Emma Pendleton Bradley Hospital
Emma Pendleton Bradley Hospital in East Providence, RI publishes cash prices for 143 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Rhode Island median for 8 of 8 procedures. Select a procedure to compare it with other hospitals nearby.
1011 Veterans Memorial Parkway, East Providence, RI 02915 Collected Sep 27, 2026 Source price file Check a bill from this hospital (401) 432-1000
Psychiatric hospital Nonprofit hospital Emergency department CCN 414003 · CMS hospital register NPI 1225017486
Some prices here are not compared
Emma Pendleton Bradley Hospital is a psychiatric hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its psychiatric evaluation and therapy prices are compared.
The price file shows no self-pay discount
For 512 of the 512 prices listed here, the cash price in Emma Pendleton Bradley 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. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Emma Pendleton Bradley Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
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 3 actions for a hospital named Emma Pendleton Bradley Hospital in East Providence, RI:
- Feb 12, 2026 Warning notice
- May 15, 2026 Corrective action plan requested
- Jun 2, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. 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.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH SO | $308.50 | $308.50 | — | — | — |
| ACTH blood test inpatient CPT 82024 HC ACTH SO | $308.50 | $308.50 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT | $32.00 | $32.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT | $32.00 | $32.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST | $34.00 | $34.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST | $34.00 | $34.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $358.00 | $358.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $358.00 | $358.00 | — | — | — |
| Albumin blood test CPT 82040 HC ALBUMIN SO | $23.50 | $23.50 | — | — | — |
| Albumin blood test CPT 82040 HC ALBUMIN | $23.50 | $23.50 | — | — | — |
| Albumin blood test CPT 82040 HC B BURGDOFERI ALBUMIN SERUM | $23.50 | $23.50 | — | — | — |
| Albumin blood test inpatient CPT 82040 HC B BURGDOFERI ALBUMIN SERUM | $23.50 | $23.50 | — | — | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN | $23.50 | $23.50 | — | — | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SO | $23.50 | $23.50 | — | — | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $325.00 | $325.00 | — | — | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM | $325.00 | $325.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE SERUM | $325.00 | $325.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $325.00 | $325.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $33.00 | $33.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS BONE | $33.00 | $33.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS TOTAL SO | $33.00 | $33.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS BONE | $33.00 | $33.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS TOTAL SO | $33.00 | $33.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE | $33.00 | $33.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC AUREOBASIDIUM PULLANS | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FUMIGATUS IGE | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT COMPONENT VIRACOR | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT SPECIFIC IGE EACH OF 7 | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT SPECIFIC IGE EACH OF 7 | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT COMPONENT VIRACOR | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FUMIGATUS IGE | $46.00 | $46.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AUREOBASIDIUM PULLANS | $46.00 | $46.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP SENDOUT | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP FOR NEUTRAL T | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC INTEGRATED SCR ALPHA FETO SO | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP FOR NEUTRAL T | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP SENDOUT | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN | $134.00 | $134.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC INTEGRATED SCR ALPHA FETO SO | $134.00 | $134.00 | — | — | — |
| Ammonia blood test CPT 82140 HC AMMONIA | $116.00 | $116.00 | — | — | — |
| Ammonia blood test CPT 82140 HC STONERISK AMMONIA | $116.00 | $116.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $116.00 | $116.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 HC STONERISK AMMONIA | $116.00 | $116.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE TOTAL SO | $75.00 | $75.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE | $75.00 | $75.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE URINE | $75.00 | $75.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE SALIVARY SO | $75.00 | $75.00 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE PANCREATIC SO | $75.00 | $75.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $75.00 | $75.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE PANCREATIC SO | $75.00 | $75.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE URINE | $75.00 | $75.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE TOTAL SO | $75.00 | $75.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE SALIVARY SO | $75.00 | $75.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE | $114.00 | $114.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE | $114.00 | $114.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES/ANA | $96.80 | $96.80 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES/ANA | $96.80 | $96.80 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $284.00 | $284.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $284.00 | $284.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACT | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BORDETELLA CULTURE DOH | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACT | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BORDETELLA CULTURE DOH | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF | $68.80 | $68.80 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT | $68.80 | $68.80 | — | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $31.00 | $31.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $31.00 | $31.00 | — | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $82.80 | $82.80 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $82.80 | $82.80 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENOUS BLOOD BY VENIPUNCTURE | $13.25 | $13.25 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENOUS BLOOD BY VENIPUNCTURE | $13.25 | $13.25 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $27.00 | $27.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $27.00 | $27.00 | — | — | — |
