Troy Regional Medical Center
Troy Regional Medical Center in Troy, AL publishes cash prices for 242 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 229 of 239 procedures and above it for 6. By typical cash price it ranks #3 of 39 Alabama hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1330 Highway 231 South, Troy, AL 36081 Collected Sep 27, 2026 Source price file (334) 670-5000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 010126 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 LT ANKLE (MIN 3 VIEWS) | $95.00 | $525.00 | $35.28–$367.50 | 59% below | 82% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RT ANKLE ( MIN 3 VIEWS) | $95.00 | $525.00 | $35.28–$367.50 | 59% below | 82% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WC Arterial Extermity Study -2 levels | $132.00 | $210.00 | $80.30–$163.80 | 38% below | 37% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW SINGLE | $184.00 | $575.00 | $70.76–$402.50 | 48% below | 68% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW DOUBLE | $210.00 | $575.00 | $70.76–$402.50 | 40% below | 63% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY | $443.00 | $1,900.00 | $299.18–$1,330.00 | 67% below | 77% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT | $128.00 | $300.00 | $85.89–$648.47 | 51% below | 57% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT | $95.00 | $300.00 | $65.56–$648.47 | 64% below | 68% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTA CHEST | $210.00 | $960.81 | $154.26–$672.57 | 86% below | 78% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST PE PROTOCOL | $276.00 | $960.81 | $154.26–$672.57 | 82% below | 71% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS ( WO CONTRAST) | $270.00 | $1,300.00 | $200.00–$910.00 | 87% below | 79% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS ( W / CONTRAST) | $433.00 | $2,100.00 | $200.00–$1,470.00 | 83% below | 79% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS (WWO CONTRAST) | $449.00 | $2,100.00 | $200.00–$1,470.00 | 85% below | 79% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONT | $276.00 | $1,800.00 | $154.26–$1,260.00 | 85% below | 85% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $270.00 | $1,900.00 | $92.31–$1,330.00 | 81% below | 86% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTRAST | $139.00 | $1,330.25 | $92.31–$931.18 | 92% below | 90% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN (WO CONTRAST) | $128.00 | $700.00 | $92.31–$490.00 | 90% below | 82% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONT | $288.00 | $2,179.00 | $154.26–$1,525.30 | 80% below | 87% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WW/O CONT | $288.00 | $2,300.00 | $154.26–$1,610.00 | 86% below | 87% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT | $210.00 | $2,362.00 | $154.26–$1,653.40 | 88% below | 91% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER BIL | $270.00 | $750.00 | $177.50–$585.00 | 37% below | 64% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VWS FLUORO | $65.85 | $1,114.00 | $28.64–$779.80 | 71% below | 94% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VW LORDOTIC | $65.85 | $132.00 | $28.64–$127.70 | 71% below | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VWS OBLIQUE | $65.85 | $275.00 | $28.64–$192.50 | 71% below | 76% |
| Chest X-ray, 2 views CPT 71046 CHEST PA AND LAT (2 VIEWS) | $95.00 | $325.00 | $28.64–$227.50 | 58% below | 71% |
| Chest X-ray, single view CPT 71045 CHEST DECUBITUS(NO MINIMUM VIEWS SPECIF) | $65.85 | $345.00 | $21.17–$241.50 | 61% below | 81% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $95.00 | $195.00 | $21.17–$136.50 | 43% below | 51% |
| Chest X-ray, single view CPT 71045 CHEST PORTABLE ( 1 VIEW) | $95.00 | $325.00 | $21.17–$227.50 | 43% below | 71% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON(HIPS PELVIS SPINE) | $125.00 | $525.00 | $34.03–$367.50 | 64% below | 76% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON - BONE DENSITY | $128.00 | $625.00 | $34.03–$437.50 | 63% below | 80% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPEND SKELETON(WRIST RADIUS HEEL) | $95.00 | $325.00 | $26.15–$227.50 | 1% below | 71% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONT | $128.00 | $2,100.00 | $92.31–$1,470.00 | 89% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST (THORAX) (W/CONTRAST) | $210.00 | $1,300.00 | $154.26–$910.00 | 88% below | 84% |
| Diagnostic mammogram, one breast one side CPT 77065 MG DIG MAMMO DIAG UNILATERAL | $70.00 | $172.76 | $62.56–$151.28 | 70% below | 59% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ART BILAT | $270.00 | $776.50 | $205.74–$605.67 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS REFLUX BILAT | $270.00 | $1,100.00 | $179.42–$858.00 | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILAT | $270.00 | $1,100.00 | $179.42–$858.00 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO | $568.00 | $2,500.00 | $218.80–$1,950.00 | 52% below | 77% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAG WITHOUT INJ | $370.00 | $2,100.00 | $339.43–$1,470.00 | 67% below | 82% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED | $132.56 | $225.00 | $71.46–$183.61 | 60% below | 41% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGR 4+/CPAP | $1,100.00 | $4,100.00 | $773.06–$3,198.00 | 61% below | 73% |
