Hospital

Sheridan County Hospital

Sheridan County Hospital in Hoxie, KS publishes cash prices for 230 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 Kansas median for 148 of 227 procedures and below it for 76. By typical cash price it ranks #44 of 62 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

826 18th Street, Suite B, HOXIE, KS, 67740 Collected Sep 28, 2026 Source price file (785) 675-3281

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171347 · CMS hospital register

The price file shows no self-pay discount

For 711 of the 711 prices listed here, the cash price in Sheridan County Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Sheridan County Hospital in Hoxie, KS:

Jul 18, 2025 Warning notice
Aug 14, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$782.00	$782.00	$473.11–$742.90	30% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX	$782.00	$782.00	$473.11–$742.90	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NUC BONE SCAN TOTAL BODY	$878.00	$878.00	$531.19–$834.10	24% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC BONE SCAN TOTAL BODY	$878.00	$878.00	$531.19–$834.10	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH	$1,856.00	$1,856.00	$1,122.88–$1,763.20	5% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY EMBOLISM	$1,880.00	$1,880.00	$1,137.40–$1,786.00	6% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WITH	$1,856.00	$1,856.00	$1,122.88–$1,763.20	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PULMONARY EMBOLISM	$1,880.00	$1,880.00	$1,137.40–$1,786.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WITHOUT	$981.00	$981.00	$593.50–$931.95	24% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE	$981.00	$981.00	$593.50–$931.95	24% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS WITHOUT	$981.00	$981.00	$593.50–$931.95	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE	$981.00	$981.00	$593.50–$931.95	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH	$1,046.00	$1,046.00	$632.83–$993.70	31% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WITH/WITHOUT	$1,115.00	$1,115.00	$661.76–$1,059.25	40% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS WITH/WITHOUT	$1,115.00	$1,115.00	$661.76–$1,059.25	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH	$1,046.00	$1,046.00	$632.83–$993.70	25% below	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITHOUT	$914.00	$914.00	$552.97–$868.30	21% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE WITHOUT	$914.00	$914.00	$552.97–$868.30	9% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT TEMPOROMANDIBULAR JOINT WITHOUT	$914.00	$914.00	$552.97–$868.30	9% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WITHOUT	$914.00	$914.00	$552.97–$868.30	9% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WITHOUT	$914.00	$914.00	$552.97–$868.30	9% below	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MANDIBLE WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT TEMPOROMANDIBULAR JOINT WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD (BRAIN) WITHOUT	$758.00	$758.00	$458.59–$720.10	28% below	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD (BRAIN) WITHOUT	$758.00	$758.00	$458.59–$720.10	—	—
CT scan of the head with contrast CPT 70460 CT HEAD (BRAIN) WITH	$1,046.00	$1,046.00	$632.83–$993.70	9% below	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD (BRAIN) WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD (BRAIN) WITH/WITHOUT	$1,046.00	$1,046.00	$632.83–$993.70	17% below	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD (BRAIN) WITH/WITHOUT	$1,046.00	$1,046.00	$632.83–$993.70	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WITHOUT	$914.00	$914.00	$552.97–$868.30	19% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WITHOUT	$914.00	$914.00	$552.97–$868.30	9% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT SACRUM/COCCYX WITH	$1,046.00	$1,046.00	$632.83–$993.70	9% below	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH	$1,046.00	$1,046.00	$632.83–$993.70	9% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SACRUM/COCCYX WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER	$782.00	$782.00	$473.11–$742.90	6% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DOPPLER	$782.00	$782.00	$473.11–$742.90	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$280.00	$280.00	$169.40–$266.00	21% above	—
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS DAILY	$280.00	$280.00	$169.40–$266.00	21% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS DAILY	$280.00	$280.00	$169.40–$266.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$280.00	$280.00	$169.40–$266.00	—	—
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW DAILY	$230.00	$230.00	$139.15–$218.50	18% above	—
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$230.00	$230.00	$139.15–$218.50	18% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW DAILY	$230.00	$230.00	$139.15–$218.50	—	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$230.00	$230.00	$139.15–$218.50	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US URINARY TRACT	$309.00	$309.00	$186.94–$293.55	25% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US URINARY TRACT	$309.00	$309.00	$186.94–$293.55	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CDX BONE MINERAL DENSITY DEXA	$525.00	$525.00	$272.69–$498.75	67% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CDX BONE MINERAL DENSITY DEXA	$525.00	$525.00	$272.69–$498.75	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT (HIGH RESOLUTION)	$914.00	$914.00	$552.97–$868.30	5% below	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT	$914.00	$914.00	$552.97–$868.30	5% below	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT	$914.00	$914.00	$552.97–$868.30	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITHOUT (HIGH RESOLUTION)	$914.00	$914.00	$552.97–$868.30	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH	$1,046.00	$1,046.00	$632.83–$993.70	4% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH	$1,046.00	$1,046.00	$632.83–$993.70	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAM BILATERAL DIGITAL DIAGNOSTIC	$234.00	$234.00	$141.57–$222.30	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAM BILATERAL DIGITAL DIAGNOSTIC	$234.00	$234.00	$141.57–$222.30	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM UNILATERAL DIGITAL DIAGNOSTIC	$234.00	$234.00	$141.57–$222.30	18% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM UNILATERAL DIGITAL DIAGNOSTIC	$234.00	$234.00	$141.57–$222.30	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXTREMITY BILATERAL	$782.00	$782.00	$473.11–$742.90	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER EXTREMITY BILATERAL	$782.00	$782.00	$473.11–$742.90	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL	$881.00	$881.00	$533.00–$836.95	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS REFLUX BILATERAL	$958.00	$958.00	$579.59–$910.10	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL	$958.00	$958.00	$579.59–$910.10	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL	$881.00	$881.00	$533.00–$836.95	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL	$958.00	$958.00	$579.59–$910.10	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS REFLUX BILATERAL	$958.00	$958.00	$579.59–$910.10	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CARD ECHOCARDIOGRAM WITHOUT	$3,056.00	$3,056.00	$1,848.88–$2,903.20	58% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CARD ECHOCARDIOGRAM WITHOUT	$3,056.00	$3,056.00	$1,848.88–$2,903.20	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATND SIMUL RECORD HRT&O2	$383.00	$383.00	$231.72–$363.85	10% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATND SIMUL RECORD HRT&O2	$383.00	$383.00	$231.72–$363.85	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY AGE 6OR OLDER 4+ADD PARA	$2,318.00	$2,318.00	$1,402.39–$2,202.10	13% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY AGE 6OR OLDER 4+ADD PARA	$2,318.00	$2,318.00	$1,402.39–$2,202.10	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER/RUQ	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABDOMEN	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$309.00	$309.00	$183.11–$293.55	7% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER/RUQ	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABDOMEN	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PYLORUS	$309.00	$309.00	$183.11–$293.55	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX	$309.00	