Hospital

Pocahontas Memorial Hospital

Pocahontas Memorial Hospital in Buckeye, WV publishes cash prices for 281 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 above the West Virginia median for 154 of 278 procedures and below it for 123. By typical cash price it ranks #24 of 34 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

150 Duncan Road, Buckeye, WV 24924 Collected Sep 27, 2026 Source price file (304) 799-7400

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 511314 · CMS hospital register NPI 1609842251

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W&W/O CONTRAS	$1,514.10	$2,163.00	$1,557.36–$1,877.71	25% above	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W&W/O CONTRAS	$1,514.10	$2,163.00	$1,557.36–$1,877.71	—	30%
Abdominal X-ray, 2 views CPT 74019 ABD 2 VIEWS	$214.20	$306.00	$214.20–$299.88	1% below	30%
Abdominal X-ray, 2 views inpatient CPT 74019 ABD 2 VIEWS	$214.20	$306.00	$214.20–$299.88	—	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP LT	$169.40	$242.00	$169.40–$238.13	5% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP RIGHT	$169.40	$242.00	$169.40–$238.13	5% below	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP LT	$169.40	$242.00	$169.40–$238.13	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP RIGHT	$169.40	$242.00	$169.40–$238.13	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTER STUDY 2 LEVELS	$288.40	$412.00	$84.03–$412.00	1% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTER STUDY 1-2 LEVE	$288.40	$412.00	$84.03–$412.00	1% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTER STUDY 2 LEVELS	$288.40	$412.00	$84.03–$412.00	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTER STUDY 1-2 LEVE	$288.40	$412.00	$84.03–$412.00	—	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT W/O RT	$931.00	$1,330.00	$903.70–$1,154.58	35% above	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT W/O LT	$931.00	$1,330.00	$903.70–$1,154.58	35% above	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT W/O LT	$931.00	$1,330.00	$903.70–$1,154.58	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT W/O RT	$931.00	$1,330.00	$903.70–$1,154.58	—	30%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLET	$280.70	$401.00	$280.70–$348.11	4% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLET	$280.70	$401.00	$280.70–$348.11	4% below	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLET	$280.70	$401.00	$280.70–$348.11	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLET	$280.70	$401.00	$280.70–$348.11	—	30%
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$1,260.00	$1,800.00	$1,050.00–$1,764.00	13% above	30%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD	$1,260.00	$1,800.00	$1,050.00–$1,764.00	—	30%
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$1,260.00	$1,800.00	$648.00–$1,764.00	15% above	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$1,260.00	$1,800.00	$648.00–$1,764.00	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$1,262.10	$1,803.00	$1,262.10–$1,766.94	at median	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$1,262.10	$1,803.00	$1,262.10–$1,766.94	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CON	$1,802.50	$2,575.00	$1,761.53–$2,523.50	35% above	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CON	$1,802.50	$2,575.00	$1,761.53–$2,523.50	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL WITH CON	$2,307.20	$3,296.00	$2,307.20–$3,230.08	47% above	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL WITH CON	$2,307.20	$3,296.00	$2,307.20–$3,230.08	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO CON	$2,793.70	$3,991.00	$2,793.70–$3,464.59	65% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL W/WO CON	$2,793.70	$3,991.00	$2,793.70–$3,464.59	—	30%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST	$1,262.10	$1,803.00	$1,262.10–$1,565.18	25% above	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST	$1,262.10	$1,803.00	$1,262.10–$1,565.18	—	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CON	$980.00	$1,400.00	$980.00–$1,304.66	40% above	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CON	$980.00	$1,400.00	$980.00–$1,304.66	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILOFACIAL WO C	$931.00	$1,330.00	$478.80–$1,303.40	40% above	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILOFACIAL WO C	$931.00	$1,330.00	$478.80–$1,303.40	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONT	$937.30	$1,339.00	$937.30–$1,312.22	40% above	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONT	$937.30	$1,339.00	$937.30–$1,312.22	—	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD W+W/O CON	$1,297.80	$1,854.00	$1,296.00–$1,609.46	14% above	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W+W/O CON	$1,297.80	$1,854.00	$1,296.00–$1,609.46	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SP W/O CON	$973.70	$1,391.00	$973.70–$1,363.18	18% above	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SP W/O CON	$973.70	$1,391.00	$973.70–$1,363.18	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SP W/O CONT	$916.30	$1,309.00	$471.24–$1,282.82	15% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SP W/O CONT	$916.30	$1,309.00	$471.24–$1,282.82	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CON	$1,262.10	$1,803.00	$416.61–$1,803.00	35% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CON	$1,262.10	$1,803.00	$416.61–$1,803.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID ARTS COMP	$525.00	$750.00	$175.33–$651.08	5% below	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID ARTS COMP	$525.00	$750.00	$175.33–$651.08	—	30%
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT	$1,514.10	$2,163.00	$1,637.28–$1,877.71	23% above	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W&W/O CONT	$1,514.10	$2,163.00	$1,637.28–$1,877.71	—	30%
Chest X-ray, 2 views CPT 71046 CHEST PA & LATERAL	$192.50	$275.00	$192.50–$269.50	2% above	30%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA & LATERAL	$192.50	$275.00	$192.50–$269.50	—	30%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$178.50	$255.00	$178.50–$249.90	13% above	30%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$178.50	$255.00	$178.50–$249.90	—	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMP RT	$184.10	$263.00	$184.10–$245.09	6% above	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMP LT	$184.10	$263.00	$184.10–$245.09	6% above	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMP RT	$184.10	$263.00	$184.10–$245.09	—	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMP LT	$184.10	$263.00	$184.10–$245.09	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA/RENAL COMP	$497.70	$711.00	$497.70–$696.78	14% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA/RENAL COMP	$497.70	$711.00	$497.70–$696.78	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY	$288.40	$412.00	$288.00–$321.36	5% below	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY	$288.40	$412.00	$288.00–$321.36	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CON	$1,096.20	$1,566.00	$1,096.20–$1,534.68	47% above	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HIGH RES CT CHEST	$1,201.20	$1,716.00	$1,096.20–$1,534.68	61% above	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CON	$1,096.20	$1,566.00	$1,096.20–$1,534.68	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HIGH RES CT CHEST	$1,201.20	$1,716.00	$1,096.20–$1,534.68	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$1,262.10	$1,803.00	$649.08–$1,766.94	20% above	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HIGH RES CT CHEST	$1,367.10	$1,953.00	$649.08–$1,766.94	30% above	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST	$1,262.10	$1,803.00	$649.08–$1,766.94	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HIGH RES CT CHEST	$1,367.10	$1,953.00	$649.08–$1,766.94	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO BILATERAL	$252.70	$361.00	$252.70–$353.78	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO BILATERAL	$252.70	$361.00	$252.70–$353.78	—	30%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO LT	$180.60	$258.00	$180.60–$254.41	15% below	30%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO RT	$180.60	$258.00	$180.60–$254.41	15% below	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO RT	$180.60	$258.00	$180.60–$254.41	—	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO LT	$180.60	$258.00	$180.60–$254.41	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOW EXT ART BILAT	$273.70	$391.00	$273.70–$383.18	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOW EXT ART BILAT	$273.70	$391.00	$273.70–$383.18	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DVT VENOUS BIL	$705.60	$1,008.00	$705.60–$991.87	23% above	30%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DVT VENOUS BIL	$705.60	$1,008.00	$705.60–$991.87	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D MMODE COM	$1,081.50	$1,545.00	$1,081.50–$1,516.20	4% below	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO 2D MMODE COM	$1,081.50	$1,545.00	$1,081.50–$1,516.20	—	30%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT	$140.70	$201.00	$140.70–$196.98	24% below	30%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$140.70	$201.00	$140.70–$196.98	24% below	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT	$140.70	$201.00	$140.70–$196.98	—	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT	$140.70	$201.00	$140.70–$196.98	—	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS RT	$169.40	$242.00	$169.40–$237.16	6% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS LEFT	$169.40	$242.00	$169.40–$237.16	6% below	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS LEFT	$169.40	$242.00	$169.40–$237.16	—	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS RT	$169.40	$242.00	$169.40–$237.16	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONT	$931.00	$1,330.00	$931.00–$1,154.58	38% above	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONT	$931.00	$1,330.00	$931.00–$1,154.58	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONE MIN 3VWS	$184.10	$263.00	$195.28–$202.51	19% below	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONE MIN 3VWS	$184.10	$263.00	$195.28–$202.51	—	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LT	$140.00	$200.00	$140.00–$196.80	21% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RT	$140.00	$200.00	$140.00–$196.80	21% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LT	$140.00	$200.00	$140.00–$196.80	—	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RT	$140.00	$200.00	$140.00–$196.80	—	30%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$137.20	$196.00	$137.20–$152.88	29% below	30%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$137.20	$196.00	$137.20–$152.88	29% below	30%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$137.20	$196.00	$137.20–$152.88	—	30%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$137.20	$196.00	$137.20–$152.88	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL(CALCANEUS)LT 2V	$169.40	$242.00	$185.21	2% below	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL(CALCANEUS)RT 2V	$169.40	$242.00	$185.21	2% below	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HEEL(CALCANEUS)RT 2V	$169.40	$242.00	$185.21	—	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HEEL(CALCANEUS)LT 2V	$169.40	$242.00	$185.21	—	30%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$199.50	$285.00	$199.50–$281.90	4% above	30%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$199.50	$285.00	$199.50–$281.90	4% above	30%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$199.50	$285.00	$199.50–$281.90	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$199.50	$285.00	$199.50–$281.90	—	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS RT	$198.80	$284.00	$198.80–$284.00	18% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS LT	$198.80	$284.00	$198.80–$284.00	18% below	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS LT	$198.80	$284.00	$198.80–$284.00	—	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS RT	$198.80	$284.00	$198.80–$284.00	—	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT W/O RT	$931.00	$1,330.00	$903.70–$1,239.43	41% above	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT W/O LT	$931.00	$1,330.00	$903.70–$1,239.43	41% above	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT W/O RT	$931.00	$1,330.00	$903.70–$1,239.43	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT W/O LT	$931.00	$1,330.00	$903.70–$1,239.43	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN 1 ORGAN	$380.10	$543.00	$380.10–$515.85	3% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN 1 ORGAN	$380.10	$543.00	$380.10–$515.85	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY LIMITED	$377.30	$539.00	$377.30–$481.87	28% above	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY LIMITED	$377.30	$539.00	$377.30–$481.87	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LDCT	$184.80	$264.00	$184.80–$258.72	19% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LDCT	$184.80	$264.00	$184.80–$258.72	—	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2 VIEW LT	$169.40	$242.00	$169.40–$237.16	9% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2 VIEW RT	$169.40	$242.00	$169.40–$237.16	9% below	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2 VIEW LT	$169.40	$242.00	$169.40–$237.16	—	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2 VIEW RT	$169.40	$242.00	$169.40–$237.16	—	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT LOW JOINT WO	$1,470.00	$2,100.00	$1,470.00–$3,276.00	17% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT LOW JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	17% above	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT LOW JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT LOW JOINT WO	$1,470.00	$2,100.00	$1,470.00–$3,276.00	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RT LOW JOINT WWO	$1,960.00	$2,800.00	$1,960.00	9% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT LOW JOINT WWO	$1,960.00	$2,800.00	$1,960.00	—	30%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST	$1,297.80	$1,854.00	$1,427.58	7% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST	$1,297.80	$1,854.00	$1,427.58	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAS	$1,960.00	$2,800.00	$2,114.87–$2,430.68	5% above	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONTRAS	$1,960.00	$2,800.00	$2,114.87–$2,430.68	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRA	$1,470.00	$2,100.00	$1,470.00–$1,617.00	16% above	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRA	$1,470.00	$2,100.00	$1,470.00–$1,617.00	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRA	$1,960.00	$2,800.00	$1,960.00–$2,750.50	4% above	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRA	$1,960.00	$2,800.00	$1,960.00–$2,750.50	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRA	$1,470.00	$2,100.00	$1,260.00–$2,064.00	9% above	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRA	$1,470.00	$2,100.00	$1,260.00–$2,064.00	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WWO	$1,960.00	$2,800.00	$2,430.68	4% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR WWO	$1,960.00	$2,800.00	$2,430.68	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CONT	$1,470.00	$2,100.00	$1,470.00–$1,823.01	14% above	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO CONT	$1,470.00	$2,100.00	$1,470.00–$1,823.01	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL WWO CON	$1,802.50	$2,575.00	$1,307.47–$1,982.75	1% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL WWO CON	$1,802.50	$2,575.00	$1,307.47–$1,982.75	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	15% above	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTR	$1,960.00	$2,800.00	$2,134.44	2% above	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO CONTR	$1,960.00	$2,800.00	$2,134.44	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRA	$1,297.80	$1,854.00	$1,609.46	3% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRA	$1,297.80	$1,854.00	$1,609.46	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI RT UP JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	11% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI LT UP JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	11% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT UP JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT UP JOINT W/O	$1,470.00	$2,100.00	$1,470.00–$1,823.01	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SP W/OBL4/5VIEW	$245.00	$350.00	$245.00–$303.84	11% below	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SP W/OBL4/5VIEW	$245.00	$350.00	$245.00–$303.84	—	30%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TIS W	$1,204.70	$1,721.00	$1,204.70–$1,494.01	32% above	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TIS W	$1,204.70	$1,721.00	$1,204.70–$1,494.01	—	30%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TIS W/O	$1,096.20	$1,566.00	$773.16–$1,205.82	66% above	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TIS W/O	$1,096.20	$1,566.00	$773.16–$1,205.82	—	30%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$184.10	$263.00	$184.10–$228.32	5% above	30%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$184.10	$263.00	$184.10–$228.32	—	30%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CON	$973.70	$1,391.00	$1,001.52–$1,363.18	26% above	30%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CON	$973.70	$1,391.00	$1,001.52–$1,363.18	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC M/F LIMIT	$377.30	$539.00	$240.93–$415.03	25% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC M/F LIMIT	$377.30	$539.00	$240.93–$415.03	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELV M/F COMP	$427.00	$610.00	$298.24–$529.55	6% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELV M/F COMP	$427.00	$610.00	$298.24–$529.55	—	30%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT	$210.00	$300.00	$210.00–$295.20	9% above	30%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT	$210.00	$300.00	$210.00–$295.20	9% above	30%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LEFT	$210.00	$300.00	$210.00–$295.20	—	30%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RIGHT	$210.00	$300.00	$210.00–$295.20	—	30%