| Knee X-ray, 3 views CPT 73562 LT KNEE (3 VIEWS) | $95.00 | $525.00 | $39.43–$367.50 | 55% below | 82% |
| Knee X-ray, 3 views CPT 73562 RT KNEE (3 VIEWS) | $95.00 | $525.00 | $39.43–$367.50 | 55% below | 82% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS | $119.00 | $750.00 | $74.69–$525.00 | 67% below | 84% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $119.00 | $750.00 | $74.69–$648.47 | 67% below | 84% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $119.00 | $1,167.50 | $74.69–$817.25 | 67% below | 90% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $119.00 | $560.00 | $74.69–$392.00 | 67% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $128.00 | $750.00 | $74.69–$648.47 | 65% below | 83% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ ABDOMEN | $128.00 | $750.00 | $74.69–$648.47 | 65% below | 83% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $62.70 | $93.00 | $65.10–$200.00 | 71% below | 33% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JOINT LOWER EXT W/O CONTRAST LEFT | $400.00 | $1,400.00 | $205.74–$980.00 | 82% below | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR JOINT LOWER EXT W/WO CONTRAST LEFT | $550.00 | $2,140.00 | $320.00–$1,498.00 | 77% below | 74% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O CONTRAST | $500.00 | $1,400.00 | $205.74–$980.00 | 67% below | 64% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO CONTRAST | $550.00 | $2,140.00 | $320.00–$1,498.00 | 74% below | 74% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN & STEM W/O CONTRAST | $270.00 | $1,400.00 | $205.74–$980.00 | 85% below | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN & STEM W/WO CONTRAST | $433.00 | $2,140.00 | $320.00–$1,498.00 | 82% below | 80% |
| MRI of the lower back, no contrast dye CPT 72148 MR L-SPINE W/O CONTRAST | $270.00 | $1,400.00 | $205.74–$980.00 | 85% below | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR L-SPINE W/WO CONTRAST | $433.00 | $2,140.00 | $320.00–$1,498.00 | 83% below | 80% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T-SPINE W/O CONTRAST | $270.00 | $1,400.00 | $205.74–$980.00 | 82% below | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C-SPINE W/WO CONTRAST | $433.00 | $2,140.00 | $320.00–$1,498.00 | 83% below | 80% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W/O CONTRAST | $270.00 | $1,400.00 | $205.74–$980.00 | 86% below | 81% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CONTRAST | $433.00 | $2,140.00 | $320.00–$1,498.00 | 80% below | 80% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CONTRAST | $270.00 | $1,400.00 | $205.74–$980.00 | 84% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JOINT UPPER EXT W O CONTRAST LEFT | $270.00 | $1,400.00 | $205.74–$980.00 | 87% below | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS TEST | $1,550.00 | $2,325.27 | $463.52–$2,035.50 | 31% below | 33% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Imaging w/ CT Skull to Mid-Thigh | $1,738.00 | $5,425.00 | $845.66–$3,797.50 | 60% below | 68% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LIMITED OR FOLLOW UP | $135.00 | $500.00 | $30.30–$648.47 | 32% below | 73% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $128.00 | $600.00 | $91.70–$648.47 | 75% below | 79% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2 OR 3 TRIMESTER | $128.00 | $475.00 | $109.95–$648.47 | 71% below | 73% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMSTR TRANSABD SINGLE GEST | $128.00 | $750.00 | $88.38–$648.47 | 61% below | 83% |
| Screening mammogram, both breasts both sides CPT 77067 MG DIG MAMMO SCREENING BILATERAL | $125.00 | $600.00 | $62.56–$420.00 | — | 79% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 LT SHOULDER (MIN 2 VIEWS) | $65.85 | $525.00 | $31.54–$367.50 | 70% below | 87% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RT SHOULDER (MIN 2 VIEWS) | $95.00 | $525.00 | $31.54–$367.50 | 56% below | 82% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 + | $1,100.00 | $3,250.00 | $739.38–$2,535.00 | 62% below | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $135.00 | $581.00 | $92.31–$406.70 | 67% below | 77% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $128.00 | $691.00 | $71.37–$483.70 | 65% below | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $128.00 | $581.00 | $71.37–$406.70 | 65% below | 78% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $128.00 | $775.00 | $99.17–$648.47 | 75% below | 83% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS | $128.00 | $859.00 | $88.38–$648.47 | 70% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NEC | $128.00 | $650.00 | $106.22–$648.47 | 66% below | 80% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BARIUM SWALLOW W/UGI WO KUB | $124.00 | $575.00 | $109.54–$402.50 | 67% below | 78% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST WITH KUB | $124.00 | $1,900.00 | $109.54–$1,330.00 | 67% below | 93% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BARIUM SWALLOW W/UGI WITH KUB | $124.00 | $575.00 | $109.54–$402.50 | 67% below | 78% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST | $210.00 | $850.00 | $109.54–$595.00 | 45% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST W/SBFT | $237.18 | $850.00 | $109.54–$595.00 | 38% below | 72% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPPLER UNI OR LTD | $128.00 | $825.00 | $92.31–$643.50 | 60% below | 84% |