$309.00	$183.11–$293.55	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE LUNG SCREENING	$886.00	$886.00	$536.03–$841.70	50% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE LUNG SCREENING	$886.00	$886.00	$536.03–$841.70	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	at median	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE WITH/WITHOUT LEFT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE WITH/WITHOUT RIGHT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the abdomen without contrast CPT 74181 MRI CHOLANGIOPANCREATOGRAPHY	$854.00	$854.00	$516.67–$811.30	32% below	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	16% below	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI CHOLANGIOPANCREATOGRAPHY	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	29% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN (HEAD) WITHOUT	$854.00	$854.00	$516.67–$811.30	34% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN (HEAD) WITHOUT	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN (HEAD) WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	31% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN (HEAD) WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WITHOUT	$854.00	$854.00	$516.67–$811.30	30% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WITHOUT	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	33% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	7% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	30% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WITHOUT	$854.00	$854.00	$516.67–$811.30	25% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WITHOUT	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	28% below	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	28% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WITH/WITHOUT	$1,185.00	$1,185.00	$716.92–$1,125.75	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	7% below	—
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	7% below	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WITHOUT RIGHT	$854.00	$854.00	$516.67–$811.30	21% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WITHOUT LEFT	$854.00	$854.00	$516.67–$811.30	21% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	3% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	3% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	3% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	3% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER WITHOUT RIGHT	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER WITHOUT LEFT	$854.00	$854.00	$516.67–$811.30	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW WITHOUT LEFT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST WITHOUT RIGHT	$1,049.00	$1,049.00	$634.64–$996.55	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUC MYOCARDIAL SPECT MULTI EF WM	$2,730.00	$2,730.00	$1,651.65–$2,593.50	3% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NUC MYOCARDIAL SPECT MULTI EF WM	$2,730.00	$2,730.00	$1,651.65–$2,593.50	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$169.00	$169.00	$102.24–$169.00	47% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$169.00	$169.00	$102.24–$169.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$309.00	$309.00	$183.11–$293.55	11% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$309.00	$309.00	$183.11–$293.55	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB SONO GREATER THAN 14 WEEKS	$309.00	$309.00	$183.11–$293.55	17% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB SONO GREATER THAN 14 WEEKS	$309.00	$309.00	$183.11–$293.55	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB SONO LESS THAN 14 WEEKS	$309.00	$309.00	$183.11–$293.55	5% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB SONO LESS THAN 14 WEEKS	$309.00	$309.00	$183.11–$293.55	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$309.00	$309.00	$186.94–$293.55	1% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$309.00	$309.00	$186.94–$293.55	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPYY 6OR OLDER SLEEP STAGING	$2,085.00	$2,085.00	$1,261.42–$1,980.75	12% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPYY 6OR OLDER SLEEP STAGING	$2,085.00	$2,085.00	$1,261.42–$1,980.75	—	—
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL	$309.00	$309.00	$183.11–$293.55	3% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL	$309.00	$309.00	$183.11–$293.55	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US OB ENDOVAGINAL	$309.00	$309.00	$186.94–$293.55	11% below	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB ENDOVAGINAL	$309.00	$309.00	$186.94–$293.55	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN	$309.00	$309.00	$186.94–$293.55	28% below	—
Ultrasound of the abdomen, complete CPT 76700 US LIVER TRANSPLANT EVALUATIONS	$309.00	$309.00	$186.94–$293.55	28% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US LIVER TRANSPLANT EVALUATIONS	$309.00	$309.00	$186.94–$293.55	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN	$309.00	$309.00	$186.94–$293.55	—	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR (SCROTAL)	$309.00	$309.00	$183.11–$293.55	15% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR (SCROTAL)	$309.00	$309.00	$183.11–$293.55	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK SOFT TISSUE	$782.00	$782.00	$473.11–$742.90	30% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$782.00	$782.00	$473.11–$742.90	30% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$782.00	$782.00	$473.11–$742.90	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK SOFT TISSUE	$782.00	$782.00	$473.11–$742.90	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$250.00	$250.00	$151.25–$237.50	16% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$250.00	$250.00	$151.25–$237.50	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 3 VIEWS MAXIMUM	$324.00	$324.00	$196.02–$307.80	18% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 3 VIEWS MAXIMUM	$324.00	$324.00	$196.02–$307.80	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEWS MINIMUM	$461.00	$461.00	$278.90–$437.95	16% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4 VIEWS MINIMUM	$461.00	$461.00	$278.90–$437.95	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS MAXIMUM	$248.00	$248.00	$150.04–$235.60	12% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS MAXIMUM	$248.00	$248.00	$150.04–$235.60	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$275.00	$275.00	$166.38–$261.25	17% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$275.00	$275.00	$166.38–$261.25	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 3 VIEWS MAXIMUM	$297.00	$297.00	$179.68–$282.15	19% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 3 VIEWS MAXIMUM	$297.00	$297.00	$179.68–$282.15	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 2 VIEWS MAXIMUM	$235.00	$235.00	$142.18–$223.25	14% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 2 VIEWS MAXIMUM	$235.00	$235.00	$142.18–$223.25	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$266.00	$266.00	$160.93–$252.70	16% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX	$266.00	$266.00	$160.93–$252.70	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL ALT (SGPT)	$46.00	$46.00	$15.65–$43.70	24% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$46.00	$46.00	$15.65–$43.70	24% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$46.00	$46.00	$15.65–$43.70	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL ALT (SGPT)	$46.00	$46.00	$15.65–$43.70	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$25.00	$25.00	$15.12–$23.75	33% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST (SGOT)	$25.00	$25.00	$15.12–$23.75	33% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$25.00	$25.00	$15.12–$23.75	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL AST (SGOT)	$25.00	$25.00	$15.12–$23.75	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL HEPATITIS PANEL ACUTE	$263.00	$263.00	$159.12–$249.85	27% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL HEPATITIS PANEL ACUTE	$263.00	$263.00	$159.12–$249.85	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL PEANUT IGE w/REFLEX TO COMPONENTS	$27.00	$27.00	$16.34–$25.65	12% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN CHICKEN IGE	$42.00	$42.00	$21.37–$39.90	37% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL GLUTEN IGE	$82.00	$82.00	$21.37–$77.90	168% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN WALNUT IGE	$83.00	$83.00	$21.37–$78.85	172% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN STRAWBERRY IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN MILK COW IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN CAT DANDER IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN CODFISH IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN ORANGE IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN APPLE IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN CORN IGE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN CASEIN IgE	$87.00	$87.00	$21.37–$82.65	185% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE, EACH (86003) RL	$101.00	$101.00	$21.37–$95.95	231% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN BEEF IGE	$128.00	$128.00	$21.37–$121.60	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN LAMB IGE	$133.00	$133.00	$21.37–$126.35	335% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLERGEN PORK IGE	$133.00	$133.00	$21.37–$126.35	335% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL PEANUT IGE w/REFLEX TO COMPONENTS	$27.00	$27.00	$16.34–$25.