St Elizabeth Edgewood
St Elizabeth Edgewood in Edgewood, KY publishes cash prices for 279 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Kentucky median for 152 of 274 procedures and below it for 121. By typical cash price it ranks #47 of 80 Kentucky hospitals and #12 of 15 hospitals in the Cincinnati, OH area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1 Medical Village Drive, Edgewood, KY 41017 Collected Sep 27, 2026 Source price file (859) 301-2000
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 180035 · CMS hospital register NPI 1467492421
The price file shows no self-pay discount
For 756 of the 756 prices listed here, the cash price in St Elizabeth Edgewood's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HB ANKLE COMP MIN 3V | $353.56 | $353.56 | — | 8% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB ANKLE COMP MIN 3V | $353.56 | $353.56 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB NIV STUDY LOW EXTREMITY, COMPLETE | $517.57 | $517.57 | — | 31% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB TCPO2/ABI LIMITED W/PFM | $517.57 | $517.57 | — | 31% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB TCPO2/ABI LIMITED W/PFM | $517.57 | $517.57 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB NIV STUDY LOW EXTREMITY, COMPLETE | $517.57 | $517.57 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGUS | $714.81 | $714.81 | — | 78% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGUS | $714.81 | $714.81 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE/JNT IMAGING WHOLE BODY | $1,613.51 | $1,613.51 | — | 21% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB BONE/JNT IMAGING WHOLE BODY | $1,613.51 | $1,613.51 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 HB ULTRASOUND BREAST COMPLETE | $427.00 | $427.00 | — | at median | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HB ULTRASOUND BREAST COMPLETE | $427.00 | $427.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HB ULTRASOUND BREAST LIMITED | $353.56 | $353.56 | — | 6% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB ULTRASOUND BREAST LIMITED | $353.56 | $353.56 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CTA CHEST W/CON INC IMG PP | $714.81 | $714.81 | — | 50% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CTA CHEST W/CON INC IMG PP | $714.81 | $714.81 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT HEART EVAL STRUCT W/BPG | $1,434.04 | $1,434.04 | — | 5% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT CTA HEART W/O CCS | $1,434.04 | $1,434.04 | — | 5% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT CTA HEART W/O CCS | $1,434.04 | $1,434.04 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT HEART EVAL STRUCT W/BPG | $1,434.04 | $1,434.04 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART W/QUANT EVAL CALCIUM | $353.56 | $353.56 | — | 179% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HEART W/QUANT EVAL CALCIUM | $353.56 | $353.56 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABD & PEL W/O CONTRAST | $970.62 | $970.62 | — | 54% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABD & PEL W/O CONTRAST | $970.62 | $970.62 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABD & PEL W/CONTRAST | $1,434.04 | $1,434.04 | — | 46% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABD & PEL W/CONTRAST | $1,434.04 | $1,434.04 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD&PEL 1+ SECTION/REGNS | $1,434.04 | $1,434.04 | — | 52% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABD&PEL 1+ SECTION/REGNS | $1,434.04 | $1,434.04 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN WITH CONTRAST | $714.81 | $714.81 | — | 55% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN WITH CONTRAST | $714.81 | $714.81 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN WITHOUT CONTRAST | $427.00 | $427.00 | — | 64% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN WITHOUT CONTRAST | $427.00 | $427.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT FACIAL W/O CONT | $427.00 | $427.00 | — | 62% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT FACIAL W/O CONT | $427.00 | $427.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD/BRAIN W/O CON | $427.00 | $427.00 | — | 62% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD/BRAIN W/O CON | $427.00 | $427.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HB CT HEAD/BRAIN W/CONT | $714.81 | $714.81 | — | 50% below | — |
| CT scan of the head with contrast inpatient CPT 70460 HB CT HEAD/BRAIN W/CONT | $714.81 | $714.81 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HB CT HEAD/BRAIN W/W/O CON | $714.81 | $714.81 | — | 55% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT HEAD/BRAIN W/W/O CON | $714.81 | $714.81 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE WITHOUT CONTRAST | $427.00 | $427.00 | — | 67% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE WITHOUT CONTRAST | $427.00 | $427.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERVICAL SPINE W/O CONTRAST | $427.00 | $427.00 | — | 69% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERVICAL SPINE W/O CONTRAST | $427.00 | $427.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS WITH CONTRAST | $714.81 | $714.81 | — | 49% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS WITH CONTRAST | $714.81 | $714.81 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX CAROTID ART COMP BILAT | $970.62 | $970.62 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX CAROTID ART COMP BILAT | $970.62 | $970.62 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $353.56 | $353.56 | — | 41% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $353.56 | $353.56 | — | — | — |
| Chest X-ray, single view CPT 71045 HB RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $353.56 | $353.56 | — | 90% above | — |
| Chest X-ray, single view inpatient CPT 71045 HB RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $353.56 | $353.56 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US RETROPERITONEAL COMPLETE | $427.00 | $427.00 | — | 27% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US RETROPERITONEAL COMPLETE | $427.00 | $427.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA 1 OR MORE SITES AXIAL SKEL | $427.00 | $427.00 | — | 43% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB DXA 1 OR MORE SITES AXIAL SKEL | $427.00 | $427.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA 1 OR MORE SITES APPND SKL | $353.56 | $353.56 | — | 73% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB DXA 1 OR MORE SITES APPND SKL | $353.56 | $353.56 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US PREG UTER-DETAIL EXM; SNGLE | $970.62 | $970.62 | — | 83% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US PREG UTER-DETAIL EXM; SNGLE | $970.62 | $970.62 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST W/O CONTRAST | $427.00 | $427.00 | — | 60% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST W/O CONTRAST | $427.00 | $427.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST WITH CONTRAST | $714.81 | $714.81 | — | 46% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST WITH CONTRAST | $714.81 | $714.81 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DIAGNOSTIC MAMMOGRAPHY BILATERAL INCLUDING CAD | $285.18 | $285.18 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DIAGNOSTIC MAMMOGRAPHY BILATERAL INCLUDING CAD | $285.18 | $285.18 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HB DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCLUDING CAD | $223.89 | $223.89 | — | 10% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCLUDING CAD | $223.89 | $223.89 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX LW EXTRM ART/BYG COM BI | $970.62 | $970.62 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX LW EXTRM ART/BYG COM BI | $970.62 | $970.62 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HB DUPLEX EXTREM VEINS COMP BIL | $970.62 | $970.62 | — | 5% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HB DUPLEX EXTREM VEINS COMP BIL | $970.62 | $970.62 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB EC ECHO COMPLETE | $2,201.63 | $2,201.63 | — | 42% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB EC ECHO COMPLETE | $2,201.63 | $2,201.63 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $1,613.51 | $1,613.51 | — | 54% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY SYSTEM IMAGING | $1,613.51 | $1,613.51 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTD W/RESP EFFORT | $628.24 | $628.24 | — | 45% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STUDY UNATTD W/RESP EFFORT | $628.24 | $628.24 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB CPAP PROTOCOL < 4 HRS | $4,085.23 | $4,085.23 | — | 47% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY, 4/> PARM, CPAP | $4,085.23 | $4,085.23 | — | 47% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOMNOGRAPHY, 4/> PARM, CPAP | $4,085.23 | $4,085.23 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB CPAP PROTOCOL < 4 HRS | $4,085.23 | $4,085.23 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HB KNEE 3 VIEWS | $353.56 | $353.56 | — | 10% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 HB KNEE 3 VIEWS | $353.56 | $353.56 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMEN LIMITED | $427.00 | $427.00 | — | 22% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US ABDOMEN LIMITED | $427.00 | $427.