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 NW SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	—	66%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LS 2 OR 3V	$99.60	$292.94	$30.87–$219.70	—	66%
X-ray of the lower back, 4 or more views CPT 72110 BC SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	57% below	66%
X-ray of the lower back, 4 or more views CPT 72110 NW SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	57% below	66%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	57% below	66%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	57% below	66%
X-ray of the lower back, 4 or more views inpatient CPT 72110 NW SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	—	66%
X-ray of the lower back, 4 or more views inpatient CPT 72110 BC SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	—	66%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	—	66%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LS COMPLETE 4V	$99.60	$292.94	$40.69–$219.70	—	66%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	44% below	66%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 BC SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	44% below	66%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 NW SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	44% below	66%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	44% below	66%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 BC SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	—	66%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	—	66%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 NW SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	—	66%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP LAT	$99.60	$292.94	$24.73–$219.70	—	66%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	39% below	66%
X-ray of the nasal bones, 3 or more views CPT 70160 BC NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	39% below	66%
X-ray of the nasal bones, 3 or more views CPT 70160 NW NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	39% below	66%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	39% below	66%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	—	66%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 BC NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	—	66%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NW NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	—	66%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES PA OR AP 2 OR 3V	$73.94	$217.48	$31.68–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 NW SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 NW SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	49% below	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 NW SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 NW SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 BC SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE C AP LAT	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE C FLEX EX	$73.94	$217.48	$30.87–$164.69	—	66%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	31% below	66%
X-ray of the pelvis, 1 or 2 views CPT 72170 NW PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	31% below	66%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	31% below	66%
X-ray of the pelvis, 1 or 2 views CPT 72170 BC PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	31% below	66%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 NW PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	—	66%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	—	66%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 BC PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	—	66%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEW	$99.60	$292.94	$22.68–$219.70	—	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 BC COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	48% below	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 NW COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	48% below	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	48% below	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	48% below	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	—	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	—	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 NW COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	—	66%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 BC COCCYX SACRUM AP LATERAL	$73.94	$217.48	$25.96–$164.69	—	66%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$5.41	$15.90	$5.30–$11.13	83% below	66%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$5.41	$15.90	$5.30–$11.13	—	66%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$5.28	$15.54	$5.18–$10.88	84% below	66%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$5.28	$15.54	$5.18–$10.88	—	66%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE VIRAL(HAV,HBV,HCV)	$48.58	$142.89	$47.63–$100.02	58% below	66%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE VIRAL(HAV,HBV,HCV)	$48.58	$142.89	$47.63–$100.02	—	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,IGE,QUANT/SEMI;EA	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MILK IGE W COMPONENT	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CASHEW NUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN STACHYBOTRYS ATRA (BLACK MOLD)	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BANANA IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CRAYFISH FR WA, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LOBSTER, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEAR IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEACH IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN JOHNSON GRASS	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CRAB,IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT/SEMI EA (LAB EXP)	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OYSTER IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ASPARAGUS IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TROUT IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SALMON IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALMOND IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALLEYE PIKE IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MACKEREL IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LAMB IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCALLOP IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALDER GREY	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BEEF IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LAMBS QUARTERS	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHICKEN IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BAHIA GRASS	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHRIMP, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CYPRESS BALD	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAZELNUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN NUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN APPLE IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TUNA IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRAPE IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HACKBERRY	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORK IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRAZIL NUT IGE	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLAM IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN K082-IGE LATEX	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUGWORT	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLADOSPORIUM HERBARUM	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HALIBUT IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CODFISH IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GUM SWEET	$5.32	$15.66	$5.22–$10.96	47% below	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CRAB,IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLADOSPORIUM HERBARUM	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRAZIL NUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HACKBERRY	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLAM IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LOBSTER, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OYSTER IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCALLOP IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BEEF IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHICKEN IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHRIMP, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN APPLE IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GRAPE IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORK IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN K082-IGE LATEX	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUGWORT	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CRAYFISH FR WA, IGE, QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN JOHNSON GRASS	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT/SEMI EA (LAB EXP)	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEACH IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEAR IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BANANA IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN STACHYBOTRYS ATRA (BLACK MOLD)	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CASHEW NUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE MILK IGE W COMPONENT	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,IGE,QUANT/SEMI;EA	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GUM SWEET	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CODFISH IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PECAN NUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WALNUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HAZELNUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEANUT IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LAMB IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HALIBUT IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MACKEREL IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALMOND IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WALLEYE PIKE IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SALMON IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TROUT IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TUNA IGE QUANT/SEMI	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CYPRESS BALD	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BAHIA GRASS	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LAMBS QUARTERS	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALDER GREY	$5.32	$15.66	$5.22–$10.96	—	66%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ASPARAGUS IGE	$5.32	$15.66	$5.22–$10.96	—	66%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX IF POS	$12.33	$36.27	$12.09–$25.39	76% below	66%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) BY IFA	$12.33	$36.27	$12.09–$25.39	76% below	66%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 PLUS PROFILE (RDL)	$17.00	$50.00	$12.09–$35.00	68% below	66%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX IF POS	$12.33	$36.27	$12.09–$25.39	—	66%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) BY IFA	$12.33	$36.27	$12.09–$25.39	—	66%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 12 PLUS PROFILE (RDL)	$17.00	$50.00	$12.09–$35.00	—	66%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP TYPE NATRIURETIC PEPTIDE	$40.05	$117.78	$39.26–$82.45	49% below	66%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP TYPE NATRIURETIC PEPTIDE	$40.05	$117.78	$39.26–$82.45	—	66%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATH GROSS AND MICRO EXAM	$45.48	$133.77	$36.88–$98.63	38% below	66%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURG PATH GROSS AND MICRO EXAM	$45.48	$133.77	$36.88–$98.63	—	66%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$8.84	$26.00	$3.00–$19.52	3% above	66%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$8.84	$26.00	$3.00–$19.52	—	66%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QUANT	$4.01	$11.79	$3.93–$8.25	77% below	66%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLD QUANT	$4.01	$11.79	$3.93–$8.25	—	66%
Blood lead test CPT 83655 KIDMED LEAD BLOOD FILTER	$12.35	$36.33	$12.11–$25.43	60% below	66%
Blood lead test CPT 83655 LEAD BLOOD	$12.35	$36.33	$12.11–$25.43	60% below	66%
Blood lead test inpatient CPT 83655 KIDMED LEAD BLOOD FILTER	$12.35	$36.33	$12.11–$25.43	—	66%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$12.35	$36.33	$12.11–$25.43	—	66%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$7.67	$22.56	$7.52–$15.79	86% below	66%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM	$7.67	$22.56	$7.52–$15.79	—	66%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$102.32	$300.95	$2.99–$251.78	117% above	66%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$102.32	$300.95	$2.99–$251.78	—	66%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$5.28	$15.54	$5.18–$10.88	84% below	66%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$5.28	$15.54	$5.18–$10.88	—	66%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE (INHOUSE)	$38.02	$111.81	$37.27–$78.27	45% below	66%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE, NAA	$38.76	$114.00	$37.27–$79.80	44% below	66%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE (INHOUSE)	$38.02	$111.81	$37.27–$78.27	—	66%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN GENE, NAA	$38.76	$114.00	$37.27–$79.80	—	66%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$21.23	$62.43	$20.81–$43.70	56% below	66%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$21.23	$62.43	$20.81–$43.70	—	66%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$21.23	$62.43	$20.81–$43.70	68% below	66%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$21.23	$62.43	$20.81–$43.70	—	66%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 STATE LAB COVID-19	$52.34	$153.93	$51.31–$107.75	7% below	66%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 PCR (SMC)	$76.50	$225.00	$51.31–$157.50	35% above	66%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 STATE LAB COVID-19	$52.34	$153.93	$51.31–$107.75	—	66%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 PCR (SMC)	$76.50	$225.00	$51.31–$157.50	—	66%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE	$35.79	$105.27	$35.09–$73.69	36% below	66%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DNA PROBE CHLAMYDIA	$35.79	$105.27	$35.09–$73.69	36% below	66%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 DNA PROBE CHLAMYDIA	$35.79	$105.27	$35.09–$73.69	—	66%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE	$35.79	$105.27	$35.09–$73.69	—	66%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$13.66	$40.17	$13.39–$28.12	81% below	66%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$13.66	$40.17	$13.39–$28.12	—	66%