| Wrist X-ray, complete, 3 or more views CPT 73110 LT WRIST (MIN 3 VIEWS) | $95.00 | $325.00 | $40.26–$227.50 | 58% below | 71% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RT WRIST (MIN 3 VIEWS) | $95.00 | $325.00 | $40.26–$227.50 | 58% below | 71% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 RT HIP (MIN 2 VIEWS) | $95.00 | $345.00 | $44.82–$241.50 | 59% below | 72% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LT HIP(2-3VIEWS) | $95.00 | $345.00 | $44.82–$241.50 | 59% below | 72% |
| X-ray of the abdomen, 1 view CPT 74018 KUB ABDOMEN (1 VIEW) | $95.00 | $325.00 | $26.57–$227.50 | 45% below | 71% |
| X-ray of the ankle, 2 views CPT 73600 LT ANKLE (MIN 2 VIEWS) | $95.00 | $525.00 | $30.30–$367.50 | 50% below | 82% |
| X-ray of the ankle, 2 views CPT 73600 RT ANKLE (MIN 2 VIEWS) | $95.00 | $525.00 | $30.30–$367.50 | 50% below | 82% |
| X-ray of the finger(s), 2 or more views CPT 73140 RT FINGER(S)(MIN 2 VIEWS) | $95.00 | $325.00 | $38.18–$227.50 | 54% below | 71% |
| X-ray of the foot, 2 views CPT 73620 WEIGHT BEARING FEET 2 VIEWS | $95.00 | $178.00 | $25.74–$127.70 | 39% below | 47% |
| X-ray of the foot, 2 views CPT 73620 LT FOOT (2 VIEWS) | $95.00 | $325.00 | $25.74–$227.50 | 39% below | 71% |
| X-ray of the foot, 2 views CPT 73620 RT FOOT (2 VIEWS) | $95.00 | $325.00 | $25.74–$227.50 | 39% below | 71% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RT FOOT (MIN 3 VIEWS) | $95.00 | $325.00 | $32.79–$227.50 | 54% below | 71% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LT FOOT (MIN 3 VIEWS) | $95.30 | $325.00 | $32.79–$227.50 | 54% below | 71% |
| X-ray of the hand, 3 or more views CPT 73130 RT HAND ( 3+ VIEWS) | $95.00 | $325.00 | $34.86–$227.50 | 63% below | 71% |
| X-ray of the hand, 3 or more views CPT 73130 LT HAND (3+ VIEWS) | $95.00 | $325.00 | $34.86–$227.50 | 63% below | 71% |
| X-ray of the knee, 1 or 2 views CPT 73560 LT KNEE (1 OR 2 VIEWS) | $95.00 | $325.00 | $32.37–$227.50 | 48% below | 71% |
| X-ray of the knee, 1 or 2 views CPT 73560 RT KNEE (1 OR 2 VIEWS) | $95.00 | $325.00 | $32.37–$227.50 | 48% below | 71% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE AP AND LAT(2 OR 3 VIEWS) | $128.00 | $525.00 | $36.11–$367.50 | 61% below | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE(MIN 4 VIEWS) | $128.00 | $525.00 | $48.14–$367.50 | 60% below | 76% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP & LAT | $128.00 | $388.00 | $28.64–$271.60 | 41% below | 67% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP | $95.00 | $325.00 | $36.94–$227.50 | 65% below | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2-3 VIEWS | $95.00 | $250.00 | $35.69–$175.00 | 57% below | 62% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP ONLY | $128.00 | $295.00 | $24.08–$206.50 | 37% below | 57% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP & FROGLEG | $155.38 | $295.00 | $24.08–$206.50 | 24% below | 47% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX | $71.13 | $200.00 | $29.89–$140.00 | 69% below | 64% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $7.85 | $142.00 | $4.77–$99.40 | 80% below | 94% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $7.67 | $120.00 | $4.66–$84.00 | 79% below | 94% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEP PANEL | $70.57 | $155.00 | $10.27–$108.50 | 77% below | 54% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 REF ACUTE HEP PANEL | $70.57 | $79.30 | $10.27–$66.68 | 77% below | 11% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EA | $7.73 | $20.00 | $4.70–$14.00 | 67% below | 61% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $17.90 | $85.00 | $10.88–$59.50 | 57% below | 79% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B NATRIURETIC PEPTID | $50.28 | $98.15 | $35.33–$68.71 | 50% below | 49% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $12.53 | $150.00 | $7.61–$105.00 | 79% below | 92% |
| Basic metabolic panel (blood test) CPT 80048 REF BASIC METABOLIC PANE | $12.53 | $12.53 | $7.61–$11.84 | 79% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEV IV | $42.54 | $109.00 | $35.35–$76.30 | 75% below | 61% |
| Blood culture for bacteria CPT 87040 CULT-BLOOD | $15.29 | $85.00 | $8.94–$59.50 | 85% below | 82% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $4.00 | $16.00 | $2.88–$12.48 | 46% below | 75% |
| Blood glucose (sugar) test CPT 82947 REF GLUCOSE QUANT | $5.82 | $5.82 | $3.54–$6.06 | 80% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT | $5.82 | $22.00 | $3.54–$15.40 | 80% below | 74% |
| Blood lead test CPT 83655 URINE LEAD | $17.94 | $88.00 | $10.90–$61.60 | 52% below | 80% |
| Blood lead test CPT 83655 REF LEAD | $17.94 | $17.94 | $10.90–$16.95 | 52% below | — |
