Hospital

Russell Regional Hospital

Listed in its price file as “West Central Kansas Association Inc.”.

Russell Regional Hospital in Russell, KS publishes cash prices for 337 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 Kansas median for 221 of 331 procedures and above it for 110. Click a procedure to compare it with other hospitals nearby.

200 S Main St, Russell, KS 67665 Collected Sep 27, 2026 Source price file (785) 483-3131

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 171350 · CMS hospital register NPI 1417939729

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W/WO	$1,003.00	$1,180.00	$480.41	28% below	15%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$161.50	$190.00	$100.35	37% below	15%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE MINIMUM 3 VIEWS	$182.75	$215.00	$139.38	21% below	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ANKLE TO BRACHIAL INDEX (ABI) BILAT	$642.60	$756.00	$480.76	—	15%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY WITHOUT CONTRAST	$680.00	$800.00	$480.41	35% below	15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$272.00	$320.00	$270.40	38% below	15%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$752.25	$885.00	$400.49	30% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$191.25	$225.00	—	40% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE	$191.25	$225.00	—	40% below	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE	$200.81	$236.25	—	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE	$200.81	$236.25	—	—	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED	$133.88	$157.50	—	56% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED	$133.88	$157.50	—	56% below	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LIMITED	$153.00	$180.00	—	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT LIMITED	$153.00	$180.00	—	—	15%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN/PELVIS	$1,219.75	$1,435.00	$1,704.15	50% below	15%
CT angiography (CTA) of the head CPT 70496 CTA BRAIN	$1,020.00	$1,200.00	$1,158.71	44% below	15%
CT angiography (CTA) of the neck CPT 70498 CTA NECK/CAROTID	$1,020.00	$1,200.00	$1,159.64	43% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$1,032.75	$1,215.00	$1,143.85	42% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST/PULMONARY EMBLI W/CONTRAST	$1,032.75	$1,215.00	$1,143.85	42% below	15%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CARDIAC	$606.90	$714.00	$550.09	33% below	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO	$1,355.75	$1,595.00	$480.41	1% above	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE	$1,355.75	$1,595.00	$480.41	1% above	15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W	$1,360.00	$1,600.00	$480.41	10% below	15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO	$1,588.65	$1,869.00	$480.41	17% below	15%
CT scan of the abdomen with contrast CPT 74160 CT ABD W	$892.50	$1,050.00	$480.41	35% below	15%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO	$680.00	$800.00	$480.41	41% below	15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA WO	$680.00	$800.00	$480.41	33% below	15%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$680.00	$800.00	$480.41	38% below	15%
CT scan of the head with contrast CPT 70460 CT HEAD W	$892.50	$1,050.00	$480.41	27% below	15%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO	$1,003.00	$1,180.00	$480.41	23% below	15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO	$680.00	$800.00	$480.41	40% below	15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO	$680.00	$800.00	$480.41	36% below	15%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$892.50	$1,050.00	$480.41	27% below	15%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILAT	$950.51	$1,118.25	$480.76	—	15%
Chest CT scan without and with contrast CPT 71270 CT CAP W/WO	$1,003.00	$1,180.00	$480.41	20% below	15%
Chest CT scan without and with contrast CPT 71270 CT CHEST/ABD W/WO	$1,003.00	$1,180.00	$480.41	20% below	15%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO	$1,003.00	$1,180.00	$480.41	20% below	15%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$161.50	$190.00	$150.77	30% below	15%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$140.25	$165.00	$123.58	28% below	15%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW PORTABLE	$140.25	$165.00	$123.58	28% below	15%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE	$161.50	$190.00	$114.29	19% below	15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$229.50	$270.00	$151.50	44% below	15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA DEXA SCAN AXIAL	$297.50	$350.00	$197.96	6% below	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA pDXA PERIPHERAL - APPENDICULAR	$80.75	$95.00	$47.47	44% below	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CAP WO	$680.00	$800.00	$480.41	35% below	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD WO	$680.00	$800.00	$480.41	35% below	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$680.00	$800.00	$480.41	35% below	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO	$680.00	$800.00	$480.41	35% below	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ABD W	$892.50	$1,050.00	$480.41	23% below	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$892.50	$1,050.00	$480.41	23% below	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CAP W	$892.50	$1,050.00	$480.41	23% below	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W	$892.50	$1,050.00	$480.41	23% below	15%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILATERAL DIAGNOSTIC 77066	$191.25	$225.00	$123.22	—	15%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC LT 77065	$169.58	$199.50	—	19% below	15%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC RT 77065	$169.58	$199.50	—	19% below	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC RT 77065	$191.25	$225.00	—	—	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC LT 77065	$191.25	$225.00	—	—	15%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART LE BILAT	$965.60	$1,136.00	$480.76	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS EXTREMITIY BILATERAL	$963.90	$1,134.00	$480.76	—	15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE	$2,034.90	$2,394.00	$1,532.17	7% above	15%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS	$161.50	$190.00	$113.36	18% below	15%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MINIMUM 3 VIEWS	$191.25	$225.00	$151.46	21% below	15%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC MASTOIDS & SELLA WO	$680.00	$800.00	$480.41	37% below	15%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE MIN 3 VIEWS	$238.00	$280.00	$189.56	25% below	15%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS	$161.50	$190.00	$124.51	24% below	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM GALLBLADDER RNGB WO CCK	$879.75	$1,035.00	$529.64	30% below	15%
Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS	$142.80	$168.00	$104.07	26% below	15%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS MINIMUM 2 VIEWS	$144.50	$170.00	$114.29	28% below	15%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$191.25	$225.00	$149.60	23% below	15%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE MINIMUM 4 VIEWS	$276.25	$325.00	$216.50	18% below	15%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WO	$680.00	$800.00	$480.41	38% below	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$276.25	$325.00	$130.94	21% below	15%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JOINT OR NONVASCULAR STRUCTURE	$182.75	$215.00	$117.16	42% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US PMR RT SHOULDER LIMITED	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US PMR LT HIP LIMITED	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US MEDIAN NERVE LEFT	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US BAKER'S CYST LT	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US MEDIAN NERVE RIGHT	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US PMR RT HIP LIMITED	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US PMR LT SHOULDER LIMITED	$160.65	$189.00	—	49% below	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US MEDIAN NERVE LEFT	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US PMR RT HIP LIMITED	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US PMR LT SHOULDER LIMITED	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US PMR RT SHOULDER LIMITED	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US PMR LT HIP LIMITED	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US BAKER'S CYST LT	$182.75	$215.