Hospital

Allen Parish Hospital

Listed in its price file as “Allen Parish Hospital District No 3”.

Allen Parish Hospital in Kinder, LA publishes cash prices for 257 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 152 of 256 procedures and above it for 99. By typical cash price it ranks #26 of 58 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

108 6th Avenue Kinder, LA 70648 Collected Sep 28, 2026 Source price file (337) 738-9489

Acute care hospital Emergency department CCN 190133 · CMS hospital register NPI 1215194204

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT PANCREAS W&W/O CONT	$454.80	$758.00	$163.46	55% below	40%
Abdominal CT scan without and with contrast CPT 74170 CT ABD W&WO CONT	$454.80	$758.00	$163.46	55% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W&WO CONT	$454.80	$758.00	$163.46	—	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT PANCREAS W&W/O CONT	$454.80	$758.00	$163.46	—	40%
Abdominal X-ray, 2 views CPT 74019 KUB 2V	$131.40	$219.00	$79.44–$80.64	28% below	40%
Abdominal X-ray, 2 views CPT 74019 ABD F&E 2V	$168.00	$280.00	$79.44–$80.64	8% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 KUB 2V	$131.40	$219.00	$79.44–$80.64	—	40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABD F&E 2V	$168.00	$280.00	$79.44–$80.64	—	40%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILATERAL 3V	$167.40	$279.00	$53.57–$230.00	—	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3V	$111.60	$186.00	$53.57–$230.00	7% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3V	$138.00	$230.00	$53.57–$230.00	15% above	40%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE BILATERAL 3V	$167.40	$279.00	$53.57–$230.00	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT 3V	$111.60	$186.00	$53.57–$230.00	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT 3V	$138.00	$230.00	$53.57–$230.00	—	40%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UP EXT WO CONT BILATERAL	$320.40	$534.00	$96.97–$192.92	—	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO CONT LT	$213.60	$356.00	$96.97–$192.92	67% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO CONT RT	$408.00	$680.00	$96.97–$192.92	37% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT UP EXT WO CONT BILATERAL	$320.40	$534.00	$96.97–$192.92	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT WO CONT LT	$213.60	$356.00	$96.97–$192.92	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT WO CONT RT	$408.00	$680.00	$96.97–$192.92	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 U/S BREAST COMPLETE BILATERAL	$337.20	$562.00	$79.72–$239.27	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 U/S BREAST COMPLETE LEFT	$168.60	$281.00	$79.72–$239.27	1% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 U/S BREAST COMPLETE RIGHT	$168.60	$281.00	$79.72–$239.27	1% above	40%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 U/S BREAST COMPLETE BILATERAL	$337.20	$562.00	$79.72–$239.27	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S BREAST COMPLETE LEFT	$168.60	$281.00	$79.72–$239.27	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S BREAST COMPLETE RIGHT	$168.60	$281.00	$79.72–$239.27	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W/WO	$454.80	$758.00	$326.59	49% below	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W	$454.80	$758.00	$326.59	49% below	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W/WO	$454.80	$758.00	$326.59	—	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W	$454.80	$758.00	$326.59	—	40%
CT angiography (CTA) of the head CPT 70496 STROKE CTA HEAD W/CONT	$454.80	$758.00	$166.12–$215.04	35% below	40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/CONT	$454.80	$758.00	$166.12–$215.04	35% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 STROKE CTA HEAD W/CONT	$454.80	$758.00	$166.12–$215.04	—	40%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/CONT	$454.80	$758.00	$166.12–$215.04	—	40%
CT angiography (CTA) of the neck CPT 70498 STROKE CT CAROTID ANGIO	$454.80	$758.00	$215.04	35% below	40%
CT angiography (CTA) of the neck CPT 70498 CT CAROTID ANGIO	$454.80	$758.00	$215.04	35% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 STROKE CT CAROTID ANGIO	$454.80	$758.00	$215.04	—	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CT CAROTID ANGIO	$454.80	$758.00	$215.04	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST PE STUDY (W CONT)	$454.80	$758.00	$166.12–$400.55	48% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CONT	$707.40	$1,179.00	$166.12–$400.55	19% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST PE STUDY (W CONT)	$454.80	$758.00	$166.12–$400.55	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W CONT	$707.40	$1,179.00	$166.12–$400.55	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WO CONT	$441.60	$736.00	$183.01–$515.20	61% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE PROTOCOL	$441.60	$736.00	$183.01–$515.20	61% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS WO CONT	$441.60	$736.00	$183.01–$515.20	—	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE PROTOCOL	$441.60	$736.00	$183.01–$515.20	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS WITH CONT	$454.80	$758.00	$215.04–$1,476.00	66% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS WITH CONT	$454.80	$758.00	$215.04–$1,476.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W&WO CONTRST	$1,087.80	$1,813.00	$326.59–$1,813.00	25% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM W/WO	$1,087.80	$1,813.00	$326.59–$1,813.00	25% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM W/WO	$1,087.80	$1,813.00	$326.59–$1,813.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W&WO CONTRST	$1,087.80	$1,813.00	$326.59–$1,813.00	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONT	$213.60	$356.00	$99.23	72% below	40%