Complete blood count (CBC) with differential CPT 85025 CBC AUTO W/AUTO DIFF	$7.93	$23.31	$7.77–$16.32	79% below	66%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W/AUTO DIFF	$7.93	$23.31	$7.77–$16.32	—	66%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$6.60	$19.41	$6.47–$13.59	85% below	66%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$6.60	$19.41	$6.47–$13.59	—	66%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$10.38	$30.54	$10.18–$21.38	86% below	66%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$10.38	$30.54	$10.18–$21.38	—	66%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA) SULFATE	$22.78	$67.00	$22.23–$46.90	63% below	66%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE (DHEA) SULFATE	$22.78	$67.00	$22.23–$46.90	—	66%
Estradiol blood test CPT 82670 ESTRADIOL	$28.50	$83.82	$27.94–$58.67	64% below	66%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$28.50	$83.82	$27.94–$58.67	—	66%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN;FSH	$18.95	$55.74	$18.58–$39.02	70% below	66%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN;FSH	$18.95	$55.74	$18.58–$39.02	—	66%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$62.05	$182.50	$19.63–$127.75	53% below	66%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$62.05	$182.50	$19.63–$127.75	—	66%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.90	$40.89	$13.63–$28.62	75% below	66%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$13.90	$40.89	$13.63–$28.62	—	66%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID),SERUM	$14.99	$44.10	$14.70–$30.87	68% below	66%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID),SERUM	$14.99	$44.10	$14.70–$30.87	—	66%
Free T3 thyroid hormone test CPT 84481 FREE T3	$17.28	$50.82	$16.94–$35.57	69% below	66%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$17.28	$50.82	$16.94–$35.57	—	66%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$9.20	$27.06	$9.02–$18.94	84% below	66%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE (T4) DIALYSIS MASS SPECTR	$17.72	$52.12	$9.02–$36.48	69% below	66%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$9.20	$27.06	$9.02–$18.94	—	66%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE (T4) DIALYSIS MASS SPECTR	$17.72	$52.12	$9.02–$36.48	—	66%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT	$25.98	$76.41	$25.47–$53.49	64% below	66%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE DIRECT	$25.98	$76.41	$25.47–$53.49	—	66%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PPD	$4.85	$14.25	$4.75–$9.98	70% below	66%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O SULLIVAN	$4.85	$14.25	$4.75–$9.98	70% below	66%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 O SULLIVAN	$4.85	$14.25	$4.75–$9.98	—	66%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PPD	$4.85	$14.25	$4.75–$9.98	—	66%
Glucose tolerance test, 3 samples CPT 82951 GTT 5HR SPECIMENS	$13.13	$38.61	$12.87–$27.03	72% below	66%
Glucose tolerance test, 3 samples CPT 82951 GTT 3HR SPECIMENS	$13.13	$38.61	$12.87–$27.03	72% below	66%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3HR SPECIMENS	$13.13	$38.61	$12.87–$27.03	—	66%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 5HR SPECIMENS	$13.13	$38.61	$12.87–$27.03	—	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PHARYNGEAL SWAB	$35.79	$105.27	$35.09–$73.69	32% below	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DIRECT PROBE	$35.79	$105.27	$35.09–$73.69	32% below	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMPLIFIED PROBE	$35.79	$105.27	$35.09–$73.69	32% below	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMPLIFIED PROBE	$35.79	$105.27	$35.09–$73.69	—	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DIRECT PROBE	$35.79	$105.27	$35.09–$73.69	—	66%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PHARYNGEAL SWAB	$35.79	$105.27	$35.09–$73.69	—	66%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN	$19.04	$56.00	$14.38–$39.20	71% below	66%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTIGEN	$19.04	$56.00	$14.38–$39.20	—	66%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT REAL-TIME PCR GRAPHICAL	$86.80	$255.30	$85.10–$178.71	55% below	66%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT REAL-TIME PCR W REFLEX TO PH	$86.80	$255.30	$85.10–$178.71	55% below	66%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 REVERSE TRANSCRIPTION AND QUANTIFI	$86.80	$255.30	$85.10–$178.71	55% below	66%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT REAL-TIME PCR W REFLEX TO PH	$86.80	$255.30	$85.10–$178.71	—	66%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT REAL-TIME PCR GRAPHICAL	$86.80	$255.30	$85.10–$178.71	—	66%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 REVERSE TRANSCRIPTION AND QUANTIFI	$86.80	$255.30	$85.10–$178.71	—	66%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 & 2 DIAGNOSTIC	$24.56	$72.24	$24.08–$50.57	50% below	66%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 & 2 SCREENING	$24.56	$72.24	$24.08–$50.57	50% below	66%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 & 2 SCREENING	$24.56	$72.24	$24.08–$50.57	—	66%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 & 2 DIAGNOSTIC	$24.56	$72.24	$24.08–$50.57	—	66%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C GLYCOHGB	$9.90	$29.13	$9.71–$20.39	80% below	66%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN B1C GLYCOHGB	$9.90	$29.13	$9.71–$20.39	80% below	66%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C GLYCOHGB	$9.90	$29.13	$9.71–$20.39	—	66%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN B1C GLYCOHGB	$9.90	$29.13	$9.71–$20.39	—	66%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUALITATIVE	$10.95	$32.22	$10.74–$22.55	73% below	66%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB QUALITATIVE	$10.95	$32.22	$10.74–$22.55	—	66%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA	$10.54	$30.99	$10.33–$21.69	76% below	66%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B S AG EIA	$10.54	$30.99	$10.33–$21.69	—	66%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$14.56	$42.81	$14.27–$29.97	72% below	66%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) AB W REFLEX QUAL	$14.56	$42.81	$14.27–$29.97	72% below	66%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) AB W REFLEX QUAN	$14.56	$42.81	$14.27–$29.97	72% below	66%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY CASCADE	$14.56	$42.81	$14.27–$29.97	72% below	66%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) AB W REFLEX QUAN	$14.56	$42.81	$14.27–$29.97	—	66%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$14.56	$42.81	$14.27–$29.97	—	66%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) AB W REFLEX QUAL	$14.56	$42.81	$14.27–$29.97	—	66%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS (HCV) ANTIBODY CASCADE	$14.56	$42.81	$14.27–$29.97	—	66%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD	$43.70	$128.52	$42.84–$89.96	74% below	66%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD	$43.70	$128.52	$42.84–$89.96	—	66%