| Blood lead test CPT 83655 HC LEAD RANDOM URINE | $72.00 | $72.00 | — | — | — |
| Blood lead test CPT 83655 HC LEAD | $72.00 | $72.00 | — | — | — |
| Blood lead test CPT 83655 HC 24 HR URIN LE | $72.00 | $72.00 | — | — | — |
| Blood lead test inpatient CPT 83655 HC 24 HR URIN LE | $72.00 | $72.00 | — | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD | $72.00 | $72.00 | — | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD RANDOM URINE | $72.00 | $72.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY SERUM | $46.00 | $46.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY SERUM | $46.00 | $46.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPE | $200.00 | $200.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC RIBC REF ABO TYPE | $200.00 | $200.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPE | $200.00 | $200.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC RIBC REF ABO TYPE | $200.00 | $200.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC BODY FLUID UREA NITROGEN | $23.90 | $23.90 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN | $23.90 | $23.90 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BODY FLUID UREA NITROGEN | $23.90 | $23.90 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN | $23.90 | $23.90 | — | — | — |
| C-peptide blood test CPT 84681 HC C PEPTIDE SERUM | $165.60 | $165.60 | — | — | — |
| C-peptide blood test CPT 84681 HC URINE CPEPTIDE | $165.60 | $165.60 | — | — | — |
| C-peptide blood test inpatient CPT 84681 HC URINE CPEPTIDE | $165.60 | $165.60 | — | — | — |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE SERUM | $165.60 | $165.60 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $41.90 | $41.90 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN | $41.90 | $41.90 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN PCR | $220.00 | $220.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN PCR | $220.00 | $220.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19 9 | $165.60 | $165.60 | — | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19 9 | $165.60 | $165.60 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $165.60 | $165.60 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $165.60 | $165.60 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INFECT AGNT DET DNA/RNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TECH | $214.00 | $214.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INFECT AGNT DET DNA/RNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TECH | $214.00 | $214.00 | — | — | — |
| Calcium blood test, total CPT 82310 HC CALCIUM | $35.00 | $35.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM | $35.00 | $35.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $151.60 | $151.60 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC BODY FLUID CEA | $151.60 | $151.60 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $151.60 | $151.60 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC BODY FLUID CEA | $151.60 | $151.60 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC CSF VARICELLA ZOSTER IGM (SO) | $117.00 | $117.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA IGG EIA | $117.00 | $117.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM SO | $117.00 | $117.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA IGG EIA | $117.00 | $117.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC CSF VARICELLA ZOSTER IGM (SO) | $117.00 | $117.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM SO | $117.00 | $117.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA DNA PROBE | $202.00 | $202.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS AMPLIFIED PROBE | $202.00 | $202.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS AMPLIFIED PROBE | $202.00 | $202.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA DNA PROBE | $202.00 | $202.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LDL LIPID PANEL SO | $108.60 | $108.60 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LDL LIPID PANEL SO | $108.60 | $108.60 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC AUTO CBC WITH DIFF | $52.00 | $52.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC AUTO CBC WITH DIFF | $52.00 | $52.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC AUTO CBC NO DIFF | $48.00 | $48.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC AUTO CBC NO DIFF | $48.00 | $48.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $143.00 | $143.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL SALIVA | $143.00 | $143.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL (ESOTERIX) | $143.00 | $143.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL (ESOTERIX) | $143.00 | $143.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVA | $143.00 | $143.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $143.00 | $143.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK | $46.00 | $46.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK | $46.00 | $46.00 | — | — | — |
| Creatinine blood test CPT 82565 HC CREATININE | $38.00 | $38.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $38.00 | $38.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG EIA | $115.00 | $115.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CSF CMV IGG (SO) | $115.00 | $115.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB DONOR | $115.00 | $115.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB DONOR | $115.00 | $115.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CSF CMV IGG (SO) | $115.00 | $115.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG EIA | $115.00 | $115.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER DEEP VEIN THROMBOSIS | $90.00 | $90.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANT | $90.00 | $90.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANT | $90.00 | $90.00 | — | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER DEEP VEIN THROMBOSIS | $90.00 | $90.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S (ESOTERIX) | $177.00 | $177.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $177.00 | $177.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S (ESOTERIX) | $177.00 | $177.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $177.00 | $177.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS | $75.00 | $75.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST(S) PRESUMP INSTRU CHEM ANALY CHROMATO MASS SPECTR PER DOS | $75.00 | $75.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR CAPSID ANTIGEN | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VCA IGM | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA SEND OUT | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VCA IGG | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA SEND OUT | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VCA IGG | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VCA IGM | $114.00 | $114.