CT scan of the abdomen without contrast CPT 74150 CT PANCREAS (W/O CONTRAST)	$213.60	$356.00	$99.23	72% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONT	$213.60	$356.00	$99.23	—	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT PANCREAS (W/O CONTRAST)	$213.60	$356.00	$99.23	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONT	$213.60	$356.00	$97.64–$249.20	68% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO CONT	$213.60	$356.00	$97.64–$249.20	68% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL WO CONT	$213.60	$356.00	$97.64–$249.20	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO CONT	$213.60	$356.00	$97.64–$249.20	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 STROKE CT HEAD/BRAIN W/O CONT	$213.60	$356.00	$97.25–$500.50	67% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT	$213.60	$356.00	$97.25–$500.50	67% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONT	$213.60	$356.00	$97.25–$500.50	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 STROKE CT HEAD/BRAIN W/O CONT	$213.60	$356.00	$97.25–$500.50	—	40%
CT scan of the head with contrast CPT 70460 CT HEAD W CONT	$454.80	$758.00	$42.71	38% below	40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONT	$454.80	$758.00	$42.71	—	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&W/O CONT	$454.80	$758.00	$166.12–$215.04	50% below	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&W/O CONT	$454.80	$758.00	$166.12–$215.04	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONT	$213.60	$356.00	$97.64–$304.69	72% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONT	$213.60	$356.00	$97.64–$304.69	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONT	$213.60	$356.00	$75.25–$405.69	71% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO CONT	$213.60	$356.00	$75.25–$405.69	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 U/S DOP CAROTID (BILAT)	$357.60	$596.00	$101.00–$221.95	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 U/S CAROTID DOPPLER BIL	$213.60	$356.00	$101.00–$221.95	54% below	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 U/S DOP CAROTID (BILAT)	$357.60	$596.00	$101.00–$221.95	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 U/S CAROTID DOPPLER BIL	$213.60	$356.00	$101.00–$221.95	—	40%
Chest CT scan without and with contrast CPT 71270 CT CHEST W&WO CONT	$454.80	$758.00	$163.46	57% below	40%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W&WO CONT	$454.80	$758.00	$163.46	—	40%
Chest X-ray, 2 views CPT 71046 CHEST 2V	$111.60	$186.00	$35.89–$1,057.34	15% below	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V	$111.60	$186.00	$35.89–$1,057.34	—	40%
Chest X-ray, single view CPT 71045 CHEST PORT 1V	$111.60	$186.00	$25.95–$186.00	1% above	40%
Chest X-ray, single view CPT 71045 CHEST DECUB 1 VIEW	$111.60	$186.00	$25.95–$186.00	1% above	40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$111.60	$186.00	$25.95–$186.00	1% above	40%
Chest X-ray, single view inpatient CPT 71045 CHEST PORT 1V	$111.60	$186.00	$25.95–$186.00	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST DECUB 1 VIEW	$111.60	$186.00	$25.95–$186.00	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$111.60	$186.00	$25.95–$186.00	—	40%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BILATERAL 2V	$320.40	$534.00	$82.16–$102.53	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 2V--C ARM	$213.60	$356.00	$82.16–$102.53	82% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 2V	$213.60	$356.00	$82.16–$102.53	82% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 2V	$213.60	$356.00	$82.16–$102.53	82% above	40%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BILATERAL 2V	$320.40	$534.00	$82.16–$102.53	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 2V--C ARM	$213.60	$356.00	$82.16–$102.53	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 2V	$213.60	$356.00	$82.16–$102.53	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 2V	$213.60	$356.00	$82.16–$102.53	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S RENAL RETROPERITONIUM	$235.80	$393.00	$95.32–$393.00	18% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S RENAL AORTA NODES COMP	$235.80	$393.00	$95.32–$393.00	18% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 U/S RENAL AORTA NODES COMP	$235.80	$393.00	$95.32–$393.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 U/S RENAL RETROPERITONIUM	$235.80	$393.00	$95.32–$393.00	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HRCT WO	$213.60	$356.00	$97.25–$249.20	72% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONT	$213.60	$356.00	$97.25–$249.20	72% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HRCT WO	$213.60	$356.00	$97.25–$249.20	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONT	$213.60	$356.00	$97.25–$249.20	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONT	$454.80	$758.00	$218.30–$758.00	47% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONT	$454.80	$758.00	$218.30–$758.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC TOMO MAMMO BILAT	$240.00	$400.00	$46.81–$115.20	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC TOMO MAMMO BILAT	$240.00	$400.00	$46.81–$115.20	—	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC TOMO MAMMO LEFT	$180.00	$300.00	$73.51	48% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC TOMO MAMMO RIGHT	$180.00	$300.00	$73.51	48% above	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC TOMO MAMMO RIGHT	$180.00	$300.00	$73.51	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC TOMO MAMMO LEFT	$180.00	$300.00	$73.51	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 U/S BIL LOW EXT ARTERIAL	$357.60	$596.00	$221.95–$225.56	21% below	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 U/S BIL LOW EXT ARTERIAL	$357.60	$596.00	$221.95–$225.56	—	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 U/S BIL VENOUS UPPER	$357.60	$596.00	$211.97–$515.20	14% below	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 U/S BIL VENOUS LOWER	$441.60	$736.00	$211.97–$515.20	6% above	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U/S BIL VENOUS UPPER	$357.60	$596.00	$211.97–$515.20	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U/S