Screening mammogram, both breasts both sides CPT 77067 SCREEN MAMMO BILAT	$252.70	$361.00	$75.84–$336.42	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREEN MAMMO BILAT	$252.70	$361.00	$75.84–$336.42	—	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP RT	$184.10	$263.00	$184.10–$257.74	3% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP LT	$184.10	$263.00	$184.10–$257.74	3% above	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP RT	$184.10	$263.00	$184.10–$257.74	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP LT	$184.10	$263.00	$184.10–$257.74	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMP	$184.10	$263.00	$80.39–$195.28	16% below	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES COMP	$184.10	$263.00	$80.39–$195.28	—	30%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LIMITED	$184.10	$263.00	$228.31	2% below	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LIMITED	$184.10	$263.00	$228.31	—	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RT	$169.40	$242.00	$169.40–$237.16	8% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LT	$169.40	$242.00	$169.40–$237.16	8% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS RT	$169.40	$242.00	$169.40–$237.16	—	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LT	$169.40	$242.00	$169.40–$237.16	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SP W/O	$916.30	$1,309.00	$471.24–$1,243.55	13% above	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SP W/O	$916.30	$1,309.00	$471.24–$1,243.55	—	30%
Toe X-ray, 2 or more views one side CPT 73660 TOE OR TOES LT 2VIEW	$141.40	$202.00	$61.59–$202.00	18% below	30%
Toe X-ray, 2 or more views one side CPT 73660 TOE OR TOES RT 2 VIE	$141.40	$202.00	$61.59–$202.00	18% below	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE OR TOES RT 2 VIE	$141.40	$202.00	$61.59–$202.00	—	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE OR TOES LT 2VIEW	$141.40	$202.00	$61.59–$202.00	—	30%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$503.30	$719.00	$503.30–$670.03	15% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$503.30	$719.00	$503.30–$670.03	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTES	$377.30	$539.00	$377.30–$467.91	3% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM TESTES	$377.30	$539.00	$377.30–$467.91	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/SOFT TISS	$369.60	$528.00	$369.60–$472.03	1% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/SOFT TISS	$369.60	$528.00	$369.60–$472.03	—	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RT	$184.10	$263.00	$184.10–$258.79	3% above	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LT	$184.10	$263.00	$184.10–$258.79	3% above	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LT	$184.10	$263.00	$184.10–$258.79	—	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RT	$184.10	$263.00	$184.10–$258.79	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DVT VENOUS RIGHT	$392.00	$560.00	$392.00–$521.86	4% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DVT VENOUS LEFT	$392.00	$560.00	$392.00–$521.86	4% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DVT VENOUS RIGHT	$392.00	$560.00	$392.00–$521.86	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DVT VENOUS LEFT	$392.00	$560.00	$392.00–$521.86	—	30%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT	$137.20	$196.00	$152.88–$182.65	14% below	30%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT	$137.20	$196.00	$152.88–$182.65	14% below	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT	$137.20	$196.00	$152.88–$182.65	—	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT	$137.20	$196.00	$152.88–$182.65	—	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$166.60	$238.00	$15.57–$233.24	5% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$166.60	$238.00	$15.57–$233.24	5% below	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS RT	$166.60	$238.00	$15.57–$233.24	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS LT	$166.60	$238.00	$15.57–$233.24	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS RT	$184.10	$263.00	$178.50–$257.74	1% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS LT	$184.10	$263.00	$178.50–$257.74	1% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS RT	$184.10	$263.00	$178.50–$257.74	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS LT	$184.10	$263.00	$178.50–$257.74	—	30%
X-ray of the abdomen, 1 view CPT 74018 ABD 1 VIEW	$184.10	$263.00	$173.47–$257.74	1% above	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD 1 VIEW	$184.10	$263.00	$173.47–$257.74	—	30%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$141.40	$202.00	$141.40–$175.36	20% below	30%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$141.40	$202.00	$141.40–$175.36	20% below	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$141.40	$202.00	$141.40–$175.36	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$141.40	$202.00	$141.40–$175.36	—	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER OR FINGERS RT	$166.60	$238.00	$166.60–$233.24	6% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER OR FINGERS LT	$166.60	$238.00	$166.60–$233.24	6% below	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER OR FINGERS LT	$166.60	$238.00	$166.60–$233.24	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER OR FINGERS RT	$166.60	$238.00	$166.60–$233.24	—	30%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$141.40	$202.00	$141.40–$157.56	12% below	30%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT	$141.40	$202.00	$141.40–$157.56	12% below	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT	$141.40	$202.00	$141.40–$157.56	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT	$141.40	$202.00	$141.40–$157.56	—	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RIGHT	$169.40	$242.00	$169.40–$237.16	3% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT	$169.40	$242.00	$169.40–$237.16	3% below	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS RIGHT	$169.40	$242.00	$169.40–$237.16	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS LT	$169.40	$242.00	$169.40–$237.16	—	30%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$166.60	$238.00	$166.60–$233.24	7% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$166.60	$238.00	$166.60–$233.24	7% below	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$166.60	$238.00	$166.60–$233.24	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LT	$166.60	$238.00	$166.60–$233.24	—	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEW RT	$141.40	$202.00	$141.40–$200.46	20% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LT	$141.40	$202.00	$141.40–$200.46	20% below	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEW RT	$141.40	$202.00	$141.40–$200.46	—	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS LT	$141.40	$202.00	$141.40–$200.46	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SP 2 OR 3 VI	$213.50	$305.00	$194.76–$298.90	2% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SP 2 OR 3 VI	$213.50	$305.00	$194.76–$298.90	—	30%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SP W/OBL	$245.00	$350.00	$245.00–$312.37	13% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SP W/OBL	$245.00	$350.00	$245.00–$312.37	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SP 2 VIEWS	$184.10	$263.00	$184.10–$257.74	16% below	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SP 2 VIEWS	$184.10	$263.00	$184.10–$257.74	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS	$184.10	$263.00	$184.10–$202.51	1% above	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3 VIEWS	$184.10	$263.00	$184.10–$202.51	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SP 2 OR 3 VIEWS	$185.50	$265.00	$178.50–$260.76	4% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SP 2 OR 3 VIEWS	$185.50	$265.00	$178.50–$260.76	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP VIEW ONLY	$184.10	$263.00	$184.10–$257.74	1% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP VIEW ONLY	$184.10	$263.00	$184.10–$257.74	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$184.10	$263.00	$184.10–$257.74	4% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$184.10	$263.00	$184.10–$257.74	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
ACTH blood test CPT 82024 ACTH	$87.50	$125.00	$96.25–$122.50	51% below	30%
ACTH blood test inpatient CPT 82024 ACTH	$87.50	$125.00	$96.25–$122.50	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$24.50	$35.00	$26.95–$30.38	11% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$24.50	$35.00	$26.95–$30.38	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$24.50	$35.00	$26.95–$30.38	18% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$24.50	$35.00	$26.95–$30.38	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANE	$296.80	$424.00	$296.80–$398.85	34% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANE	$296.80	$424.00	$296.80–$398.85	—	30%
Albumin blood test CPT 82040 ALBUMIN SERUM PLASM	$17.50	$25.00	$19.25–$23.29	3% above	30%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASM	$17.50	$25.00	$19.25–$23.29	—	30%
Aldosterone blood test CPT 82088 ALDOSTERONE	$137.20	$196.00	$94.71–$192.08	318% above	30%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$137.20	$196.00	$94.71–$192.08	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE	$29.40	$42.00	$29.40–$873.18	76% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SPEC IGE Q	$29.40	$42.00	$29.40–$873.18	76% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE	$29.40	$42.00	$29.40–$873.18	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SPEC IGE Q	$29.40	$42.00	$29.40–$873.18	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; S	$126.70	$181.00	$139.37–$181.00	71% above	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN; S	$126.70	$181.00	$139.37–$181.00	—	30%