| Blood lead test CPT 83655 LEAD | $17.94 | $50.00 | $10.90–$35.00 | 52% below | 64% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUAL | $11.15 | $131.00 | $6.06–$91.70 | 83% below | 91% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 REF HCG SERUM QUAL | $11.15 | $11.15 | $6.06–$10.53 | 83% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF CRP | $7.67 | $13.34 | $4.66–$12.93 | 83% below | 43% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $30.84 | $289.00 | $12.93–$202.30 | 70% below | 89% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $30.84 | $289.00 | $12.93–$202.30 | 69% below | 89% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE CHLAMYDIA AMP PROBE | $52.00 | $100.00 | $31.58–$70.00 | 20% below | 48% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA ANTIGEN | $52.00 | $184.00 | $31.58–$128.80 | 20% below | 72% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $19.84 | $99.00 | $12.05–$69.30 | 62% below | 80% |
| Complete blood count (CBC) with differential CPT 85025 .CBC W/AUTO DIFF | $11.51 | $95.00 | $6.94–$66.50 | 70% below | 88% |
| Complete blood count (CBC) with differential CPT 85025 .REF .CBC W/AUTO DIFF | $11.51 | $11.51 | $6.94–$10.88 | 70% below | — |
| Complete blood count (CBC), no differential CPT 85027 .REF .CBC AUTO W/PLT WO/DF | $9.58 | $9.58 | $5.82–$9.06 | 70% below | — |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $9.58 | $94.00 | $5.82–$65.80 | 70% below | 90% |
| Comprehensive metabolic panel (blood test) CPT 80053 REF COMP METABOLIC PANEL | $12.94 | $12.94 | $9.06–$14.78 | 86% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $12.94 | $295.00 | $9.50–$206.50 | 86% below | 96% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $15.07 | $95.00 | $4.58–$66.50 | 78% below | 84% |
| D-dimer blood test (blood clot marker) CPT 85379 REF D-DIMER QUANT | $15.07 | $15.07 | $4.58–$14.25 | 78% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $32.94 | $236.50 | $15.59–$165.55 | 72% below | 86% |
| Estradiol blood test CPT 82670 ESTRADIOL | $41.39 | $125.00 | $15.59–$87.50 | 63% below | 67% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $27.53 | $184.00 | $15.59–$128.80 | 72% below | 85% |
| Ferritin blood test (iron stores) CPT 82728 REF FERRITIN | $20.20 | $20.20 | $12.27–$19.08 | 69% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $20.20 | $67.00 | $12.27–$46.90 | 69% below | 70% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM | $21.78 | $68.00 | $13.23–$47.60 | 67% below | 68% |
| Folate (folic acid) blood test CPT 82746 REF FOLIC ACID, SERUM | $21.78 | $21.78 | $13.23–$20.58 | 67% below | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $25.10 | $75.00 | $15.25–$52.50 | 69% below | 67% |
| Free T3 thyroid hormone test CPT 84481 REF T3 FREE | $25.10 | $25.10 | $15.25–$23.72 | 69% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS | $13.36 | $120.00 | $8.12–$84.00 | 79% below | 89% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $13.36 | $95.00 | $8.12–$66.50 | 79% below | 86% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 REF T4 FREE | $13.36 | $13.36 | $8.12–$15.59 | 79% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $37.74 | $164.50 | $15.59–$115.15 | 49% below | 77% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $37.74 | $164.50 | $15.59–$115.15 | 49% below | 77% |
| Glucose tolerance test, 3 samples CPT 82951 GTT UP TO 3 SPEC | $19.07 | $236.00 | $11.58–$165.20 | 69% below | 92% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 URINE GC AMP PROBE | $52.00 | $100.00 | $31.58–$70.00 | 20% below | 48% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC ANTIGEN | $52.00 | $160.00 | $31.58–$112.00 | 20% below | 68% |
| H. pylori antibody blood test CPT 86677 AB HELICOBACTER PYLO | $21.49 | $160.00 | $12.93–$112.00 | 40% below | 87% |
| H. pylori stool antigen test CPT 87338 REF H PYLORI AG | $21.31 | $29.64 | $8.94–$20.75 | 72% below | 28% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG, STOOL | $21.31 | $216.00 | $8.94–$151.20 | 72% below | 90% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA PCR | $126.07 | $207.00 | $76.59–$144.90 | 45% below | 39% |
| HIV-1 and HIV-2 antibody test CPT 86703 REF AB HIV1/HIV2 SGL ASS | $20.30 | $35.38 | $12.34–$24.77 | 36% below | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 AB HIV1/HIV2 SGL ASS | $20.30 | $163.00 | $8.94–$114.10 | 69% below | 88% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCAT | $14.39 | $154.00 | $6.06–$107.80 | 52% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 REF HEMOGLOBIN GLYCAT | $14.39 | $14.39 | $6.06–$13.59 | 52% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $15.91 | $141.00 | $9.67–$98.70 | 77% below | 89% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 REF HEP B SURFACE AB | $15.96 | $25.48 | $9.67–$17.84 | 77% below | 37% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HEP B SURFACE AG | $15.30 | $28.10 | $8.94–$19.67 | 48% below | 46% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $15.30 | $84.00 | $8.94–$58.80 | 48% below | 82% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB | $21.13 | $153.00 | $12.84–$107.10 | 70% below | 86% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $63.46 | $315.00 | $33.98–$220.50 | 66% below | 80% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 (IGG) | $25.00 | $83.00 | $11.87–$58.10 | 58% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 (IgG) AB | $25.00 | $83.00 | $12.93–$58.10 | 66% below | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP - IN HOUSE | $19.18 | $45.00 | $11.66–$31.50 | 67% below | 57% |