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB LOW-DOSE CT SCAN FOR LUNG CANCER SCREENING | $427.00 | $427.00 | — | 4% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB LOW-DOSE CT SCAN FOR LUNG CANCER SCREENING | $427.00 | $427.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOW EXT ANY JT W/O CON | $970.62 | $970.62 | — | 36% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI LOW EXT ANY JT W/O CON | $970.62 | $970.62 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI LOW EXT JT W/W/O CON | $1,434.04 | $1,434.04 | — | 31% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI LOW EXT JT W/W/O CON | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRAST | $970.62 | $970.62 | — | 41% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W/O CONTRAST | $970.62 | $970.62 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W/W/O CON | $1,434.04 | $1,434.04 | — | 34% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W/W/O CON | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST | $970.62 | $970.62 | — | 44% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST | $970.62 | $970.62 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN INC STEM W/W/O CONT | $1,434.04 | $1,434.04 | — | 39% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN INC STEM W/W/O CONT | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONT | $970.62 | $970.62 | — | 43% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONT | $970.62 | $970.62 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W/W/O CON | $1,434.04 | $1,434.04 | — | 37% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE W/W/O CON | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONT | $970.62 | $970.62 | — | 44% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE W/O CONT | $970.62 | $970.62 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERV SPINE W/W/O CON | $1,434.04 | $1,434.04 | — | 37% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERV SPINE W/W/O CON | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERVICAL SPINE W/O CONT | $970.62 | $970.62 | — | 38% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERVICAL SPINE W/O CONT | $970.62 | $970.62 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS W/W/O CON | $1,434.04 | $1,434.04 | — | 35% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS W/W/O CON | $1,434.04 | $1,434.04 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST | $970.62 | $970.62 | — | 40% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS W/O CONTRAST | $970.62 | $970.62 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI UP EXT JT W/O CONT | $970.62 | $970.62 | — | 30% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI UP EXT JT W/O CONT | $970.62 | $970.62 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB MYOCARD PERF SPECT MULT | $5,242.04 | $5,242.04 | — | 93% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB MYOCARD PERF SPECT MULT | $5,242.04 | $5,242.04 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB NM PET IMG W/CT,SKULL BS-MD | $5,856.84 | $5,856.84 | — | 56% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB NM PET IMG W/CT,SKULL BS-MD | $5,856.84 | $5,856.84 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIS (NONOB) LIMIT OR F/U | $427.00 | $427.00 | — | 10% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB US PELVIS (NONOB) LIMIT OR F/U | $427.00 | $427.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIS (NONOB) COMPLETE | $427.00 | $427.00 | — | 40% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB US PELVIS (NONOB) COMPLETE | $427.00 | $427.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PREG UTRS SNG GEST >1ST TRI | $427.00 | $427.00 | — | 6% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PREG UTRS SNG GEST >1ST TRI | $427.00 | $427.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US PREG UTERUS <14WK-0, SNGL | $427.00 | $427.00 | — | 28% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US PREG UTERUS <14WK-0, SNGL | $427.00 | $427.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US PREG UTERUS LIMITED | $427.00 | $427.00 | — | 16% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB US PREG UTERUS LIMITED | $427.00 | $427.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HB SCREENING MAMMOGRAPHY BILATERAL INCLUDING CAD | $235.77 | $235.77 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB SCREENING MAMMOGRAPHY BILATERAL INCLUDING CAD | $235.77 | $235.77 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB SHOULDER COMP MIN 2V | $353.56 | $353.56 | — | 1% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB SHOULDER COMP MIN 2V | $353.56 | $353.56 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGRAM < 4HRS | $4,085.23 | $4,085.23 | — | 58% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGRAPHY, 4 OR>PARAM | $4,085.23 | $4,085.23 | — | 58% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 HB GC PSG | $4,085.23 | $4,085.23 | — | 58% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGRAM < 4HRS | $4,085.23 | $4,085.23 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB GC PSG | $4,085.23 | $4,085.23 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGRAPHY, 4 OR>PARAM | $4,085.23 | $4,085.23 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB ECHO 2D | $2,201.63 | $2,201.63 | — | 110% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB ECHO 2D | $2,201.63 | $2,201.63 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB SWAL FUNC W/CINE/VIDEO | $714.81 | $714.81 | — | 65% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB SWAL FUNC W/CINE/VIDEO | $714.81 | $714.81 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HB US NON-OB TRANSVAGINAL | $427.00 | $427.00 | — | 29% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US NON-OB TRANSVAGINAL | $427.00 | $427.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HB US PREG UTERUS, TRANSVAGINAL | $427.00 | $427.00 | — | 14% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB US PREG UTERUS, TRANSVAGINAL | $427.00 | $427.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $427.00 | $427.00 | — | 50% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMPLETE | $427.00 | $427.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM | $427.00 | $427.00 | — | 26% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB US SCROTUM | $427.00 | $427.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US HEAD/NECK | $427.00 | $427.00 | — | 25% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB US HEAD/NECK | $427.00 | $427.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB FL UPPER GI WATER SOLUBLE WO KUB | $714.81 | $714.81 | — | 47% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB FL UPPER GI WATER SOLUBLE WO KUB | $714.81 | $714.81 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB DUPLEX EXTREM VEINS UNIL/LTD | $427.00 | $427.00 | — | 18% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HB DUPLEX EXTREM VEINS UNIL/LTD | $427.00 | $427.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB WRIST COMP MIN 3V | $353.56 | $353.56 | — | 16% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB WRIST COMP MIN 3V | $353.56 | $353.56 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB RADIOLOGIC EXAM HIP, UNILATERAL, WITH PELVIS 2-3 VIEWS | $353.56 | $353.56 | — | 50% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB RADIOLOGIC EXAM HIP, UNILATERAL, WITH PELVIS 2-3 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HB RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $353.56 | $353.56 | — | 44% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $353.56 | $353.56 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HB ANKLE 2 VIEWS | $353.56 | $353.56 | — | 48% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB ANKLE 2 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER(S) MIN 2VIEWS | $353.56 | $353.56 | — | 72% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER(S) MIN 2VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HB FOOT 2 VIEWS | $353.56 | $353.56 | — | 59% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HB FOOT 2 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB FOOT COMP MIN 3V | $353.56 | $353.56 | — | 7% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB FOOT COMP MIN 3V | $353.56 | $353.56 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HB HAND 3 VIEWS | $353.56 | $353.56 | — | 6% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB HAND 3 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HB KNEE 1-2 VIEWS | $353.56 | $353.56 | — | 30% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB KNEE 1-2 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB SPINE LUMBAR 2 OR 3 VIEWS | $427.00 | $427.00 | — | 29% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB SPINE LUMBAR 2 OR 3 VIEWS | $427.00 | $427.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HB SPINE LUMBAR MIN 4 VIEWS | $427.00 | $427.00 | — | 10% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB SPINE LUMBAR MIN 4 VIEWS | $427.00 | $427.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB XR THORACIC SPINE AP AND LATERAL | $427.00 | $427.00 | — | 42% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB XR THORACIC SPINE AP AND LATERAL | $427.00 | $427.