Ammonia blood test CPT 82140 AMMONIA	$72.10	$103.00	$70.00–$100.94	92% above	30%
Ammonia blood test inpatient CPT 82140 AMMONIA	$72.10	$103.00	$70.00–$100.94	—	30%
Amylase blood test CPT 82150 AMYLASE	$57.40	$82.00	$57.40–$80.36	53% above	30%
Amylase blood test inpatient CPT 82150 AMYLASE	$57.40	$82.00	$57.40–$80.36	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRU PEP ANT	$93.10	$133.00	$93.10–$130.34	128% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRU PEP ANT	$93.10	$133.00	$93.10–$130.34	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODI	$52.50	$75.00	$52.50–$73.50	12% below	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODI	$52.50	$75.00	$52.50–$73.50	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$144.20	$206.00	$144.20–$201.88	20% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNPSO	$150.50	$215.00	$144.20–$201.88	25% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$144.20	$206.00	$144.20–$201.88	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNPSO	$150.50	$215.00	$144.20–$201.88	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTER, THR	$28.70	$41.00	$35.00–$49.00	43% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT AER NOT UR BLD	$35.00	$50.00	$35.00–$49.00	31% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BACTER, THR	$28.70	$41.00	$35.00–$49.00	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT AER NOT UR BLD	$35.00	$50.00	$35.00–$49.00	—	30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANE	$70.00	$100.00	$66.30–$98.00	56% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANE	$70.00	$100.00	$66.30–$98.00	—	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$36.40	$52.00	$36.40–$45.14	52% above	30%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$36.40	$52.00	$36.40–$45.14	—	30%
Blood culture for bacteria CPT 87040 CULT BACT BLD AERO	$101.50	$145.00	$93.80–$270.25	38% above	30%
Blood culture for bacteria inpatient CPT 87040 CULT BACT BLD AERO	$101.50	$145.00	$93.80–$270.25	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$10.50	$15.00	$10.50–$15.00	at median	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW	$10.50	$15.00	$10.50–$15.00	at median	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$10.50	$15.00	$10.50–$15.00	at median	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$10.50	$15.00	$10.50–$15.00	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$10.50	$15.00	$10.50–$15.00	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW	$10.50	$15.00	$10.50–$15.00	—	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUANTITATIV	$18.90	$27.00	$18.90–$23.44	18% below	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUANTITATIV	$18.90	$27.00	$18.90–$23.44	—	30%
Blood lead test CPT 83655 LEAD,BLOOD(ADULT)	$48.30	$69.00	$48.30–$59.90	120% above	30%
Blood lead test CPT 83655 LEAD	$48.30	$69.00	$48.30–$59.90	120% above	30%
Blood lead test inpatient CPT 83655 LEAD	$48.30	$69.00	$48.30–$59.90	—	30%
Blood lead test inpatient CPT 83655 LEAD,BLOOD(ADULT)	$48.30	$69.00	$48.30–$59.90	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY	$25.90	$37.00	$25.90–$39.90	34% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG QUALITATIV	$25.90	$37.00	$25.90–$39.90	34% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG,QUAL	$29.40	$42.00	$29.40–$37.55	26% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG QUALITATIV	$25.90	$37.00	$25.90–$39.90	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE PREGNANCY	$25.90	$37.00	$25.90–$39.90	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG,QUAL	$29.40	$42.00	$29.40–$37.55	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING: ABO	$44.80	$64.00	$44.80–$62.72	30% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING:ABO	$45.50	$65.00	$44.80–$62.72	32% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING: ABO	$44.80	$64.00	$44.80–$62.72	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING:ABO	$45.50	$65.00	$44.80–$62.72	—	30%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANT	$18.90	$27.00	$18.90–$26.96	30% below	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANT	$18.90	$27.00	$18.90–$26.96	—	30%
C-peptide blood test CPT 84681 C PEPTIDE	$94.50	$135.00	$94.50–$135.00	29% above	30%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$94.50	$135.00	$94.50–$135.00	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$44.10	$63.00	$44.10–$61.74	58% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$44.10	$63.00	$44.10–$61.74	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF TOXIN AMP.PROB	$124.60	$178.00	$128.16–$174.44	11% above	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF TOXIN AMP.PROB	$124.60	$178.00	$128.16–$174.44	—	30%
Calcium blood test, total CPT 82310 CALCIUM, TOTAL	$25.20	$36.00	$12.51–$33.55	5% above	30%
Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL	$25.20	$36.00	$12.51–$33.55	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANT	$59.50	$85.00	$61.20–$65.45	40% below	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANT	$59.50	$85.00	$61.20–$65.45	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$76.30	$109.00	$76.30–$94.63	100% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$76.30	$109.00	$76.30–$94.63	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHMTS AMP PROBE	$38.50	$55.00	$38.50–$56.35	28% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA,NAA	$38.50	$55.00	$38.50–$56.35	28% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE	$42.00	$60.00	$38.50–$56.35	21% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA,NAA	$38.50	$55.00	$38.50–$56.35	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHMTS AMP PROBE	$38.50	$55.00	$38.50–$56.35	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE	$42.00	$60.00	$38.50–$56.35	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$87.50	$125.00	$87.50–$122.50	40% above	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$87.50	$125.00	$87.50–$122.50	—	30%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF PLT	$38.50	$55.00	$38.50–$53.90	7% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF PLT	$38.50	$55.00	$38.50–$53.90	—	30%
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$29.40	$42.00	$29.40–$42.00	15% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED	$29.40	$42.00	$29.40–$42.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$94.50	$135.00	$94.50–$132.30	93% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$94.50	$135.00	$94.50–$132.30	—	30%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$67.90	$97.00	$67.90–$95.06	14% above	30%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$67.90	$97.00	$67.90–$95.06	—	30%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOT	$45.50	$65.00	$45.50–$63.70	6% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOT	$45.50	$65.00	$45.50–$63.70	—	30%
Creatinine blood test CPT 82565 CREATININE; BLOOD	$18.90	$27.00	$18.90–$26.46	31% below	30%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD	$18.90	$27.00	$18.90–$26.46	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV, IGG	$82.60	$118.00	$90.86	70% above	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV, IGG	$82.60	$118.00	$90.86	—	30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$84.00	$120.00	$84.00–$117.60	33% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$84.00	$120.00	$84.00–$117.60	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$101.50	$145.00	$101.50–$142.10	9% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$101.50	$145.00	$101.50–$142.10	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR SINGLE INST	$282.10	$403.00	$282.10	829% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP.	$282.10	$403.00	$282.10	829% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR SINGLE INST	$282.10	$403.00	$282.10	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMP.	$282.10	$403.00	$282.10	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$37.80	$54.00	$6.87	16% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$37.80	$54.00	$6.87	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,VCA,	$87.50	$125.00	$87.50–$108.52	51% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA ANTIBODY	$87.50	$125.00	$87.50–$108.52	51% above	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA ANTIBODY	$87.50	$125.00	$87.50–$108.52	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV,VCA,	$87.50	$125.00	$87.50–$108.52	—	30%