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR CAPSID ANTIGEN | $114.00 | $114.00 | — | — | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL (SEND-OUT) | $223.60 | $223.60 | — | — | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $223.60 | $223.60 | — | — | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL ULTRA SENSITIVE | $223.60 | $223.60 | — | — | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $223.60 | $223.60 | — | — | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL ULTRA SENSITIVE | $223.60 | $223.60 | — | — | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL (SEND-OUT) | $223.60 | $223.60 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $148.00 | $148.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH 3RD GENERATION | $148.00 | $148.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE | $148.00 | $148.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $148.00 | $148.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE | $148.00 | $148.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH 3RD GENERATION | $148.00 | $148.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $157.00 | $157.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $157.00 | $157.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $92.00 | $92.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $92.00 | $92.00 | — | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINGEN ACTIVITY | $57.00 | $57.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINGEN ACTIVITY | $57.00 | $57.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM | $82.00 | $82.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM SEND OUT | $82.00 | $82.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM SEND OUT | $82.00 | $82.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $82.00 | $82.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $95.00 | $95.00 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $95.00 | $95.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 BY DIALYSIS | $72.00 | $72.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE | $72.00 | $72.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE | $72.00 | $72.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 BY DIALYSIS | $72.00 | $72.00 | — | — | — |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE SENDOUT | $203.00 | $203.00 | — | — | — |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE SENDOUT | $203.00 | $203.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYL TRANSFERASE | $58.00 | $58.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYL TRANSFERASE | $58.00 | $58.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE WITH DOSE | $42.00 | $42.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE WITH DOSE | $42.00 | $42.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE TEST | $120.00 | $120.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $120.00 | $120.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS | $120.00 | $120.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE TEST | $120.00 | $120.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC DNA PROBE | $202.00 | $202.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE AMPLIFIED PROBE | $202.00 | $202.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE AMPLIFIED PROBE | $202.00 | $202.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC DNA PROBE | $202.00 | $202.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGM SO | $128.00 | $128.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER IGA | $128.00 | $128.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI | $128.00 | $128.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGM SO | $128.00 | $128.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI | $128.00 | $128.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER IGA | $128.00 | $128.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC FECAL HELICOBACTER | $100.00 | $100.00 | — | — | — |
| H. pylori stool antigen test inpatient CPT 87338 HC FECAL HELICOBACTER | $100.00 | $100.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV VIRAL LOAD | $375.00 | $375.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV VIRAL LOAD | $375.00 | $375.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV | $88.00 | $88.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC DONOR HIV 1 2 ANTIBODY | $88.00 | $88.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV DOH ELISA | $88.00 | $88.00 | — | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV | $88.00 | $88.00 | — | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC DONOR HIV 1 2 ANTIBODY | $88.00 | $88.00 | — | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV DOH ELISA | $88.00 | $88.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 ANTIGENS W HIV-1 & HIV-2 ANTBDY SINGLE | $95.00 | $95.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 ANTIGENS W HIV-1 & HIV-2 ANTBDY SINGLE | $95.00 | $95.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAP VIRUS | $213.00 | $213.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV AMPLIFIED PROBE | $213.00 | $213.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV AMPLIFIED PROBE | $213.00 | $213.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAP VIRUS | $213.00 | $213.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN | $62.00 | $62.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C | $62.00 | $62.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOBIN | $62.00 | $62.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C | $62.00 | $62.00 | — | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $21.00 | $21.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $21.00 | $21.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS CORE AB DONOR | $105.00 | $105.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB | $105.00 | $105.00 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB | $105.00 | $105.00 | — | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS CORE AB DONOR | $105.00 | $105.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB | $83.90 | $83.90 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB | $83.90 | $83.90 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG | $91.00 | $91.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS SURFACE AG DONOR | $91.00 | $91.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG | $91.00 | $91.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS SURFACE AG DONOR | $91.00 | $91.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY DONOR | $100.00 | $100.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $100.00 | $100.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $100.00 | $100.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY DONOR | $100.00 | $100.