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN CHICKEN IGE	$42.00	$42.00	$21.37–$39.90	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL GLUTEN IGE	$82.00	$82.00	$21.37–$77.90	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN WALNUT IGE	$83.00	$83.00	$21.37–$78.85	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN CORN IGE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN ORANGE IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN CODFISH IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN MILK COW IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN CAT DANDER IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN CASEIN IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN APPLE IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN STRAWBERRY IgE	$87.00	$87.00	$21.37–$82.65	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE, EACH (86003) RL	$101.00	$101.00	$21.37–$95.95	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN BEEF IGE	$128.00	$128.00	$21.37–$121.60	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN PORK IGE	$133.00	$133.00	$21.37–$126.35	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLERGEN LAMB IGE	$133.00	$133.00	$21.37–$126.35	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CYCLIC CITRULLINATED PEPTIDE AB	$176.00	$176.00	$38.28–$167.20	71% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL CYCLIC CITRULLINATED PEPTIDE AB	$176.00	$176.00	$38.28–$167.20	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANA PROFILE 12 REFLEX	$75.00	$75.00	$45.38–$71.25	7% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANA QUALI BY MULTIPLEX	$90.00	$90.00	$54.45–$85.50	28% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL ANA PROFILE 12 REFLEX	$75.00	$75.00	$45.38–$71.25	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL ANA QUALI BY MULTIPLEX	$90.00	$90.00	$54.45–$85.50	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-NATRIURETIC PEPTIDE DAILY	$100.00	$100.00	$60.50–$100.00	22% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-NATRIURETIC PEPTIDE	$126.00	$126.00	$76.23–$119.70	2% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL NT-PRO BNP	$248.00	$248.00	$100.34–$235.60	93% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-NATRIURETIC PEPTIDE DAILY	$100.00	$100.00	$60.50–$100.00	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-NATRIURETIC PEPTIDE	$126.00	$126.00	$76.23–$119.70	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL NT-PRO BNP	$248.00	$248.00	$100.34–$235.60	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL DAILY	$39.00	$39.00	$23.60–$37.05	52% below	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$39.00	$39.00	$23.60–$37.05	52% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL DAILY	$39.00	$39.00	$23.60–$37.05	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$39.00	$39.00	$23.60–$37.05	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV (88305)	$303.00	$303.00	$183.32–$287.85	32% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV (88305)	$303.00	$303.00	$183.32–$287.85	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE #1 - in house (FIRST SET)	$329.00	$329.00	$52.91–$312.55	338% above	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE #3 - in house (THIRD SET)	$329.00	$329.00	$52.91–$312.55	338% above	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE #2 - in house (SECOND SET)	$329.00	$329.00	$52.91–$312.55	338% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #1 - in house (FIRST SET)	$329.00	$329.00	$52.91–$312.55	—	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #2 - in house (SECOND SET)	$329.00	$329.00	$52.91–$312.55	—	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #3 - in house (THIRD SET)	$329.00	$329.00	$52.91–$312.55	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BB REFERENCE LAB PROCESSING FEE	$23.00	$23.00	$13.92–$21.85	28% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE FOR ALL LAB	$27.00	$27.00	$16.34–$25.65	50% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PROCESSING FEE	$28.00	$28.00	$16.60–$26.60	56% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PROCESSING FEE-INSURANCE PHY	$71.00	$71.00	$16.60–$67.45	294% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BB REFERENCE LAB PROCESSING FEE	$23.00	$23.00	$13.92–$21.85	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING FEE FOR ALL LAB	$27.00	$27.00	$16.34–$25.65	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PROCESSING FEE	$28.00	$28.00	$16.60–$26.60	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PROCESSING FEE-INSURANCE PHY	$71.00	$71.00	$16.60–$67.45	—	—
Blood glucose (sugar) test CPT 82947 RL FASTING GLUCOSE	$18.00	$18.00	$10.89–$17.10	43% below	—
Blood glucose (sugar) test CPT 82947 POSTPRANDIAL GLUCOSE	$18.00	$18.00	$10.89–$17.10	43% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANTITATIVE	$18.00	$18.00	$10.89–$17.10	43% below	—
Blood glucose (sugar) test CPT 82947 FASTING GLUCOSE	$18.00	$18.00	$10.89–$17.10	43% below	—
Blood glucose (sugar) test inpatient CPT 82947 POSTPRANDIAL GLUCOSE	$18.00	$18.00	$10.89–$17.10	—	—
Blood glucose (sugar) test inpatient CPT 82947 RL FASTING GLUCOSE	$18.00	$18.00	$10.89–$17.10	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANTITATIVE	$18.00	$18.00	$10.89–$17.10	—	—
Blood glucose (sugar) test inpatient CPT 82947 FASTING GLUCOSE	$18.00	$18.00	$10.89–$17.10	—	—
Blood lead test CPT 83655 RL LEAD/CREAT RATIO, RANDOM URINE	$36.00	$36.00	$21.78–$34.20	29% below	—
Blood lead test CPT 83655 RL LEAD PEDIA	$80.00	$80.00	$33.56–$76.00	57% above	—
Blood lead test inpatient CPT 83655 RL LEAD/CREAT RATIO, RANDOM URINE	$36.00	$36.00	$21.78–$34.20	—	—
Blood lead test inpatient CPT 83655 RL LEAD PEDIA	$80.00	$80.00	$33.56–$76.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$75.00	$75.00	$45.38–$71.25	31% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM	$75.00	$75.00	$45.38–$71.25	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPE - ABO ONLY	$353.00	$353.00	$213.56–$335.35	291% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO	$353.00	$353.00	$213.56–$335.35	291% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPE - ABO ONLY	$353.00	$353.00	$213.56–$335.35	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO	$353.00	$353.00	$213.56–$335.35	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$54.00	$54.00	$32.67–$51.30	12% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$54.00	$54.00	$32.67–$51.30	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF TOX, AMP PROBE (87493)	$126.00	$126.00	$76.23–$119.70	15% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF TOXIN B BY PCR	$133.00	$133.00	$80.46–$126.35	21% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF TOX, AMP PROBE (87493)	$126.00	$126.00	$76.23–$119.70	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL C DIFF TOXIN B BY PCR	$133.00	$133.00	$80.46–$126.35	—	—