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US MEDIAN NERVE RIGHT	$182.75	$215.00	—	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER SCREENING	$586.50	$690.00	$480.41	10% below	15%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA/FIBULA 2 VIEWS	$161.50	$190.00	$142.17	29% below	15%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO	$1,049.75	$1,235.00	$664.93	28% below	15%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREM ANY JOINT WO	$1,049.75	$1,235.00	$552.52	18% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY ANY JOINT W/WO	$1,610.75	$1,895.00	$552.52	9% below	15%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,049.75	$1,235.00	$552.52	24% below	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO	$1,610.75	$1,895.00	$552.52	5% below	15%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$1,049.75	$1,235.00	$552.52	24% below	15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO	$1,610.75	$1,895.00	$552.52	15% below	15%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE WO	$1,049.75	$1,235.00	$552.52	18% below	15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO	$1,610.75	$1,895.00	$552.52	10% below	15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE WO	$1,049.75	$1,235.00	$552.52	16% below	15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO	$1,610.75	$1,895.00	$552.52	14% below	15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO	$1,049.75	$1,235.00	$552.52	15% below	15%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO	$1,610.75	$1,895.00	$552.52	11% below	15%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$1,049.75	$1,235.00	$552.52	16% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY ANY JOINT WO	$1,049.75	$1,235.00	$552.52	17% below	15%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4-5 VIEWS	$293.25	$345.00	$230.44	23% below	15%
Neck soft tissue CT scan with contrast CPT 70491 CT ST NECK W	$892.50	$1,050.00	$480.41	24% below	15%
Neck soft tissue CT scan without contrast CPT 70490 CT ST NECK WO	$680.00	$800.00	$480.41	32% below	15%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$140.25	$165.00	$129.16	32% below	15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION SPECT MULTI	$1,950.75	$2,295.00	$1,468.08	21% below	15%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO	$680.00	$800.00	$480.41	38% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC (NON-OB) LIMITED OR FOLLOW-UP	$161.50	$190.00	$103.02	50% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC	$191.25	$225.00	$123.22	50% below	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US FETAL >14WK TRANSABD	$199.75	$235.00	$132.31	48% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US FETAL <14WOD TRANSABD	$110.50	$130.00	$122.31	67% below	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US FETAL/PELVIS LIMITED	$140.25	$165.00	$141.50	51% below	15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS	$170.00	$200.00	$133.80	28% below	15%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL 2 VIEW W/PA CHEST	$255.00	$300.00	$199.78	17% below	15%
Screening mammogram, both breasts both sides CPT 77067 MAMMO BILATERAL SCREENING 77067	$191.25	$225.00	$161.00	—	15%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE MINIMUM 2 VIEWS	$178.50	$210.00	$140.31	22% below	15%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASAL COMPLETE MIN 3 VIEWS	$187.43	$220.50	$194.20	40% below	15%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS	$182.75	$215.00	$143.10	26% below	15%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW	$199.75	$235.00	$312.21	66% below	15%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR MINIMUM 2 VIEWS	$142.80	$168.00	—	42% below	15%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR MINIMUM 2 VIEWS	$161.50	$190.00	—	—	15%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE WO	$680.00	$800.00	$480.41	34% below	15%
Toe X-ray, 2 or more views CPT 73660 TOES MINIMUM 2 VIEWS	$136.00	$160.00	$107.79	25% below	15%
Transvaginal pelvic ultrasound CPT 76830 US ENDO VAGINAL SONOGRAM	$191.25	$225.00	$123.22	41% below	15%
Transvaginal ultrasound during pregnancy CPT 76817 US FETAL ENDOVAGINAL	$140.25	$165.00	$141.50	62% below	15%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$310.25	$365.00	$151.50	33% below	15%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$191.25	$225.00	$123.22	51% below	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES OF HEAD AND NECK	$642.60	$756.00	$480.76	3% above	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI/ESOPHAGRAM WITHOUT KUB	$259.25	$305.00	$426.50	58% below	15%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MINIMUM 2 VIEWS	$174.25	$205.00	$137.52	25% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS EXTR UNILATERAL/LIMITED	$642.60	$756.00	$480.76	5% below	15%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS	$123.25	$145.00	$96.64	34% below	15%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE MINIMUM 3 VIEWS	$187.00	$220.00	$143.10	22% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2-3 VIEWS W/WO PELVIS	$221.00	$260.00	$173.25	17% below	15%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$140.25	$165.00	$134.73	33% below	15%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$142.80	$168.00	$104.07	25% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 FINGERS MINIMUM 2 VIEWS	$153.00	$180.00	$105.93	14% below	15%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$142.80	$168.00	$94.78	27% below	15%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT MINIMUM 3 VIEWS	$182.75	$215.00	$134.73	21% below	15%
X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM 3 VIEWS	$187.00	$220.00	$136.59	19% below	15%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS	$148.75	$175.00	$107.79	25% below	15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS	$221.00	$260.00	$174.69	20% below	15%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$314.50	$370.00	$248.10	21% below	15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS	$161.50	$190.00	$133.80	30% below	15%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 OR MORE VIEWS	$140.25	$165.00	$147.74	43% below	15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEWS	$182.75	$215.00	$159.82	29% below	15%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 1-2 VIEWS	$140.25	$165.00	$126.37	34% below	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2 OR MORE VIEWS	$140.25	$165.00	$143.10	42% below	15%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ACTH blood test CPT 82024 ACTH PLASMA	$191.25	$225.00	$118.38	6% above	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$21.25	$25.00	$11.36	43% below	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 QUEST ALT	$46.75	$55.00	$11.36	26% above	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$21.25	$25.00	$11.11	43% below	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 QUEST AST	$46.75	$55.00	$11.11	26% above	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS W/REFLEX CONFIRMATION	$225.25	$265.00	$137.99	6% above	15%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$21.25	$25.00	$10.63	34% below	15%
Aldosterone blood test CPT 82088 URINE ALDOSTERONE, 24HR	$165.75	$195.00	$123.20	13% below	15%