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC VIRACOR HCV RNA PCR | $342.00 | $342.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATIVE | $342.00 | $342.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC VIRACOR HCV RNA PCR | $342.00 | $342.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATIVE | $342.00 | $342.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC CSF HSV 1 IGM (SO) | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM TITER | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM SCREEN | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 2 IGM TITER SO | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM TITER SO | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC CSF HSV IGG TYPE 1 SPECIFIC | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG HERPES SIMPLEX | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC CSF HSV 1 IGG (SO) | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC CSF HSV 1 IGM (SO) | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC CSF HSV 1 IGG (SO) | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG HERPES SIMPLEX | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC CSF HSV IGG TYPE 1 SPECIFIC | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM TITER SO | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 2 IGM TITER SO | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM SCREEN | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM TITER | $105.00 | $105.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM TITER | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM SCREEN | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC CSF HSV 2 IGM (SO) | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG HERPES SIMPLEX | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC CSF HSV 2 IGG (SO) | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC CSF HSV IGG TYPE 2 SPECIFIC | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM TITER | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC CSF HSV IGG TYPE 2 SPECIFIC | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG HERPES SIMPLEX | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC CSF HSV 2 IGG (SO) | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC CSF HSV 2 IGM (SO) | $155.00 | $155.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM SCREEN | $155.00 | $155.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC HIGHLY SENSITIVE C-REACT | $104.00 | $104.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC HIGHLY SENSITIVE C-REACT | $104.00 | $104.00 | — | — | — |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $134.00 | $134.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $134.00 | $134.00 | — | — | — |
| Insulin blood test CPT 83525 HC INSULIN SERUM | $91.00 | $91.00 | — | — | — |
| Insulin blood test CPT 83525 HC INSULIN | $91.00 | $91.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $91.00 | $91.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN SERUM | $91.00 | $91.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON | $44.00 | $44.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON URINE | $44.00 | $44.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON URINE | $44.00 | $44.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $44.00 | $44.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $66.00 | $66.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $66.00 | $66.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LH | $149.00 | $149.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LH 3RD GENERATION | $149.00 | $149.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LEUTEINIZING HORMONE(SEND-OUT) | $149.00 | $149.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH | $149.00 | $149.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH 3RD GENERATION | $149.00 | $149.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LEUTEINIZING HORMONE(SEND-OUT) | $149.00 | $149.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $83.90 | $83.90 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $83.90 | $83.90 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH | $48.00 | $48.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH (SEND OUT) | $48.00 | $48.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC CSF LDH | $48.00 | $48.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH | $48.00 | $48.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH (SEND OUT) | $48.00 | $48.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC CSF LDH | $48.00 | $48.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE SEND OUT | $53.00 | $53.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $53.00 | $53.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE SEND OUT | $53.00 | $53.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $53.00 | $53.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC B BURGDOFERI ANTIBODY EA | $113.00 | $113.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE AB | $113.00 | $113.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB | $113.00 | $113.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC B BURGDOFERI ANTIBODY EA | $113.00 | $113.00 | — | — | — |
| Magnesium blood test CPT 83735 HC RBC MAGNESIUM SO | $52.70 | $52.70 | — | — | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test CPT 83735 HC STONERISK MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM SEND OUTS | $52.70 | $52.70 | — | — | — |
| Magnesium blood test CPT 83735 HC URINE MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC URINE MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM SEND OUTS | $52.70 | $52.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC STONERISK MAGNESIUM | $52.70 | $52.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC RBC MAGNESIUM SO | $52.70 | $52.70 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG | $113.00 | $113.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM | $113.00 | $113.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG | $113.00 | $113.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM | $113.00 | $113.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST SCREEN | $46.00 | $46.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST SCREEN | $46.00 | $46.00 | — | — | — |
| Mumps immunity blood test CPT 86735 HC MUMPS IGM (SO) | $114.00 | $114.00 | — | — | — |