| Homocysteine blood test CPT 83090 REF HOMOCYSTINE QUANT | $25.00 | $25.00 | $15.59–$25.09 | 81% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE QUANT | $25.00 | $107.00 | $15.59–$74.90 | 81% below | 77% |
| Insulin blood test CPT 83525 INSULIN | $16.93 | $42.00 | $10.29–$29.40 | 76% below | 60% |
| Insulin blood test CPT 83525 REF INSULIN TOTAL | $16.93 | $16.93 | $10.29–$16.00 | 76% below | — |
| Iron blood test (serum iron) CPT 83540 IRON | $9.59 | $55.00 | $5.82–$38.50 | 67% below | 83% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $12.95 | $33.00 | $7.87–$23.10 | 55% below | 61% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $12.86 | $90.00 | $7.81–$63.00 | 85% below | 86% |
| Kidney function blood test panel CPT 80069 REF RENAL FUNCTION PANEL | $12.86 | $12.86 | $7.81–$12.15 | 85% below | — |
| LH (luteinizing hormone) test CPT 83002 LH | $27.43 | $110.00 | $15.59–$77.00 | 76% below | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, PLEURAL FLUID | $10.21 | $44.00 | $6.06–$30.80 | 82% below | 77% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $10.21 | $70.00 | $6.06–$49.00 | 82% below | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 REF LIPASE | $10.21 | $10.21 | $6.06–$9.65 | 82% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCT PANEL | $12.11 | $168.00 | $7.35–$117.60 | 85% below | 93% |
| Liver function blood test panel CPT 80076 REF HEPATIC FUNCT PANEL | $12.11 | $15.22 | $7.35–$11.44 | 85% below | 20% |
| Lyme disease antibody test CPT 86618 AB LYME DISEASE | $25.22 | $100.00 | $12.93–$70.00 | 78% below | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $9.92 | $65.00 | $6.03–$45.50 | 70% below | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE | $9.92 | $65.00 | $6.03–$45.50 | 70% below | 85% |
| Magnesium blood test CPT 83735 REF MAGNESIUM SERUM | $9.92 | $9.92 | $6.03–$9.38 | 70% below | — |
| Measles (rubeola) antibody test CPT 86765 REF AB RUBEOLA TITER | $19.08 | $33.22 | $11.59–$23.25 | 51% below | 43% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA SCREEN | $19.08 | $51.00 | $11.59–$35.70 | 51% below | 63% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $7.67 | $142.00 | $4.66–$99.40 | 89% below | 95% |
| Mono test (heterophile antibody, Monospot) CPT 86308 REF MONO SCREEN | $7.67 | $13.34 | $4.66–$12.93 | 89% below | 43% |
| Obstetric blood test panel CPT 80055 REF PRENATAL PANEL | $70.82 | $70.82 | $43.03–$66.93 | 64% below | — |
| Obstetric blood test panel CPT 80055 REF OB PANEL W/BB ID | $70.82 | $70.82 | $43.03–$66.93 | 64% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $27.25 | $27.25 | $14.99–$25.75 | 68% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE AND TOTAL not for screening | $27.25 | $52.00 | $14.99–$36.40 | 68% below | 48% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL(HLTH FAIR) | $27.25 | $27.25 | $14.99–$25.75 | 70% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $27.25 | $93.00 | $14.99–$65.10 | 70% below | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (PARATHYROID) | $61.15 | $395.00 | $37.15–$276.50 | 55% below | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF PTT | $8.90 | $8.90 | $4.58–$8.41 | 78% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $8.90 | $75.00 | $4.58–$52.50 | 78% below | 88% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS LIKE ANTICOAG | $8.90 | $438.00 | $4.58–$306.60 | 78% below | 98% |
| Progesterone blood test CPT 84144 PROGESTERONE | $30.91 | $68.00 | $18.77–$47.60 | 72% below | 55% |
| Prolactin blood test CPT 84146 PROLACTIN | $28.70 | $175.00 | $15.59–$122.50 | 73% below | 84% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $5.82 | $65.00 | $3.86–$45.50 | 75% below | 91% |
| Rapid flu test (influenza antigen) CPT 87804 INFLU IA DIR OPT OBS | $19.86 | $57.00 | $8.94–$39.90 | 14% below | 65% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR | $8.40 | $55.00 | $5.10–$38.50 | 82% below | 85% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $21.32 | $55.00 | $12.93–$38.50 | 44% below | 61% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $21.32 | $55.00 | $12.93–$38.50 | 44% below | 61% |
| Rubella antibody test (immunity check) CPT 86762 REF AB RUBELLA TITER | $21.32 | $28.86 | $12.93–$20.20 | 44% below | 26% |