Aldosterone blood test CPT 82088 ALDOSTERONE	$199.75	$235.00	$123.20	5% above	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$21.25	$25.00	$11.11	43% below	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, BONE SPECIFIC	$38.25	$45.00	$11.11	3% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EGG WHITE IGE	$25.50	$30.00	$15.51	16% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY FUSARIUM MONILIFORME IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE, ALLERGY	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 $$ALLERGEN, SINGLE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 $ALLERGEN, EACH	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ALTERNARIA ALTERNATA IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY BEEF, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CAT DANDER, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WHEAT IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TURKEY, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TOMATO, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SOYBEAN IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SMOOTH BROME IGG	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLIUM NOTATUM IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PEANUT IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ORANGE, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MEADOW FESQUE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MAIZE/CORN f8 IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY HELMINTHOSPORIUM HALODES 6711	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COW DANDER	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CHICKEN, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY ENGLISH PLANTAIN, 2409	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY COCOA, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DUST(HOLLISTER-STIER) IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DUST(GREER) IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CODFISH IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DOG DANDER, IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY CORN GRASS	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY DERMATOPHAGOIDES PTER., 2721	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY, STRAWBERRY IGE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY, LATEX (k82) IgE	$29.75	$35.00	$15.51	2% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK COMPONENT PANEL	$85.00	$100.00	$15.51	181% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PENICILLIN PROFILE	$114.75	$135.00	$15.51	280% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY, LATEX SPECIFIC IgE PANEL	$136.00	$160.00	$15.51	350% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY WEEDS, REGION 5	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY VEGETABLE GROUP	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRASSES, REGION 5	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY, CEREAL GROUP	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL 11, MOLD 7911	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TREES REGION 5 7975	$144.50	$170.00	$15.51	378% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY NUT PANEL 7918	$199.75	$235.00	$15.51	561% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY EVAL. 10 SW. (7211)	$289.00	$340.00	$15.51	857% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY NORTH CENTRAL 7905	$289.00	$340.00	$15.51	857% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL PANEL	$323.00	$380.00	$15.51	969% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PORK (2826)	$382.50	$450.00	$15.51	1166% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION # 9 (10650)	$382.50	$450.00	$15.51	1166% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION # 8 (10649)	$382.50	$450.00	$15.51	1166% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD AND TREE NUT ALLERGY PANEL	$382.50	$450.00	$15.51	1166% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE W/REFLEX	$382.50	$450.00	$15.51	1166% above	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$97.75	$115.00	$55.63	2% below	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 TRIPLE TEST (AFP)	$102.00	$120.00	$55.63	2% above	15%
Ammonia blood test CPT 82140 AMMONIA	$85.00	$100.00	$49.38	2% below	15%
Amylase blood test CPT 82150 FLUID AMYLASE, PLEURAL	$46.75	$55.00	$25.05	17% below	15%
Amylase blood test CPT 82150 QUEST AMYLASE	$46.75	$55.00	$25.05	17% below	15%
Amylase blood test CPT 82150 FLUID AMYLASE, PERITONEAL	$46.75	$55.00	$25.05	17% below	15%
Amylase blood test CPT 82150 AMYLASE	$46.75	$55.00	$25.05	17% below	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RHEUMATOID ARTHRITIS DIAG PANEL 3	$46.75	$55.00	$27.79	51% below	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$116.65	$137.24	$27.79	22% above	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ********ANA MULTIPLEX, REFLEX TO DsDNA	$68.00	$80.00	$44.30	3% below	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA,TITER,MULTIPLEX 11 ANTIBODY CASCADE	$76.50	$90.00	$44.30	9% above	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$76.50	$90.00	$44.30	9% above	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANALYZER ANA W/ PANEL	$119.00	$140.00	$44.30	70% above	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI CENTROMERE	$148.75	$175.00	$44.30	113% above	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 TRIAGE BNP	$68.00	$80.00	$72.84	48% below	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP, QUEST	$144.50	$170.00	$72.84	10% above	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 iSTAT HEMA	$144.50	$170.00	$72.84	10% above	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP, QUEST	$170.00	$200.00	$72.84	30% above	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 $PRO-BNP	$182.75	$215.00	$72.84	40% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 $CULTURE ANY OTHER SOURCE	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC ONLY NO GRAM STAIN	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC W GRAM STAIN	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT, SPECIAL GROUP A SUSCEPTI	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE STREP A	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, AEROBIC EYE CULURE	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, AEROBIC BACTERIA W GRAM STAIN	$59.50	$70.00	$31.88	1% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$59.50	$70.00	$31.88	1% above	15%
Basic metabolic panel (blood test) CPT 80048 DAILY BASIC METABOLIC PANEL	$38.25	$45.00	$19.65	53% below	15%
Basic metabolic panel (blood test) CPT 80048 BMP	$38.25	$45.00	$19.65	53% below	15%
Basic metabolic panel (blood test) CPT 80048 QUEST BMP	$38.25	$45.00	$19.65	53% below	15%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$38.25	$45.00	$21.30	5% above	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 LEVEL IV SURG PATH TC	$259.25	$305.00	$195.61	19% above	15%
Blood culture for bacteria CPT 87040 BLD CULT. ID & SUSCEPTIBILITY	$68.00	$80.00	$38.41	23% below	15%
Blood culture for bacteria CPT 87040 $$$CULTURE BLOOD	$68.00	$80.00	$38.41	23% below	15%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$68.00	$80.00	$38.41	23% below	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DNA KIT COLLECTION	$21.25	$25.00	$12.05	18% above	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE EXT STICK	$21.25	$25.00	$12.05	18% above	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-NONCOVERED	$21.25	$25.00	$12.05	18% above	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PATERNITY COLLECTION	$46.75	$55.00	$12.05	160% above	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DNA KIT COLLECTION	$21.25	$25.00	$12.05	—	15%
Blood glucose (sugar) test CPT 82947 WELLNESS SCREEN GLUCOSE	$8.50	$10.00	$8.64	72% below	15%
Blood glucose (sugar) test CPT 82947 DAILY GLUCOSE	$21.25	$25.00	$8.64	29% below	15%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$21.25	$25.00	$8.64	29% below	15%
Blood glucose (sugar) test CPT 82947 NAFLD FIBROSIS SCORE	$170.00	$200.00	$8.64	466% above	15%
Blood glucose (sugar) test CPT 82947 FIBROSURE, EVALUATION	$272.00	$320.00	$8.64	805% above	15%
Blood lead test CPT 83655 LEAD	$42.50	$50.00	$24.36	20% below	15%
Blood lead test CPT 83655 LEAD EXPOSURE	$136.00	$160.00	$24.36	157% above	15%
Blood lead test inpatient CPT 83655 LEAD	$42.50	$50.00	$24.36	—	15%
Blood lead test inpatient CPT 83655 LEAD EXPOSURE	$136.00	$160.00	$24.36	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM	$59.50	$70.00	$34.32	1% above	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO & RH	$57.38	$67.50	$210.75	45% below	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD ABO GROUP	$242.25	$285.00	$210.75	131% above	15%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$9.52	$11.20	$8.47	69% below	15%