Estradiol blood test CPT 82670 ESTRADIOL	$65.80	$94.00	$30.84–$81.61	22% below	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$65.80	$94.00	$30.84–$81.61	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMON	$41.30	$59.00	$41.30–$57.82	51% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMON	$41.30	$59.00	$41.30–$57.82	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$203.70	$291.00	$203.70–$245.68	155% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$203.70	$291.00	$203.70–$245.68	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$38.50	$55.00	$38.50–$55.00	43% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$38.50	$55.00	$38.50–$55.00	—	30%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$74.20	$106.00	$74.20–$103.88	6% above	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$74.20	$106.00	$74.20–$103.88	—	30%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRO T-3 FRE	$38.50	$55.00	$38.50–$53.90	55% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRO T-3 FRE	$38.50	$55.00	$38.50–$53.90	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$63.00	$90.00	$63.00–$88.20	19% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$63.00	$90.00	$63.00–$88.20	—	30%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$158.20	$226.00	$158.20–$221.48	129% above	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$158.20	$226.00	$158.20–$221.48	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYLTRANS	$24.50	$35.00	$20.02–$34.77	29% below	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYLTRANS	$24.50	$35.00	$20.02–$34.77	—	30%
Glucose tolerance test, 3 samples CPT 82951 TOLER TEST(GLU)3SPEC	$54.60	$78.00	$54.60–$60.06	15% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLER TEST(GLU)3SPEC	$54.60	$78.00	$54.60–$60.06	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIFIED	$38.50	$55.00	$38.50–$73.50	36% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE,NAA	$38.50	$55.00	$38.50–$73.50	36% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHEA AMP PROB	$52.50	$75.00	$38.50–$73.50	13% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE,NAA	$38.50	$55.00	$38.50–$73.50	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIFIED	$38.50	$55.00	$38.50–$73.50	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHEA AMP PROB	$52.50	$75.00	$38.50–$73.50	—	30%
H. pylori stool antigen test CPT 87338 HELICO PYLORI STOOL	$170.10	$243.00	$170.10–$187.11	191% above	30%
H. pylori stool antigen test inpatient CPT 87338 HELICO PYLORI STOOL	$170.10	$243.00	$170.10–$187.11	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANTIFICATION	$178.50	$255.00	$178.50	29% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANTIFICATION	$178.50	$255.00	$178.50	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2, RAPID	$93.10	$133.00	$90.30–$118.90	79% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/2, RAPID	$93.10	$133.00	$90.30–$118.90	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANTIGEN(S)	$122.50	$175.00	$122.50–$136.50	106% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANTIGEN(S)	$122.50	$175.00	$122.50–$136.50	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC HEART A1C	$7.00	$10.00	$39.00–$73.50	86% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEALTH FAIR HGA1C	$10.50	$15.00	$39.00–$73.50	79% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCATED	$52.50	$75.00	$39.00–$73.50	5% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RHC HEART A1C	$7.00	$10.00	$39.00–$73.50	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEALTH FAIR HGA1C	$10.50	$15.00	$39.00–$73.50	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCATED	$52.50	$75.00	$39.00–$73.50	—	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$21.70	$31.00	$21.70–$40.56	64% above	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN HGB	$36.40	$52.00	$21.70–$40.56	175% above	30%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$21.70	$31.00	$21.70–$40.56	—	30%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN HGB	$36.40	$52.00	$21.70–$40.56	—	30%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANT	$28.70	$41.00	$29.52–$41.00	34% below	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANT	$28.70	$41.00	$29.52–$41.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB SURFACE ANTIBODY	$33.60	$48.00	$33.60–$41.67	26% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB SURFACE ANTIBODY	$33.60	$48.00	$33.60–$41.67	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG EIA	$31.50	$45.00	$31.50–$39.07	39% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG EIA	$31.50	$45.00	$31.50–$39.07	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$91.00	$130.00	$91.00–$112.86	78% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/REFLEX	$91.00	$130.00	$91.00–$112.86	78% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/REFLEX	$91.00	$130.00	$91.00–$112.86	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$91.00	$130.00	$91.00–$112.86	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP QUANT	$431.90	$617.00	$444.24–$950.18	125% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP QUANT	$431.90	$617.00	$444.24–$950.18	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB	$73.50	$105.00	$80.85–$103.32	73% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 AB	$73.50	$105.00	$80.85–$103.32	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2	$73.50	$105.00	$80.85–$103.32	58% above	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2	$73.50	$105.00	$80.85–$103.32	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN C	$61.60	$88.00	$71.38	at median	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN C	$61.60	$88.00	$71.38	—	30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$203.70	$291.00	$203.70–$291.00	134% above	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$203.70	$291.00	$203.70–$291.00	—	30%
Insulin blood test CPT 83525 INSULIN; TOTAL	$49.00	$70.00	$49.00–$68.70	9% below	30%
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL	$49.00	$70.00	$49.00–$68.70	—	30%
Iron blood test (serum iron) CPT 83540 IRON	$49.70	$71.00	$49.70–$69.58	18% above	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$49.70	$71.00	$49.70–$69.58	—	30%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$58.80	$84.00	$58.80–$84.00	37% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$58.80	$84.00	$58.80–$84.00	—	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$73.50	$105.00	$75.60–$105.00	84% above	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$73.50	$105.00	$75.60–$105.00	—	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$41.30	$59.00	$41.30–$57.82	51% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$41.30	$59.00	$41.30–$57.82	—	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$56.00	$80.00	$53.90–$149.10	at median	30%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$56.00	$80.00	$53.90–$149.10	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENAS	$17.50	$25.00	$17.50–$24.50	2% below	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENAS	$17.50	$25.00	$17.50–$24.50	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$49.00	$70.00	$49.00–$68.60	22% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$49.00	$70.00	$49.00–$68.60	—	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$73.50	$105.00	$73.50–$105.00	84% above	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$73.50	$105.00	$73.50–$105.00	—	30%
Lyme disease antibody test CPT 86618 AB; B.BURGDORFERI	$115.50	$165.00	$64.61–$254.10	267% above	30%
Lyme disease antibody test CPT 86618 BOR BURGDORFERI LYME	$115.50	$165.00	$64.61–$254.10	267% above	30%
Lyme disease antibody test inpatient CPT 86618 BOR BURGDORFERI LYME	$115.50	$165.00	$64.61–$254.10	—	30%
Lyme disease antibody test inpatient CPT 86618 AB; B.BURGDORFERI	$115.50	$165.00	$64.61–$254.10	—	30%
Magnesium blood test CPT 83735 MAGNESIUM	$29.40	$42.00	$29.40–$41.16	51% above	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$29.40	$42.00	$29.40–$41.16	—	30%
Measles (rubeola) antibody test CPT 86765 ANTIBODY;RUBEOLA	$28.00	$40.00	$28.00–$30.80	27% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY;RUBEOLA	$28.00	$40.00	$28.00–$30.80	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE; ANTIBOD	$67.20	$96.00	$67.20–$94.08	92% above	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE; ANTIBOD	$67.20	$96.00	$67.20–$94.08	—	30%
Mumps immunity blood test CPT 86735 ANTIBODY MUMPS	$32.90	$47.00	$32.90–$36.19	30% below	30%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY MUMPS	$32.90	$47.00	$32.90–$36.19	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPEC AG FRE	$73.50	$105.00	$67.68–$105.00	35% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPEC AG FRE	$73.50	$105.00	$67.68–$105.00	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIF AN	$66.50	$95.00	$66.50–$93.10	5% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIF AN	$66.50	$95.00	$66.50–$93.10	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO CER VAG TL AUTO	$157.50	$225.00	$84.70–$225.00	92% above	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO CER VAG TL AUTO	$157.50	$225.00	$84.70–$225.00	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$115.50	$165.00	$115.50–$161.70	21% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE	$115.50	$165.00	$115.50–$161.70	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$48.30	$69.00	$46.90–$67.62	23% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$48.30	$69.00	$46.90–$67.62	—	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC	$17.50	$25.00	$17.50–$24.50	42% below	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC	$17.50	$25.00	$17.50–$24.50	—	30%
Potassium blood test CPT 84132 POTASSIUM; SERUM	$35.00	$50.00	$8.40–$49.00	39% above	30%
Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM	$35.00	$50.00	$8.40–$49.00	—	30%