| Mumps immunity blood test CPT 86735 HC MUMP IGG EIA | $114.00 | $114.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGM (SO) | $114.00 | $114.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMP IGG EIA | $114.00 | $114.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $147.00 | $147.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $147.00 | $147.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA POST PROSTATECTOMY | $115.00 | $115.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT | $115.00 | $115.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN | $115.00 | $115.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT | $115.00 | $115.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN | $115.00 | $115.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA POST PROSTATECTOMY | $115.00 | $115.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE DETAIL | $330.00 | $330.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE DETAIL | $330.00 | $330.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $47.00 | $47.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC SILICA CLOTTING TIME RATIO | $47.00 | $47.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SILICA CLOTTING TIME RATIO | $47.00 | $47.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $47.00 | $47.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $38.70 | $38.70 | — | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $38.70 | $38.70 | — | — | — |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM | $29.50 | $29.50 | — | — | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM | $29.50 | $29.50 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $166.60 | $166.60 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE (ESOTERIX) | $166.60 | $166.60 | — | — | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE (ESOTERIX) | $166.60 | $166.60 | — | — | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $166.60 | $166.60 | — | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN (SEND-OUT) | $155.00 | $155.00 | — | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN | $155.00 | $155.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN (SEND-OUT) | $155.00 | $155.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $155.00 | $155.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $37.00 | $37.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $37.00 | $37.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST(S) PRESUMP READ DIR OPTICAL PER DOS | $33.00 | $33.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST(S) PRESUMP READ DIR OPTICAL PER DOS | $33.00 | $33.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA EIA | $100.00 | $100.00 | — | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA EIA | $100.00 | $100.00 | — | — | — |
| Renin blood test CPT 84244 HC RENIN ACTIVITY | $176.00 | $176.00 | — | — | — |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY | $176.00 | $176.00 | — | — | — |
| Rh blood typing CPT 86901 HC RH TYPE | $63.00 | $63.00 | — | — | — |
| Rh blood typing CPT 86901 HC RIBC REF RH TYPE | $63.00 | $63.00 | — | — | — |
| Rh blood typing inpatient CPT 86901 HC RH TYPE | $63.00 | $63.00 | — | — | — |
| Rh blood typing inpatient CPT 86901 HC RIBC REF RH TYPE | $63.00 | $63.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $45.00 | $45.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $45.00 | $45.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $115.00 | $115.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM ANTIBODY SENDOUT | $115.00 | $115.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $115.00 | $115.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM ANTIBODY SENDOUT | $115.00 | $115.00 | — | — | — |
| Sodium blood test CPT 84295 HC SODIUM | $32.00 | $32.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $32.00 | $32.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES (SEND OUT) | $71.00 | $71.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES (SEND OUT) | $71.00 | $71.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT SCREEN CONSEC | $28.00 | $28.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT SCREEN CONSEC | $28.00 | $28.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB SENDOUT | $106.00 | $106.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA CSF | $106.00 | $106.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA ABS | $106.00 | $106.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA CSF | $106.00 | $106.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA ABS | $106.00 | $106.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB SENDOUT | $106.00 | $106.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF | $37.00 | $37.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR | $37.00 | $37.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR | $37.00 | $37.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF | $37.00 | $37.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD | $496.00 | $496.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD | $496.00 | $496.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL SENDOUT | $206.00 | $206.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $206.00 | $206.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE (ESOTERIX) | $206.00 | $206.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $206.00 | $206.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE (ESOTERIX) | $206.00 | $206.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL SENDOUT | $206.00 | $206.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTITHYROID PEROXIDASE AB | $128.00 | $128.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY AB | $128.00 | $128.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTITHYROID PEROXIDASE AB | $128.00 | $128.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY AB | $128.00 | $128.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH 3RD GENERATION | $107.00 | $107.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH 3RD GENERATION | $107.00 | $107.00 | — | — | — |
| Total IgE blood test CPT 82785 HC IGE | $132.00 | $132.00 | — | — | — |
| Total IgE blood test CPT 82785 HC QUEST IGE TOTAL | $132.00 | $132.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 HC QUEST IGE TOTAL | $132.00 | $132.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 HC IGE | $132.00 | $132.00 | — | — | — |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $29.00 | $29.00 | — | — | — |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $29.00 | $29.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC TOTAL T4 (SENDOUT) | $47.00 | $47.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC T4 TOTAL | $47.00 | $47.00 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC TOTAL T4 (SENDOUT) | $47.00 | $47.00 | — | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 TOTAL | $47.00 | $47.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $99.00 | $99.00 | — | — | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $99.00 | $99.00 | — | — | — |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $102.00 | $102.00 | — | — | — |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $102.00 | $102.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID | $212.00 | $212.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS AMPLIFIED PROBE | $212.00 | $212.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID | $212.00 | $212.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS AMPLIFIED PROBE | $212.00 | $212.00 | — | — | — |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $37.00 | $37.00 | — | — | — |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDE FOR VAP | $37.00 | $37.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $37.00 | $37.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE FOR VAP | $37.00 | $37.00 | — | — | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANT | $79.60 | $79.60 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANT | $79.60 | $79.60 | — | — | — |