Blood urea nitrogen (BUN) test CPT 84520 DAILY BUN/CREATININE PANEL	$9.52	$11.20	$8.47	69% below	15%
C-peptide blood test CPT 84681 C-PEPTIDE	$102.00	$120.00	$66.63	3% below	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 QUEST C REACTIVE PROTEIN	$51.00	$60.00	$26.14	6% above	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$51.00	$60.00	$26.14	6% above	15%
C. difficile toxin gene test (stool PCR) CPT 87493 $C DIFF, PCR	$102.00	$120.00	$75.32	16% below	15%
C. difficile toxin gene test (stool PCR) CPT 87493 CEPHEID C DIFF PCR	$114.75	$135.00	$75.32	5% below	15%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$97.75	$115.00	$54.51	10% below	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125	$97.75	$115.00	$54.77	2% above	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2, NAA LABCORP	$51.00	$60.00	$114.18	63% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 QUEST SARS-CoV-2 IGG	$102.00	$120.00	$114.18	26% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 QUEST SARS-CoV-2	$144.50	$170.00	$114.18	5% above	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CEPHEID SARS-COV2 PCR	$170.00	$200.00	$114.18	23% above	15%
Calcium blood test, total CPT 82310 CALCIUM, TOTAL	$21.25	$25.00	$11.06	37% below	15%
Calcium blood test, total CPT 82310 URINE CALCIUM, W/ CREAT RANDOM	$21.25	$25.00	$11.06	37% below	15%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$123.25	$145.00	$70.84	11% above	15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM	$114.75	$135.00	$66.20	23% above	15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG	$114.75	$135.00	$66.20	23% above	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 $CHLAMYDIA PROBE	$97.75	$115.00	$75.32	15% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA, URETHRA	$97.75	$115.00	$75.32	15% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA, TMA, ORAL	$97.75	$115.00	$75.32	15% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA, TMA RECTAL	$97.75	$115.00	$75.32	15% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC AND CHLAMYDIA RNA (URINE OR SWAB)	$97.75	$115.00	$75.32	15% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID PANEL	$68.00	$80.00	$43.18	26% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 $NMR LIPID	$76.50	$90.00	$43.18	17% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 *LIPID PROFILE	$76.50	$90.00	$43.18	17% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$76.50	$90.00	$43.18	17% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 QUEST LIPID	$76.50	$90.00	$43.18	17% below	15%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$29.75	$35.00	$13.36	30% below	15%
Complete blood count (CBC), no differential CPT 85027 CBC W/MANUAL DIFF	$21.25	$25.00	$13.90	53% below	15%
Complete blood count (CBC), no differential CPT 85027 CBC (HEMAGRAM)	$21.25	$25.00	$13.90	53% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 QUEST PHENYTOIN	$38.25	$45.00	$22.68	63% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.25	$45.00	$22.68	63% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 DAILY COMPREHENSIVE METABOLIC PANEL	$38.25	$45.00	$22.68	63% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 FLOW CYTOMETRY, CD57,CD3, CD8	$38.25	$45.00	$22.68	63% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 OVERDOSE PANEL	$38.25	$45.00	$22.68	63% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 QUEST CMP	$38.25	$45.00	$22.68	63% below	15%
Cortisol blood test, total CPT 82533 CORTISOL PM	$102.00	$120.00	$60.54	4% above	15%
Cortisol blood test, total CPT 82533 CORTISOL AM	$106.25	$125.00	$60.54	8% above	15%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION	$106.25	$125.00	$60.54	8% above	15%
Cortisol blood test, total CPT 82533 CORTISOL, TOTAL, LC/MS	$106.25	$125.00	$60.54	8% above	15%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 3 SAMPLE	$476.00	$560.00	$60.54	384% above	15%
Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE KINASE)	$38.25	$45.00	$23.11	18% below	15%
Creatinine blood test CPT 82565 CREATININE	$21.25	$25.00	$11.00	42% below	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG	$123.25	$145.00	$72.11	13% above	15%
D-dimer blood test (blood clot marker) CPT 85379 TRIAGE D-DIMER	$85.00	$100.00	$73.62	28% below	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANTITATIVE QUEST	$93.50	$110.00	$73.62	21% below	15%
D-dimer blood test (blood clot marker) CPT 85379 FIBRINOGEN DEGRADATION PRODUCT	$93.50	$110.00	$73.62	21% below	15%
D-dimer blood test (blood clot marker) CPT 85379 $D-DIMER QUANT. RRH	$106.25	$125.00	$73.62	10% below	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT (QUEST)	$106.25	$125.00	$73.62	10% below	15%
D-dimer blood test (blood clot marker) CPT 85379 $D-DIMER, QT.	$114.75	$135.00	$73.62	3% below	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$136.00	$160.00	$80.41	6% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG-MEDTOX 10 W/ALCOHOL	$80.75	$95.00	$150.08	50% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG-METOX 10	$80.75	$95.00	$150.08	50% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG-MEDTOX DOT	$80.75	$95.00	$150.08	50% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG-MEDTOX 9	$80.75	$95.00	$150.08	50% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE AND COTININE, URINE	$89.25	$105.00	$150.08	45% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 *** OLD PAIN MANAGEMENT DRUG SCREEN	$97.75	$115.00	$150.08	40% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT DRUG SCREEN INTERNAL	$97.75	$115.00	$150.08	40% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT DRUG SCREEN	$170.00	$200.00	$150.08	4% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN (URINE)	$170.00	$200.00	$150.08	4% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL METABOLITES, W/CONFIRMATION, UA	$178.50	$210.00	$150.08	10% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS ABUSE PANEL 9, W CONFIRM SERUM	$199.75	$235.00	$150.08	23% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUTYRIC ACID	$255.00	$300.00	$150.08	57% above	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 DAILY ELECTROLYTES PANEL	$38.25	$45.00	$19.65	36% below	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL	$38.25	$45.00	$19.65	36% below	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 $MISC. CHEMISTRY	$38.25	$45.00	$19.65	36% below	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, FECAL	$136.00	$160.00	$19.65	127% above	15%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, FECAL	$136.00	$160.00	$19.65	—	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID,IgG	$106.25	$125.00	$64.87	3% above	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID,IgM	$106.25	$125.00	$64.87	3% above	15%
Estradiol blood test CPT 82670 ESTRADIOL	$212.50	$250.00	$125.19	25% above	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (FOLLICLE STIMULATING HORMONE)	$123.25	$145.00	$71.29	7% above	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (PEDIATRIC)	$123.25	$145.00	$71.29	7% above	15%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$212.50	$250.00	$24.56	3% below	15%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$51.00	$60.00	$53.23	42% below	15%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$51.00	$60.00	$25.65	13% below	15%
Folate (folic acid) blood test CPT 82746 FOLATE	$59.50	$70.00	$61.81	40% below	15%
Folate (folic acid) blood test CPT 82746 QUEST FOLATE	$59.50	$70.00	$61.81	40% below	15%
Free T3 thyroid hormone test CPT 84481 FREE T3 (QUEST)	$59.50	$70.00	$84.25	54% below	15%
Free T3 thyroid hormone test CPT 84481 T3, FREE	$144.50	$170.00	$84.25	12% above	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$51.00	$60.00	$30.77	24% below	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 ( QUEST)	$51.00	$60.00	$30.77	24% below	15%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$229.50	$270.00	$108.65	61% above	15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 * DO NOT USE GGTP	$21.25	$25.00	$15.45	52% below	15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 QUEST GGT	$29.75	$35.00	$15.45	32% below	15%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$136.00	$160.00	$72.69	22% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL DIABETES 1 HR, 50GRAM	$38.25	$45.00	$20.08	20% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE, 2HR 75 GRAM LOAD	$38.25	$45.00	$20.08	20% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2 HR PP	$38.25	$45.00	$20.08	20% below	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3-6HR 75GRAM	$38.25	$45.00	$48.72	58% below	15%