BIL VENOUS LOWER	$441.60	$736.00	$211.97–$515.20	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 U/S ECHO	$780.00	$1,300.00	$368.81–$1,300.00	7% above	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 U/S ECHO	$780.00	$1,300.00	$368.81–$1,300.00	—	40%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW BILATERAL 2V	$138.00	$230.00	$52.77–$53.57	—	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2V C-ARM	$111.60	$186.00	$52.77–$53.57	5% below	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2V	$111.60	$186.00	$52.77–$53.57	5% below	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2V	$111.60	$186.00	$52.77–$53.57	5% below	40%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW BILATERAL 2V	$138.00	$230.00	$52.77–$53.57	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2V	$111.60	$186.00	$52.77–$53.57	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2V	$111.60	$186.00	$52.77–$53.57	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2V C-ARM	$111.60	$186.00	$52.77–$53.57	—	40%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW BILATERAL COMP MIN 3V	$138.00	$230.00	$23.30–$186.00	—	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LT COMP MIN 3V	$111.60	$186.00	$23.30–$186.00	15% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RT COMP MIN 3V	$111.60	$186.00	$23.30–$186.00	15% below	40%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW BILATERAL COMP MIN 3V	$138.00	$230.00	$23.30–$186.00	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RT COMP MIN 3V	$111.60	$186.00	$23.30–$186.00	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LT COMP MIN 3V	$111.60	$186.00	$23.30–$186.00	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA WO CONT	$213.60	$356.00	$102.53	65% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO CONT	$213.60	$356.00	$102.53	65% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC WO CONT	$213.60	$356.00	$102.53	65% below	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC WO CONT	$213.60	$356.00	$102.53	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA WO CONT	$213.60	$356.00	$102.53	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT WO CONT	$213.60	$356.00	$102.53	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3V	$213.60	$356.00	$101.00–$102.53	36% above	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3V	$213.60	$356.00	$101.00–$102.53	—	40%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM BILATERAL 2V	$138.00	$230.00	$52.77–$130.20	—	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2V	$111.60	$186.00	$52.77–$130.20	2% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2V	$111.60	$186.00	$52.77–$130.20	2% below	40%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM BILATERAL 2V	$138.00	$230.00	$52.77–$130.20	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2V	$111.60	$186.00	$52.77–$130.20	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2V	$111.60	$186.00	$52.77–$130.20	—	40%
Hand X-ray, 2 views both sides CPT 73120 HAND BILATERAL 2V	$320.40	$534.00	$97.64–$249.20	—	40%
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT C-ARM	$192.00	$320.00	$97.64–$249.20	82% above	40%
Hand X-ray, 2 views one side CPT 73120 HAND RT 2V	$213.60	$356.00	$97.64–$249.20	103% above	40%
Hand X-ray, 2 views one side CPT 73120 HAND LT 2V	$213.60	$356.00	$97.64–$249.20	103% above	40%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND BILATERAL 2V	$320.40	$534.00	$97.64–$249.20	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RIGHT C-ARM	$192.00	$320.00	$97.64–$249.20	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT 2V	$213.60	$356.00	$97.64–$249.20	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT 2V	$213.60	$356.00	$97.64–$249.20	—	40%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HEEL BILATERAL 2V	$167.40	$279.00	$53.57–$80.85	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RT 2V	$111.60	$186.00	$53.57–$80.85	2% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT 2V	$111.60	$186.00	$53.57–$80.85	2% above	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HEEL BILATERAL 2V	$167.40	$279.00	$53.57–$80.85	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RT 2V	$111.60	$186.00	$53.57–$80.85	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LT 2V	$111.60	$186.00	$53.57–$80.85	—	40%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILATERAL 3V	$167.40	$279.00	$30.63–$186.00	—	40%
Knee X-ray, 3 views one side CPT 73562 KNEE LT 3V	$111.60	$186.00	$30.63–$186.00	17% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE RT 3V	$111.60	$186.00	$30.63–$186.00	17% below	40%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE BILATERAL 3V	$167.40	$279.00	$30.63–$186.00	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3V	$111.60	$186.00	$30.63–$186.00	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3V	$111.60	$186.00	$30.63–$186.00	—	40%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEES COMP BILATERAL W 4 OR MORE	$320.40	$534.00	$101.00–$249.20	—	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT COMP W 4 OR MORE	$213.60	$356.00	$101.00–$249.20	40% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT COMP W 4 OR MORE	$213.60	$356.00	$101.00–$249.20	40% above	40%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEES COMP BILATERAL W 4 OR MORE	$320.40	$534.00	$101.00–$249.20	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LT COMP W 4 OR MORE	$213.60	$356.00	$101.00–$249.20	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RT COMP W 4 OR MORE	$213.60	$356.00	$101.00–$249.20	—	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT W/O CONT RT	$213.60	$356.00	$97.25–$203.73	65% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT W/O CONT LT	$213.60	$356.00	$97.25–$203.73	65% below	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT W/O CONT RT	$213.60	$356.00	$97.25–$203.73	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT W/O CONT LT	$213.60	$356.00	$97.25–$203.73	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABD LIMITED	$213.60	$356.00	$97.25–$273.00	19% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S RUQ LIMITED	$213.60	$356.00	$97.25–$273.00	19% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S SINGLE ORGAN- QUADRANT	$252.00	$420.00	$97.25–$273.00	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S GALLBLADDER	$252.00	$420.00	$97.25–$273.00	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S PANCREAS	$252.00	$420.00	$97.25–$273.00	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABD LIMITED-ST	$252.00	$420.00	$97.25–$273.00	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S SPLEEN	$252.00	$420.00	$97.25–$273.00	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S ABD LIMITED	$213.60	$356.