Progesterone blood test CPT 84144 PROGESTERONE	$49.00	$70.00	$49.00–$70.00	50% below	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$49.00	$70.00	$49.00–$70.00	—	30%
Prolactin blood test CPT 84146 PROLACTIN	$44.10	$63.00	$44.10–$54.70	28% below	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$44.10	$63.00	$44.10–$54.70	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$33.60	$48.00	$33.60–$47.04	28% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$33.60	$48.00	$33.60–$47.04	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN 12	$240.80	$344.00	$240.80–$578.42	575% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN 12	$240.80	$344.00	$240.80–$578.42	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP GROUP A	$37.80	$54.00	$37.80–$52.92	7% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP GROUP A	$37.80	$54.00	$37.80–$52.92	—	30%
Renin blood test CPT 84244 RENIN	$110.60	$158.00	$121.66	162% above	30%
Renin blood test inpatient CPT 84244 RENIN	$110.60	$158.00	$121.66	—	30%
Rh blood typing CPT 86901 RH (D) TYPE	$24.50	$35.00	$24.50–$34.30	12% below	30%
Rh blood typing inpatient CPT 86901 RH (D) TYPE	$24.50	$35.00	$24.50–$34.30	—	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR; Q	$39.90	$57.00	$39.90–$55.86	12% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$172.20	$246.00	$39.90–$55.86	383% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR; Q	$39.90	$57.00	$39.90–$55.86	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$172.20	$246.00	$39.90–$55.86	—	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$48.30	$69.00	$48.30–$53.13	1% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$48.30	$69.00	$48.30–$53.13	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO	$31.50	$45.00	$31.50–$44.10	103% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$31.50	$45.00	$31.50–$44.10	—	30%
Stool ova and parasites exam CPT 87177 STOOL CONCENTRATION	$31.50	$45.00	$31.50–$44.10	30% below	30%
Stool ova and parasites exam inpatient CPT 87177 STOOL CONCENTRATION	$31.50	$45.00	$31.50–$44.10	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT SLIDE 1-3	$21.70	$31.00	$21.70–$30.38	44% above	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECL OCCLT COLRCTL	$21.70	$31.00	$21.70–$30.38	44% above	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECL OCCLT COLRCTL	$21.70	$31.00	$21.70–$30.38	—	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCULT SLIDE 1-3	$21.70	$31.00	$21.70–$30.38	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 FTA-ABS CONF (SYPHI)	$34.30	$49.00	$34.30–$39.00	33% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$35.00	$50.00	$34.30–$39.00	36% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 FTA-ABS CONF (SYPHI)	$34.30	$49.00	$34.30–$39.00	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL	$35.00	$50.00	$34.30–$39.00	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$158.20	$226.00	$158.20–$221.48	98% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$158.20	$226.00	$158.20–$221.48	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH	$80.50	$115.00	$36.06–$102.81	16% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB EACH	$80.50	$115.00	$36.06–$102.81	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMU HORM	$84.00	$120.00	$84.00–$117.60	39% above	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMU HORM	$84.00	$120.00	$84.00–$117.60	—	30%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN, IGE	$39.90	$57.00	$39.90–$55.86	26% below	30%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN, IGE	$39.90	$57.00	$39.90–$55.86	—	30%
Total cholesterol blood test CPT 82465 CHOLESTEROL,TOTAL	$17.50	$25.00	$9.24–$21.70	20% below	30%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL,TOTAL	$17.50	$25.00	$9.24–$21.70	—	30%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL	$39.90	$57.00	$39.90–$77.62	12% below	30%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL	$39.90	$57.00	$39.90–$77.62	—	30%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T-3	$107.10	$153.00	$107.10–$149.94	42% above	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T-3	$107.10	$153.00	$107.10–$149.94	—	30%
Transferrin blood test CPT 84466 TRANSFERRIN	$42.70	$61.00	$46.97	22% below	30%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$42.70	$61.00	$46.97	—	30%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS AMP PRO	$102.20	$146.00	$102.20	34% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS AMP PRO	$102.20	$146.00	$102.20	—	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$10.50	$15.00	$11.55–$13.02	64% below	30%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$10.50	$15.00	$11.55–$13.02	—	30%
Troponin test, quantitative CPT 84484 TROPONIN QUANTATIVE	$93.10	$133.00	$93.10–$379.05	25% above	30%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTATIVE	$93.10	$133.00	$93.10–$379.05	—	30%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$35.00	$50.00	$35.00–$49.00	15% above	30%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$35.00	$50.00	$35.00–$49.00	—	30%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W SCOPE	$36.40	$52.00	$39.96–$40.04	23% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W SCOPE	$36.40	$52.00	$39.96–$40.04	—	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED	$28.00	$40.00	$28.00–$39.20	107% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED	$28.00	$40.00	$28.00–$39.20	—	30%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP	$27.30	$39.00	$12.52–$36.35	122% above	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP	$27.30	$39.00	$12.52–$36.35	—	30%
Urine culture for bacteria, with colony count CPT 87086 CULT BACT QNT CC URI	$52.50	$75.00	$52.50–$73.50	8% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT BACT QNT CC URI	$52.50	$75.00	$52.50–$73.50	—	30%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANT	$35.00	$50.00	$35.00–$49.00	13% above	30%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANT	$35.00	$50.00	$35.00–$49.00	—	30%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY	$29.40	$42.00	$35.26	32% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY	$29.40	$42.00	$35.26	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HEALTH FAIR VIT B12	$17.50	$25.00	$80.50–$112.70	78% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$80.50	$115.00	$80.50–$112.70	at median	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$80.50	$115.00	$80.50–$112.70	at median	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HEALTH FAIR VIT B12	$17.50	$25.00	$80.50–$112.70	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$80.50	$115.00	$80.50–$112.70	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$80.50	$115.00	$80.50–$112.70	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HEALTH FAIR VIT D	$17.50	$25.00	$87.50–$122.50	77% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROX	$79.10	$113.00	$87.50–$122.50	2% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL 25 OH	$87.50	$125.00	$87.50–$122.50	13% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HEALTH FAIR VIT D	$17.50	$25.00	$87.50–$122.50	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROX	$79.10	$113.00	$87.50–$122.50	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL 25 OH	$87.50	$125.00	$87.50–$122.50	—	30%
Zinc blood test CPT 84630 ZINC	$86.10	$123.00	$86.10–$120.54	133% above	30%
Zinc blood test inpatient CPT 84630 ZINC	$86.10	$123.00	$86.10–$120.54	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG;QUANT	$66.50	$95.00	$66.50–$82.47	3% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG;QUANT	$66.50	$95.00	$66.50–$82.47	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Earwax removal with instruments, one ear CPT 69210 REM IMPACT EAR WAX B	$54.60	$78.00	$76.44	10% below	30%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACT EAR WAX B	$54.60	$78.00	$76.44	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE	$167.30	$239.00	$167.30–$207.48	28% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 ABCESS SIMPLE	$226.80	$324.00	$226.80–$317.52	2% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SUBFASCI	$349.30	$499.00	$226.80–$317.52	51% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE	$167.30	$239.00	$167.30–$207.48	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABCESS SIMPLE	$226.80	$324.00	$226.80–$317.52	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SUBFASCI	$349.30	$499.00	$226.80–$317.52	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FAC INJ MAJ JT	$129.50	$185.00	$136.71–$137.36	56% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 FAC INJ MAJ JT	$129.50	$185.00	$136.71–$137.36	—	30%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$631.40	$902.00	$649.44	161% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$631.40	$902.00	$649.44	—	30%
Removal of a foreign object under the skin, simple CPT 10120 FB SUBQ TISSUE-SIMPL	$187.60	$268.00	$187.60–$206.36	52% below	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SUBQ TISSUE-SIMPL	$187.60	$268.00	$187.60–$206.36	—	30%
Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT	$112.00	$160.00	$112.00–$156.80	36% below	30%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SPLINT	$112.00	$160.00	$112.00–$156.80	—	30%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPL	$81.20	$116.00	$81.20–$113.68	63% below	30%
Short leg splint (calf to foot) one side CPT 29515 APP LT LOW EXT SPLIN	$68.60	$98.00	$72.77	68% below	30%