CA 19-9 blood test (tumor marker) CPT 86301 RL CA 19-9	$193.00	$193.00	$75.09–$183.35	85% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL CA 19-9	$193.00	$193.00	$75.09–$183.35	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 RL CA-125	$112.00	$112.00	$67.76–$106.40	22% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL CA-125	$112.00	$112.00	$67.76–$106.40	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL 2019 CORONAVIRUS SARS COV 2 AMS	$182.00	$182.00	$110.11–$172.90	33% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 CEPHEID (IN-HOUSE)	$212.00	$212.00	$128.26–$201.40	55% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 ACCULA PCR	$239.00	$239.00	$144.60–$227.05	75% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS COV2 RNA QUALI RT PCR (87635) RL	$182.00	$182.00	$110.11–$172.90	33% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL 2019 CORONAVIRUS SARS COV 2 AMS	$182.00	$182.00	$110.11–$172.90	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 CEPHEID (IN-HOUSE)	$212.00	$212.00	$128.26–$201.40	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 ACCULA PCR	$239.00	$239.00	$144.60–$227.05	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS COV2 RNA QUALI RT PCR (87635) RL	$182.00	$182.00	$110.11–$172.90	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOM AMP PROBE (87491) RL	$116.00	$116.00	$70.18–$110.20	2% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOM AMP PROBE (87491) RL	$116.00	$116.00	$70.18–$110.20	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$88.00	$88.00	$53.24–$83.60	1% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$88.00	$88.00	$53.24–$83.60	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED (CHARGE ONLY)	$38.00	$38.00	$18.40–$36.10	6% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED (CHARGE ONLY)	$38.00	$38.00	$18.40–$36.10	—	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMAGRAM	$30.00	$30.00	$18.15–$28.50	32% below	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMAGRAM DAILY	$30.00	$30.00	$18.15–$28.50	32% below	—
Complete blood count (CBC), no differential CPT 85027 CBC	$35.00	$35.00	$19.15–$33.25	21% below	—
Complete blood count (CBC), no differential CPT 85027 CBC W/MAN DIFF (CHARGE ONLY)	$50.00	$50.00	$19.15–$47.50	13% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMAGRAM DAILY	$30.00	$30.00	$18.15–$28.50	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMAGRAM	$30.00	$30.00	$18.15–$28.50	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$35.00	$35.00	$19.15–$33.25	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/MAN DIFF (CHARGE ONLY)	$50.00	$50.00	$19.15–$47.50	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL MWF	$46.00	$46.00	$27.83–$43.70	56% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$46.00	$46.00	$27.83–$43.70	56% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL MON THURS	$46.00	$46.00	$27.83–$43.70	56% below	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL DAILY	$46.00	$46.00	$27.83–$43.70	56% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$46.00	$46.00	$27.83–$43.70	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL MWF	$46.00	$46.00	$27.83–$43.70	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL DAILY	$46.00	$46.00	$27.83–$43.70	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL MON THURS	$46.00	$46.00	$27.83–$43.70	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (QUANTITATIVE)	$147.00	$147.00	$88.94–$139.65	27% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (QUANTITATIVE)	$147.00	$147.00	$88.94–$139.65	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 RL DHEA-S	$162.00	$162.00	$98.01–$153.90	26% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 RL DHEA-S	$162.00	$162.00	$98.01–$153.90	—	—
Estradiol blood test CPT 82670 RL ESTRADIOL	$194.00	$194.00	$117.37–$184.30	15% above	—
Estradiol blood test inpatient CPT 82670 RL ESTRADIOL	$194.00	$194.00	$117.37–$184.30	—	—
FSH (follicle-stimulating hormone) test CPT 83001 RL FSH	$143.00	$143.00	$86.52–$135.85	24% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL FSH	$143.00	$143.00	$86.52–$135.85	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 RL CALPROTECTIN FECAL	$299.00	$299.00	$33.83–$284.05	31% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL CALPROTECTIN FECAL	$299.00	$299.00	$33.83–$284.05	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$105.00	$105.00	$63.52–$99.75	21% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN DAILY	$105.00	$105.00	$63.52–$99.75	21% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN DAILY	$105.00	$105.00	$63.52–$99.75	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$105.00	$105.00	$63.52–$99.75	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$125.00	$125.00	$75.62–$118.75	27% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$125.00	$125.00	$75.62–$118.75	—	—
Free T3 thyroid hormone test CPT 84481 FREE T-3	$146.00	$146.00	$88.33–$138.70	14% above	—
Free T3 thyroid hormone test CPT 84481 RL FREE T-3	$171.00	$171.00	$103.46–$162.45	33% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T-3	$146.00	$146.00	$88.33–$138.70	—	—
Free T3 thyroid hormone test inpatient CPT 84481 RL FREE T-3	$171.00	$171.00	$103.46–$162.45	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4	$62.00	$62.00	$37.51–$58.90	at median	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4	$62.00	$62.00	$37.51–$58.90	—	—
Free testosterone test CPT 84402 RL TESTOSTERONE FREE	$253.00	$253.00	$149.67–$240.35	77% above	—
Free testosterone test inpatient CPT 84402 RL TESTOSTERONE FREE	$253.00	$253.00	$149.67–$240.35	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$40.00	$40.00	$24.20–$38.00	17% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$40.00	$40.00	$24.20–$38.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE - 3SPEC	$96.00	$96.00	$58.08–$91.20	4% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE - 3SPEC	$96.00	$96.00	$58.08–$91.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRH AMP PROBE (87591) RL	$39.00	$39.00	$23.60–$39.00	62% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA GONORRHOEAE (AMP PROBE)	$151.00	$151.00	$91.36–$143.45	48% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRH AMP PROBE (87591) RL	$39.00	$39.00	$23.60–$39.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL NEISSERIA GONORRHOEAE (AMP PROBE)	$151.00	$151.00	$91.36–$143.45	—	—
H. pylori antibody blood test CPT 86677 RL HELICOBACTER IGG	$80.00	$80.00	$48.40–$76.00	26% above	—
H. pylori antibody blood test inpatient CPT 86677 RL HELICOBACTER IGG	$80.00	$80.00	$48.40–$76.00	—	—
H. pylori stool antigen test CPT 87338 RL H PYLORI ANTIGEN, STOOL	$82.00	$82.00	$42.95–$77.90	25% below	—
H. pylori stool antigen test inpatient CPT 87338 RL H PYLORI ANTIGEN, STOOL	$82.00	$82.00	$42.95–$77.90	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA, QNT PCR	$239.00	$239.00	$144.60–$239.00	25% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QNT INCL REVERSE TRANSC(87536) RL	$366.00	$366.00	$221.43–$347.70	15% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV-1 RNA, QNT PCR	$239.00	$239.00	$144.60–$239.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QNT INCL REVERSE TRANSC(87536) RL	$366.00	$366.00	$221.43–$347.70	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV AB/HIV P24 AG WITH REFLEX	$227.00	$227.00	$82.68–$215.65	143% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL HIV AB/HIV P24 AG WITH REFLEX	$227.00	$227.00	$82.68–$215.65	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$74.00	$74.00	$44.77–$70.30	11% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$74.00	$74.00	$44.77–$70.30	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEPATITIS B SURFACE ANTIBODY	$93.00	$93.00	$56.26–$88.35	28% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL HEPATITIS B SURFACE ANTIBODY	$93.00	$93.00	$56.26–$88.35	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN	$50.00	$50.00	$30.25–$47.50	16% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL HEPATITIS B SURFACE ANTIGEN	$50.00	$50.00	$30.25–$47.50	—	—
Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C VIRUS ANTIBODY	$91.00	$91.00	$55.06–$86.45	20% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL HEPATITIS C VIRUS ANTIBODY	$91.00	$91.00	$55.06–$86.45	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 RL HCV RNA PCR (QUANTITATIVE)	$116.00	$116.00	$70.18–$116.00	56% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL HCV RNA PCR (QUANTITATIVE)	$116.00	$116.00	$70.18–$116.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 ANTIBODY, EACH (86695) RL	$147.00	$147.00	$87.51–$139.65	55% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 ANTIBODY, EACH (86695) RL	$147.00	$147.00	$87.51–$139.65	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 ANTIBODY, EACH (86696) RL	$112.00	$112.00	$67.76–$106.40	28% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 ANTIBODY, EACH (86696) RL	$112.00	$112.00	$67.76–$106.40	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 RL CRP HIGH SENSITIVITY	$123.00	$123.00	$74.42–$116.85	36% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL CRP HIGH SENSITIVITY	$123.00	$123.00	$74.42–$116.85	—	—