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S RUQ LIMITED	$213.60	$356.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S SPLEEN	$252.00	$420.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S GALLBLADDER	$252.00	$420.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S PANCREAS	$252.00	$420.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S SINGLE ORGAN- QUADRANT	$252.00	$420.00	$97.25–$273.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S ABD LIMITED-ST	$252.00	$420.00	$97.25–$273.00	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE LUNG CANCER SCREENING	$620.40	$1,034.00	$97.25–$1,034.00	302% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE LUNG CANCER SCREENING	$620.40	$1,034.00	$97.25–$1,034.00	—	40%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBIA-FIBULA BILATERAL 2V	$167.40	$279.00	$52.77–$97.65	—	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA-FIBULA RT 2V C-ARM	$111.60	$186.00	$52.77–$97.65	5% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA-FIBULA LT 2V C-ARM	$111.60	$186.00	$52.77–$97.65	5% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA-FIBULA RT 2V	$111.60	$186.00	$52.77–$97.65	5% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA-FIBULA LT 2V	$111.60	$186.00	$52.77–$97.65	5% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 TIBIA-FIBULA BILATERAL 2V	$167.40	$279.00	$52.77–$97.65	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA-FIBULA LT 2V	$111.60	$186.00	$52.77–$97.65	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA-FIBULA RT 2V	$111.60	$186.00	$52.77–$97.65	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA-FIBULA LT 2V C-ARM	$111.60	$186.00	$52.77–$97.65	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA-FIBULA RT 2V C-ARM	$111.60	$186.00	$52.77–$97.65	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE W/OBLIQ 5V	$213.60	$356.00	$97.64–$249.20	5% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE W/OBLIQ 5V	$213.60	$356.00	$97.64–$249.20	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CONT	$454.80	$758.00	$163.46–$218.30	34% below	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W CONT	$454.80	$758.00	$163.46–$218.30	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO CONT	$213.60	$356.00	$97.25–$205.35	68% below	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WO CONT	$213.60	$356.00	$97.25–$205.35	—	40%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUES	$111.60	$186.00	$52.77	2% below	40%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUES	$111.60	$186.00	$52.77	—	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT	$213.60	$356.00	$97.25–$239.27	69% below	40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONT	$213.60	$356.00	$97.25–$239.27	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIC LIMITED	$167.40	$279.00	$80.35	5% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S BLADDER	$213.60	$356.00	$80.35	21% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S PELVIC LIMITED	$167.40	$279.00	$80.35	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S BLADDER	$213.60	$356.00	$80.35	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/S PELVIS COMP NON-OB	$253.20	$422.00	$97.64–$274.30	10% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U/S PELVIS COMP NON-OB	$253.20	$422.00	$97.64–$274.30	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 U/S OB >14 WKS	$213.60	$356.00	$102.53	18% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 U/S OB >14 WKS	$213.60	$356.00	$102.53	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S OB<14WKS TRANS ABD	$213.60	$356.00	$76.52–$231.40	9% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 U/S OB<14WKS TRANS ABD	$213.60	$356.00	$76.52–$231.40	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S OB LIMITED	$252.00	$420.00	$120.96	46% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S OB LIMITED	$252.00	$420.00	$120.96	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT/CHEST 3V	$213.60	$356.00	$97.64–$102.53	56% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT/CHEST 3V	$213.60	$356.00	$97.64–$102.53	56% above	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT/CHEST 3V	$213.60	$356.00	$97.64–$102.53	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT/CHEST 3V	$213.60	$356.00	$97.64–$102.53	—	40%
Screening mammogram, both breasts both sides CPT 77067 SCREENING TOMO MAMMO BILATERAL INCL CAD	$195.00	$325.00	$39.16–$201.60	—	40%
Screening mammogram, both breasts one side CPT 77067 SCREENING TOMO MAMMO LEFT	$120.00	$200.00	$39.16–$201.60	8% below	40%