Short leg splint (calf to foot) one side CPT 29515 APP RT LOW EXT SPLIN	$68.60	$98.00	$72.77	68% below	30%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPL	$81.20	$116.00	$81.20–$113.68	—	30%
Short leg splint (calf to foot) inpatient one side CPT 29515 APP RT LOW EXT SPLIN	$68.60	$98.00	$72.77	—	30%
Short leg splint (calf to foot) inpatient one side CPT 29515 APP LT LOW EXT SPLIN	$68.60	$98.00	$72.77	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM LAC NONFACE 2.5<	$189.00	$270.00	$189.00–$264.60	19% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIM LAC NONFACE 2.5<	$189.00	$270.00	$189.00–$264.60	—	30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN LE	$147.00	$210.00	$100.62	59% below	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN LE	$147.00	$210.00	$100.62	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM LAC OTH 2.6-7.5	$189.00	$270.00	$189.00–$264.60	21% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIM LAC OTH 2.6-7.5	$189.00	$270.00	$189.00–$264.60	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP EYELIDS 1CM	$342.30	$489.00	$342.30–$475.00	35% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP EYELIDS 1CM	$342.30	$489.00	$342.30–$475.00	—	30%
Thoracentesis with imaging guidance CPT 32555 THORACENT WITH IMAGI	$140.00	$200.00	$148.50	87% below	30%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENT WITH IMAGI	$140.00	$200.00	$148.50	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 TPI MULTIPLE (1-2)	$192.50	$275.00	$308.52	35% below	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TPI MULTIPLE (1-2)	$192.50	$275.00	$308.52	—	30%
Wart removal, up to 14 warts CPT 17110 LESION DESTRUCTION	$74.55	$106.50	$74.55	62% below	30%
Wart removal, up to 14 warts CPT 17110 DESTRUC LESION 1-14	$74.90	$107.00	$74.55	62% below	30%
Wart removal, up to 14 warts inpatient CPT 17110 LESION DESTRUCTION	$74.55	$106.50	$74.55	—	30%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUC LESION 1-14	$74.90	$107.00	$74.55	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 FAC DEB SQ TIS 20CM/	$98.00	$140.00	$100.80	71% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 FAC DEB SQ TIS 20CM/	$98.00	$140.00	$100.80	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$157.50	$225.00	$162.00–$220.50	75% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$157.50	$225.00	$162.00–$220.50	75% below	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$157.50	$225.00	$162.00–$220.50	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$157.50	$225.00	$162.00–$220.50	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TX SUBSEQUENT	$77.00	$110.00	$64.40–$107.80	43% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION SU	$77.00	$110.00	$64.40–$107.80	43% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TREATMENT	$77.00	$110.00	$64.40–$107.80	43% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX	$77.00	$110.00	$64.40–$107.80	43% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX	$77.00	$110.00	$64.40–$107.80	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION SU	$77.00	$110.00	$64.40–$107.80	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TX SUBSEQUENT	$77.00	$110.00	$64.40–$107.80	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TREATMENT	$77.00	$110.00	$64.40–$107.80	—	30%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1 HR	$213.50	$305.00	$284.23	55% below	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF 1 HR	$213.50	$305.00	$284.23	—	30%
Critical care, first 30 to 74 minutes CPT 99291 ER CRIT CARE 30-74MI	$787.50	$1,125.00	$787.50–$1,103.50	24% below	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRIT CARE 30-74MI	$787.50	$1,125.00	$787.50–$1,103.50	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12+ LEADS	$21.00	$30.00	$131.60–$357.20	82% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIO TRACIN	$41.30	$59.00	$131.60–$357.20	66% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$131.60	$188.00	$131.60–$357.20	10% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETAT	$144.20	$206.00	$131.60–$357.20	20% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12+ LEADS	$21.00	$30.00	$131.60–$357.20	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIO TRACIN	$41.30	$59.00	$131.60–$357.20	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$131.60	$188.00	$131.60–$357.20	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETAT	$144.20	$206.00	$131.60–$357.20	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEV 2	$203.70	$291.00	$203.70–$287.38	18% below	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEV 2	$203.70	$291.00	$203.70–$287.38	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEV 3	$282.10	$403.00	$282.10–$397.14	28% below	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEV 3	$282.10	$403.00	$282.10–$397.14	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEV 4	$410.90	$587.00	$410.90–$577.46	38% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEV 4	$410.90	$587.00	$410.90–$577.46	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEV 5	$455.00	$650.00	$455.00–$639.20	52% below	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEV 5	$455.00	$650.00	$455.00–$639.20	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITAL	$157.50	$225.00	$157.50–$220.50	29% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFUS INT	$157.50	$225.00	$157.50–$220.50	29% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL	$157.50	$225.00	$157.50–$220.50	29% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFUS INT	$157.50	$225.00	$157.50–$220.50	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL	$157.50	$225.00	$157.50–$220.50	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITAL	$157.50	$225.00	$157.50–$220.50	—	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INT	$184.10	$263.00	$210.00–$294.00	20% below	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL	$210.00	$300.00	$210.00–$294.00	8% below	30%
IV infusion of a medicine, first hour CPT 96365 IV THERAPUTIC INTIAL	$210.00	$300.00	$210.00–$294.00	8% below	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSE INT 31M-1H	$210.00	$300.00	$210.00–$294.00	8% below	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INT	$184.10	$263.00	$210.00–$294.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPUTIC INTIAL	$210.00	$300.00	$210.00–$294.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL	$210.00	$300.00	$210.00–$294.00	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSE INT 31M-1H	$210.00	$300.00	$210.00–$294.00	—	30%
IV push of a medicine, first drug CPT 96374 IVP INITIAL	$105.00	$150.00	$100.62–$147.00	48% below	30%
IV push of a medicine, first drug CPT 96374 IV PUSH INTIAL	$105.00	$150.00	$100.62–$147.00	48% below	30%
IV push of a medicine, first drug CPT 96374 IV PUSH INT	$105.00	$150.00	$100.62–$147.00	48% below	30%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INT	$105.00	$150.00	$100.62–$147.00	—	30%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL	$105.00	$150.00	$100.62–$147.00	—	30%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INTIAL	$105.00	$150.00	$100.62–$147.00	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM	$101.50	$145.00	$45.53–$142.10	46% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECITION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	46% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	46% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	46% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION	$101.50	$145.00	$45.53–$142.10	46% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECITION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJECTION IM/SUBQ	$101.50	$145.00	$45.53–$142.10	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM	$101.50	$145.00	$45.53–$142.10	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION	$101.50	$145.00	$45.53–$142.10	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTI EVAL	$243.60	$348.00	$72.66	18% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTI EVAL	$243.60	$348.00	$72.66	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE ED	$55.30	$79.00	$55.30–$68.58	27% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT NMR PER 15MINS	$55.30	$79.00	$68.58	27% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED	$55.30	$79.00	$55.30–$68.58	27% below	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NMR PER 15MINS	$55.30	$79.00	$68.58	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE ED	$55.30	$79.00	$55.30–$68.58	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED	$55.30	$79.00	$55.30–$68.58	—	30%
New patient office visit, about 30 minutes CPT 99203 FAC OV LEVEL III NEW	$115.50	$165.00	$20.20–$156.75	60% above	30%
New patient office visit, about 30 minutes CPT 99203 WC VISIT LEVEL 3 NEW	$129.50	$185.00	$20.20–$156.75	79% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 FAC OV LEVEL III NEW	$115.50	$165.00	$20.20–$156.75	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 WC VISIT LEVEL 3 NEW	$129.50	$185.00	$20.20–$156.75	—	30%
New patient office visit, about 45 minutes CPT 99204 FAC OV LEVEL IV NEW	$197.40	$282.00	$20.20–$309.66	130% above	30%