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB NOSE COMP MIN 3V | $353.56 | $353.56 | — | 20% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NOSE COMP MIN 3V | $353.56 | $353.56 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB SPINE CERVICAL 2 OR 3 VIEWS | $353.56 | $353.56 | — | 12% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB SPINE CERVICAL 2 OR 3 VIEWS | $353.56 | $353.56 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS 1/2 VIEWS | $427.00 | $427.00 | — | 63% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS 1/2 VIEWS | $427.00 | $427.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM & COCCYX MIN 2V | $353.56 | $353.56 | — | 22% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM & COCCYX MIN 2V | $353.56 | $353.56 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT - REF LAB | $15.90 | $15.90 | — | 73% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALT (SGPT) | $15.90 | $15.90 | — | 73% below | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALT - REF LAB | $15.90 | $15.90 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALT (SGPT) | $15.90 | $15.90 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST - REF LAB | $15.54 | $15.54 | — | 75% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB AST | $15.54 | $15.54 | — | 75% below | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB AST | $15.54 | $15.54 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB AST - REF LAB | $15.54 | $15.54 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB ACUTE HEPATITIS PANEL | $142.89 | $142.89 | — | 38% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB ACUTE HEPATITIS PANEL | $142.89 | $142.89 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB STACHYBOTRYS CHATARUM AB IGE-REF LAB | $15.66 | $15.66 | — | 30% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LATEX ALLERGEN - ARUP | $15.66 | $15.66 | — | 30% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLG SPEC IGE CRUDE XTRC EA -REF LAB | $15.66 | $15.66 | — | 30% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB LATEX ALLERGEN - ARUP | $15.66 | $15.66 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLG SPEC IGE CRUDE XTRC EA -REF LAB | $15.66 | $15.66 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB STACHYBOTRYS CHATARUM AB IGE-REF LAB | $15.66 | $15.66 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRUL PEPTIDE AB IGG - ARUP | $38.85 | $38.85 | — | 48% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRUL PEPTIDE AB IGG - ARUP | $38.85 | $38.85 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANITNUCLEAR AB | $36.27 | $36.27 | — | 48% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANITNUCLEAR AB | $36.27 | $36.27 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB NT PROBNP | $117.78 | $117.78 | — | 33% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB NT PROBNP | $117.78 | $117.78 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PAN | $25.38 | $25.38 | — | 71% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BASIC METABOLIC PAN | $25.38 | $25.38 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH 4, ONE | $214.54 | $214.54 | — | 79% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB CYTO CELL BLOCK/PATH | $214.54 | $214.54 | — | 79% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB CYTO CELL BLOCK/PATH | $214.54 | $214.54 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH 4, ONE | $214.54 | $214.54 | — | — | — |
| Blood culture for bacteria CPT 87040 HB CULTURE BLOOD | $30.96 | $30.96 | — | 73% below | — |
| Blood culture for bacteria inpatient CPT 87040 HB CULTURE BLOOD | $30.96 | $30.96 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB COLLECT VENOUS BLOOD BY VENIPUNCTURE | $27.27 | $27.27 | — | 72% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB COLLECT VENOUS BLOOD BY VENIPUNCTURE | $27.27 | $27.27 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE | $11.79 | $11.79 | — | 65% below | — |
| Blood glucose (sugar) test CPT 82947 HB POC ISTAT GLUCOSE | $11.79 | $11.79 | — | 65% below | — |
| Blood glucose (sugar) test CPT 82947 HB OH POC GLUCOSE | $11.79 | $11.79 | — | 65% below | — |
| Blood glucose (sugar) test CPT 82947 HB ASSAY GLUCOSE BLOOD QUANT -REF LAB | $11.79 | $11.79 | — | 65% below | — |
| Blood glucose (sugar) test CPT 82947 HB GLUC WHOLE BLOOD | $11.79 | $11.79 | — | 65% below | — |
| Blood glucose (sugar) test inpatient CPT 82947 HB ASSAY GLUCOSE BLOOD QUANT -REF LAB | $11.79 | $11.79 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HB POC ISTAT GLUCOSE | $11.79 | $11.79 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HB OH POC GLUCOSE | $11.79 | $11.79 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE | $11.79 | $11.79 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUC WHOLE BLOOD | $11.79 | $11.79 | — | — | — |
| Blood lead test CPT 83655 HB LEAD, URINE - REF LAB | $36.33 | $36.33 | — | 39% below | — |
| Blood lead test CPT 83655 HB LEAD, BLOOD (CAPILLARY) - REF LAB | $36.33 | $36.33 | — | 39% below | — |
| Blood lead test CPT 83655 HB LEAD - ARUP | $36.33 | $36.33 | — | 39% below | — |
| Blood lead test inpatient CPT 83655 HB LEAD, BLOOD (CAPILLARY) - REF LAB | $36.33 | $36.33 | — | — | — |
| Blood lead test inpatient CPT 83655 HB LEAD, URINE - REF LAB | $36.33 | $36.33 | — | — | — |
| Blood lead test inpatient CPT 83655 HB LEAD - ARUP | $36.33 | $36.33 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB HCG, QUAL | $22.56 | $22.56 | — | 74% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB SERUM HCG(PREGNANCY) | $22.56 | $22.56 | — | 74% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB SERUM HCG(PREGNANCY) | $22.56 | $22.56 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB HCG, QUAL | $22.56 | $22.56 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO TYPE | $8.97 | $8.97 | — | 84% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO TYPE | $8.97 | $8.97 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN-REF LAB | $15.54 | $15.54 | — | 67% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $15.54 | $15.54 | — | 67% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN | $15.54 | $15.54 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN-REF LAB | $15.54 | $15.54 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C DIFF AMPLIFIED PROBE | $111.81 | $111.81 | — | 12% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C DIFF AMPLIFIED PROBE | $111.81 | $111.81 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19-9 - ARUP | $62.43 | $62.43 | — | 49% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19-9 - ARUP | $62.43 | $62.43 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CA-125 | $62.43 | $62.43 | — | 52% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CA-125 | $62.43 | $62.43 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 RNA-POCT | $153.93 | $153.93 | — | 104% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 RNA-POCT | $153.93 | $153.93 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA DNA AMPLIFIED PROBE | $105.27 | $105.27 | — | 6% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA AMP PROBE -REF LAB | $105.27 | $105.27 | — | 6% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA AMP PROBE -REF LAB | $105.27 | $105.27 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA DNA AMPLIFIED PROBE | $105.27 | $105.27 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (REFLEX) | $40.17 | $40.17 | — | 65% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL - REF LAB | $40.17 | $40.17 | — | 65% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (SCREENING) | $40.17 | $40.17 | — | 65% below | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL (SCREENING) | $40.17 | $40.17 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL (REFLEX) | $40.17 | $40.17 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL - REF LAB | $40.17 | $40.17 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HB COMPLETE CBC W/AUTO DIFF WBC | $23.31 | $23.31 | — | 58% below | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB COMPLETE CBC W/AUTO DIFF WBC | $23.31 | $23.31 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE CBC AUTOMATED | $19.41 | $19.41 | — | 66% below | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB COMPLETE CBC AUTOMATED | $19.41 | $19.41 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL | $31.68 | $31.68 | — | 74% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL | $31.68 | $31.68 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HB D-DIMER SENSITIVE - ARUP | $30.54 | $30.54 | — | 65% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HB D-DIMER SENSITIVE - ARUP | $30.54 | $30.54 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA SULFATE | $66.69 | $66.69 | — | 48% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA SULFATE | $66.69 | $66.69 | — | — | — |
| Estradiol blood test CPT 82670 HB ESTRADIOL; TOTAL | $83.82 | $83.82 | — | 38% below | — |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL; TOTAL | $83.82 | $83.82 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HB FSH | $55.74 | $55.74 | — | 64% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH | $55.74 | $55.74 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN | $58.89 | $58.89 | — | 71% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN | $58.89 | $58.89 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $40.89 | $40.89 | — | 61% below | — |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN -REF LAB | $40.89 | $40.89 | — | 61% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN | $40.89 | $40.89 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN -REF LAB | $40.89 | $40.89 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HB FOLIC ACID | $44.10 | $44.10 | — | 58% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID | $44.10 | $44.10 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HB FREE T3 | $50.82 | $50.82 | — | 63% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HB FREE T3 | $50.82 | $50.82 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 BY EQUIL DIALYSIS-TMS - REF LAB | $27.06 | $27.06 | — | 63% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 | $27.06 | $27.06 | — | 63% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE T4 BY EQUIL DIALYSIS-TMS - REF LAB | $27.06 | $27.06 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE T4 | $27.06 | $27.06 | — | — | — |