Screening mammogram, both breasts one side CPT 77067 SCREENING TOMO MAMMO RIGHT	$120.00	$200.00	$39.16–$201.60	8% below	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING TOMO MAMMO BILATERAL INCL CAD	$195.00	$325.00	$39.16–$201.60	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING TOMO MAMMO LEFT	$120.00	$200.00	$39.16–$201.60	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING TOMO MAMMO RIGHT	$120.00	$200.00	$39.16–$201.60	—	40%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL 3V	$138.00	$230.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL 2V	$138.00	$230.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 3V	$111.60	$186.00	$49.20–$186.00	15% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2V	$111.60	$186.00	$49.20–$186.00	15% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 3V	$111.60	$186.00	$49.20–$186.00	15% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2V	$111.60	$186.00	$49.20–$186.00	15% below	40%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER BILATERAL 2V	$138.00	$230.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER BILATERAL 3V	$138.00	$230.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 3V	$111.60	$186.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT 2V	$111.60	$186.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 2V	$111.60	$186.00	$49.20–$186.00	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT 3V	$111.60	$186.00	$49.20–$186.00	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASL COMP MIN 3V	$111.60	$186.00	$53.57	29% below	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES PARANASL COMP MIN 3V	$111.60	$186.00	$53.57	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW STUDY	$306.00	$510.00	$146.88–$163.46	27% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW STUDY	$306.00	$510.00	$146.88–$163.46	—	40%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR BILATERAL 2V	$107.40	$179.00	$25.78–$179.00	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT 2V	$107.40	$179.00	$25.78–$179.00	6% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT 2V	$107.40	$179.00	$25.78–$179.00	6% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR BILATERAL 2V	$107.40	$179.00	$25.78–$179.00	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT 2V	$107.40	$179.00	$25.78–$179.00	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT 2V	$107.40	$179.00	$25.78–$179.00	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE WO CONT	$213.60	$356.00	$206.19	72% below	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE WO CONT	$213.60	$356.00	$206.19	—	40%
Toe X-ray, 2 or more views one side CPT 73660 TOE RT MIN 2 VIEW	$111.60	$186.00	$44.51–$130.20	at median	40%
Toe X-ray, 2 or more views one side CPT 73660 TOE LT MIN 2 VIEW	$111.60	$186.00	$44.51–$130.20	at median	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT MIN 2 VIEW	$111.60	$186.00	$44.51–$130.20	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT MIN 2 VIEW	$111.60	$186.00	$44.51–$130.20	—	40%
Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAG NON-OB	$213.60	$356.00	$97.65–$239.27	1% above	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 U/S TRANSVAG NON-OB	$213.60	$356.00	$97.65–$239.27	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 U/S TRANSVAG OB	$253.20	$422.00	$119.72–$121.54	42% above	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 U/S TRANSVAG OB	$253.20	$422.00	$119.72–$121.54	—	40%
Ultrasound of the abdomen, complete CPT 76700 U/S ABD COMPLETE	$213.60	$356.00	$97.64–$239.27	29% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 U/S ABD COMPLETE	$213.60	$356.00	$97.64–$239.27	—	40%
Ultrasound of the scrotum and testicles CPT 76870 U/S TESTICLE	$252.00	$420.00	$97.64–$273.00	20% above	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 U/S TESTICLE	$252.00	$420.00	$97.64–$273.00	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S THYROID	$252.00	$420.00	$95.32–$273.00	at median	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S HEAD & NECK ST	$252.00	$420.00	$95.32–$273.00	at median	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U/S THYROID	$252.00	$420.00	$95.32–$273.00	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U/S HEAD & NECK ST	$252.00	$420.00	$95.32–$273.00	—	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT 2V	$111.60	$186.00	$52.77–$80.85	4% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT 2V	$111.60	$186.00	$52.77–$80.85	4% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT 2V C-ARM	$111.60	$186.00	$52.77–$80.85	4% below	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT 2V	$111.60	$186.00	$52.77–$80.85	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT 2V	$111.60	$186.00	$52.77–$80.85	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT 2V C-ARM	$111.60	$186.00	$52.77–$80.85	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S UP EXT VENOUS RT	$168.00	$280.00	$97.25–$420.00	35% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S UP EXT VENOUS LT	$168.00	$280.00	$97.25–$420.00	35% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S LEG DOPPLER VEINS UNILATERAL RT	$252.00	$420.00	$97.25–$420.00	2% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S LEG DOPPLER VEINS UNILATERAL LT	$252.00	$420.00	$97.25–$420.00	2% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S UP EXT VENOUS RT	$168.00	$280.00	$97.25–$420.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S UP EXT VENOUS LT	$168.00	$280.00	$97.25–$420.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S LEG DOPPLER VEINS UNILATERAL LT	$252.00	$420.00	$97.25–$420.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S LEG DOPPLER VEINS UNILATERAL RT	$252.00	$420.00	$97.25–$420.00	—	40%
Wrist X-ray, 2 views both sides CPT 73100 WRIST BILATERAL COMP MIN 2V	$167.40	$279.00	$52.77–$130.20	—	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT 2V	$111.60	$186.00	$52.77–$130.20	2% above	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2V	$111.60	$186.00	$52.77–$130.20	2% above	40%
Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST BILATERAL COMP MIN 2V	$167.40	$279.00	$52.77–$130.20	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT 2V	$111.60	$186.00	$52.77–$130.20	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT 2V	$111.60	$186.00	$52.77–$130.20	—	40%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILATERAL COMP MIN 3V	$167.40	$279.00	$52.77–$186.00	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT COMP MIN 3V	$111.60	$186.00	$52.77–$186.00	3% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMP MIN 3V	$111.60	$186.00	$52.77–$186.00	3% below	40%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST BILATERAL COMP MIN 3V	$167.40	$279.00	$52.77–$186.00	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT COMP MIN 3V	$111.60	$186.00	$52.77–$186.00	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT COMP MIN 3V	$111.60	$186.00	$52.77–$186.00	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 3 VIEW	$111.60	$186.00	$52.77–$186.00	11% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 3 VIEW	$111.60	$186.00	$52.77–$186.00	11% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 3 VIEW	$111.60	$186.00	$52.77–$186.00	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 3 VIEW	$111.60	$186.00	$52.77–$186.00	—	40%