| Stool ova and parasites exam CPT 87177 O&P EXAM | $13.19 | $83.00 | $8.01–$58.10 | 77% below | 84% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 REF OCC BLOOD FECES | $5.26 | $5.26 | $3.68–$6.13 | 53% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCC BLOOD FECES | $5.26 | $55.00 | $3.94–$38.50 | 53% below | 90% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECES CONSECUTIVE SPECIMENS | $23.57 | $65.00 | $14.33–$45.50 | 57% below | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $6.32 | $34.00 | $3.84–$23.80 | 77% below | 81% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $6.32 | $27.00 | $3.84–$18.90 | 77% below | 77% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $6.32 | $27.00 | $3.84–$18.90 | 77% below | 77% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF | $6.32 | $27.00 | $3.84–$18.90 | 77% below | 77% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD | $91.82 | $400.00 | $37.45–$280.00 | 15% below | 77% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL LC/MS | $38.24 | $108.00 | $15.59–$75.60 | 55% below | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL MALE (IA) | $38.24 | $108.00 | $15.59–$75.60 | 55% below | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE TOTAL | $38.24 | $59.16 | $15.59–$41.41 | 55% below | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 AB MICROSOMAL EA | $21.55 | $83.00 | $12.93–$58.10 | 69% below | 74% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 AB THYROID PEROXIDAS | $21.55 | $25.08 | $12.93–$20.37 | 69% below | 14% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $24.90 | $99.00 | $15.12–$69.30 | 70% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 REF TSH | $24.90 | $38.50 | $15.12–$26.95 | 70% below | 35% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PCR | $52.00 | $190.00 | $31.58–$133.00 | 28% below | 73% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA | $52.00 | $190.00 | $31.58–$133.00 | 28% below | 73% |
| Uric acid blood test CPT 84550 REF URIC ACID BLOOD | $6.70 | $6.70 | $4.07–$6.33 | 81% below | — |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $6.70 | $75.00 | $4.07–$52.50 | 81% below | 91% |
| Urinalysis with microscope exam, automated CPT 81001 .UA AUTO W MICRO | $4.70 | $155.00 | $2.85–$108.50 | 85% below | 97% |
| Urinalysis with microscope exam, automated CPT 81001 .REF.UA AUTO W MICRO | $4.70 | $9.54 | $2.85–$6.68 | 85% below | 51% |
| Urinalysis without microscope exam, automated CPT 81003 .REF.UA AUTO WO M | $3.32 | $6.76 | $2.03–$4.73 | 86% below | 51% |
| Urinalysis without microscope exam, automated CPT 81003 .UA AUTO WO M | $3.32 | $77.00 | $2.03–$53.90 | 86% below | 96% |
| Urinalysis without microscope exam, manual CPT 81002 URINE ACETONE | $4.18 | $15.00 | $3.13–$10.50 | 62% below | 72% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $11.95 | $68.00 | $7.26–$47.60 | 81% below | 82% |
| Urine pregnancy test, read by color change CPT 81025 REF URINE HCG | $10.33 | $10.33 | $3.40–$12.05 | 80% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE HCG | $10.33 | $184.00 | $3.40–$128.80 | 80% below | 94% |
| Vitamin B12 (cobalamin) blood test CPT 82607 REF VITAMN B-12 | $22.33 | $72.00 | $13.57–$50.40 | 61% below | 69% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $22.33 | $72.00 | $13.57–$50.40 | 61% below | 69% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY | $43.86 | $280.00 | $14.99–$196.00 | 55% below | 84% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 -OH) | $43.86 | $96.00 | $14.99–$67.20 | 55% below | 54% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 REF VITAMIN D-3 (25 -OH) | $43.86 | $43.86 | $14.99–$41.44 | 55% below | — |
| Zinc blood test CPT 84630 ZINC | $16.87 | $60.00 | $10.25–$42.00 | 77% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 REF HCG SERUM QUANT/BETA | $22.31 | $22.31 | $13.55–$21.07 | 63% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANT/BETA | $22.31 | $236.00 | $13.55–$165.20 | 63% below | 91% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG - MALES ONLY | $22.31 | $77.00 | $13.55–$53.90 | 63% below | 71% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $4,100.00 | $6,500.00 | $3,000.00–$8,892.99 | 64% above | 37% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR | $7,360.00 | $17,036.00 | $3,500.00–$11,925.20 | 37% below | 57% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE | $219.81 | $600.00 | $198.00–$549.12 | at median | 63% |
| Bunion correction with removal of part of the big toe joint CPT 28292 BUNION CORRCT KELLER MCBRIDE MAYO STYLE | $3,400.00 | $10,500.00 | $2,717.68–$7,350.00 | 39% below | 68% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $504.57 | $429.00 | $300.30–$798.57 | 39% below | -18% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA | $504.57 | $1,500.00 | $192.19–$1,170.00 | 39% below | 66% |
| Cataract surgery with lens implant CPT 66984 CATARACT SURGERY | $2,500.00 | $5,100.00 | $1,956.60–$3,570.00 | at median | 51% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $508.00 | $1,300.00 | $565.81–$1,014.00 | 79% below | 61% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W REMOVAL BY SNARE TECHNIQUE | $1,218.00 | $2,947.00 | $990.80–$2,298.66 | 66% below | 59% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE | $1,218.00 | $3,000.00 | $990.80–$2,340.00 | 55% below | 59% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W/WO DECOMPRESSION | $932.00 | $2,947.00 | $767.37–$2,298.66 | 62% below | 68% |
| Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX | $2,500.00 | $5,100.00 | $1,956.60–$3,570.00 | at median | 51% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $700.00 | $1,800.00 | $573.55–$1,928.86 | 66% below | 61% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CUTTERAGE NON OBSTETRICAL | $3,300.00 | $10,500.00 | $2,624.93–$7,350.00 | 49% below | 69% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY WWO ENDOCERVICAL BIOP | $360.76 | $800.00 | $167.31–$624.00 | 35% below | 55% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 MAXILLARY ANTROSTOMY REMOVAL OF | $6,000.00 | $6,647.00 | $939.65–$8,045.17 | 31% below | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ ANES FACET W/IMAG L/S SNGL | $702.82 | $1,456.02 | $728.01–$1,135.70 | 37% below | 52% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC WWO COLLECTION | $932.00 | $1,844.00 | $767.37–$1,438.32 | 19% below | 49% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY,SURGICAL,CHOLECYSTECTOMY | $5,943.00 | $14,594.00 | $3,500.00–$10,215.80 | 32% below | 59% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY | $6,000.00 | $12,900.00 | $3,500.00–$9,030.00 | 17% below | 53% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE | $3,400.00 | $6,000.00 | $2,666.34–$4,200.00 | 21% below | 43% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPL/SNGL | $168.43 | $310.00 | $155.00–$241.80 | 51% below | 46% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA REPAIR OVER 5 YO REDUCIBLE | $3,737.00 | $9,190.00 | $2,904.77–$6,433.00 | at median | 59% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON SHEATH | $254.10 | $700.00 | $248.68–$546.00 | 38% below | 64% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT | $254.10 | $715.00 | $248.68–$557.70 | 36% below | 64% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR & INJ INTRMED JNT/BURSA | $254.10 | $460.00 | $230.00–$358.80 | 34% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS WO US GUIDANCE | $254.10 | $700.00 | $248.68–$546.00 | 34% below | 64% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT OR BURSA | $254.10 | $715.00 | $248.68–$557.70 | 34% below | 64% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration/Injection of Small Joint/Burs | $254.10 | $460.00 | $230.00–$358.80 | 34% below | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE W MENISCECTOMY | $3,326.00 | $7,620.00 | $2,717.68–$5,334.00 | 54% below | 56% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE CHONDROPLASTY | $3,326.00 | $7,600.00 | $2,717.68–$5,320.00 | 50% below | 56% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR WOUND EXTREMETIES 2.5CM OR LESS | $219.81 | $1,200.00 | $334.79–$936.00 | 46% below | 82% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION WITH FLUOROSCOPY GUIDANCE | $746.00 | $1,000.00 | $500.00–$1,057.32 | 52% below | 25% |
| Miscarriage treatment with D&C, first trimester CPT 59820 MISSED ABORTION SURGICAL FIRST TRIMESTER | $3,300.00 | $10,500.00 | $2,183.33–$7,350.00 | 27% below | 69% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLATE | $168.43 | $310.00 | $81.10–$241.80 | 28% below | 46% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE SINGLE | $168.43 | $500.00 | $81.10–$390.00 | 28% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL PLT AVULS SGL | $168.43 | $900.00 | $81.10–$702.00 | 28% below | 81% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTHETIC GREATER OCCIPITAL NERVE | $254.10 | $1,416.00 | $248.68–$1,104.48 | 46% below | 82% |
| Paracentesis with imaging guidance CPT 49083 US GUIDE THORA/PARACENT | $753.70 | $2,440.00 | $761.09–$1,903.20 | 10% below | 69% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS WTH IMAGE GUIDANC | $753.70 | $3,000.00 | $761.09–$2,340.00 | 10% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAILBED AND MATRIX PERMANENT | $321.88 | $1,275.00 | $334.79–$994.50 | 43% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT NAIL REMOVAL | $321.88 | $560.00 | $280.00–$550.74 | 43% below | 43% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST OR TUMOR BREAST OR DUCT | $4,000.00 | $7,000.00 | $1,729.42–$4,900.00 | 2% above | 43% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SIM | $321.88 | $1,000.00 | $202.10–$780.00 | 38% below | 68% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FB SQ SMPL | $321.88 | $560.00 | $202.10–$468.71 | 38% below | 43% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY CANCER SCREENING | $674.70 | $2,587.00 | $238.12–$2,017.86 | 56% below | 74% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY WWO SCORING OR RPLCE W GRAFT | $3,200.00 | $7,437.00 | $2,703.22–$5,205.90 | 37% below | 57% |
| Short leg splint (calf to foot) CPT 29515 Application of Short Leg Cast | $137.67 | $240.00 | $53.70–$187.20 | 5% below | 43% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER DECOMPRESSION | $2,386.00 | $2,698.00 | $1,349.00–$2,763.18 | 82% below | 12% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUNDS UP TO 2.5 CM | $168.43 | $310.00 | $155.00–$241.80 | 34% below | 46% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $168.43 | $335.00 | $167.50–$261.30 | 47% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $571.08 | $1,003.56 | $501.78–$812.88 | 23% below | 43% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUNDS 2.6 TO 7.5CM | $168.43 | $310.00 | $155.00–$241.80 | 25% below | 46% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND 2.5CM OR LESS | $168.43 | $500.00 | $168.09–$390.00 | 25% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASPIRATION OF PLEURAL SPAC | $752.54 | $1,700.00 | $527.45–$1,326.00 | 32% below | 56% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY AND ADENOIDECTOMY UNDER 12 | $5,973.00 | $7,437.00 | $2,469.49–$6,883.67 | 6% above | 20% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY OLDER THAN 12 YO | $3,300.00 | $6,600.00 | $2,469.49–$4,620.00 | 53% below | 50% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION | $1,650.00 | $5,002.00 | $1,349.43–$3,501.40 | at median | 67% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTIONS SINGLE OR MULTIPLE TRIGGER PT | $254.10 | $700.00 | $248.68–$546.00 | 18% below | 64% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY OF OVIDUCTS WITH FULGURATION | $6,000.00 | $12,898.00 | $3,500.00–$9,028.60 | 26% below | 53% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST WITH US GUIDANCE | $1,390.00 | $2,500.00 | $1,250.00–$1,950.00 | 43% below | 44% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD WITH BALLOON DILATION OF ESOPHOGUS | $1,908.00 | $4,052.00 | $1,182.30–$3,160.56 | 42% below | 53% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIPOSY SINGLE OR MULTIPLE | $950.00 | $2,682.00 | $761.09–$2,091.96 | 76% below | 65% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD POLYPECTOMY HOT SNARE | $2,000.00 | $4,000.00 | $1,182.30–$3,120.00 | 45% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC | $950.00 | $2,300.00 | $761.09–$1,794.00 | 56% below | 59% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE, SUBQ FIRST 20SQ CM | $321.88 | $560.00 | $280.00–$468.71 | 43% below | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT FIRST 20SQ CM OR LESS | $321.88 | $971.00 | $334.79–$757.38 | 43% below | 67% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $466.00 | $1,000.00 | $364.48–$780.00 | 21% above | 53% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO THERAPY INFUSION | $297.43 | $700.00 | $169.62–$546.00 | 34% below | 58% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER EKG TRACING | $55.00 | $161.00 | $10.14–$125.58 | 57% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING | $65.00 | $161.00 | $10.14–$125.58 | 49% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEV1 | $76.59 | $345.00 | $74.54–$650.00 | 43% below | 78% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEV2 | $200.00 | $525.00 | $137.32–$650.00 | 5% above | 62% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEV3 | $200.00 | $700.00 | $239.56–$650.00 | 35% below | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEV4 | $200.00 | $1,125.00 | $300.00–$877.50 | 60% below | 82% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEV5 | $200.00 | $1,500.00 | $300.00–$1,170.00 | 69% below | 87% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY | $311.00 | $1,455.00 | $58.53–$1,134.90 | 49% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVINF HYDRTN INT<=1H | $182.29 | $325.00 | $39.65–$374.50 | 42% below | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAV INFUS HYDRATE INITIAL 31MIN - 1HR | $182.29 | $374.00 | $179.96–$650.00 | 42% below | 51% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 MIN TO 1 HOUR | $182.29 | $424.00 | $39.65–$374.50 | 42% below | 57% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION | $182.29 | $350.00 | $39.65–$374.50 | 42% below | 48% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATE INIT 1 HR | $182.29 | $224.00 | $39.65–$374.50 | 42% below | 19% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT THRPY 31-60 M | $182.29 | $362.31 | $179.96–$650.00 | 42% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVINF HYDRTN INT<= 1 | $182.29 | $362.31 | $39.65–$374.50 | 42% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV DX/TX THRPY 1ST HR | $197.75 | $362.31 | $179.96–$650.00 | 39% below | 45% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX <=1HR | $197.75 | $362.31 | $77.90–$282.60 | 39% below | 45% |
| IV infusion of a medicine, first hour CPT 96365 IVPB SIMPLE INFUSION 1 HOUR | $197.75 | $450.00 | $77.90–$351.00 | 39% below | 56% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY INITIAL UP TO 1 HOUR | $197.75 | $689.00 | $77.90–$537.42 | 39% below | 71% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THER PROPH DX INIT HR | $197.75 | $439.00 | $77.90–$342.42 | 39% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $56.65 | $45.00 | $16.97–$82.81 | 33% below | -26% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT THER DX SUBCU OR IM | $56.65 | $117.00 | $16.97–$91.26 | 33% below | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ SQ/IM | $56.65 | $130.00 | $16.97–$82.81 | 33% below | 56% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EXER/15 MIN | $100.00 | $135.00 | $27.32–$105.30 | 13% below | 26% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/ 15 MINUTES | $100.00 | $119.00 | $27.32–$92.82 | 13% below | 16% |
| Spirometry (breathing test) CPT 94010 PFT SIMPLE | $164.00 | $234.00 | $21.14–$183.61 | 18% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THER PHLEBOTOMY | $57.01 | $176.00 | $72.54–$150.15 | 53% below | 68% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE INJ 2.5UNIT/ML | $268.30 | $800.00 | $284.42–$624.00 | 59% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ VACC 1ST VACC | $70.81 | $184.00 | $47.50–$650.00 | 11% above | 62% |