| Free testosterone test CPT 84402 HB FREE TESTOST FEM/CHILD - ARUP | $76.41 | $76.41 | — | 1% above | — |
| Free testosterone test CPT 84402 HB TESTOSTERONE, FREE, ADULT MALES BY ED/LC-MS/MS - REF LAB | $76.41 | $76.41 | — | 1% above | — |
| Free testosterone test CPT 84402 HB FREE TESTOSTERONE MALE - ARUP | $76.41 | $76.41 | — | 1% above | — |
| Free testosterone test inpatient CPT 84402 HB FREE TESTOST FEM/CHILD - ARUP | $76.41 | $76.41 | — | — | — |
| Free testosterone test inpatient CPT 84402 HB FREE TESTOSTERONE MALE - ARUP | $76.41 | $76.41 | — | — | — |
| Free testosterone test inpatient CPT 84402 HB TESTOSTERONE, FREE, ADULT MALES BY ED/LC-MS/MS - REF LAB | $76.41 | $76.41 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB GENERAL HEALTH PANEL CMP-CBC-TSH | $373.00 | $373.00 | — | 36% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB GENERAL HEALTH PANEL CMP-CBC-TSH | $373.00 | $373.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB PREG GLUCOSE 1HR SCREEN | $14.25 | $14.25 | — | 72% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE 2 HR P.C. | $14.25 | $14.25 | — | 72% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE 2 HR P.C. | $14.25 | $14.25 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB PREG GLUCOSE 1HR SCREEN | $14.25 | $14.25 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HB GLUCOSE BASE 3 SPE | $38.61 | $38.61 | — | 73% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GLUCOSE BASE 3 SPE | $38.61 | $38.61 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB GC DNA AMPLIFIED PROBE | $105.27 | $105.27 | — | 2% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB NEISSERIA AMP PROBE -REF LAB | $105.27 | $105.27 | — | 2% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB NEISSERIA AMP PROBE -REF LAB | $105.27 | $105.27 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB GC DNA AMPLIFIED PROBE | $105.27 | $105.27 | — | — | — |
| H. pylori antibody blood test CPT 86677 HB H PYLORI IGG AB | $50.55 | $50.55 | — | 34% below | — |
| H. pylori antibody blood test inpatient CPT 86677 HB H PYLORI IGG AB | $50.55 | $50.55 | — | — | — |
| H. pylori stool antigen test CPT 87338 HB H. PYLORI STOOL ANTIGEN | $43.14 | $43.14 | — | 71% below | — |
| H. pylori stool antigen test inpatient CPT 87338 HB H. PYLORI STOOL ANTIGEN | $43.14 | $43.14 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA/DNA QNT - REF LAB | $255.30 | $255.30 | — | 8% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV-1 RNA/DNA QNT - REF LAB | $255.30 | $255.30 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH RISK | $105.27 | $105.27 | — | 36% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV HIGH RISK, NON-CERVICAL-REF LAB | $105.27 | $105.27 | — | 36% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH RISK | $105.27 | $105.27 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV HIGH RISK, NON-CERVICAL-REF LAB | $105.27 | $105.27 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB GLYCOHEMOGLOBIN | $29.13 | $29.13 | — | 59% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C - REF LAB | $29.13 | $29.13 | — | 59% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB GLYCOHEMOGLOBIN | $29.13 | $29.13 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN A1C - REF LAB | $29.13 | $29.13 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEPATITIS BS AB | $32.22 | $32.22 | — | 64% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEPATITIS BS AB | $32.22 | $32.22 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS BS AG | $30.99 | $30.99 | — | 55% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS BS AG | $30.99 | $30.99 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB | $42.81 | $42.81 | — | 50% below | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB | $42.81 | $42.81 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C RNA QNT/PCR | $128.52 | $128.52 | — | 49% below | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C RNA QNT/PCR | $128.52 | $128.52 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HSV TYPE 1 - ARUP | $39.57 | $39.57 | — | 34% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV TYPE 1 - ARUP | $39.57 | $39.57 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HSV TYPE 2 - ARUP | $58.05 | $58.05 | — | 5% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV TYPE 2 - ARUP | $58.05 | $58.05 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB CRP-HIGH SENSITIVITY | $38.85 | $38.85 | — | 44% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB CRP-HIGH SENSITIVITY | $38.85 | $38.85 | — | — | — |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE TOTAL - ARUP | $53.76 | $53.76 | — | 57% below | — |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE TOTAL - ARUP | $53.76 | $53.76 | — | — | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL -REF LAB | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, 90 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, FASTING | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL 150 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, 30 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, 120 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL 180 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test CPT 83525 HB INSULIN; TOTAL, 60 MINUTE | $34.29 | $34.29 | — | 59% below | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL, 120 MINUTE | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL -REF LAB | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL, FASTING | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL, 30 MINUTE | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL, 60 MINUTE | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL, 90 MINUTE | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL 150 MINUTE | $34.29 | $34.29 | — | — | — |
| Insulin blood test inpatient CPT 83525 HB INSULIN; TOTAL 180 MINUTE | $34.29 | $34.29 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HB IRON | $19.41 | $19.41 | — | 73% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON | $19.41 | $19.41 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HB TIBC | $26.22 | $26.22 | — | 67% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB TIBC | $26.22 | $26.22 | — | — | — |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTIONAL PANEL | $26.04 | $26.04 | — | 71% below | — |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTIONAL PANEL | $26.04 | $26.04 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HB LH | $55.56 | $55.56 | — | 60% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LH | $55.56 | $55.56 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $20.67 | $20.67 | — | 69% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE, BODY FLUID | $20.67 | $20.67 | — | 69% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE | $20.67 | $20.67 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE, BODY FLUID | $20.67 | $20.67 | — | — | — |
| Liver function blood test panel CPT 80076 HB HEPATIC PANEL | $24.51 | $24.51 | — | 74% below | — |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC PANEL | $24.51 | $24.51 | — | — | — |
| Lyme disease antibody test CPT 86618 HB BORRELIA BURGDORFERI ABS -REF LAB | $51.09 | $51.09 | — | at median | — |
| Lyme disease antibody test CPT 86618 HB AB BORRELIA BURGDORFERI (LYME DISEASE) | $51.09 | $51.09 | — | at median | — |
| Lyme disease antibody test CPT 86618 HB BORRELIA BURGDORFERI ABS, CSF - REF LAB | $51.09 | $51.09 | — | at median | — |
| Lyme disease antibody test inpatient CPT 86618 HB AB BORRELIA BURGDORFERI (LYME DISEASE) | $51.09 | $51.09 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HB BORRELIA BURGDORFERI ABS, CSF - REF LAB | $51.09 | $51.09 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HB BORRELIA BURGDORFERI ABS -REF LAB | $51.09 | $51.09 | — | — | — |
| Magnesium blood test CPT 83735 HB MAGNESIUM, RBC - REF LAB | $20.10 | $20.10 | — | 59% below | — |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE - REF LAB | $20.10 | $20.10 | — | 59% below | — |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $20.10 | $20.10 | — | 59% below | — |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, RBC - REF LAB | $20.10 | $20.10 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM | $20.10 | $20.10 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE - REF LAB | $20.10 | $20.10 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HB MEASLES ANTIBODY, IGM - REF LAB | $38.64 | $38.64 | — | 29% below | — |