| Uric acid blood test CPT 84550 HC URIC ACID | $36.60 | $36.60 | — | — | — |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $36.60 | $36.60 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO | $25.00 | $25.00 | — | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO | $25.00 | $25.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT | $27.00 | $27.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC ROUTINE URINALYSIS | $27.00 | $27.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT | $27.00 | $27.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC ROUTINE URINALYSIS | $27.00 | $27.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE COLONY COUNT | $51.60 | $51.60 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE COLONY COUNT | $51.60 | $51.60 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN 24 HR | $56.20 | $56.20 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN RANDOM | $56.20 | $56.20 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE MICROALBUMIN 24 HR | $56.20 | $56.20 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE MICROALBUMIN RANDOM | $56.20 | $56.20 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE | $37.00 | $37.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE | $37.00 | $37.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $119.00 | $119.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $119.00 | $119.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D25 OH TOTAL | $145.00 | $145.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D25 OH TOTAL | $145.00 | $145.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 125 LCMS | $307.00 | $307.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 125 LCMS | $307.00 | $307.00 | — | — | — |
| Zinc blood test CPT 84630 HC ZINC SERUM | $91.00 | $91.00 | — | — | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC SEND OUTS | $91.00 | $91.00 | — | — | — |
| Zinc blood test CPT 84630 HC ZINC URINE | $91.00 | $91.00 | — | — | — |
| Zinc blood test inpatient CPT 84630 HC ZINC SERUM | $91.00 | $91.00 | — | — | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC SEND OUTS | $91.00 | $91.00 | — | — | — |
| Zinc blood test inpatient CPT 84630 HC ZINC URINE | $91.00 | $91.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC INTEGRATED SCR GONADOTROPIN SO | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPHIN CHORIONIC | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC QUANTITATIVE BETA HCG | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CSF BETA HCG | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CSF BETA HCG | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC INTEGRATED SCR GONADOTROPIN SO | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPHIN CHORIONIC | $132.00 | $132.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC QUANTITATIVE BETA HCG | $132.00 | $132.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $870.00 | $870.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY | $870.00 | $870.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $428.00 | $428.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $428.00 | $428.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THER CONJOINT MD 50MINS | $414.00 | $414.00 | — | 109% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W PATIENT TRICARE 50MINS | $414.00 | $414.00 | — | 109% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THER CONJOINT MD 50MINS | $414.00 | $414.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W PATIENT TRICARE 50MINS | $414.00 | $414.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX WO PATIENT TRICARE 50MINS | $363.00 | $363.00 | — | 94% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX WO PATIENT TRICARE 50MINS | $363.00 | $363.00 | — | — | — |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY PHD | $150.00 | $150.00 | — | 78% above | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY PHD | $150.00 | $150.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSY DX EVALUATION TRICARE | $377.00 | $377.00 | — | 116% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL MD | $493.00 | $493.00 | — | 182% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSY DX EVALUATION TRICARE | $377.00 | $377.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL MD | $493.00 | $493.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC PSY DX EVAL W MED SVCS TRICARE | $373.00 | $373.00 | — | 88% above | — |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W MED SVCS MD | $493.00 | $493.00 | — | 149% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSY DX EVAL W MED SVCS TRICARE | $373.00 | $373.00 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W MED SVCS MD | $493.00 | $493.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES PHD | $168.00 | $168.00 | — | 17% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MIN TRICARE | $363.00 | $363.00 | — | 154% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MINUTES PHD | $168.00 | $168.00 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MIN TRICARE | $363.00 | $363.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MINUTES PHD | $225.00 | $225.00 | — | 33% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MIN TRICARE | $363.00 | $363.00 | — | 115% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MINUTES PHD | $225.00 | $225.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MIN TRICARE | $363.00 | $363.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MIN TRICARE | $373.00 | $373.00 | — | 114% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 60 MIN TRICARE | $373.00 | $373.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [126805] | $72.26 | $72.26 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [126805] | $72.26 | $72.26 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540] | $528.12 | $528.12 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540] | $528.12 | $528.12 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMINISTRATION | $160.00 | $160.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMINISTRATION | $160.00 | $160.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EA ADDL | $106.00 | $106.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EA ADDL | $106.00 | $106.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.