X-ray of the abdomen, 1 view CPT 74018 KUB 1V	$111.60	$186.00	$41.17–$82.16	13% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB 1V	$111.60	$186.00	$41.17–$82.16	—	40%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BILATERAL 2V	$167.40	$279.00	$52.77–$53.57	—	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2V	$111.60	$186.00	$52.77–$53.57	3% above	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2V	$111.60	$186.00	$52.77–$53.57	3% above	40%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE BILATERAL 2V	$167.40	$279.00	$52.77–$53.57	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2V	$111.60	$186.00	$52.77–$53.57	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2V	$111.60	$186.00	$52.77–$53.57	—	40%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGERS BILATERAL 2 VW	$167.40	$279.00	$49.64–$116.16	—	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RT MIN 2V	$111.60	$186.00	$49.64–$116.16	9% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LT MIN 2V	$111.60	$186.00	$49.64–$116.16	9% above	40%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGERS BILATERAL 2 VW	$167.40	$279.00	$49.64–$116.16	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS LT MIN 2V	$111.60	$186.00	$49.64–$116.16	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS RT MIN 2V	$111.60	$186.00	$49.64–$116.16	—	40%
X-ray of the foot, 2 views both sides CPT 73620 FOOT BILATERAL 2V	$92.41	$154.02	$52.77–$99.02	—	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2V	$111.60	$186.00	$52.77–$99.02	4% above	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2V	$111.60	$186.00	$52.77–$99.02	4% above	40%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT BILATERAL 2V	$92.41	$154.02	$52.77–$99.02	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2V	$111.60	$186.00	$52.77–$99.02	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2V	$111.60	$186.00	$52.77–$99.02	—	40%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILATERAL 3V	$167.40	$279.00	$34.00–$186.00	—	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3V	$111.60	$186.00	$34.00–$186.00	9% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3V	$111.60	$186.00	$34.00–$186.00	9% below	40%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BILATERAL 3V	$167.40	$279.00	$34.00–$186.00	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT 3V	$111.60	$186.00	$34.00–$186.00	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT 3V	$111.60	$186.00	$34.00–$186.00	—	40%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILATERAL 3V	$167.40	$279.00	$52.77–$186.00	—	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RT MIN 3V	$111.60	$186.00	$52.77–$186.00	12% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LT MIN 3V	$111.60	$186.00	$52.77–$186.00	12% below	40%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND BILATERAL 3V	$167.40	$279.00	$52.77–$186.00	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT MIN 3V	$111.60	$186.00	$52.77–$186.00	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT MIN 3V	$111.60	$186.00	$52.77–$186.00	—	40%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE BILATERAL 2V	$167.40	$279.00	$17.10–$186.00	—	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEW LEFT C-ARM	$111.60	$186.00	$17.10–$186.00	2% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 2V	$111.60	$186.00	$17.10–$186.00	2% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEW RIGHT C-ARM	$111.60	$186.00	$17.10–$186.00	2% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 2V	$111.60	$186.00	$17.10–$186.00	2% below	40%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE BILATERAL 2V	$167.40	$279.00	$17.10–$186.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 2V	$111.60	$186.00	$17.10–$186.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEW RIGHT C-ARM	$111.60	$186.00	$17.10–$186.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEW LEFT C-ARM	$111.60	$186.00	$17.10–$186.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 2V	$111.60	$186.00	$17.10–$186.00	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2VIEW	$213.60	$356.00	$97.64–$356.00	41% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 3VIEW	$213.60	$356.00	$97.64–$356.00	41% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 3VIEW	$213.60	$356.00	$97.64–$356.00	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2VIEW	$213.60	$356.00	$97.64–$356.00	—	40%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE W/OBLIQ 5V	$213.60	$356.00	$97.64–$249.20	2% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE W/OBLIQ 5V	$213.60	$356.00	$97.64–$249.20	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2V	$213.60	$356.00	$101.00–$249.20	36% above	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2V	$213.60	$356.00	$101.00–$249.20	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3V	$111.60	$186.00	$52.77–$53.57	4% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3V	$111.60	$186.00	$52.77–$53.57	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 3V	$111.60	$186.00	$52.77–$130.20	22% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 3V	$111.60	$186.00	$52.77–$130.20	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V	$213.60	$356.00	$32.72–$101.00	61% above	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V	$213.60	$356.00	$32.72–$101.00	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX	$111.60	$186.00	$52.77–$82.16	19% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX	$111.60	$186.00	$52.77–$82.16	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 ACTH SO	$85.80	$143.00	$37.85–$38.62	19% below	40%