| Measles (rubeola) antibody test CPT 86765 HB MEASLES IGG - ARUP | $38.64 | $38.64 | — | 29% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HB MEASLES ANTIBODY, IGM - REF LAB | $38.64 | $38.64 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HB MEASLES IGG - ARUP | $38.64 | $38.64 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB OSMO LATERAL FLOW HETEROPHILE ANTIBODIES; SCREENING | $15.54 | $15.54 | — | 69% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB OSMO LATERAL FLOW HETEROPHILE ANTIBODIES; SCREENING | $15.54 | $15.54 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE | $55.17 | $55.17 | — | 31% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE | $55.17 | $55.17 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA,TOTAL (TUMOR MARKER) | $55.17 | $55.17 | — | 54% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL | $55.17 | $55.17 | — | 54% below | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL | $55.17 | $55.17 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA,TOTAL (TUMOR MARKER) | $55.17 | $55.17 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB LIQUID BASED PAP, MANUAL SCREEN UNDER PHYSICIAN SUPER | $60.78 | $60.78 | — | at median | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB LIQUID BASED PAP, MANUAL SCREEN UNDER PHYSICIAN SUPER | $60.78 | $60.78 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTH INTACT | $123.84 | $123.84 | — | 35% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PTH TURBO | $123.84 | $123.84 | — | 35% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH INTACT | $123.84 | $123.84 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PTH TURBO | $123.84 | $123.84 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT - REF LAB | $18.03 | $18.03 | — | 78% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT | $18.03 | $18.03 | — | 78% below | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT | $18.03 | $18.03 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT - REF LAB | $18.03 | $18.03 | — | — | — |
| Progesterone blood test CPT 84144 HB PROGESTERONE | $62.58 | $62.58 | — | 49% below | — |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE | $62.58 | $62.58 | — | — | — |
| Prolactin blood test CPT 84146 HB MACROPROLACTIN - REF LAB | $58.14 | $58.14 | — | 56% below | — |
| Prolactin blood test CPT 84146 HB PROLACTIN | $58.14 | $58.14 | — | 56% below | — |
| Prolactin blood test inpatient CPT 84146 HB MACROPROLACTIN - REF LAB | $58.14 | $58.14 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HB PROLACTIN | $58.14 | $58.14 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PT - REF LAB | $12.87 | $12.87 | — | 69% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHOMBIN TIME OSC | $12.87 | $12.87 | — | 69% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PT_INR | $12.87 | $12.87 | — | 69% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $12.87 | $12.87 | — | 69% below | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $12.87 | $12.87 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PT_INR | $12.87 | $12.87 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PT - REF LAB | $12.87 | $12.87 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHOMBIN TIME OSC | $12.87 | $12.87 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HB INFLUENZA B | $49.65 | $49.65 | — | 9% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HB INFLUENZA A | $49.65 | $49.65 | — | 9% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HB INFLUENZA B | $49.65 | $49.65 | — | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HB INFLUENZA A | $49.65 | $49.65 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB POCT RAPID STREP | $49.59 | $49.59 | — | at median | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB POCT RAPID STREP | $49.59 | $49.59 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID TITER | $17.01 | $17.01 | — | 62% below | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID TITER | $17.01 | $17.01 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG | $43.17 | $43.17 | — | 53% below | — |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA ANTIBODY, IGM - REF LAB | $43.17 | $43.17 | — | 53% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA ANTIBODY, IGM - REF LAB | $43.17 | $43.17 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGG | $43.17 | $43.17 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDRATE | $8.10 | $8.10 | — | 78% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SEDRATE | $8.10 | $8.10 | — | — | — |
| Stool ova and parasites exam CPT 87177 HB O&P CONCENTRATION - REF LAB | $26.70 | $26.70 | — | 60% below | — |
| Stool ova and parasites exam inpatient CPT 87177 HB O&P CONCENTRATION - REF LAB | $26.70 | $26.70 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL HEME DIAGNOSTIC | $47.76 | $47.76 | — | 26% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL HEME DIAGNOSTIC | $47.76 | $47.76 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB VDRL, CSF - ARUP | $12.81 | $12.81 | — | 69% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR QUALITATIVE | $12.81 | $12.81 | — | 69% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM (VDRL), SERUM WITH REFLEX TO TITER - REF LAB | $12.81 | $12.81 | — | 69% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR QUALITATIVE | $12.81 | $12.81 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB TREPONEMA PALLIDUM (VDRL), SERUM WITH REFLEX TO TITER - REF LAB | $12.81 | $12.81 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB VDRL, CSF - ARUP | $12.81 | $12.81 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB GAMMA INTERFERON | $185.94 | $185.94 | — | 39% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB TB GAMMA INTERFERON | $185.94 | $185.94 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE FREE/TOTAL, FEMALE/CHILD - REF LAB | $77.43 | $77.43 | — | 28% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, TOTAL -REF LAB | $77.43 | $77.43 | — | 28% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE/TOTAL | $77.43 | $77.43 | — | 28% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, LC-MS/MS - REF LAB | $77.43 | $77.43 | — | 28% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE/TOTAL | $77.43 | $77.43 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE FREE/TOTAL, FEMALE/CHILD - REF LAB | $77.43 | $77.43 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, LC-MS/MS - REF LAB | $77.43 | $77.43 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, TOTAL -REF LAB | $77.43 | $77.43 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE - REF LAB | $43.65 | $43.65 | — | 52% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LIVER-KIDNEY MICROSOME-1 AB, IGG - REF LAB | $43.65 | $43.65 | — | 52% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB LIVER-KIDNEY MICROSOME-1 AB, IGG - REF LAB | $43.65 | $43.65 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB THYROID PEROXIDASE - REF LAB | $43.65 | $43.65 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH REFLEXIVE | $50.40 | $50.40 | — | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH | $50.40 | $50.40 | — | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH | $50.40 | $50.40 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH REFLEXIVE | $50.40 | $50.40 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HB TRICH VAGINALIS BY TMA | $105.27 | $105.27 | — | 65% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICH VAGINALIS BY TMA | $105.27 | $105.27 | — | — | — |
| Uric acid blood test CPT 84550 HB URIC ACID | $13.56 | $13.56 | — | 76% below | — |
| Uric acid blood test inpatient CPT 84550 HB URIC ACID | $13.56 | $13.56 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS W/MICRO, AUTO | $9.51 | $9.51 | — | 81% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS W/MICRO, AUTO | $9.51 | $9.51 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HB UA DIPSTICK | $6.75 | $6.75 | — | 69% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HB URINE KETONES | $6.75 | $6.75 | — | 69% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HB UR SPEC GRAVITY | $6.75 | $6.75 | — | 69% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HB URINE-PH | $6.75 | $6.75 | — | 69% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB UR SPEC GRAVITY | $6.75 | $6.75 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINE-PH | $6.75 | $6.75 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINE KETONES | $6.75 | $6.75 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB UA DIPSTICK | $6.75 | $6.75 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $10.44 | $10.44 | — | 41% below | — |
| Urinalysis without microscope exam, manual CPT 81002 HB POCT URINALYSIS DIPSTICK | $10.44 | $10.44 | — | 41% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB POCT URINALYSIS DIPSTICK | $10.44 | $10.44 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINALYSIS NONAUTO W/O SCOPE | $10.44 | $10.44 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HB CULTURE, URINE | $24.21 | $24.21 | — | 72% below | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB CULTURE, URINE | $24.21 | $24.21 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HB POCT HCG BY VISUAL COLOR | $25.83 | $25.83 | — | 50% below | — |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREG TEST, VISUAL COLOR | $25.83 | $25.83 | — | 50% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB POCT HCG BY VISUAL COLOR | $25.83 | $25.83 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREG TEST, VISUAL COLOR | $25.83 | $25.83 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB B-12 | $45.24 | $45.24 | — | 47% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB B-12 | $45.24 | $45.24 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D,25 HYDROXY | $88.80 | $88.80 | — | 20% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D,25 HYDROXY | $88.80 | $88.80 | — | — | — |