Homocysteine blood test CPT 83090 RL HOMOCYSTEINE	$320.00	$320.00	$193.60–$304.00	46% above	—
Homocysteine blood test inpatient CPT 83090 RL HOMOCYSTEINE	$320.00	$320.00	$193.60–$304.00	—	—
Insulin blood test CPT 83525 RL INSULIN LEVEL	$102.00	$102.00	$61.71–$96.90	26% above	—
Insulin blood test inpatient CPT 83525 RL INSULIN LEVEL	$102.00	$102.00	$61.71–$96.90	—	—
Iron blood test (serum iron) CPT 83540 IRON TOTAL	$53.00	$53.00	$32.06–$50.35	21% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL	$53.00	$53.00	$32.06–$50.35	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$85.00	$85.00	$51.42–$80.75	33% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$85.00	$85.00	$51.42–$80.75	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$40.00	$40.00	$24.20–$38.00	44% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$40.00	$40.00	$24.20–$38.00	—	—
LH (luteinizing hormone) test CPT 83002 RL LH	$140.00	$140.00	$84.70–$133.00	25% above	—
LH (luteinizing hormone) test inpatient CPT 83002 RL LH	$140.00	$140.00	$84.70–$133.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$59.00	$59.00	$35.70–$56.05	6% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$59.00	$59.00	$35.70–$56.05	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$67.00	$67.00	$40.54–$63.65	18% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$67.00	$67.00	$40.54–$63.65	—	—
Lyme disease antibody test CPT 86618 RL LYME DISEASE SCREEN EIA	$157.00	$157.00	$94.98–$149.15	29% above	—
Lyme disease antibody test inpatient CPT 86618 RL LYME DISEASE SCREEN EIA	$157.00	$157.00	$94.98–$149.15	—	—
Magnesium blood test CPT 83735 MAGNESIUM MON THUR	$54.00	$54.00	$32.67–$51.30	4% above	—
Magnesium blood test CPT 83735 MAGNESIUM	$54.00	$54.00	$32.67–$51.30	4% above	—
Magnesium blood test CPT 83735 RL MAGNESIUM RANDOM URINE	$54.00	$54.00	$32.67–$51.30	4% above	—
Magnesium blood test CPT 83735 MAGNESIUM DAILY	$54.00	$54.00	$32.67–$51.30	4% above	—
Magnesium blood test CPT 83735 RL MAGNESIUM, RBC	$149.00	$149.00	$35.61–$141.55	187% above	—
Magnesium blood test inpatient CPT 83735 RL MAGNESIUM RANDOM URINE	$54.00	$54.00	$32.67–$51.30	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$54.00	$54.00	$32.67–$51.30	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM MON THUR	$54.00	$54.00	$32.67–$51.30	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM DAILY	$54.00	$54.00	$32.67–$51.30	—	—
Magnesium blood test inpatient CPT 83735 RL MAGNESIUM, RBC	$149.00	$149.00	$35.61–$141.55	—	—
Measles (rubeola) antibody test CPT 86765 RL MEASLES IGM	$112.00	$112.00	$67.76–$106.40	17% above	—
Measles (rubeola) antibody test CPT 86765 RL MEASLES IGG	$112.00	$112.00	$67.76–$106.40	17% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA TITER	$138.00	$138.00	$83.49–$131.10	44% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RL MEASLES IGM	$112.00	$112.00	$67.76–$106.40	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RL MEASLES IGG	$112.00	$112.00	$67.76–$106.40	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA TITER	$138.00	$138.00	$83.49–$131.10	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$40.00	$40.00	$24.20–$38.00	10% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$40.00	$40.00	$24.20–$38.00	—	—
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$180.00	$180.00	$108.90–$171.00	3% above	—
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$180.00	$180.00	$108.90–$171.00	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA (84154) REFLEXED RL	$138.00	$138.00	$72.87–$131.10	50% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA (84154) REFLEXED RL	$138.00	$138.00	$72.87–$131.10	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-DIAGNOSTIC	$141.00	$141.00	$85.30–$133.95	35% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA-DIAGNOSTIC	$141.00	$141.00	$85.30–$133.95	—	—
Parathyroid hormone (PTH) blood test CPT 83970 RL PTH INTACT	$314.00	$314.00	$189.97–$298.30	54% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL PTH INTACT	$314.00	$314.00	$189.97–$298.30	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAS TIME PARTIAL/PTT (85730) RL	$48.00	$48.00	$29.04–$45.60	11% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT DAILY	$50.00	$50.00	$30.25–$47.50	16% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$61.00	$61.00	$31.04–$57.95	41% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAS TIME PARTIAL/PTT (85730) RL	$48.00	$48.00	$29.04–$45.60	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT DAILY	$50.00	$50.00	$30.25–$47.50	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$61.00	$61.00	$31.04–$57.95	—	—
Progesterone blood test CPT 84144 RL PROGESTERONE	$144.00	$144.00	$87.12–$136.80	29% above	—
Progesterone blood test inpatient CPT 84144 RL PROGESTERONE	$144.00	$144.00	$87.12–$136.80	—	—
Prolactin blood test CPT 84146 RL PROLACTIN	$162.00	$162.00	$98.01–$153.90	27% above	—
Prolactin blood test inpatient CPT 84146 RL PROLACTIN	$162.00	$162.00	$98.01–$153.90	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/INR	$35.00	$35.00	$21.18–$33.25	12% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR MWF	$37.00	$37.00	$22.15–$35.15	19% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR DAILY	$37.00	$37.00	$22.15–$35.15	19% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME W/INR	$35.00	$35.00	$21.18–$33.25	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR DAILY	$37.00	$37.00	$22.15–$35.15	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR MWF	$37.00	$37.00	$22.15–$35.15	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN/12-MEDICAL (IN-HOUSE)	$61.00	$61.00	$36.90–$57.95	9% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG ABUSE PROFILE	$116.00	$116.00	$38.78–$110.20	107% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN/12-MEDICAL (IN-HOUSE)	$61.00	$61.00	$36.90–$57.95	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG ABUSE PROFILE	$116.00	$116.00	$38.78–$110.20	—	—
Rheumatoid factor (RF) test CPT 86431 RL RHEUMATOID FACTOR	$49.00	$49.00	$29.64–$46.55	1% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RL RHEUMATOID FACTOR	$49.00	$49.00	$29.64–$46.55	—	—
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG	$62.00	$62.00	$37.51–$58.90	4% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA IGG	$62.00	$62.00	$37.51–$58.90	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$29.00	$29.00	$17.54–$27.55	10% below	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE DAILY	$29.00	$29.00	$17.54–$27.55	10% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE DAILY	$29.00	$29.00	$17.54–$27.55	—	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE	$29.00	$29.00	$17.54–$27.55	—	—
Stool ova and parasites exam CPT 87177 RL OVA & PARASITE EXAM	$115.00	$115.00	$43.27–$109.25	77% above	—
Stool ova and parasites exam inpatient CPT 87177 RL OVA & PARASITE EXAM	$115.00	$115.00	$43.27–$109.25	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD-SCREENING COLON CA	$70.00	$70.00	$17.09–$66.50	159% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD-SCREENING COLON CA	$70.00	$70.00	$17.09–$66.50	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD #3	$64.00	$64.00	$38.72–$60.80	25% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD #2	$64.00	$64.00	$38.72–$60.80	25% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD DX - outpatient	$70.00	$70.00	$42.35–$66.50	37% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD #3	$64.00	$64.00	$38.72–$60.80	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD #2	$64.00	$64.00	$38.72–$60.80	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD DX - outpatient	$70.00	$70.00	$42.35–$66.50	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL QUANTIFERON TB GOLD PLUS	$222.00	$222.00	$134.31–$210.90	15% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL QUANTIFERON TB GOLD PLUS	$222.00	$222.00	$134.31–$210.90	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 RL TESTOSTERONE TOTAL	$181.00	$181.00	$109.50–$171.95	25% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$211.00	$211.00	$127.66–$200.45	46% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL TESTOSTERONE TOTAL	$181.00	$181.00	$109.50–$171.95	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$211.00	$211.00	$127.66–$200.45	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 RL THYROPEROXIDASE AB	$92.00	$92.00	$55.66–$87.40	17% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES, EACH (86376) RL	$97.00	$97.00	$58.68–$92.15	24% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 RL THYROID AUTOANTIBODIES +	$101.00	$101.00	$61.10–$95.95	29% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 RL LKM-1 AB	$101.00	$101.00	$61.10–$95.95	29% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL THYROPEROXIDASE AB	$92.00	$92.00	$55.66–$87.40	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES, EACH (86376) RL	$97.00	$97.00	$58.68–$92.15	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL LKM-1 AB	$101.00	$101.00	$61.10–$95.95	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL THYROID AUTOANTIBODIES +	$101.00	$101.00	$61.10–$95.95	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$75.00	$75.00	$45.38–$71.25	15% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$75.00	$75.00	$45.38–$71.25	—	—