ACTH blood test inpatient CPT 82024 ACTH SO	$85.80	$143.00	$37.85–$38.62	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$12.00	$20.00	$5.19–$5.30	38% below	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$12.00	$20.00	$5.19–$5.30	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$11.40	$19.00	$5.08	42% below	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$11.40	$19.00	$5.08	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL PROFILE SO	$105.60	$176.00	$47.50–$140.80	5% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL PROFILE SO	$105.60	$176.00	$47.50–$140.80	—	40%
Aldosterone blood test CPT 82088 ALDOSTERONE LEVEL	$149.40	$249.00	$40.75	57% above	40%
Aldosterone blood test CPT 82088 ALDOSTERONE, ACTH STIMULATION	$207.00	$345.00	$40.75	117% above	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE LEVEL	$149.40	$249.00	$40.75	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, ACTH STIMULATION	$207.00	$345.00	$40.75	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$11.40	$19.00	$5.18	40% below	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$11.40	$19.00	$5.18	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TIMOTHY	$10.44	$17.40	$5.22	7% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DOG DANDER SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MARSH ELDER SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GENERIC	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED, SHORT SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ROUGH MARSHELDER	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD VEGETABLE SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BERMUDA GRASS SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINEAPPLE SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGGS, WHOLE SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-GLUTEN IGE SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHEEP SORREL SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CHRYSOGENUM SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PEANUTS SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED, GIANT SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILLIUM CHRYSOGENUM SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCKROACH (GERMAN) SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASPERGILLUS FUMIGATUS	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-JOHNSON GRASS SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SOYBEAN SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG WHITES	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHEAT SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HOUSE DUSTMITE	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BAHIA GRASS SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BARLEY SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MILK SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-D PTERONYSSINUS	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ALTERNARIA ALTERNATA SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MAPLE/BOX ELDER	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORMODENDRUM	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MUCOR RACEMOSUS SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CAT DANDER SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CLADOSPORIUM HERBARUM SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-D FARINAE SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PRIVET SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HELMINTHOSPORIUM HALODES SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-AMERICAN COCK ROACH SO	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG YOLK	$12.60	$21.00	$5.22	29% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DUCK FEATHER	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HACKBERRY SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCKLEBUR	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- COMMON SILVER BIRCH	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CURVULARIA LUNATA SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LAMB'S QUARTER SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK LIVE/VIRGINIA SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COTTONWOOD SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HORSE (HAIR) DANDER SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COW DANDER (hair) SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MAPLE LEAF SYCAMORE SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CORN SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINE WHITE SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TIMOTHY GRASS	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DOCKWEED (YELLOW) SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK RED	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ZONE 7 (CHG X 30)	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SPECIFIC IgE TEST	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- CEDAR, RED SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PIGWEED, COMMON	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-STEMPHYLIUM HERBARUM	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PECAN, HICKORY	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CEPHALOSPORIUM	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PINE LOBLOLLY	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK WHITE	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILLIN V	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WESTERN WHITE PINE	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- ELM CEDAR	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- WALNUT	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PECAN	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PENICILLIN