Glucose tolerance test, 3 samples CPT 82951 GESTASTIONAL DIABETES 2 HOUR, 75GRAM	$38.25	$45.00	$48.72	58% below	15%
Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL DIABETES 3 HOUR, 100 GRAM	$38.25	$45.00	$48.72	58% below	15%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$59.50	$70.00	$48.72	35% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 $GONORRHEA PROBE	$97.75	$115.00	$75.32	10% below	15%
H. pylori antibody blood test CPT 86677 **H. PYLORI IgM	$68.00	$80.00	$39.75	13% below	15%
H. pylori antibody blood test CPT 86677 **H. PYLORI PANEL IGG,IGM,IGA	$68.00	$80.00	$39.75	13% below	15%
H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY LABCORP	$68.00	$80.00	$39.75	13% below	15%
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN, STOOL	$148.75	$175.00	$31.18	34% above	15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD (PCR)	$323.00	$380.00	$182.59	14% above	15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD (PCR)	$323.00	$380.00	$182.59	—	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RAPID HIV	$68.00	$80.00	$60.02	28% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C QUEST	$68.00	$80.00	$35.94	5% above	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$68.00	$80.00	$35.94	5% above	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C QUEST	$68.00	$80.00	$35.94	—	15%
Hemoglobin blood test CPT 85018 CORD BLOOD HEMOGLOBIN	$21.25	$25.00	$9.75	1% below	15%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$21.25	$25.00	$9.75	1% below	15%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE,AB TOTAL	$76.50	$90.00	$44.24	13% above	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$51.00	$60.00	$24.62	18% below	15%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB W/REFLEX TO QT.	$85.00	$100.00	$45.09	7% above	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 $HCV RNA PCR, QT	$144.50	$170.00	$91.91	48% below	15%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C VIRUS RNA QN RT PCR W/REFL GENO	$182.75	$215.00	$91.91	34% below	15%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C RNA QT RT PCR	$420.75	$495.00	$91.91	53% above	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1/2 IGM	$102.00	$120.00	$63.53	9% above	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1&2 IGG AB	$106.25	$125.00	$63.53	13% above	15%
Herpes blood test, HSV-2 antibody CPT 86696 $$HSV TYPE 2	$93.50	$110.00	$67.05	10% above	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, CARDIO	$106.25	$125.00	$61.27	19% above	15%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, NUTRITIONAL & CONGENITAL	$263.50	$310.00	$176.58	17% above	15%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, CARDIOVASCULAR	$263.50	$310.00	$176.58	17% above	15%
Homocysteine blood test CPT 83090 URINE HOMOCYSTEIN,RANDOM	$263.50	$310.00	$176.58	17% above	15%
Insulin blood test CPT 83525 INSULIN	$85.00	$100.00	$50.72	5% above	15%
Insulin blood test CPT 83525 INSULIN TOLERANCE, 5 SPECIMEN	$314.50	$370.00	$50.72	287% above	15%
Iron blood test (serum iron) CPT 83540 URINE IRON 24 HOUR	$42.50	$50.00	$25.62	4% below	15%
Iron blood test (serum iron) CPT 83540 IRON TOTAL	$51.00	$60.00	$25.62	15% above	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$38.25	$45.00	$20.32	48% below	15%
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE)	$119.00	$140.00	$69.56	6% above	15%
LH (luteinizing hormone) test CPT 83002 LH (PEDIACTRIC)	$123.25	$145.00	$69.56	10% above	15%
Lactate (lactic acid) blood test CPT 83605 QUEST LACTIC ACID	$46.75	$55.00	$47.35	41% below	15%
Lactate (lactic acid) blood test CPT 83605 iSTAT LACTATE	$63.75	$75.00	$47.35	20% below	15%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE)	$85.00	$100.00	$47.35	7% above	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$38.25	$45.00	$22.78	6% below	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID LDH, PERITONEAL	$38.25	$45.00	$22.78	6% below	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID LDH, PLEURAL	$46.75	$55.00	$22.78	15% above	15%
Lipase blood test (pancreas enzyme) CPT 83690 QUEST LIPASE	$51.00	$60.00	$27.78	19% below	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$51.00	$60.00	$27.78	19% below	15%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$59.50	$70.00	$31.88	28% below	15%
Lyme disease antibody test CPT 86618 LYME DIS.,EIA W/REFLEX IGG,IGM	$131.75	$155.00	$76.68	8% above	15%
Magnesium blood test CPT 83735 24HR URINE MAGNESIUM WITHOUT CREATININE	$42.50	$50.00	$25.85	18% below	15%
Magnesium blood test CPT 83735 QUEST MAGNESIUM	$51.00	$60.00	$25.85	2% below	15%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$51.00	$60.00	$25.85	2% below	15%
Magnesium blood test CPT 83735 MAGNESIUM	$51.00	$60.00	$25.85	2% below	15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$102.00	$120.00	$68.27	2% below	15%
Measles (rubeola) antibody test CPT 86765 $MEASLES IgG	$102.00	$120.00	$68.27	2% below	15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM, ACUTE	$102.00	$120.00	$68.27	2% below	15%
Mumps immunity blood test CPT 86735 $MUMPS IgG	$102.00	$120.00	$64.95	16% above	15%
Mumps immunity blood test CPT 86735 MUMPS AB IGG	$102.00	$120.00	$64.95	16% above	15%
Mumps immunity blood test CPT 86735 MUMPS AB IGG, IGM	$204.00	$240.00	$64.95	132% above	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 TOTAL AND FREE PSA	$85.00	$100.00	$52.90	8% below	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG, DIAG.	$114.75	$135.00	$67.95	7% above	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (QUEST)	$157.25	$185.00	$67.95	47% above	15%
Parathyroid hormone (PTH) blood test CPT 83970 $PTH BIO INTACT	$229.50	$270.00	$155.01	14% above	15%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (PARATHYROID HORMONE)	$229.50	$270.00	$155.01	14% above	15%
Parathyroid hormone (PTH) blood test CPT 83970 $PTH INTACT WITH CALCIUM	$229.50	$270.00	$155.01	14% above	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 $LUPUS ANTICOAG. PTT	$38.25	$45.00	$22.53	19% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 DAILY PTT	$38.25	$45.00	$22.53	19% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$38.25	$45.00	$22.53	19% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 $PT,PTT MIXING STUDY	$85.00	$100.00	$22.53	81% above	15%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$21.25	$25.00	$10.18	45% below	15%
Potassium blood test CPT 84132 POTASSIUM	$29.75	$35.00	$9.87	10% below	15%
Potassium blood test CPT 84132 FLUID POTASSIUM	$29.75	$35.00	$9.87	10% below	15%
Progesterone blood test CPT 84144 PROGESTERONE	$114.75	$135.00	$71.72	2% above	15%
Prolactin blood test CPT 84146 PROLACTIN	$131.75	$155.00	$79.41	3% above	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 1:1 MIX--1 HOUR	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 .PRO TIME PT	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 DAILY .PROTIME (FINGERSTICK)	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 DAILY PRO TIME PT	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 1:1 MIX--0 HOUR	$29.75	$35.00	$16.08	10% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR (QUEST)	$46.75	$55.00	$16.08	42% above	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR PTT (QUEST)	$46.75	$55.00	$16.08	42% above	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PT,PTT MIXING STUDY	$80.75	$95.00	$16.08	145% above	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOX SCREEN, URINE - RRH	$127.50	$150.00	$28.15	134% above	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 STROBEL DOOR DRUG SCREEN	$127.50	$150.00	$28.15	134% above	15%
Rapid flu test (influenza antigen) CPT 87804 $INFLUENZA A ANTIGEN	$51.00	$60.00	$54.84	26% below	15%
Rapid flu test (influenza antigen) CPT 87804 $INFLUENZA B ANTIGEN	$51.00	$60.00	$54.84	26% below	15%