Uric acid blood test CPT 84550 URIC ACID	$32.00	$32.00	$19.36–$30.40	12% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$32.00	$32.00	$19.36–$30.40	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NON-AUTOMATED (81000)	$32.00	$32.00	$19.36–$30.40	34% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NON-AUTOMATED (81000)	$32.00	$32.00	$19.36–$30.40	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS-DIPSTICK w/o MICRO (81002)	$22.00	$22.00	$13.31–$20.90	24% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS-DIPSTICK w/o MICRO (81002)	$22.00	$22.00	$13.31–$20.90	—	—
Urine culture for bacteria, with colony count CPT 87086 RL CULTURE URINE	$62.00	$62.00	$37.51–$58.90	17% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 RL CULTURE URINE	$62.00	$62.00	$37.51–$58.90	—	—
Urine pregnancy test, read by color change CPT 81025 URINE HCG QUALITATIVE	$55.00	$55.00	$33.28–$52.25	19% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG QUALITATIVE	$55.00	$55.00	$33.28–$52.25	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 B-12	$117.00	$117.00	$70.78–$111.15	33% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12	$117.00	$117.00	$70.78–$111.15	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$373.00	$373.00	$225.66–$354.35	50% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$373.00	$373.00	$225.66–$354.35	—	—
Zinc blood test CPT 84630 RL ZINC SERUM	$59.00	$59.00	$35.70–$56.05	1% above	—
Zinc blood test inpatient CPT 84630 RL ZINC SERUM	$59.00	$59.00	$35.70–$56.05	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL BETA HCG TUMOR MARKER	$101.00	$101.00	$61.10–$95.95	3% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$105.00	$105.00	$63.52–$99.75	8% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG QUANTITATIVE	$123.00	$123.00	$74.42–$116.85	26% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL BETA HCG TUMOR MARKER	$101.00	$101.00	$61.10–$95.95	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$105.00	$105.00	$63.52–$99.75	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL HCG QUANTITATIVE	$123.00	$123.00	$74.42–$116.85	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TREAT DIST FIB FRAC LAT MALL W/OUT	$2,370.00	$2,370.00	$1,433.85–$2,251.50	446% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACT WO	$2,818.00	$2,818.00	$1,704.89–$2,677.10	679% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,068.00	$1,068.00	$646.14–$1,014.60	86% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,068.00	$1,068.00	$646.14–$1,014.60	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 IMMOBILIZATION OF L LOWER ARM USING	$2,241.00	$2,241.00	$413.04–$2,128.95	406% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 IMMOBILIZATION OF L LOWER ARM USING	$2,241.00	$2,241.00	$413.04–$2,128.95	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W SNARE (DX)	$3,391.00	$3,391.00	$2,030.23–$3,221.45	184% above	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W SNARE (SN-DX)	$3,391.00	$3,391.00	$2,030.23–$3,221.45	184% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W SNARE (SN-DX)	$3,391.00	$3,391.00	$2,030.23–$3,221.45	—	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W SNARE (DX)	$3,391.00	$3,391.00	$2,030.23–$3,221.45	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY SN-DX W BIOPSY	$2,637.00	$2,637.00	$1,595.38–$2,505.15	74% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY SN-DX W BIOPSY	$2,637.00	$2,637.00	$1,595.38–$2,505.15	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DX W SPECIMEN	$3,671.00	$3,671.00	$1,819.79–$3,487.45	308% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DX W SPECIMEN	$3,671.00	$3,671.00	$1,819.79–$3,487.45	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED EARWAX BY IRRIGATION/LAVAGE	$831.00	$831.00	$502.76–$807.89	883% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PRO CERVICAL EPIDURAL STER INJ W/ FLUO	$877.00	$877.00	$530.58–$877.00	23% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 THORACIC EPID STER INJ W/FLUOROSCOPY	$1,603.00	$1,603.00	$969.82–$1,572.83	41% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL EPIDURAL STER INJ W/ FLUO	$1,603.00	$1,603.00	$969.82–$1,572.83	41% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PRO CERVICAL EPIDURAL STER INJ W/ FLUO	$877.00	$877.00	$530.58–$877.00	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERVICAL EPIDURAL STER INJ W/ FLUO	$1,603.00	$1,603.00	$969.82–$1,572.83	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 THORACIC EPID STER INJ W/FLUOROSCOPY	$1,603.00	$1,603.00	$969.82–$1,572.83	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PRO INJ PARAVERT FACET W IMAGE GUID LV 1	$733.00	$733.00	$443.46–$1,532.96	20% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJEC PARAVERT FACET W IMAGE GUIDANCE	$988.00	$988.00	$597.74–$1,532.96	8% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJEC PARAVERT FACET W IMAGE GUID LV 3	$1,463.00	$1,463.00	$885.12–$1,532.96	60% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PRO INJ PARAVERT FACET W IMAGE GUID LV 1	$733.00	$733.00	$443.46–$1,532.96	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJEC PARAVERT FACET W IMAGE GUIDANCE	$988.00	$988.00	$597.74–$1,532.96	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJEC PARAVERT FACET W IMAGE GUID LV 3	$1,463.00	$1,463.00	$885.12–$1,532.96	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDSCOPY DIAG W SPEC BY BRUSH	$1,661.00	$1,661.00	$1,004.90–$1,577.95	105% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDSCOPY DIAG W SPEC BY BRUSH	$1,661.00	$1,661.00	$1,004.90–$1,577.95	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUB BAND LIGAT	$2,647.00	$2,647.00	$1,601.44–$2,514.65	202% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUB BAND LIGAT	$2,647.00	$2,647.00	$1,601.44–$2,514.65	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABCESS	$620.00	$620.00	$342.14–$589.00	184% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON LIGAMENT INJECTION	$262.00	$262.00	$158.51–$248.90	58% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON LIGAMENT INJECTION	$262.00	$262.00	$158.51–$248.90	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PRO INJ OF MAJOR JOINT/BURSA	$711.00	$711.00	$430.16–$508.28	168% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION OF MAJOR JOINT/BURSA	$711.00	$711.00	$430.16–$675.45	168% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PRO INJ OF MAJOR JOINT/BURSA	$711.00	$711.00	$430.16–$508.28	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION OF MAJOR JOINT/BURSA	$711.00	$711.00	$430.16–$675.45	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PRO ARTHROCENT INTER JOINT/BURSA PMGMT	$180.00	$180.00	$108.90–$508.28	19% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT INTER JOINT/BURSA PAIN MGMT	$511.00	$511.00	$309.16–$508.28	131% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP&INJ INTERM JT/BURS W/O US	$571.00	$571.00	$345.46–$542.45	158% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PRO ARTHROCENT INTER JOINT/BURSA PMGMT	$180.00	$180.00	$108.90–$508.28	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT INTER JOINT/BURSA PAIN MGMT	$511.00	$511.00	$309.16–$508.28	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP&INJ INTERM JT/BURS W/O US	$571.00	$571.00	$345.46–$542.45	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PRO ARTHROCENT ASP INJ SM JT WO US PMGMT	$188.00	$188.00	$113.74–$508.28	7% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP INJ SM JT WO US PAIN MGMT	$538.00	$538.00	