New patient office visit, about 45 minutes CPT 99204 WC LEVEL 4 NEW	$277.90	$397.00	$20.20–$309.66	223% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 FAC OV LEVEL IV NEW	$197.40	$282.00	$20.20–$309.66	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 WC LEVEL 4 NEW	$277.90	$397.00	$20.20–$309.66	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 FAC OV LEVEL II NEW	$77.00	$110.00	$20.20–$93.94	18% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC VISIT LEVEL 2 NEW	$85.40	$122.00	$20.20–$93.94	31% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FAC OV LEVEL II NEW	$77.00	$110.00	$20.20–$93.94	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC VISIT LEVEL 2 NEW	$85.40	$122.00	$20.20–$93.94	—	30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMP 30M	$137.90	$197.00	$137.90–$193.06	25% below	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMP 30M	$137.90	$197.00	$137.90–$193.06	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVAL HIGH COMPX 45MI	$137.90	$197.00	$183.58	30% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVAL HIGH COMPX 45MI	$137.90	$197.00	$183.58	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVAL LOW COMPX 20MIN	$137.90	$197.00	$137.90–$187.15	25% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVAL LOW COMPX 20MIN	$137.90	$197.00	$137.90–$187.15	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVAL MOD COMPX 30MIN	$137.90	$197.00	$137.90	31% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVAL MOD COMPX 30MIN	$137.90	$197.00	$137.90	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MAN THERAPY TCH/15M	$58.80	$84.00	$58.80–$192.10	11% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THRPY MANI	$58.80	$84.00	$58.80–$145.84	11% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MAN THERAPY TCH/15 M	$58.80	$84.00	$58.80–$192.10	11% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MAN THERAPY TCH/15M	$58.80	$84.00	$58.80–$192.10	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THRPY MANI	$58.80	$84.00	$58.80–$145.84	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MAN THERAPY TCH/15 M	$58.80	$84.00	$58.80–$192.10	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERA EXER PER 15 MI	$63.70	$91.00	$63.70–$140.14	10% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX 15	$63.70	$91.00	$63.70–$140.14	10% below	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERA EXER PER 15 MI	$63.70	$91.00	$63.70–$140.14	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX 15	$63.70	$91.00	$63.70–$140.14	—	30%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT & FAM 30MIN	$98.00	$140.00	$28.00	4% below	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT & FAM 30MIN	$98.00	$140.00	$28.00	—	30%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT & FAM 60MIN	$193.90	$277.00	$48.05	at median	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT & FAM 60MIN	$193.90	$277.00	$48.05	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BH CHNG SMOK 3-10M	$19.60	$28.00	$25.92	43% below	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOB COUN 3-10	$25.20	$36.00	$25.92	27% below	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BH CHNG SMOK 3-10M	$19.60	$28.00	$25.92	—	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOB COUN 3-10	$25.20	$36.00	$25.92	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV COMPREHEN 40 MINS	$144.20	$206.00	$173.52–$263.62	77% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FAC OV LEVEL V EST	$168.70	$241.00	$173.52–$263.62	107% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC VISIT LEVEL 5 EST	$188.30	$269.00	$173.52–$263.62	131% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV LEVEL 5 EST	$200.90	$287.00	$238.14–$313.49	147% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV COMPREHEN 40 MINS	$144.20	$206.00	$173.52–$263.62	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FAC OV LEVEL V EST	$168.70	$241.00	$173.52–$263.62	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC VISIT LEVEL 5 EST	$188.30	$269.00	$173.52–$263.62	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV LEVEL 5 EST	$200.90	$287.00	$238.14–$313.49	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EXPANDED 15 MINS	$71.40	$102.00	$20.20–$111.00	1% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 FAC OV LEVEL III EST	$77.70	$111.00	$20.20–$111.00	10% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC VISIT LEVEL 3 EST	$86.10	$123.00	$20.20–$111.00	22% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EXPANDED 15 MINS	$71.40	$102.00	$20.20–$111.00	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FAC OV LEVEL III EST	$77.70	$111.00	$20.20–$111.00	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC VISIT LEVEL 3 EST	$86.10	$123.00	$20.20–$111.00	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV DETAILED 25 MINS	$105.70	$151.00	$20.20–$162.45	12% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FAC OV LEVEL IV EST	$119.70	$171.00	$20.20–$162.45	27% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC VISIT LEVEL 4 EST	$133.00	$190.00	$20.20–$162.45	41% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV DETAILED 25 MINS	$105.70	$151.00	$20.20–$162.45	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FAC OV LEVEL IV EST	$119.70	$171.00	$20.20–$162.45	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC VISIT LEVEL 4 EST	$133.00	$190.00	$20.20–$162.45	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FAC OV LEVEL II EST	$39.20	$56.00	$20.20–$47.74	38% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV STRAIGHFOR 10MINS	$43.40	$62.00	$20.20–$47.74	31% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC VISIT LEVEL 2 EST	$43.40	$62.00	$20.20–$47.74	31% below	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FAC OV LEVEL II EST	$39.20	$56.00	$20.20–$47.74	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC VISIT LEVEL 2 EST	$43.40	$62.00	$20.20–$47.74	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV STRAIGHFOR 10MINS	$43.40	$62.00	$20.20–$47.74	—	30%
Speech and language evaluation CPT 92523 EVAL SOUND PROD COMP	$212.80	$304.00	$212.80–$297.92	18% below	30%
Speech and language evaluation inpatient CPT 92523 EVAL SOUND PROD COMP	$212.80	$304.00	$212.80–$297.92	—	30%
Speech therapy session, individual CPT 92507 TX OF SPEECH, LANG	$106.40	$152.00	$106.40–$149.66	28% below	30%
Speech therapy session, individual inpatient CPT 92507 TX OF SPEECH, LANG	$106.40	$152.00	$106.40–$149.66	—	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$268.10	$383.00	$268.10–$375.34	29% above	30%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$268.10	$383.00	$268.10–$375.34	—	30%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POS	$602.00	$860.00	$602.00–$842.80	64% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POS	$602.00	$860.00	$602.00–$842.80	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAP ACT EA 15	$63.00	$90.00	$63.00–$312.52	17% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY	$63.00	$90.00	$63.00–$78.13	17% below	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY	$63.00	$90.00	$63.00–$78.13	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAP ACT EA 15	$63.00	$90.00	$63.00–$312.52	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$93.10	$133.00	$95.76–$130.87	36% below	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$93.10	$133.00	$95.76–$130.87	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs West Virginia	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA VACC 3 YRS >	$14.00	$20.00	$15.40–$17.37	28% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA VACC 3 YRS >	$14.00	$20.00	$15.40–$17.37	—	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1CC	$730.10	$1,043.00	$429.80–$864.63	49% above	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 1CC	$730.10	$1,043.00	$429.80–$864.63	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA 0.	$73.50	$105.00	$73.50–$99.75	44% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA 0.	$73.50	$105.00	$73.50–$99.75	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (BOOSTRIX)> 7YR	$165.90	$237.00	$32.37–$213.17	223% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (BOOSTRIX)> 7YR	$165.90	$237.00	$32.37–$213.17	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF PNEMONIA VC	$7.00	$10.00	$3.85–$25.20	83% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEMONIA VAC	$17.50	$25.00	$3.85–$25.20	58% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE	$24.50	$35.00	$3.85–$25.20	42% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN	$24.50	$35.00	$3.85–$25.20	42% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINATION	$24.50	$35.00	$3.85–$25.20	42% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$24.50	$35.00	$3.85–$25.20	42% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF PNEMONIA VC	$7.00	$10.00	$3.85–$25.20	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEMONIA VAC	$17.50	$25.00	$3.85–$25.20	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE	$24.50	$35.00	$3.85–$25.20	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$24.50	$35.00	$3.85–$25.20	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINATION	$24.50	$35.00	$3.85–$25.20	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN	$24.50	$35.00	$3.85–$25.20	—	30%

Source file: https://hospitalpricetransparencyfiles.com/pocahontas-memorial-hospital/556000381_Pocahontas-Memorial-Hospital_standardcharges.csv