| Zinc blood test CPT 84630 HB ZINC SERUM - ARUP | $34.17 | $34.17 | — | 70% below | — |
| Zinc blood test CPT 84630 HB ZINC, URINE-REF LAB | $34.17 | $34.17 | — | 70% below | — |
| Zinc blood test CPT 84630 HB ZINC, URINE - REF LAB | $34.17 | $34.17 | — | 70% below | — |
| Zinc blood test inpatient CPT 84630 HB ZINC, URINE-REF LAB | $34.17 | $34.17 | — | — | — |
| Zinc blood test inpatient CPT 84630 HB ZINC SERUM - ARUP | $34.17 | $34.17 | — | — | — |
| Zinc blood test inpatient CPT 84630 HB ZINC, URINE - REF LAB | $34.17 | $34.17 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QNT/NON TUMOR | $45.15 | $45.15 | — | 71% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG QUANT - ARUP | $45.15 | $45.15 | — | 71% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB BETA-HCG TUMOR MARKER - ARUP | $45.15 | $45.15 | — | 71% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QUANT - ARUP | $45.15 | $45.15 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG QNT/NON TUMOR | $45.15 | $45.15 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB BETA-HCG TUMOR MARKER - ARUP | $45.15 | $45.15 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HB CHEMODENERVATION INJECTION FOR MIGRAINE | $1,185.33 | $1,185.33 | — | 115% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 HB CHEMODENERVATION INJECTION FOR MIGRAINE | $1,185.33 | $1,185.33 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BX BREAST W PLACE OF BREAST LOCALIZATION DEVICE FIRST LESION W STEREO | $6,505.90 | $6,505.90 | — | 217% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BX BREAST W PLACE OF BREAST LOCALIZATION DEVICE FIRST LESION W STEREO | $6,505.90 | $6,505.90 | — | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HB L HRT ARTERY/VENT ANGIO | $12,915.16 | $12,915.16 | — | 59% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB L HRT ARTERY/VENT ANGIO | $12,915.16 | $12,915.16 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTIVE, EXTERN | $2,627.61 | $2,627.61 | — | 198% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION ELECTIVE, EXTERN | $2,627.61 | $2,627.61 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HB EP TRANSSEPT CATH INS REPOS MULTI ELECT CATH W/INDU | $98,507.01 | $98,507.01 | — | 557% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HB EP TRANSSEPT CATH INS REPOS MULTI ELECT CATH W/INDU | $98,507.01 | $98,507.01 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION | $8,225.58 | $8,225.58 | — | 518% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION | $8,225.58 | $8,225.58 | — | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 HB NURSERY CIRCUMCISION | $2,680.18 | $2,680.18 | — | 632% above | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HB NURSERY CIRCUMCISION | $2,680.18 | $2,680.18 | — | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HB COLONOSCOPY W/ENDO U/S | $4,734.46 | $4,734.46 | — | 397% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB COLONOSCOPY W/ENDO U/S | $4,734.46 | $4,734.46 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 HB COLONOSCOPY W TUMOR REMOVAL SNARE | $4,734.46 | $4,734.46 | — | 226% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HB COLONOSCOPY W TUMOR REMOVAL SNARE | $4,734.46 | $4,734.46 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 HB COLONOSCOPY W BIOPSY | $4,734.46 | $4,734.46 | — | 188% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HB COLONOSCOPY W BIOPSY | $4,734.46 | $4,734.46 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 HB COLONOSCOPY DIAGNOSTIC | $3,660.87 | $3,660.87 | — | 55% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HB COLONOSCOPY DIAGNOSTIC | $3,660.87 | $3,660.87 | — | — | — |
| Coronary stent placement, one artery CPT 92928 HB PERCUT TRANS INTRACOR STENT W PLASTY SINGLE MAJOR | $45,536.92 | $45,536.92 | — | 505% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERCUT TRANS INTRACOR STENT W PLASTY SINGLE MAJOR | $45,536.92 | $45,536.92 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY | $2,680.18 | $2,680.18 | — | 187% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB CYSTOURETHROSCOPY | $2,680.18 | $2,680.18 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HB DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC | $12,767.09 | $12,767.09 | — | 219% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HB DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC | $12,767.09 | $12,767.09 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB WND CAUTERY(ELECTRIC) 1 L | $797.85 | $797.85 | — | 664% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HB WND CAUTERY(ELECTRIC) 1 L | $797.85 | $797.85 | — | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HB TYMPANOSTOMY GENERAL ANESTHESIA | $5,947.92 | $5,947.92 | — | 28% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HB TYMPANOSTOMY GENERAL ANESTHESIA | $5,947.92 | $5,947.92 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL | $238.51 | $238.51 | — | 147% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HB REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL | $238.51 | $238.51 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 HB RMVL IMPACT CERUMEN 1/BOTH EARS ED | $238.51 | $238.51 | — | 128% above | — |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVAL OF IMPACTED CERUMEN ONE OR BOTH EARS | $238.51 | $238.51 | — | 128% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB RMVL IMPACT CERUMEN 1/BOTH EARS ED | $238.51 | $238.51 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVAL OF IMPACTED CERUMEN ONE OR BOTH EARS | $238.51 | $238.51 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB ENDOMETRIAL (BIOPSY) W/ OR W/O ENDOCERVICAL SAMPLING W/O CERV DIL | $807.80 | $807.80 | — | 283% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HB ENDOMETRIAL (BIOPSY) W/ OR W/O ENDOCERVICAL SAMPLING W/O CERV DIL | $807.80 | $807.80 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJ INTERLAMINAR CRV/THRC W IMAGING | $2,780.73 | $2,780.73 | — | 241% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJ INTERLAMINAR CRV/THRC W IMAGING | $2,780.73 | $2,780.73 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB 1ST FACET JOINT INJECT LUMBAR | $3,574.89 | $3,574.89 | — | 266% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB CT 1ST FACET JOINT INJECT LUMBAR | $3,574.89 | $3,574.89 | — | 266% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB CT 1ST FACET JOINT INJECT LUMBAR | $3,574.89 | $3,574.89 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB 1ST FACET JOINT INJECT LUMBAR | $3,574.89 | $3,574.89 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB SIGMOIDOSCOPY DIAGNOSTIC | $3,660.87 | $3,660.87 | — | 243% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HB SIGMOIDOSCOPY DIAGNOSTIC | $3,660.87 | $3,660.87 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HB LIGATION OF HEMORRHOIDS | $3,660.87 | $3,660.87 | — | 295% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HB LIGATION OF HEMORRHOIDS | $3,660.87 | $3,660.87 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB SONOHYSTEROGRAM INJ PROC | $652.48 | $652.48 | — | 154% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB SONOHYSTEROGRAM INJ PROC | $652.48 | $652.48 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HB IUD INSERTION | $2,609.42 | $2,609.42 | — | 408% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION MEDICATED IUD CCC | $2,609.42 | $2,609.42 | — | 408% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB INSERTION MEDICATED IUD CCC | $2,609.42 | $2,609.42 | — | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB IUD INSERTION | $2,609.42 | $2,609.42 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I & D ABSCESS/CYST SMPL SNGL | $797.85 | $797.85 | — | 190% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB I & D ABSCESS/CYST SMPL SNGL | $797.85 | $797.85 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB TENDON INJECTION SHEATH | $1,185.33 | $1,185.33 | — | 268% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB TENDON INJECTION SHEATH | $1,185.33 | $1,185.33 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ARTHROCENTESIS MAJOR JT W/O US | $1,185.33 | $1,185.33 | — | 198% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ASPIRATION/INJ IN JOINT | $1,185.33 | $1,185.33 | — | 198% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ASPIRATION/INJ IN JOINT | $1,185.33 | $1,185.33 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ARTHROCENTESIS MAJOR JT W/O US | $1,185.33 | $1,185.33 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHROCENTESIS INTMED JT W/O US | $1,185.33 | $1,185.33 | — | 389% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB ARTHROCENTESIS INTMED JT W/O US | $1,185.33 | $1,185.33 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHROCENTESIS SM JT/BURSA | $1,185.33 | $1,185.33 | — | 377% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB ARTHROCENTESIS SM JT/BURSA | $1,185.33 | $1,185.33 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB LASER TREATMENT EYE | $2,202.86 | $2,202.86 | — | 51% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HB LASER TREATMENT EYE | $2,202.86 | $2,202.86 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB INTERMEDIATE REPAIR | $1,604.29 | $1,604.29 | — | 466% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB INTERMEDIATE REPAIR | $1,604.29 | $1,604.29 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HB LT HRT CATH W/ VENTRCGRAPHY | $12,915.16 | $12,915.16 | — | 93% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB LT HRT CATH W/ VENTRCGRAPHY | $12,915.16 | $12,915.16 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ INTERLAMINAR LUMB/SACRAL W IMAGING | $2,780.73 | $2,780.73 | — | 239% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ INTERLAMINAR LUMB/SACRAL W IMAGING | $2,780.73 | $2,780.73 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ INTERLAMINAR LUMB/SACRAL W/O IMAGING | $3,574.89 | $3,574.89 | — | 346% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJ INTERLAMINAR LUMB/SACRAL W/O IMAGING | $3,574.89 | $3,574.89 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB LUMBAR FORAMINA INJ | $3,574.89 | $3,574.89 | — | 216% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB ANES/STERD TRANS EPILUM/SCR | $3,574.89 | $3,574.89 | — | 216% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB ANES/STERD TRANS EPI LUMB/SCR | $3,574.89 | $3,574.89 | — | 216% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB ANES/STERD TRANS EPI LUMB/SCR | $3,574.89 | $3,574.89 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB ANES/STERD TRANS EPILUM/SCR | $3,574.89 | $3,574.89 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB LUMBAR FORAMINA INJ | $3,574.89 | $3,574.89 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE-SINGL | $797.85 | $797.85 | — | 226% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION NAIL PLATE-SINGL | $797.85 | $797.85 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJ ANESTHETIC AGENT;GREATER OCCIPITAL NERVE | $1,185.33 | $1,185.33 | — | 186% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJ ANESTHETIC AGENT;GREATER OCCIPITAL NERVE | $1,185.33 | $1,185.33 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HB INS/RPLC PER PM W/ELECT-ATRL AND VENT | $42,022.47 | $42,022.47 | — | 128% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB INS/RPLC PER PM W/ELECT-ATRL AND VENT | $42,022.47 | $42,022.47 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HB ABD PARACENTESIS W/IMAGING | $3,764.69 | $3,764.69 | — | 235% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABD PARACENTESIS W/IMAGING | $3,764.69 | $3,764.69 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXCISION NAIL&NAIL MATRIX | $1,604.29 | $1,604.29 | — | 256% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXCISION NAIL&NAIL MATRIX | $1,604.29 | $1,604.29 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB RF DESTROY LUMB/SAC FACET JNT | $7,841.17 | $7,841.17 | — | 306% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB RF DESTROY LUMB/SAC FACET JNT | $7,841.17 | $7,841.17 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HB REMOVE FOREIGN BODY | $1,604.29 | $1,604.29 | — | 435% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB REMOVE FOREIGN BODY | $1,604.29 | $1,604.29 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB COLONSCOPY SCREENING INDIV NOT MEETING CRITERIA FOR HIGH RISK | $3,660.87 | $3,660.87 | — | 32% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HB COLONSCOPY SCREENING INDIV NOT MEETING CRITERIA FOR HIGH RISK | $3,660.87 | $3,660.87 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HB SCREEN COLONOSCOPY HIGH RISK | $3,660.87 | $3,660.87 | — | 48% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HB SCREEN COLONOSCOPY HIGH RISK | $3,660.87 | $3,660.87 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $13,849.01 | $13,849.01 | — | 116% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $13,849.01 | $13,849.01 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HB APP SHORT LEG SPLINT | $633.59 | $633.59 | — | 252% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HB APP SHORT LEG SPLINT | $633.59 | $633.59 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB VI SURGICAL CLOSURE | $797.85 | $797.85 | — | 200% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB VI SURGICAL CLOSURE | $797.85 | $797.85 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY OF SKIN SINGLE LESION | $1,604.29 | $1,604.29 | — | 531% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BIOPSY OF SKIN SINGLE LESION | $1,604.29 | $1,604.29 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL OF SKIN TAGS, MULITIPLE FIBRO TAGS UP TO 15 LESIONS | $797.85 | $797.85 | — | 454% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB REMOVAL OF SKIN TAGS, MULITIPLE FIBRO TAGS UP TO 15 LESIONS | $797.85 | $797.85 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB LUMBAR PUNCTURE, DIAGNOSTIC | $2,780.73 | $2,780.73 | — | 313% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $2,780.73 | $2,780.73 | — | 313% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE LUMBAR DIAG | $2,780.73 | $2,780.73 | — | 313% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $2,780.73 | $2,780.73 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE LUMBAR DIAG | $2,780.73 | $2,780.73 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB LUMBAR PUNCTURE, DIAGNOSTIC | $2,780.73 | $2,780.73 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $797.85 | $797.85 | — | 184% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $797.85 | $797.85 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $797.85 | $797.85 | — | 291% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $797.85 | $797.85 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS ASPIR OF PLEURAL SPACE W IMAGE | $2,482.55 | $2,482.55 | — | 174% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS ASPIR OF PLEURAL SPACE W IMAGE | $2,482.55 | $2,482.55 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ SINGLE/MULTIPLE TRIGGER PT | $1,185.33 | $1,185.33 | — | 132% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB INJ SINGLE/MULTIPLE TRIGGER PT | $1,185.33 | $1,185.33 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BX BREAST W PLACE LOCALIZATION DEVICE PERCUT FIRST LESION INCL US | $6,505.90 | $6,505.90 | — | 218% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB BX BREAST W PLACE LOCALIZATION DEVICE PERCUT FIRST LESION INCL US | $6,505.90 | $6,505.90 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB EGD BALLON DILATION ESOPHAGUS LESS THAN 30 MM DIAM. | $7,617.19 | $7,617.19 | — | 352% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HB EGD BALLON DILATION ESOPHAGUS LESS THAN 30 MM DIAM. | $7,617.19 | $7,617.19 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HB EGD W BIOPSY | $3,764.69 | $3,764.69 | — | 166% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HB EGD W BIOPSY | $3,764.69 | $3,764.69 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HB EGD W SUBMUCOSAL INJECTION | $3,764.69 | $3,764.69 | — | 96% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HB EGD W SUBMUCOSAL INJECTION | $3,764.69 | $3,764.69 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB EGD FLEX W/REMOVAL OF TUMOR OR POLYPS BY SNARE | $7,617.19 | $7,617.19 | — | 509% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HB EGD FLEX W/REMOVAL OF TUMOR OR POLYPS BY SNARE | $7,617.19 | $7,617.19 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB EGD WITH GUIDE WIRE INSERTION AND DILATION | $3,764.69 | $3,764.69 | — | 101% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HB EGD WITH GUIDE WIRE INSERTION AND DILATION | $3,764.69 | $3,764.69 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB EGD DIAGNOSTIC | $3,764.69 | $3,764.69 | — | 239% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB EGD DIAGNOSTIC | $3,764.69 | $3,764.69 | — | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB EGD FLEXIBLE TRANSORAL W TRANSMURAL DRAINAGE OF PSEUDOCYST | $23,902.89 | $23,902.89 | — | 535% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HB EGD FLEXIBLE TRANSORAL W TRANSMURAL DRAINAGE OF PSEUDOCYST | $23,902.89 | $23,902.89 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 HB ENDOVENOUS RF, 1ST VEIN | $12,638.48 | $12,638.48 | — | 294% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HB ENDOVENOUS RF, 1ST VEIN | $12,638.48 | $12,638.48 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDEMENT SKIN SIMPLE | $1,604.29 | $1,604.29 | — | 234% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SUBC TISSUE, 1ST 20CM | $1,604.29 | $1,604.29 | — | 234% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB VI DEBRID PART THICK W/COMP WRP | $1,604.29 | $1,604.29 | — | 234% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB VI BIL EXCIS LES 1.1CM-2.0CM DIA | $1,604.29 | $1,604.29 | — | 234% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB VI UNI EXCIS LES 1.1CM-2.0CM DIA | $1,604.29 | $1,604.29 | — | 234% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDEMENT SKIN SIMPLE | $1,604.29 | $1,604.29 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB VI BIL EXCIS LES 1.1CM-2.0CM DIA | $1,604.29 | $1,604.29 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB VI DEBRID PART THICK W/COMP WRP | $1,604.29 | $1,604.29 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDE SUBC TISSUE, 1ST 20CM | $1,604.29 | $1,604.29 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB VI UNI EXCIS LES 1.1CM-2.0CM DIA | $1,604.29 | $1,604.29 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB BLOOD TRANSFUSION,COMPONENTS | $1,755.46 | $1,755.46 | — | 210% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB BLOOD TRANSFUSION,COMPONENTS | $1,755.46 | $1,755.46 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB IPV METANEB INITIAL TX | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB VITAL COUGH CHARGE SUBSEQUENT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB VITAL COUGH CHARGE INITIAL | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL MESH NEB SUBSEQUENT TX | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL MESH NEB INITIAL TX | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB IPV METANEB SUBSEQUENT TX | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB OPMC AEROSOL THPY 3RD | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB SPUTUM INDUCTION | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB DPI TX SUBSEQUENT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB DPI TX INITIAL | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB CPAP TX SUBSEQUENT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB CPAP TX INITIAL | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI TX-SUBSEQUENT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB MDI TX-INITIAL | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL THPY TX-SUBSEQUENT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL MOBIL/BRONCHO/SPUT | $816.68 | $816.68 | — | 516% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL MESH NEB INITIAL TX | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB VITAL COUGH CHARGE SUBSEQUENT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL MOBIL/BRONCHO/SPUT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL THPY TX-SUBSEQUENT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI TX-INITIAL | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB MDI TX-SUBSEQUENT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB CPAP TX INITIAL | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB VITAL COUGH CHARGE INITIAL | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL MESH NEB SUBSEQUENT TX | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB CPAP TX SUBSEQUENT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB DPI TX INITIAL | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB DPI TX SUBSEQUENT | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB SPUTUM INDUCTION | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB OPMC AEROSOL THPY 3RD | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB IPV METANEB INITIAL TX | $816.68 | $816.68 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB IPV METANEB SUBSEQUENT TX | $816.68 | $816.68 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO IV INF, INITIAL UP TO 1HR | $1,331.87 | $1,331.87 | — | 179% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO IV INF, INITIAL UP TO 1HR | $1,331.87 | $1,331.87 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HB CC CRITICAL CARE 30-74 MI | $3,383.43 | $3,383.43 | — | 85% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB CC CRITICAL CARE 30-74 MI | $3,383.43 | $3,383.43 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG,AWAKE AND DROWSY | $1,250.39 | $1,250.39 | — | 114% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG,AWAKE AND DROWSY | $1,250.39 | $1,250.39 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ECG 12 LEAD, TRACING ONLY | $238.51 | $238.51 | — | 35% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ECG 12 LEAD, TRACING ONLY | $238.51 | $238.51 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 HB ECT PROCEDURE | $2,130.57 | $2,130.57 | — | 135% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ECT PROCEDURE | $2,130.57 | $2,130.57 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER LEVEL 1 | $353.56 | $353.56 | — | 99% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER LEVEL 1 | $353.56 | $353.56 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER LEVEL 2 | $635.89 | $635.89 | — | 123% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER LEVEL 2 | $635.89 | $635.89 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER LEVEL 3 | $1,111.84 | $1,111.84 | — | 139% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB SANE SUSPECT COLLECT OFF-SITE | $1,111.84 | $1,111.84 | — | 139% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER LEVEL 3 | $1,111.84 | $1,111.84 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB SANE SUSPECT COLLECT OFF-SITE | $1,111.84 | $1,111.84 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER LEVEL 4 | $1,709.82 | $1,709.82 | — | 90% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER LEVEL 4 | $1,709.82 | $1,709.82 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER LEVEL 5 | $2,461.86 | $2,461.86 | — | 110% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER LEVEL 5 | $2,461.86 | $2,461.86 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CARDIO STRESS TEST TRACING ONLY | $1,250.39 | $1,250.39 | — | 63% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CARDIO STRESS TEST TRACING ONLY | $1,250.39 | $1,250.39 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY W/PA | $645.15 | $645.15 | — | 157% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY W/PA | $645.15 | $645.15 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCH W/O PATIENT | $645.15 | $645.15 | — | 189% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCH W/O PATIENT | $645.15 | $645.15 | — | — | — |
| Group psychotherapy session CPT 90853 HB IOP SESSION | $371.41 | $371.41 | — | 158% above | — |
| Group psychotherapy session CPT 90853 HB PARTIAL HOSP 7-24 HRS | $371.41 | $371.41 | — | 158% above | — |
| Group psychotherapy session CPT 90853 HB RECOVERY GRP CONTINUING | $371.41 | $371.41 | — | 158% above | — |
| Group psychotherapy session inpatient CPT 90853 HB IOP SESSION | $371.41 | $371.41 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 HB RECOVERY GRP CONTINUING | $371.41 | $371.41 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 HB PARTIAL HOSP 7-24 HRS | $371.41 | $371.41 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB HYDRATION IV, INITIAL 31 MIN-1HR | $846.01 | $846.01 | — | 200% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB HYDRATION IV, INITIAL 31 MIN-1HR | $846.01 | $846.01 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUS INITIAL UP TO 1 HOUR | $846.01 | $846.01 | — | 176% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUS INITIAL UP TO 1 HOUR | $846.01 | $846.01 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB BOTOX INJECTION | $285.77 | $285.77 | — | 223% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECTION SC/IM | $285.77 | $285.77 | — | 223% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB BOTOX INJECTION | $285.77 | $285.77 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB INJECTION SC/IM | $285.77 | $285.77 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDIES; 7-8 STUDIES | $1,250.39 | $1,250.39 | — | 46% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB NERVE CONDUCTION STUDIES; 7-8 STUDIES | $1,250.39 | $1,250.39 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MNT INITIAL 15 MIN | $99.99 | $99.99 | — | 235% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MNT INITIAL 15 MIN | $99.99 | $99.99 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HB PSYCIATRIC DIAGNOSTIC EVAL WITH MED SERVICES | $645.15 | $645.15 | — | 159% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HB PSYCIATRIC DIAGNOSTIC EVAL WITH MED SERVICES | $645.15 | $645.15 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HB INDIVIDUAL THERAPY 16-37 MINUTES | $645.15 | $645.15 | — | 429% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB INDIVIDUAL THERAPY 16-37 MINUTES | $645.15 | $645.15 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB INDIVIDUAL THERAPY >53 MINUTES | $645.15 | $645.15 | — | 227% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB INDIVIDUAL THERAPY >53 MINUTES | $645.15 | $645.15 | — | — | — |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY , ADULT | $628.24 | $628.24 | — | 176% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY , ADULT | $628.24 | $628.24 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HB SPIROMETRY ADULT PREPOST | $1,250.39 | $1,250.39 | — | 173% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIROMETRY ADULT PREPOST | $1,250.39 | $1,250.39 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB TCRANIAL MAGN STIM TX PLAN | $1,250.39 | $1,250.39 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HB TCRANIAL MAGN STIM TX PLAN | $1,250.39 | $1,250.39 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB PHLEBOTOMY, THERAPEUTIC | $517.57 | $517.57 | — | 233% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB PHLEBOTOMY, THERAPEUTIC | $517.57 | $517.57 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUN ADMIN NEWBORN SERVICES | $19.93 | $19.93 | — | 72% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUN ADMIN, ONE VACCINE | $285.77 | $285.77 | — | 304% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUN ADMIN NEWBORN SERVICES | $19.93 | $19.93 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUN ADMIN, ONE VACCINE | $285.77 | $285.77 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB EACH ADDITIONAL VACCINE | $68.25 | $68.25 | — | 81% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB EACH ADDITIONAL VACCINE | $68.25 | $68.25 | — | — | — |
Source file: https://www.stelizabeth.com/610445850_st-elizabeth-grant_standardcharges.json