$325.49–$511.10	167% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP*INJ SMALL JT BURSA W/O US	$538.00	$538.00	$325.49–$511.10	167% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PRO ARTHROCENT ASP INJ SM JT WO US PMGMT	$188.00	$188.00	$113.74–$508.28	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP INJ SM JT WO US PAIN MGMT	$538.00	$538.00	$325.49–$511.10	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP*INJ SMALL JT BURSA W/O US	$538.00	$538.00	$325.49–$511.10	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WOUND INT REP 25 CM OR LESS S A T E	$1,550.00	$1,550.00	$621.49–$1,472.50	323% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SUTURE INT REP 25 CM OR LESS S A T E	$2,167.00	$2,167.00	$621.49–$2,058.65	491% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SUTURE INT REP 25 CM OR LESS S A T E	$2,167.00	$2,167.00	$621.49–$2,058.65	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR EPIDUR STEROID INJ W/FLUORO	$1,603.00	$1,603.00	$969.82–$1,572.83	37% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR EPIDUR STEROID INJ W/FLUORO	$1,603.00	$1,603.00	$969.82–$1,572.83	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION SINGLE-NON IND CATH	$1,176.00	$1,176.00	$711.48–$1,117.20	55% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION SINGLE-NON IND CATH	$1,176.00	$1,176.00	$711.48–$1,117.20	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA$STRD TFRM EPI LUM/SACR 1LEV 1 SID	$913.00	$913.00	$552.36–$1,532.96	3% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR TRANSFORAMINAL INJ W/ FLUORO	$975.00	$975.00	$589.88–$1,532.96	4% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SELECTIVE NERVE BLOCK W FLUORO LUMBAR	$975.00	$975.00	$589.88–$1,532.96	4% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA$STRD TFRM EPI LUM/SACR 1LEV 1 SID	$913.00	$913.00	$552.36–$1,532.96	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR TRANSFORAMINAL INJ W/ FLUORO	$975.00	$975.00	$589.88–$1,532.96	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SELECTIVE NERVE BLOCK W FLUORO LUMBAR	$975.00	$975.00	$589.88–$1,532.96	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF LESION 05 CM OR LESS	$960.00	$960.00	$580.80–$1,211.50	408% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 REMOVAL OF LESION 05 CM OR LESS	$960.00	$960.00	$580.80–$1,211.50	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PART/COMP SIMPLE 1	$175.00	$175.00	$105.88–$342.14	24% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PART/COMP SIMPLE 1	$175.00	$175.00	$105.88–$342.14	—	—
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK	$552.00	$552.00	$333.96–$524.40	53% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK	$552.00	$552.00	$333.96–$524.40	—	—
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS W GUIDANCE	$1,204.00	$1,204.00	$728.42–$1,614.36	61% above	—
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS W GUIDANCE	$1,204.00	$1,204.00	$728.42–$1,614.36	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL	$958.00	$958.00	$579.59–$910.10	151% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL	$958.00	$958.00	$579.59–$910.10	—	—
Removal of a foreign object under the skin, simple CPT 10120 INCISN & REMOVAL/FOREIGN BODY	$1,774.00	$1,774.00	$1,073.27–$1,685.30	558% above	—
Removal of a foreign object under the skin, simple CPT 10120 INCISN & REMOVAL/FOREIGN BODY IN ER	$1,774.00	$1,774.00	$1,073.27–$1,685.30	558% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISN & REMOVAL/FOREIGN BODY	$1,774.00	$1,774.00	$1,073.27–$1,685.30	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCREENING	$2,011.00	$2,011.00	$1,216.66–$1,910.45	112% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCREENING	$2,011.00	$2,011.00	$1,216.66–$1,910.45	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCREEN HIGH RISK	$2,011.00	$2,011.00	$1,216.66–$1,910.45	98% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY SCREEN HIGH RISK	$2,011.00	$2,011.00	$1,216.66–$1,910.45	—	—
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ELBOW TO FINGER	$727.00	$727.00	$439.84–$690.65	209% above	—
Short arm splint (forearm and hand) CPT 29125 APP SHRT ARM SPLINT FOREARM-HAND STATIC	$375.00	$375.00	$226.88–$356.25	114% above	—
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$540.00	$540.00	$326.70–$513.00	124% above	—
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT	$371.00	$371.00	$224.46–$352.45	121% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR 25 CM OR LESS S N A EG	$620.00	$620.00	$375.10–$589.00	159% above	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOP SKIN SNGL LESION SIMPLE CLOSE	$1,291.00	$1,291.00	$687.94–$1,226.45	238% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOP SKIN SNGL LESION SIMPLE CLOSE	$1,291.00	$1,291.00	$687.94–$1,226.45	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WOUND REPAIR 26 CM TO 75 CM S N A EG	$681.00	$681.00	$412.00–$646.95	143% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WOUND REPAIR 25 CM OR LESS F E E N L	$707.00	$707.00	$427.74–$671.65	153% above	—
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS WITH GUIDANCE	$1,825.00	$1,825.00	$1,104.12–$1,733.75	108% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS WITH GUIDANCE	$1,825.00	$1,825.00	$1,104.12–$1,733.75	—	—
Trigger finger release surgery CPT 26055 TRIGGER FINGER RELEASE	$1,774.00	$1,774.00	$1,073.27–$2,755.70	20% above	—
Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER RELEASE	$1,774.00	$1,774.00	$1,073.27–$2,755.70	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION	$517.00	$517.00	$312.78–$491.15	151% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 PERIFORMIS INJECT W FLUORSCOPY 1-2 MUSCL	$517.00	$517.00	$312.78–$491.15	151% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 PIRIFORMIS INJECTIONS W FLUOROSCOPY	$517.00	$517.00	$312.78–$491.15	151% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION	$517.00	$517.00	$312.78–$491.15	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PIRIFORMIS INJECTIONS W FLUOROSCOPY	$517.00	$517.00	$312.78–$491.15	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY FULG OF OVIDUCTS	$9,396.00	$9,396.00	$5,684.58–$10,046.04	95% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY FULG OF OVIDUCTS	$9,396.00	$9,396.00	$5,684.58–$10,046.04	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W DILATION LESS THAN 30 MM	$3,298.00	$3,298.00	$1,995.29–$3,266.38	83% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W DILATION LESS THAN 30 MM	$3,298.00	$3,298.00	$1,995.29–$3,266.38	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPE W/BIOPSY	$2,345.00	$2,345.00	$1,418.72–$2,227.75	77% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GASTROSCOPE W/BIOPSY	$2,345.00	$2,345.00	$1,418.72–$2,227.75	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD/GASTROSCOPE	$2,345.00	$2,345.00	$1,418.72–$2,227.75	93% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD/GASTROSCOPE	$2,345.00	$2,345.00	$1,418.72–$2,227.75	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESION <=14 LESS	$1,622.00	$1,622.00	$342.14–$981.31	766% above	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION<=14 LES	$1,622.00	$1,622.00	$342.14–$1,540.90	766% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESION <=14 LESS	$1,622.00	$1,622.00	$342.14–$981.31	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT </= 20 CM SURG	$518.00	$518.00	$313.39–$518.00	61% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20SQ CM<	$697.00	$697.00	$421.68–$662.15	116% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT </= 20 CM SURG	$518.00	$518.00	$313.39–$518.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20SQ CM<	$697.00	$697.00	$421.68–$662.15	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$812.00	$812.00	$491.26–$771.40	42% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$812.00	$812.00	$491.26–$771.40	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT PRES NONPRESS AIR OBSTUC AEROSOL	$184.00	$184.00	$111.32–$184.00	58% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT PRESS NONPRESS AIR OBST 2ND MED	$184.00	$184.00	$111.32–$184.00	58% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT PRES NONPRESS AIR OBSTRUC INITIAL	$367.00	$367.00	$222.04–$349.93	215% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT PRESS NON PRESS INHAL TRT ACT AIR OBS	$367.00	$367.00	$222.04–$349.93	215% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT PRESS NONPRESS AIR OBST 2ND MED	$184.00	$184.00	$111.32–$184.