Rapid flu test (influenza antigen) CPT 87804 RHC INFLUENZAE A & B	$140.25	$165.00	$54.84	105% above	15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RHC STREP SCREEN	$76.50	$90.00	$54.84	8% above	15%
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY	$136.00	$160.00	$80.38	5% above	15%
Rh blood typing CPT 86901 BLOOD RH TYPE	$72.25	$85.00	$61.64	12% above	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$51.00	$60.00	$25.74	3% above	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, SYNOVIAL FLUID	$85.00	$100.00	$25.74	72% above	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$68.00	$80.00	$30.90	13% above	15%
Rubella antibody test (immunity check) CPT 86762 $RUBELLA IgG	$68.00	$80.00	$30.90	13% above	15%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$29.75	$35.00	$12.82	10% below	15%
Sodium blood test CPT 84295 SODIUM	$12.75	$15.00	$10.33	58% below	15%
Sodium blood test CPT 84295 FLUID SODIUM	$29.75	$35.00	$10.33	3% below	15%
Stool ova and parasites exam CPT 87177 OVA PARASITES	$59.50	$70.00	$31.41	2% below	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL--SCREENING	$42.50	$50.00	$12.41	57% above	15%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL IMMUNOCHEMICAL TEST	$86.70	$102.00	$34.14	68% above	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 ***TREPONEMA PALLIDUM AB	$25.50	$30.00	$53.11	64% below	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$85.00	$100.00	$53.11	18% above	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 STS (RPR, VDRL)	$29.75	$35.00	$16.26	21% below	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL	$29.75	$35.00	$16.26	21% below	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS	$238.00	$280.00	$133.00	29% above	15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS	$238.00	$280.00	$133.00	—	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$161.50	$190.00	$104.86	17% above	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, PEDIATRIC	$161.50	$190.00	$104.86	17% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER-KIDNEY MICROSOME TYPE I	$85.00	$100.00	$50.96	8% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM (LIVER KIDNEY MICROSOMAL AB)	$85.00	$100.00	$50.96	8% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$85.00	$100.00	$50.96	8% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$85.00	$100.00	$50.96	8% above	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ***TSH	$59.50	$70.00	$43.97	34% below	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX TO FT4	$68.00	$80.00	$43.97	24% below	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (QUEST)	$68.00	$80.00	$43.97	24% below	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$68.00	$80.00	$43.97	24% below	15%
Total IgE blood test CPT 82785 $IGE	$93.50	$110.00	$63.27	6% above	15%
Total IgE blood test CPT 82785 IGE	$106.25	$125.00	$63.27	20% above	15%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$21.25	$25.00	$10.87	43% below	15%
Total thyroxine (T4) blood test CPT 84436 T4, TOTAL	$38.25	$45.00	$17.96	15% below	15%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE	$38.25	$45.00	$17.96	15% below	15%
Total thyroxine (T4) blood test CPT 84436 THYROID PANEL	$68.00	$80.00	$17.96	51% above	15%
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$76.50	$90.00	$47.20	4% below	15%
Transferrin blood test CPT 84466 TRANSFERRIN (QUEST)	$51.00	$60.00	$77.93	51% below	15%
Transferrin blood test CPT 84466 TRANSFERRIN	$127.50	$150.00	$77.93	21% above	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$21.25	$25.00	$12.35	44% below	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, PLEURAL FLUID	$46.75	$55.00	$12.35	24% above	15%
Troponin test, quantitative CPT 84484 QUEST TROPONIN T	$46.75	$55.00	$68.59	60% below	15%
Troponin test, quantitative CPT 84484 TROP-I	$68.00	$80.00	$68.59	42% below	15%
Uric acid blood test CPT 84550 URIC ACID	$29.75	$35.00	$14.72	20% below	15%
Urinalysis with microscope exam, automated CPT 81001 $URINALYSIS.DIPSTICK.AUTOMATED W/MICROSC	$21.25	$25.00	$9.72	36% below	15%
Urinalysis without microscope exam, automated CPT 81003 UA W/ REFLEX C&S	$21.25	$25.00	$9.20	3% below	15%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY, URINE	$21.25	$25.00	$9.20	3% below	15%
Urinalysis without microscope exam, automated CPT 81003 UA W/O C&S	$21.25	$25.00	$9.20	3% below	15%
Urinalysis without microscope exam, automated CPT 81003 RHC URINE AUTOMATED DIP	$21.25	$25.00	$9.20	3% below	15%
Urinalysis without microscope exam, manual CPT 81002 RHC URINE DIP	$21.25	$25.00	$10.36	14% above	15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$51.00	$60.00	$30.38	8% below	15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SPECIAL	$51.00	$60.00	$30.38	8% below	15%
Urine microalbumin (albumin) test CPT 82043 URINE ALBUMIN RANDOM W/CREAT	$29.75	$35.00	$24.82	35% below	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-24HR URINE	$51.00	$60.00	$24.82	11% above	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (QUEST DIAG.)	$51.00	$60.00	$24.82	11% above	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$51.00	$60.00	$24.82	11% above	15%
Urine pregnancy test, read by color change CPT 81025 RHC URINE PREGNANCY	$51.00	$60.00	$27.14	10% above	15%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$51.00	$60.00	$27.14	10% above	15%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 (QUEST)	$102.31	$120.36	$57.41	11% above	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HEALTHFAIR VITAMIN D	$38.25	$45.00	$218.43	84% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D PANEL (D3, D2, TOTAL)	$212.50	$250.00	$218.43	14% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$225.25	$265.00	$218.43	8% below	15%
Zinc blood test CPT 84630 URINE ZINC, RANDOM	$51.00	$60.00	$28.85	14% below	15%
Zinc blood test CPT 84630 ZINC, PLASMA	$51.00	$60.00	$28.85	14% below	15%
Zinc blood test CPT 84630 ZINC, RBC	$51.00	$60.00	$28.85	14% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$85.00	$100.00	$60.36	14% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 $$HCG, TOTAL	$97.75	$115.00	$60.36	1% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 *HOLDhCG, TOTAL, QUAN	$102.00	$120.00	$60.36	4% above	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (PREGNANCY ONLY)	$106.25	$125.00	$60.36	8% above	15%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ER FAC CLSD TRT DSTLR FIBULAR FX	$1,338.75	$1,575.00	$1,454.40	153% above	15%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ER FX CLSD METATARSAL WO MANIP EA 28470	$1,927.80	$2,268.00	$1,454.40	376% above	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION 92960	$561.00	$660.00	$481.93	10% below	15%
Carpal tunnel release, open surgery CPT 64721 OR FAC CARPAL TUNNEL	$2,863.14	$3,368.40	$1,624.08	66% above	15%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER FAC CLSD TRMT DISTAL RADIAL FX	$1,338.75	$1,575.00	$249.78	165% above	15%
Colonoscopy with polyp removal CPT 45385 OR FAC COLONOSCOPY W/SNARE	$2,113.20	$2,486.12	$1,486.72	62% above	15%
Colonoscopy, diagnostic CPT 45378 OR FAC COLON CA SCREEN NO HI RISK	$2,041.55	$2,401.82	$1,321.08	100% above	15%
Colonoscopy, diagnostic CPT 45378 OR FAC COLON CA SCREEN HI RISK	$2,041.55	$2,401.82	$1,321.08	100% above	15%
Colonoscopy, diagnostic CPT 45378 OR FAC COLON DIAGNOSTIC	$2,041.55	$2,401.82	$1,321.08	100% above	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 OR DSTRCT PREMAL LES, FIRST LES	$352.86	$415.13	$217.71	203% above	15%
Earwax removal with instruments, one ear CPT 69210 ER REMOVAL IMPACTED EAR WAX 69210	$187.43	$220.50	$543.31	87% above	15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 OPC 62321 CERVICAL/THORACIC EPIDURAL	$879.75	$1,035.00	$1,141.80	23% below	15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 ER FAC INJ FACET LUMBAR OR SACRAL	$680.00	$800.00	$692.03	31% below	15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 OPC INJ PARAVERT FACET L/S 1 LEVEL	$680.00	$800.00	$692.03	31% below	15%
Hemorrhoid banding (rubber band ligation) CPT 46221 OR HEMORRHOIDECTOMY RUBBER BAND LIGA	$2,082.50	$2,450.00	$1,632.16	138% above	15%