Herpes blood test, HSV-1 antibody CPT 86695 AB HSV-1 IGG SPEC	$13.45	$39.57	$13.19–$27.70	63% below	66%
Herpes blood test, HSV-1 antibody CPT 86695 AB HSV-1 IGM SPEC	$13.45	$39.57	$13.19–$27.70	63% below	66%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB HSV-1 IGG SPEC	$13.45	$39.57	$13.19–$27.70	—	66%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB HSV-1 IGM SPEC	$13.45	$39.57	$13.19–$27.70	—	66%
Herpes blood test, HSV-2 antibody CPT 86696 AB HSV-2 IGG	$19.74	$58.05	$19.35–$40.64	56% below	66%
Herpes blood test, HSV-2 antibody CPT 86696 AB HSV-2 IGM	$19.74	$58.05	$19.35–$40.64	56% below	66%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB HSV-2 IGG	$19.74	$58.05	$19.35–$40.64	—	66%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB HSV-2 IGM	$19.74	$58.05	$19.35–$40.64	—	66%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY C-REACTIVE PROTEIN	$13.21	$38.85	$12.95–$27.20	70% below	66%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY C-REACTIVE PROTEIN	$13.21	$38.85	$12.95–$27.20	—	66%
Insulin blood test CPT 83525 INSULIN TOTAL	$11.66	$34.29	$11.43–$24.00	72% below	66%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$11.66	$34.29	$11.43–$24.00	—	66%
Iron blood test (serum iron) CPT 83540 IRON	$6.60	$19.41	$6.47–$13.59	81% below	66%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$6.60	$19.41	$6.47–$13.59	—	66%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC)	$8.91	$26.22	$8.74–$18.35	80% below	66%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING (TIBC)	$8.91	$26.22	$8.74–$18.35	—	66%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN;LH	$18.89	$55.56	$18.52–$38.89	69% below	66%
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN;LH	$18.89	$55.56	$18.52–$38.89	—	66%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$7.03	$20.67	$6.89–$14.47	83% below	66%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$7.03	$20.67	$6.89–$14.47	—	66%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$17.37	$51.09	$17.03–$35.76	66% below	66%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$17.37	$51.09	$17.03–$35.76	—	66%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$6.83	$20.10	$6.70–$14.07	75% below	66%
Magnesium blood test CPT 83735 MAGNESIUM BLD	$6.83	$20.10	$6.70–$14.07	75% below	66%
Magnesium blood test inpatient CPT 83735 MAGNESIUM BLD	$6.83	$20.10	$6.70–$14.07	—	66%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$6.83	$20.10	$6.70–$14.07	—	66%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA ) ANTIBODIES IgG	$13.14	$38.64	$12.88–$27.05	65% below	66%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ANTIBODIES IgM	$22.03	$64.78	$12.88–$45.35	41% below	66%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA ) ANTIBODIES IgG	$13.14	$38.64	$12.88–$27.05	—	66%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ANTIBODIES IgM	$22.03	$64.78	$12.88–$45.35	—	66%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$18.76	$55.17	$18.39–$38.62	68% below	66%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$18.76	$55.17	$18.39–$38.62	—	66%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING TOTAL	$18.76	$55.17	$18.39–$38.62	67% below	66%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG(PSA),TOTAL DIAGNOSTIC	$18.76	$55.17	$18.39–$38.62	67% below	66%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING TOTAL	$18.76	$55.17	$18.39–$38.62	—	66%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROS SPEC AG(PSA),TOTAL DIAGNOSTIC	$18.76	$55.17	$18.39–$38.62	—	66%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY CERVICAL OR VAGINAL	$27.14	$79.83	$26.61–$55.88	41% below	66%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY CERVICAL OR VAGINAL	$27.14	$79.83	$26.61–$55.88	—	66%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH)	$42.11	$123.84	$41.28–$86.69	61% below	66%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTH)	$42.11	$123.84	$41.28–$86.69	—	66%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT;PLASMA/WHOLE BLOOD	$6.13	$18.03	$6.01–$12.62	81% below	66%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT;PLASMA/WHOLE BLOOD	$6.13	$18.03	$6.01–$12.62	—	66%
Progesterone blood test CPT 84144 PROGESTERONE	$21.28	$62.58	$20.86–$43.81	70% below	66%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$21.28	$62.58	$20.86–$43.81	—	66%
Prolactin blood test CPT 84146 PROLACTIN	$19.77	$58.14	$19.38–$40.70	74% below	66%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$19.77	$58.14	$19.38–$40.70	—	66%
Prothrombin time (PT/INR) clotting test CPT 85610 BA PROTHROMBIN TIME WAIVED	$4.38	$12.87	$4.29–$9.01	79% below	66%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$4.38	$12.87	$4.29–$9.01	79% below	66%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$4.38	$12.87	$4.29–$9.01	—	66%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 BA PROTHROMBIN TIME WAIVED	$4.38	$12.87	$4.29–$9.01	—	66%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A WAIVED	$16.88	$49.65	$16.55–$34.76	53% below	66%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A WAIVED	$16.88	$49.65	$16.55–$34.76	—	66%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HEP B S AG EIA	$16.86	$49.59	$16.53–$34.71	39% below	66%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN A WAIVED	$16.86	$49.59	$16.53–$34.71	39% below	66%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HEP B S AG EIA	$16.86	$49.59	$16.53–$34.71	—	66%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN A WAIVED	$16.86	$49.59	$16.53–$34.71	—	66%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUAL	$5.78	$17.01	$5.67–$11.91	79% below	66%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUAL	$5.78	$17.01	$5.67–$11.91	—	66%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGM	$14.68	$43.17	$14.39–$30.22	61% below	66%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUANT	$14.68	$43.17	$14.39–$30.22	61% below	66%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGM	$14.68	$43.17	$14.39–$30.22	—	66%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB QUANT	$14.68	$43.17	$14.39–$30.22	—	66%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES CONCENTRATION AND ID	$9.08	$26.70	$8.90–$18.69	75% below	66%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES EXAMINATION URINE	$9.08	$26.70	$8.90–$18.69	75% below	66%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES CONCENTRATION AND ID	$9.08	$26.70	$8.90–$18.69	—	66%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES EXAMINATION URINE	$9.08	$26.70	$8.90–$18.69	—	66%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STOOL 1-3 SCREENING	$4.47	$13.14	$4.38–$9.20	78% below	66%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD STOOL 1-3 SCREENING	$4.47	$13.14	$4.38–$9.20	—	66%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST (RPR) W REFLEX TO RPR TITE	$4.36	$12.81	$4.27–$8.97	78% below	66%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL	$4.36	$12.81	$4.27–$8.97	78% below	66%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST (RPR) W REFLEX TO RPR TITE	$4.36	$12.81	$4.27–$8.97	—	66%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF QUAL	$4.36	$12.81	$4.27–$8.97	—	66%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS INCUBATED	$63.22	$185.94	$61.98–$130.16	45% below	66%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS NON INCUBATED	$63.22	$185.94	$61.98–$130.16	45% below	66%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS NON INCUBATED	$63.22	$185.94	$61.98–$130.16	—	66%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS INCUBATED	$63.22	$185.94	$61.98–$130.16	—	66%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$26.33	$77.43	$25.81–$54.20	62% below	66%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$26.33	$77.43	$25.81–$54.20	—	66%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODIES	$14.84	$43.65	$14.55–$30.56	67% below	66%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB (TPO)	$14.84	$43.65	$14.55–$30.56	67% below	66%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER/KIDNEY AB (RDL)	$54.40	$160.00	$14.55–$112.00	22% above	66%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODIES	$14.84	$43.65	$14.55–$30.56	—	66%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB (TPO)	$14.84	$43.65	$14.55–$30.56	—	66%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER/KIDNEY AB (RDL)	$54.40	$160.00	$14.55–$112.00	—	66%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$17.14	$50.40	$16.80–$35.28	64% below	66%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 S-TSH	$17.14	$50.40	$16.80–$35.28	64% below	66%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$17.14	$50.40	$16.80–$35.28	—	66%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 S-TSH	$17.14	$50.40	$16.80–$35.28	—	66%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, NAA	$35.79	$105.27	$35.09–$73.69	39% below	66%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, NAA	$35.79	$105.27	$35.09–$73.69	—	66%
Uric acid blood test CPT 84550 URIC ACID BLD	$4.61	$13.56	$4.52–$9.49	83% below	66%
Uric acid blood test inpatient CPT 84550 URIC ACID BLD	$4.61	$13.56	$4.52–$9.49	—	66%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$8.23	$24.21	$8.07–$16.95	85% below	66%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$8.23	$24.21	$8.07–$16.95	—	66%
Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL WAIVED	$8.78	$25.83	$8.61–$18.08	59% below	66%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE QUAL WAIVED	$8.78	$25.83	$8.61–$18.08	—	66%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$15.38	$45.24	$15.08–$31.67	72% below	66%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$15.38	$45.24	$15.08–$31.67	—	66%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH (D3)	$30.19	$88.80	$29.60–$62.16	71% below	66%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH (D3)	$30.19	$88.80	$29.60–$62.16	—	66%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD	$17.00	$50.00	$11.39–$35.00	59% below	66%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD	$17.00	$50.00	$11.39–$35.00	—	66%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR	$15.35	$45.15	$15.05–$31.60	78% below	66%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG INTACT,QUANT	$15.35	$45.15	$15.05–$31.60	78% below	66%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT TUMOR	$15.35	$45.15	$15.05–$31.60	—	66%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG INTACT,QUANT	$15.35	$45.15	$15.05–$31.60	—	66%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORR BUNION W METATARSAL OSTEOTOMY	$2,586.99	$7,608.78	$762.00–$6,192.23	7% below	66%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORR BUNION W METATARSAL OSTEOTOMY	$2,586.99	$7,608.78	$762.00–$6,192.23	—	66%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS (BUNIONECTOMY)	$2,586.99	$7,608.78	$666.00–$6,192.23	4% above	66%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION HALLUX VALGUS (BUNIONECTOMY)	$2,586.99	$7,608.78	$666.00–$6,192.23	—	66%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NS2 CARDIOVERSION ELECTIVE EXTERNAL	$544.00	$1,600.00	$820.00–$1,250.82	1% above	66%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NS2 CARDIOVERSION ELECTIVE EXTERNAL	$544.00	$1,600.00	$820.00–$1,250.82	—	66%
Carpal tunnel release, open surgery CPT 64721 CARPEL TUNNEL RELEASE	$1,603.51	$4,716.21	$666.00–$3,772.97	9% below	66%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPEL TUNNEL RELEASE	$1,603.51	$4,716.21	$666.00–$3,772.97	—	66%
Cataract surgery with lens implant CPT 66984 PHACO IOL	$1,900.35	$5,589.27	$1,458.00–$4,471.42	19% above	66%
Cataract surgery with lens implant CPT 66984 LENS TORIC	$1,900.36	$5,589.28	$2,864.51–$4,367.54	19% above	66%
Cataract surgery with lens implant inpatient CPT 66984 PHACO IOL	$1,900.35	$5,589.27	$1,458.00–$4,471.42	—	66%
Cataract surgery with lens implant inpatient CPT 66984 LENS TORIC	$1,900.36	$5,589.28	$2,864.51–$4,367.54	—	66%
Cervical biopsy CPT 57500 BIOPSY CERVIX SINGLE OR MULTIPLE LESION	$578.94	$1,702.77	$497.00–$1,702.77	19% above	66%
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX SINGLE OR MULTIPLE LESION	$578.94	$1,702.77	$497.00–$1,702.77	—	66%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISON OLDER THAN 28 DAYS OF AGE	$1,638.79	$4,819.98	$666.00–$3,956.04	31% above	66%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISON OLDER THAN 28 DAYS OF AGE	$1,638.79	$4,819.98	$666.00–$3,956.04	—	66%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLOCK	$1,638.79	$4,819.98	$497.00–$3,956.04	63% above	66%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONAL BLOCK	$1,638.79	$4,819.98	$497.00–$3,956.04	—	66%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETEROSCOPY	$3,033.82	$8,923.00	$666.00–$7,138.40	329% above	66%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETEROSCOPY	$3,033.82	$8,923.00	$666.00–$7,138.40	—	66%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTO	$525.34	$1,545.12	$497.00–$1,319.63	at median	66%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTO	$525.34	$1,545.12	$497.00–$1,319.63	—	66%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE DIAG AND OR THERA	$2,397.62	$7,051.83	$666.00–$6,126.23	92% above	66%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE DIAG AND OR THERA	$2,397.62	$7,051.83	$666.00–$6,126.23	—	66%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PREMALIGNANT LESION 1ST LESION	$164.11	$482.67	$247.37–$482.67	69% above	66%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PREMALIGNANT LESION 1ST LESION	$164.11	$482.67	$247.37–$482.67	—	66%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED CERUMEN UNILATERAL	$50.88	$149.64	$76.69–$149.64	16% below	66%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED CERUMEN UNILATERAL	$50.88	$149.64	$76.69–$149.64	—	66%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$5,979.26	$17,586.06	$9,012.86–$14,068.85	5% above	66%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$5,979.26	$17,586.06	$9,012.86–$14,068.85	—	66%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$5,979.26	$17,586.06	$9,012.86–$14,068.85	2% above	66%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBLE	$5,979.26	$17,586.06	$9,012.86–$14,068.85	—	66%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$3,307.18	$9,727.00	$4,985.09–$7,781.60	2% above	66%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$3,307.18	$9,727.00	$4,985.09–$7,781.60	—	66%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE DIAGNOSTIC	$725.39	$2,133.51	$497.00–$1,759.93	68% above	66%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEXIBLE DIAGNOSTIC	$725.39	$2,133.51	$497.00–$1,759.93	—	66%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$4,625.25	$13,603.68	$1,071.00–$11,441.10	160% above	66%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$4,625.25	$13,603.68	$1,071.00–$11,441.10	—	66%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPIC CHOLE W CHOLANGIOGRAPHY	$4,625.25	$13,603.68	$1,071.00–$11,441.10	172% above	66%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPAROSCOPIC CHOLE W CHOLANGIOGRAPHY	$4,625.25	$13,603.68	$1,071.00–$11,441.10	—	66%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$1,404.20	$4,130.00	$941.00–$3,304.00	4% below	66%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$1,404.20	$4,130.00	$941.00–$3,304.00	—	66%
Hammertoe correction surgery CPT 28285 HAMMERTOE CORRECTION	$2,586.99	$7,608.78	$762.00–$6,192.23	18% above	66%
Hammertoe correction surgery inpatient CPT 28285 HAMMERTOE CORRECTION	$2,586.99	$7,608.78	$762.00–$6,192.23	—	66%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND	$725.39	$2,133.51	$497.00–$1,759.93	48% above	66%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND	$725.39	$2,133.51	$497.00–$1,759.93	—	66%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INT AND EXT S COL/GRP	$2,233.26	$6,568.41	$762.00–$5,254.73	166% above	66%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INT AND EXT S COL/GRP	$2,233.26	$6,568.41	$762.00–$5,254.73	—	66%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD	$115.60	$340.00	$174.25–$340.00	1% below	66%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD	$115.60	$340.00	$174.25–$340.00	—	66%
Incision and drainage of a simple or single skin abscess CPT 10060 INC AND DRAINAGE ABSCESS SIMPLE OR SINGL	$164.11	$482.67	$247.37–$482.67	11% below	66%
Incision and drainage of a simple or single skin abscess CPT 10060 NS2 INC AND DRAINAGE ABSCESS SIMPLE OR S	$164.11	$482.67	$247.37–$482.67	11% below	66%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC AND DRAINAGE ABSCESS SIMPLE OR SINGL	$164.11	$482.67	$247.37–$482.67	—	66%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 NS2 INC AND DRAINAGE ABSCESS SIMPLE OR S	$164.11	$482.67	$247.37–$482.67	—	66%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REP INIT INGUINAL HERNIA AGE 5 OR > REDU	$3,271.78	$9,622.89	$941.00–$7,698.31	71% above	66%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REP INIT INGUINAL HERNIA AGE 5 OR > REDU	$3,271.78	$9,622.89	$941.00–$7,698.31	—	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 NS2 ASPIRATION AND OR INJ MAJ JNT OR BU	$238.71	$702.09	$359.82–$580.89	8% below	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASP AND OR INJ MAJ JNT	$238.71	$702.09	$359.82–$580.89	8% below	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OBSV ASPIRATION AND OR INJ MAJ JNT OR BU	$238.71	$702.09	$359.82–$650.00	8% below	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, ASP AND OR INJ MAJ JNT	$238.71	$702.09	$359.82–$580.89	—	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 NS2 ASPIRATION AND OR INJ MAJ JNT OR BU	$238.71	$702.09	$359.82–$580.89	—	66%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DELIVERY IMPLANT	$102.33	$300.96	$154.24–$300.96	8% below	66%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG DELIVERY IMPLANT	$102.33	$300.96	$154.24–$300.96	—	66%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS AND/OR INJ MED JOINT/BURS	$238.71	$702.09	$359.82–$580.89	6% below	66%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS AND/OR INJ MED JOINT/BURS	$238.71	$702.09	$359.82–$580.89	—	66%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP AND OR INJ SM JOINT	$238.71	$702.09	$359.82–$580.89	4% above	66%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP AND OR INJ SM JOINT	$238.71	$702.09	$359.82–$580.89	—	66%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE W MENISCECTOMY	$2,586.99	$7,608.78	$941.00–$6,192.23	at median	66%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY KNEE W MENISCECTOMY	$2,586.99	$7,608.78	$941.00–$6,192.23	—	66%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRO KNEE DEBRIDE/SHAVING ART CARTILAG	$2,586.99	$7,608.78	$941.00–$6,192.23	4% below	66%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRO KNEE DEBRIDE/SHAVING ART CARTILAG	$2,586.99	$7,608.78	$941.00–$6,192.23	—	66%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP APPENDECTOMY	$4,625.25	$13,603.68	$762.00–$11,441.10	217% above	66%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAP APPENDECTOMY	$4,625.25	$13,603.68	$762.00–$11,441.10	—	66%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPY INITIAL INGUINAL HERNIA	$4,625.25	$13,603.68	$941.00–$11,441.10	34% above	66%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPAROSCOPY INITIAL INGUINAL HERNIA	$4,625.25	$13,603.68	$941.00–$11,441.10	—	66%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REP SC/TR/EXT 2.6 CM OR LESS	$316.10	$929.70	$476.47–$769.33	5% above	66%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REP SC/TR/EXT 2.6 CM OR LESS	$316.10	$929.70	$476.47–$769.33	—	66%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE	$5,058.03	$14,876.55	$941.00–$12,566.44	33% above	66%
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE COMPLETE	$5,058.03	$14,876.55	$941.00–$12,566.44	—	66%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESION TRUNK-EXT 0.5CM OR <	$568.48	$1,671.99	$497.00–$1,340.13	172% above	66%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN LESION TRUNK-EXT 0.5CM OR <	$568.48	$1,671.99	$497.00–$1,340.13	—	66%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE SINGLE	$164.11	$482.67	$247.37–$482.67	9% above	66%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE SINGLE	$164.11	$482.67	$247.37–$482.67	—	66%
Paracentesis with imaging guidance CPT 49083 NS2 ABD PARACENTESIS W IMAGING GUIDANCE	$869.21	$2,556.51	$666.00–$1,917.38	48% above	66%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING GUIDANCE	$869.21	$2,556.51	$666.00–$1,917.38	48% above	66%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING GUIDANCE	$869.21	$2,556.51	$666.00–$1,917.38	—	66%