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT PRES NONPRESS AIR OBSTUC AEROSOL	$184.00	$184.00	$111.32–$184.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT PRESS NON PRESS INHAL TRT ACT AIR OBS	$367.00	$367.00	$222.04–$349.93	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT PRES NONPRESS AIR OBSTRUC INITIAL	$367.00	$367.00	$222.04–$349.93	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMN IV INFUS INIT (OP)	$334.00	$334.00	$202.07–$334.00	15% below	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMN IV INFUS INIT (ER)	$531.00	$531.00	$321.26–$504.45	35% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARD ELECTROCARDIOGRAM FOR INSURANCE PHY	$80.00	$80.00	$48.40–$80.00	52% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARD ELECTROCARDIOGRAM	$335.00	$335.00	$202.68–$318.25	101% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CARD ELECTROCARDIOGRAM FOR INSURANCE PHY	$80.00	$80.00	$48.40–$80.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CARD ELECTROCARDIOGRAM	$335.00	$335.00	$202.68–$318.25	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER - LEVEL 1	$315.00	$315.00	$190.58–$299.25	131% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER - LEVEL 2	$493.00	$493.00	$298.26–$468.35	140% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER - LEVEL 3	$758.00	$758.00	$458.59–$720.10	171% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER - LEVEL 4	$1,292.00	$1,292.00	$781.66–$1,227.40	209% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM - CRITICAL CARE	$2,206.00	$2,206.00	$1,334.63–$2,095.70	228% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARD STRESS TEST W/O INTERP & REPRT	$662.00	$662.00	$400.51–$628.90	16% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARD STRESS TEST W/O INTERP & REPRT	$662.00	$662.00	$400.51–$628.90	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRAT 31MINS-1HR (OP)	$269.00	$269.00	$162.74–$269.00	12% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRAT 31MINS-1HR (OBS)	$269.00	$269.00	$162.74–$269.00	12% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRAT 31MINS-1HR (ER)	$342.00	$342.00	$206.91–$342.00	42% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF DIAG INITIAL-1HR (OBS)	$269.00	$269.00	$162.74–$269.00	2% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF DIAG INITIAL-1HR (OP)	$269.00	$269.00	$162.74–$269.00	2% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF DIAG INITIAL-1HR (ER)	$342.00	$342.00	$206.91–$342.00	29% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM (OP)	$88.00	$88.00	$53.24–$88.00	31% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM (OBS)	$88.00	$88.00	$53.24–$88.00	31% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM (ER)	$129.00	$129.00	$78.04–$122.55	93% above	—
New patient office visit, about 30 minutes CPT 99203 PRO CLINIC VISIT NEW 30-44 MIN PAIN MGMT	$156.00	$156.00	$94.38–$139.13	2% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 PRO CLINIC VISIT NEW 30-44 MIN PAIN MGMT	$156.00	$156.00	$94.38–$139.13	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT BEHAV CHGN SMOKING 3-10 MIN	$29.00	$29.00	$17.54–$29.00	2% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT BEHAV CHGN SMOKING 3-10 MIN	$29.00	$29.00	$17.54–$29.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN MGMT CLINIC VISIT LEVEL 2	$71.00	$71.00	$42.96–$67.45	46% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TELEHEALTH CLINIC VISIT LEVEL 2	$135.00	$135.00	$81.68–$135.00	3% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT LEVEL 2	$267.00	$267.00	$52.87–$253.65	103% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN MGMT CLINIC VISIT LEVEL 2	$71.00	$71.00	$42.96–$67.45	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH CLINIC VISIT LEVEL 2	$135.00	$135.00	$81.68–$135.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT LEVEL 2	$267.00	$267.00	$52.87–$253.65	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TELEHEALTH CLINIC VISIT DETAILED	$162.00	$162.00	$98.01–$162.00	4% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT DETAILED	$373.00	$373.00	$52.87–$354.35	122% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN MGMT CLINIC VISIT DETAILED	$373.00	$373.00	$52.87–$354.35	122% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHEALTH CLINIC VISIT DETAILED	$162.00	$162.00	$98.01–$162.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN MGMT CLINIC VISIT DETAILED	$373.00	$373.00	$52.87–$354.35	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT DETAILED	$373.00	$373.00	$52.87–$354.35	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELEHEALTH CLINIC VISIT LEVEL 1	$104.00	$104.00	$62.92–$104.00	at median	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN MGMT CLINIC VISIT LEVEL 1	$171.00	$171.00	$52.87–$162.45	64% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT LEVEL 1	$171.00	$171.00	$52.87–$162.45	64% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH CLINIC VISIT LEVEL 1	$104.00	$104.00	$62.92–$104.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT LEVEL 1	$171.00	$171.00	$52.87–$162.45	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN MGMT CLINIC VISIT LEVEL 1	$171.00	$171.00	$52.87–$162.45	—	—
Spirometry (breathing test) CPT 94010 RT SPIR INCLU GRAPH RECORD TOTAL	$559.00	$559.00	$338.20–$531.05	91% above	—
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST	$600.00	$600.00	$363.00–$570.00	104% above	—
Spirometry (breathing test) inpatient CPT 94010 RT SPIR INCLU GRAPH RECORD TOTAL	$559.00	$559.00	$338.20–$531.05	—	—
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION TEST	$600.00	$600.00	$363.00–$570.00	—	—
Spirometry before and after a bronchodilator CPT 94060 RT BRONCH RESPONSIV SPIROMETRY PRE/POST	$553.00	$553.00	$334.56–$525.35	25% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 RT BRONCH RESPONSIV SPIROMETRY PRE/POST	$553.00	$553.00	$334.56–$525.35	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$338.00	$338.00	$204.49–$321.10	178% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$338.00	$338.00	$204.49–$321.10	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARD STRESS TEST W INTERP & REPRT	$271.00	$271.00	$163.96–$257.45	at median	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARD STRESS TEST W INTERP & REPRT	$271.00	$271.00	$163.96–$257.45	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FluAd syringe 65+ (flu vaccine) PFS	$204.00	$204.00	$104.58–$193.80	22% below	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FluAd syringe 65+ (flu vaccine) PFS	$204.00	$204.00	$104.58–$193.80	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX vaccine Trivalent PFS	$102.00	$102.00	$28.00–$96.90	209% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX vaccine Trivalent PFS	$102.00	$102.00	$28.00–$96.90	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose (Influenza)Vaccine 65+	$135.00	$135.00	$81.68–$128.25	50% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose (Influenza)Vaccine 65+	$135.00	$135.00	$81.68–$128.25	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 L pneumoccal 23(Pneumovax23) inj vial	$319.00	$319.00	$167.20–$193.00	83% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumoccal 23(Pneumovax23) inj vial	$319.00	$319.00	$167.20–$303.05	83% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 L pneumoccal 23(Pneumovax23) inj vial	$319.00	$319.00	$167.20–$193.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumoccal 23(Pneumovax23) inj vial	$319.00	$319.00	$167.20–$303.05	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus/diphtheria (Td-Tenivac) 7yrs&up	$126.00	$126.00	$57.20–$119.70	87% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus/diphtheria (Td-Tenivac) 7yrs&up	$126.00	$126.00	$57.20–$119.70	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/dip/pert(T-dap-Boostrix) 10yrs+	$147.00	$147.00	$67.14–$139.65	92% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/dip/pert (Tdap-Adacel) 10-64 yrs	$260.00	$260.00	$67.14–$247.00	239% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/dip/pert(T-dap-Boostrix) 10yrs+	$147.00	$147.00	$67.14–$139.65	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/dip/pert (Tdap-Adacel) 10-64 yrs	$260.00	$260.00	$67.14–$247.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN TETANUS - ER	$73.00	$73.00	$11.13–$44.16	82% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN TETANUS - ER	$73.00	$73.00	$11.13–$44.16	—	—

Source file: https://ambermed.com/480579744_sheridan-county-hospital_standardcharges.csv