Hemorrhoidectomy (internal and external), one area CPT 46255 OR HEMORRHOIDECTOMY, SNGL COLUMN/GRP	$3,863.25	$4,545.00	$2,273.51	213% above	15%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ABSCESS SINGLE/SIMPLE	$847.88	$997.50	$217.72	248% above	15%
Incision and drainage of a simple or single skin abscess CPT 10060 OR I & D ABCESS; SIMPLE OR SINGLE	$847.88	$997.50	$217.72	248% above	15%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 OR RPR INITIAL INGUINAL HERNIA	$5,052.44	$5,944.05	$4,120.43	33% above	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER FAC INJ SINGLE TEND/LIGAMENT	$221.00	$260.00	$142.41	25% above	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 OPC INJECT TENDON/LIGAMENT 20550	$221.00	$260.00	$142.41	25% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER INJECT MAJOR JOINT/BURSA 20610	$471.75	$555.00	$330.53	51% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHEUMATOLOGY FAC INJ/ASP MAJOR JOINT	$471.75	$555.00	$330.53	51% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OR MAJOR JOINT INJECTION	$471.75	$555.00	$330.53	51% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OBS INJ MAJOR JOINT/BURSA 20610	$471.75	$555.00	$330.53	51% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OPC INJECT, MAJOR JOINT W/O FLUORO	$471.75	$555.00	$330.53	51% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 RC FAC INJ/ASP INTERMEDIATE JOINT	$433.50	$510.00	$330.53	58% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER INJ/ASP INTER JOINT/BURSA 20605	$455.18	$535.50	$330.53	66% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 OPC FAC JOINT INJ INTERMEDICATE	$455.18	$535.50	$330.53	66% above	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER FAC INJ /ASP SMALL JOINT	$510.00	$600.00	$330.53	136% above	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 RC FAC INJ/ASP SMALL JOINT	$510.00	$600.00	$330.53	136% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER RPR INT S/A/T/E <2.5CM	$578.00	$680.00	$451.17	54% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 OR RPR INT S/A/T/E <2.5CM	$578.00	$680.00	$451.17	54% above	15%
Lower-back epidural injection, with imaging guidance CPT 62323 OPC LUMBAR/SACRAL -EPIDURAL 62323	$879.75	$1,035.00	$1,141.80	23% below	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER EXC B9 LES TRK/ARM <0.5 CM 11400	$1,035.59	$1,218.34	$783.57	443% above	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 OR FAC EXC B9 LES T/A/L <.5CM	$1,035.59	$1,218.34	$783.57	443% above	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 OR EXC B9 LES F/E/E/N/L/MM .5CM OR >	$922.85	$1,085.70	$783.57	328% above	15%
Nail removal (partial or complete), one nail CPT 11730 OR AVULSION OF NAIL PLATE	$280.50	$330.00	$217.71	89% above	15%
Nail removal (partial or complete), one nail CPT 11730 ER REMOVAL OF NAIL PLATE	$280.50	$330.00	$217.71	89% above	15%
Occipital nerve block (injection for headaches) CPT 64405 OPC BLOCK OCCIPITAL NERVE 64405	$471.75	$555.00	$319.16	26% above	15%
Paracentesis with imaging guidance CPT 49083 OR ABDOMINAL PARACENTESIS, W IMAGING	$1,410.15	$1,659.00	$1,079.61	97% above	15%
Paracentesis with imaging guidance CPT 49083 ER FAC ABD PARACENTESIS W IMAGING	$1,472.63	$1,732.50	$1,079.61	106% above	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER FAC EXC OF NAIL/NAIL MATRIX PART/COMP	$636.61	$748.95	$451.17	67% above	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 OR FAC EXC NAIL MATRIX PERMANENT REMOVAL	$636.61	$748.95	$451.17	67% above	15%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PM LUMBAR/SACRAL RHIZOTOMY	$2,922.30	$3,438.00	—	58% above	15%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PM LUMBAR/SACRAL RHIZOTOMY	$3,068.42	$3,609.90	—	—	15%
Removal of a breast lump, open surgery CPT 19120 OR EXC B9 TUMOR ABERRANT BREAST TISS LES	$5,282.31	$6,214.48	$4,142.99	304% above	15%
Removal of a foreign object under the skin, simple CPT 10120 ER REMOVAL FB, SUBQ, SIMPLE 10120	$1,330.47	$1,565.26	$1,075.65	363% above	15%
Removal of a foreign object under the skin, simple CPT 10120 OR I&R FOREIGN BODY SUB TISSUE SIMPLE	$1,330.47	$1,565.26	$1,075.65	363% above	15%
Septoplasty to straighten the nasal septum CPT 30520 OR SEPTOPLASTY	$4,435.73	$5,218.50	$3,439.30	8% above	15%
Short arm cast (elbow to hand) CPT 29075 ER APPL OF SHORT ARM CAST 29075	$580.13	$682.50	$432.28	153% above	15%
Short arm splint (forearm and hand) CPT 29125 ER APPL OF SHORT ARM SPLINT 29125	$312.38	$367.50	$230.28	76% above	15%
Short leg cast (below the knee) CPT 29405 ER APPL SHORT LEG CAST 29405	$374.85	$441.00	$277.75	56% above	15%
Short leg splint (calf to foot) CPT 29515 OBS PHYS APPL OIF SHORT LEG SPLINT 29515	$72.25	$85.00	$230.28	58% below	15%
Short leg splint (calf to foot) CPT 29515 ER APPL SHORT LEG SPLINT 29515	$312.38	$367.50	$230.28	83% above	15%
Short leg splint (calf to foot) CPT 29515 OBSERVATION APP SHORT LEG SPLINT	$312.38	$367.50	$230.28	83% above	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER WND RPR SIMPLE S/N/H/F/G <2.5CM 12001	$508.73	$598.50	$382.79	113% above	15%
Skin tag removal, up to 15 tags CPT 11200 OR RMVL OF SKIN TAGS, UP TO 15	$321.30	$378.00	$217.71	119% above	15%
Skin tag removal, up to 15 tags CPT 11200 ER REMOVAL SKIN TAGS ANY AREA 11200	$419.48	$493.50	$217.71	186% above	15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER FAC SPINAL PUNCT LUMBAR DIAGNOSTIC	$219.94	$258.75	$433.29	60% below	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER WND RPR SMPL S/N/H/F/G 2.6-7.5 CM	$606.90	$714.00	$457.53	118% above	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 OR RPR SIMPLE S/N/A/G/T 2.6CM TO 7.5CM	$607.75	$715.00	$457.53	118% above	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER FAC WND RPR F/E/E/N/L/MM <2.5 CM	$446.25	$525.00	$475.71	62% above	15%
Thoracentesis with imaging guidance CPT 32555 OR FAC THORACENTESIS WITH IMAGING	$953.19	$1,121.40	$862.54	2% below	15%
Thoracentesis with imaging guidance CPT 32555 ER THORACENTESIS 32421	$1,221.03	$1,436.50	$862.54	26% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 OPC FAC TRIGGER POINT 1-2 MSCL GRPS	$221.00	$260.00	$330.53	6% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 ER FAC INJ SINGLE/MULTIPLE TRIG.1-2 MUSC	$221.00	$260.00	$330.53	6% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 OPC INJECT TRIGGER POINT	$553.35	$651.00	$330.53	164% above	15%
Upper endoscopy (EGD), diagnostic CPT 43235 OR FAC UPPER GI (EGD) DIAGNOSTIC	$1,490.41	$1,753.42	$1,033.23	21% above	15%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 OR VASECTOMY	$1,338.75	$1,575.00	$2,244.28	53% above	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DBRDMNT SQ TISSUE <20SQCM	$344.86	$405.72	$451.17	7% above	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OP DBRDMNT SQ TISSUE <20SQCM	$344.86	$405.72	$451.17	7% above	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OR FAC DBRMNT SUBCU TIS 1ST 20CM OR >	$344.86	$405.72	$451.17	7% above	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRIDE SKIN/SUBQ 11042	$344.86	$405.72	$451.17	7% above	15%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION ADMIN 1-3 HRS 36430	$312.38	$367.50	$515.69	48% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 OPS BLOOD TRANSFUSION ADMIN 1-3 HR 36430	$312.38	$367.50	$515.69	48% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 OBS BLOOD 0-2HRS	$312.38	$367.50	$515.69	48% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION ADMIN 4-8 HRS 36430	$423.94	$498.75	$515.69	29% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 OPS BLOOD TRANSFUSION ADMIN 4-8 HR 36430	$423.94	$498.75	$515.69	29% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION ADMIN >8 HRS 36430	$490.88	$577.50	$515.69	18% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 OPS BLOOD TRANSFUSION ADMIN >8 HR 36430	$490.88	$577.50	$515.69	18% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL/ IPPB/ MDI TREATMENT	$204.00	$240.00	$254.03	63% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER AEROSOL TREATMENT 94640	$204.00	$240.00	$254.03	63% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT AEROSOL/ IPPB/ MDI TREATMENT	$204.00	$240.00	$254.03	—	15%
Chemotherapy IV infusion, first hour CPT 96413 OPS CHEMO ADMIN INITIAL UP TO 1 HOUR	$327.25	$385.00	$358.20	17% below	15%