Paracentesis with imaging guidance inpatient CPT 49083 NS2 ABD PARACENTESIS W IMAGING GUIDANCE	$869.21	$2,556.51	$666.00–$1,917.38	—	66%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL AND NAIL MATRIX PART OR COMP OR	$345.10	$1,015.00	$497.00–$812.00	34% above	66%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NS2 EXC NAIL AND NAIL MATRIX PART OR COM	$345.10	$1,015.00	$497.00–$769.33	34% above	66%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL AND NAIL MATRIX PART OR COMP RM	$345.10	$1,015.00	$497.00–$769.33	34% above	66%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL AND NAIL MATRIX PART OR COMP OR	$345.10	$1,015.00	$497.00–$812.00	—	66%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NS2 EXC NAIL AND NAIL MATRIX PART OR COM	$345.10	$1,015.00	$497.00–$769.33	—	66%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL AND NAIL MATRIX PART OR COMP RM	$345.10	$1,015.00	$497.00–$769.33	—	66%
Removal of a breast lump, open surgery CPT 19120 EXC BREAST LESION OPEN M OR F 1 OR MORE	$2,886.18	$8,488.77	$762.00–$7,409.91	168% above	66%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC BREAST LESION OPEN M OR F 1 OR MORE	$2,886.18	$8,488.77	$762.00–$7,409.91	—	66%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REM FOREIGN BODY SUB TIS SIM	$316.10	$929.70	$476.47–$769.33	28% above	66%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REM FOREIGN BODY SUB TIS SIM	$316.10	$929.70	$476.47–$769.33	—	66%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY	$860.20	$2,530.00	$666.00–$2,024.00	61% above	66%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY	$860.20	$2,530.00	$666.00–$2,024.00	—	66%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT	$129.04	$379.53	$194.51–$307.52	4% below	66%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT	$129.04	$379.53	$194.51–$307.52	—	66%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$316.10	$929.70	$476.47–$769.33	70% above	66%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$316.10	$929.70	$476.47–$769.33	—	66%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS ANY AREA UP TO & INC 15 LE	$164.11	$482.67	$247.37–$482.67	23% above	66%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS ANY AREA UP TO & INC 15 LE	$164.11	$482.67	$247.37–$482.67	—	66%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$580.01	$1,705.92	$497.00–$1,364.74	17% above	66%
Spinal tap (lumbar puncture), diagnostic CPT 62270 OBSV SPINAL TAP	$580.02	$1,705.93	$650.00–$1,335.87	17% above	66%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$580.01	$1,705.92	$497.00–$1,364.74	—	66%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASPIRATION WITH GUIDANCE	$495.04	$1,455.99	$497.00–$1,187.16	21% below	66%
Thoracentesis with imaging guidance CPT 32555 NS2 THORACENTESIS ASPIRATION W GUIDANCE	$495.04	$1,455.99	$497.00–$1,187.16	21% below	66%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS ASPIRATION WITH GUIDANCE	$495.04	$1,455.99	$497.00–$1,187.16	—	66%
Thoracentesis with imaging guidance inpatient CPT 32555 NS2 THORACENTESIS ASPIRATION W GUIDANCE	$495.04	$1,455.99	$497.00–$1,187.16	—	66%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$1,272.61	$3,742.98	$666.00–$3,043.10	8% below	66%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$1,272.61	$3,742.98	$666.00–$3,043.10	—	66%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD BALLOON DILATION ESOPHAGUS < 30MM	$1,772.42	$5,213.00	$666.00–$4,170.40	115% above	66%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD BALLOON DILATION ESOPHAGUS < 30MM	$1,772.42	$5,213.00	$666.00–$4,170.40	—	66%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY SINGLE OR MULTIPLE	$837.76	$2,464.00	$666.00–$1,971.20	4% above	66%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY SINGLE OR MULTIPLE	$837.76	$2,464.00	$666.00–$1,971.20	—	66%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W REM TUM/POLYP/OR LES BY SNARE TEC	$1,772.42	$5,213.00	$666.00–$4,170.40	114% above	66%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W REM TUM/POLYP/OR LES BY SNARE TEC	$1,772.42	$5,213.00	$666.00–$4,170.40	—	66%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC	$837.76	$2,464.00	$497.00–$1,971.20	1% above	66%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC	$837.76	$2,464.00	$497.00–$1,971.20	—	66%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY WITH LITHOTRIPSY	$4,034.31	$11,865.63	$941.00–$10,147.14	82% above	66%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETHROSCOPY WITH LITHOTRIPSY	$4,034.31	$11,865.63	$941.00–$10,147.14	—	66%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTOURETHROSCOPY W URETEROSCOPY	$4,034.31	$11,865.63	$941.00–$10,147.14	53% above	66%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTOURETHROSCOPY W URETEROSCOPY	$4,034.31	$11,865.63	$941.00–$10,147.14	—	66%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILATERAL OR BILATERAL	$1,638.79	$4,819.98	$666.00–$3,956.04	—	66%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNILATERAL OR BILATERAL	$1,638.79	$4,819.98	$666.00–$3,956.04	—	66%
Wart removal, up to 14 warts CPT 17110 DESTRUC BENIGN LESION 1-14	$174.42	$513.00	$262.91–$497.00	28% above	66%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUC BENIGN LESION 1-14	$174.42	$513.00	$262.91–$497.00	—	66%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBQ TISSUE 1ST 20 SQ CM OR LESS	$316.10	$929.70	$476.47–$769.33	15% below	66%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 NS2 DEBRID SUBQ TIS 1ST 20 SQ CM OR LESS	$316.10	$929.70	$476.47–$769.33	15% below	66%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SUBQ TISSUE 1ST 20 SQ CM OR LESS	$316.10	$929.70	$476.47–$769.33	—	66%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 NS2 DEBRID SUBQ TIS 1ST 20 SQ CM OR LESS	$316.10	$929.70	$476.47–$769.33	—	66%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD ADMIN FEE PER DAY	$362.91	$1,067.39	$547.04–$834.91	23% below	66%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD ADMIN FEE PER DAY	$362.91	$1,067.39	$547.04–$834.91	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM COLLECTION	$171.72	$505.07	$258.85–$414.41	83% above	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	83% above	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	83% above	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	83% above	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM COLLECTION	$171.72	$505.07	$258.85–$414.41	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX INITIAL DAILY	$171.72	$505.07	$258.85–$414.41	—	66%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE FIRST 30-74 MINUTES	$633.11	$1,862.09	$500.00–$1,563.26	16% below	66%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 DC EKG - 12 LEAD	$50.87	$149.63	$11.39–$112.22	38% below	66%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD	$50.87	$149.63	$11.39–$112.22	38% below	66%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER EKG-12 LEAD	$50.87	$149.63	$11.39–$112.22	38% below	66%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD	$50.87	$149.63	$11.39–$112.22	—	66%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I	$66.36	$195.17	$100.02–$195.17	13% above	66%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II	$120.28	$353.75	$181.30–$353.75	18% below	66%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III	$211.68	$622.60	$319.08–$516.61	8% below	66%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV	$332.46	$977.82	$500.00–$789.66	12% below	66%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V	$477.22	$1,403.58	$500.00–$1,127.03	8% below	66%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST ECG	$241.71	$710.91	$44.50–$533.18	31% below	66%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST ECG	$241.71	$710.91	$44.50–$533.18	—	66%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT	$59.50	$175.00	$89.69–$175.00	55% below	66%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY WITH PATIENT	$59.50	$175.00	$89.69–$175.00	—	66%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WITHOUT PATIENT	$59.50	$175.00	$89.69–$175.00	54% below	66%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WITHOUT PATIENT	$59.50	$175.00	$89.69–$175.00	—	66%
Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY	$34.00	$100.00	$51.25–$100.00	48% below	66%
Group psychotherapy session CPT 90853 FOCUS GROUP THERAPY	$34.00	$100.00	$51.25–$100.00	48% below	66%
Group psychotherapy session inpatient CPT 90853 FOCUS GROUP THERAPY	$34.00	$100.00	$51.25–$100.00	—	66%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP THERAPY	$34.00	$100.00	$51.25–$100.00	—	66%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP AF HYDRATION INF INITIAL 31 M - 1 HR	$186.00	$547.06	$280.37–$410.30	10% above	66%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER AF HYDRATION INF INITIAL 31 M -1 HR	$186.00	$547.06	$280.37–$500.00	10% above	66%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBSV AF HYDRATION INF INITIAL 31M - 1 HR	$186.00	$547.06	$280.37–$650.00	10% above	66%
IV infusion of a medicine, first hour CPT 96365 ER AF IV INFUSION INITIAL UP TO 1 HR	$186.00	$547.06	$280.37–$500.00	at median	66%
IV infusion of a medicine, first hour CPT 96365 OP AF IV INFUSION INITIAL UP TO 1 HR	$186.00	$547.06	$280.37–$410.30	at median	66%
IV infusion of a medicine, first hour CPT 96365 OBSV AF IV INFUSION INITIAL UP TO 1 HR	$186.00	$547.06	$280.37–$650.00	at median	66%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBSV AF INJ SC/IM	$56.64	$166.59	$85.38–$650.00	8% above	66%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP AF INJ SC/IM	$56.64	$166.59	$85.38–$136.27	8% above	66%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER AF INJ SC/IM	$56.64	$166.59	$85.38–$166.59	8% above	66%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSES	$32.73	$96.25	$49.33–$72.19	14% above	66%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSES	$32.73	$96.25	$49.33–$72.19	—	66%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN	$32.30	$95.00	$48.69–$95.00	68% below	66%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN	$32.30	$95.00	$48.69–$95.00	—	66%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN	$42.50	$125.00	$64.06–$125.00	67% below	66%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN	$42.50	$125.00	$64.06–$125.00	—	66%
Spirometry (breathing test) CPT 94010 PFT BASIC	$127.55	$375.14	$192.26–$375.14	10% below	66%
Spirometry (breathing test) inpatient CPT 94010 PFT BASIC	$127.55	$375.14	$192.26–$375.14	—	66%
Spirometry before and after a bronchodilator CPT 94060 PFT INCLUDE PRE & POST	$241.71	$710.91	$364.34–$706.19	23% below	66%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT INCLUDE PRE & POST	$241.71	$710.91	$364.34–$706.19	—	66%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACC (VARIVAX) INJ	$123.25	$362.50	$185.78–$271.88	8% below	66%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACC (VARIVAX) INJ	$123.25	$362.50	$185.78–$271.88	—	66%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU (FLUZONE) 6 MTH+ PFS	$23.12	$68.00	$34.85–$51.00	at median	66%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU (FLUZONE) 6 MTH+ PFS	$23.12	$68.00	$34.85–$51.00	—	66%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS-B VACC (ENGERIX-B) 20MCG/1ML	$71.37	$209.92	$107.58–$157.44	65% above	66%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS-B VACC (ENGERIX-B) 20MCG/1ML	$71.37	$209.92	$107.58–$157.44	—	66%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU HIGH DOSE (FLUZONE 65+ PFS)	$85.34	$251.00	$128.64–$188.25	115% above	66%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU HIGH DOSE (FLUZONE 65+ PFS)	$85.34	$251.00	$128.64–$188.25	—	66%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II VACCINE SDV	$71.81	$211.20	$108.24–$158.40	2% below	66%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II VACCINE SDV	$71.81	$211.20	$108.24–$158.40	—	66%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 (PNEUMOCOCCAL 20) VACCINE	$151.71	$446.20	$228.68–$334.65	1% below	66%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 (PNEUMOCOCCAL 20) VACCINE	$151.71	$446.20	$228.68–$334.65	—	66%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC. VACC. (PNEUMOVAX) 0.5ML	$45.73	$134.50	$68.93–$100.88	25% below	66%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC. VACC. (PNEUMOVAX) 0.5ML	$45.73	$134.50	$68.93–$100.88	—	66%
Rabies vaccine, one dose CPT 90675 IMOVAX PR (RABIES VACCINE) 2.5U PFS	$335.24	$986.00	$505.32–$739.50	61% below	66%
Rabies vaccine, one dose CPT 90675 RABAVERT PR (RABIES VACCINE) 2.5U	$386.92	$1,138.00	$583.22–$853.50	55% below	66%
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX PR (RABIES VACCINE) 2.5U PFS	$335.24	$986.00	$505.32–$739.50	—	66%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT PR (RABIES VACCINE) 2.5U	$386.92	$1,138.00	$583.22–$853.50	—	66%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE ADULT (TENIVAC) 0.5ML	$25.70	$75.60	$38.74–$56.70	18% below	66%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE ADULT (TENIVAC) 0.5ML	$25.70	$75.60	$38.74–$56.70	—	66%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap VACCINE (ADACEL) 0.5ML	$32.30	$95.00	$48.69–$71.25	31% below	66%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap VACCINE (BOOSTRIX) 0.5 ML SYRINGE	$45.90	$135.00	$69.19–$101.25	1% below	66%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap VACCINE (ADACEL) 0.5ML	$32.30	$95.00	$48.69–$71.25	—	66%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap VACCINE (BOOSTRIX) 0.5 ML SYRINGE	$45.90	$135.00	$69.19–$101.25	—	66%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OP AF VACCINE ONE	$53.37	$156.98	$80.45–$136.27	33% above	66%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER AF VACCINE ONE	$56.64	$166.59	$85.38–$136.27	41% above	66%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBSV AF VACCINE ONE	$56.64	$166.59	$85.38–$136.27	41% above	66%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER AF VACCINE EACH ADDITIONAL	$51.00	$150.00	$76.88–$112.50	91% above	66%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OBSV AF VACCINE EACH ADDITIONAL	$51.00	$150.00	$76.88–$112.50	91% above	66%

Source file: https://www.smccare.com/_files/ugd/75de35_e15e4f93586040179d32924a65615bb3.csv?dn=721479692_springhill-medical-services-inc_standardcharges.csv