Chemotherapy IV infusion, first hour CPT 96413 ER CHEMO ADMIN IV INITIAL UP TO 1 HOUR	$327.25	$385.00	$358.20	17% below	15%
Chemotherapy IV infusion, first hour CPT 96413 OBS CHEMO ADMIN IV INITIAL UP TO 1 HOUR	$327.25	$385.00	$358.20	17% below	15%
Critical care, first 30 to 74 minutes CPT 99291 ER FAC CRITICAL (30-74 MINUTES) 99291	$1,360.00	$1,600.00	$1,021.79	46% above	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM(EKG)	$212.50	$250.00	$164.48	30% above	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FAC EMERGENCY ROOM LEVEL 1 99281	$212.50	$250.00	$170.31	18% above	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FAC EMERGENCY ROOM LEVEL 2 99282	$297.50	$350.00	$265.31	3% above	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FAC EMERGENCY ROOM LEVEL 3 99283	$467.50	$550.00	$407.79	1% above	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FAC EMERGENCY ROOM LEVEL 4 99284	$722.50	$850.00	$695.24	6% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FAC EMERGENCY ROOM LEVEL 5 99285	$1,105.00	$1,300.00	$1,080.54	12% below	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST MONITORING	$399.84	$470.40	$356.37	30% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OPC IV ADMIN, INITIAL, HYDRATION <1HR	$178.50	$210.00	$255.28	32% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OPS IV ADMIN, INITIAL HYDRTN <1HR 96360	$178.50	$210.00	$255.28	32% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OR IV ADMIN, INITIAL, HYDRATION, <1HR	$178.50	$210.00	$255.28	32% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV ADMIN, INITIAL, HYDRATION <1HR	$178.50	$210.00	$255.28	32% below	15%
IV infusion of a medicine, first hour CPT 96365 OPS IV ADMIN INITIAL DRUG UP TO 1 HOUR	$200.81	$236.25	$255.28	27% below	15%
IV infusion of a medicine, first hour CPT 96365 ER IV ADMIN INITIAL DRUG UP TO 1 HOUR	$200.81	$236.25	$255.28	27% below	15%
IV push of a medicine, first drug CPT 96374 PAIN IV PUSH SINGLE/INITIAL DRUG	$115.60	$136.00	$255.27	51% below	15%
IV push of a medicine, first drug CPT 96374 OPS IV PUSH SINGLE/INITIAL DRUG 96374	$116.03	$136.50	$255.27	51% below	15%
IV push of a medicine, first drug CPT 96374 ER IV PUSH SINGLE/INITIAL DRUG 96374	$116.03	$136.50	$255.27	51% below	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION - SUB Q/IM 96372	$89.25	$105.00	$83.90	31% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPC PAIN INJECTION - SUB Q/IM 96372	$89.25	$105.00	$83.90	31% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPS INJECTION - SUB Q/IM 96372	$89.25	$105.00	$83.90	31% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHEU INJECTION SUB Q/IM	$89.25	$105.00	$83.90	31% above	15%
New patient office visit, about 30 minutes CPT 99203 OPS NEW NURSING/WND MNG LVL 3	$133.88	$157.50	$101.00	12% below	15%
New patient office visit, about 30 minutes CPT 99203 PAIN FAC NEW OFFICE VISIT LEVEL 3	$171.70	$202.00	$101.00	13% above	15%
New patient office visit, about 30 minutes CPT 99203 RHEU FAC NEW OFFICE VISIT LEVEL 3	$171.70	$202.00	$101.00	13% above	15%
New patient office visit, about 45 minutes CPT 99204 RHEU FAC NEW OFFICE VISIT LEVEL 4	$178.50	$210.00	$101.00	11% below	15%
New patient office visit, about 45 minutes CPT 99204 OPS NEW NURSING/WND MNG LVL 4	$178.50	$210.00	$101.00	11% below	15%
New patient office visit, about 45 minutes CPT 99204 PAIN FAC NEW OFFICE VISIT LEVEL 4	$178.50	$210.00	$101.00	11% below	15%
New patient office visit, about 60 minutes CPT 99205 OPS NEW NURSING/WND MNG LVL 5	$221.00	$260.00	$168.67	22% below	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPS NEW NURSING/WND MNG LVL 2	$93.71	$110.25	$67.67	18% below	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHEU FAC NEW OFFICE VISIT LEVEL 2	$115.04	$135.34	$67.67	1% above	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN FAC NEW OFFICE VISIT LEVEL 2	$115.04	$135.34	$67.67	1% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INPT-MED NUTRIT.- INIT/15 MIN.-FACE-FACE	$44.63	$52.50	$14.70	45% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OUTPATIENT INITIAL MNT /15 MIN	$44.63	$52.50	$14.70	45% above	15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OPS EST NURSING/WND MNG LVL 5	$133.88	$157.50	$266.24	39% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPS NURSING/WND MNG LVL 3	$89.25	$105.00	$133.49	34% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHEU FAC EST OFFICE VISIT LEVEL 3	$89.25	$105.00	$133.49	34% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN FAC EST OFFICE VISIT LEVEL 3	$89.25	$105.00	$133.49	34% below	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHEU FAC EST LEVEL 4	$110.50	$130.00	$188.57	36% below	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OPS NURSING/WND MNG LVL 4	$110.50	$130.00	$188.57	36% below	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN FAC EST LEVEL 4	$110.50	$130.00	$188.57	36% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN FAC EST OFFICE VISIT LEVEL 2	$80.75	$95.00	$85.38	22% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPS NURSING/WND MNG LVL 2	$80.75	$95.00	$85.38	22% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHEU FAC EST OFFICE VISIT LEVEL 2	$80.75	$95.00	$85.38	22% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OR FAC EST OFFICE VISIT LEVEL 2	$145.15	$170.76	$85.38	40% above	15%
Spirometry (breathing test) CPT 94010 RT PULMONARY FUNCTION SCREEN	$382.50	$450.00	$300.98	39% above	15%
Spirometry (breathing test) inpatient CPT 94010 RT PULMONARY FUNCTION SCREEN	$382.50	$450.00	$300.98	—	15%
Spirometry before and after a bronchodilator CPT 94060 PULM FUNCTION PRE AND POST	$378.25	$445.00	$373.83	12% below	15%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULM FUNCTION PRE AND POST	$378.25	$445.00	$373.83	—	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 OPS THERAPEUTIC PHLEBOTOMY LAB	$114.75	$135.00	$69.01	17% below	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY LAB	$114.75	$135.00	$69.01	17% below	15%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIP TET PERTUSS TOX 7 YRS OR <(DAPTACEL)	$57.43	$67.57	$40.58	2% above	15%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A PEDS (VAQTA)	$59.30	$69.77	$53.70	7% below	15%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A (HAVRIX) ADULT	$134.36	$158.07	$53.70	111% above	15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE/ADULT 20MCG/ML	$138.13	$162.50	$95.25	19% above	15%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PEDIATRIC	$25.50	$30.00	$38.54	49% below	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HIGH DOSE) 0.5ML	$118.45	$139.35	$91.95	32% above	15%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$105.06	$123.60	$131.54	16% below	15%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE (MENACTRA)	$240.99	$283.52	$224.52	4% below	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VAC (Prevnar-13)	$411.97	$484.67	$323.17	35% above	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC 0.5ML (PNEUMOVAX-23)	$213.18	$250.80	$167.20	24% above	15%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL VACCINE (POLIO) 10 DOSE MDV	$51.11	$60.13	$60.71	20% below	15%
Rabies vaccine, one dose CPT 90675 RABIES POST EXPOSURE 2.5IU/1ML	$683.95	$804.65	$591.06	13% above	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TETANUS-DIPTH (TENIVAC) ADULT 0.5ML	$72.10	$84.82	$38.79	6% above	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDaP TET-DIP-PERT (ADACEL)	$94.52	$111.20	$67.14	15% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF HEPATITIS B VACCINE	$89.25	$105.00	$8.08	129% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF PNEUMOCOCCAL VACCINE	$89.25	$105.00	$8.08	129% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF INFLUENZA VACCINE	$89.25	$105.00	$8.08	129% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER INTIAL VACCINE ADMINISTRATION 90471	$89.25	$105.00	$8.08	129% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF RABIES VACCINE	$89.25	$105.00	$8.08	129% above	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZATION EA ADDL 90472	$62.48	$73.50	$8.08	155% above	15%

Source file: https://mrfs.hyvehealthcare.com/WestCentralKansasAssociation/742842747_west-central-kansas-association-inc._standardcharges.csv