G	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED MIX	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ASH WHITE SO	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BALD CYPRESS	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PLANTAIN, ENGLISH	$13.80	$23.00	$5.22	41% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 #2739 BLK. ANTS/ FIRE ANTS	$17.40	$29.00	$5.22	78% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ACREMONIUM KILIENSE SO	$41.40	$69.00	$5.22	323% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-FUSARUIM PROLIFERATUM SO	$41.40	$69.00	$5.22	323% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- WILLOW	$43.95	$73.25	$5.22	349% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TIMOTHY	$10.44	$17.40	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, FOOD VEGETABLE SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-JOHNSON GRASS SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BAHIA GRASS SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MILK SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BARLEY SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-D PTERONYSSINUS	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORMODENDRUM	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HELMINTHOSPORIUM HALODES SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RAGWEED, GIANT SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CAT DANDER SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RAGWEED, SHORT SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MAPLE/BOX ELDER	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ALTERNARIA ALTERNATA SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCKROACH (GERMAN) SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASPERGILLUS FUMIGATUS	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGG WHITES	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GENERIC	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MARSH ELDER SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WHEAT SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGG YOLK	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DOG DANDER SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILLIUM CHRYSOGENUM SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-AMERICAN COCK ROACH SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-EGGS, WHOLE SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CHRYSOGENUM SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-D FARINAE SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SOYBEAN SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-SHEEP SORREL SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CLADOSPORIUM HERBARUM SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ROUGH MARSHELDER	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PRIVET SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MUCOR RACEMOSUS SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-GLUTEN IGE SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINEAPPLE SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PEANUTS SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BERMUDA GRASS SO	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HOUSE DUSTMITE	$12.60	$21.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINE WHITE SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-TIMOTHY GRASS	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CORN SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS SPECIFIC IgE TEST	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CURVULARIA LUNATA SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-MAPLE LEAF SYCAMORE SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COW DANDER (hair) SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HORSE (HAIR) DANDER SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COTTONWOOD SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK LIVE/VIRGINIA SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- CEDAR, RED SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PIGWEED, COMMON	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- WALNUT	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-STEMPHYLIUM HERBARUM	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PECAN, HICKORY	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-BALD CYPRESS	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DUCK FEATHER	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-CEPHALOSPORIUM	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PECAN	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-LAMB'S QUARTER SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- COMMON SILVER BIRCH	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COCKLEBUR	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PLANTAIN, ENGLISH	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ASH WHITE SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PINE LOBLOLLY	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILLIN G	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK WHITE	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-PENICILLIN V	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-RAGWEED MIX	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ZONE 7 (CHG X 30)	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-OAK RED	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-WESTERN WHITE PINE	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-DOCKWEED (YELLOW) SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-HACKBERRY SO	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- ELM CEDAR	$13.80	$23.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 #2739 BLK. ANTS/ FIRE ANTS	$17.40	$29.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-FUSARUIM PROLIFERATUM SO	$41.40	$69.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-ACREMONIUM KILIENSE SO	$41.40	$69.00	$5.22	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- WILLOW	$43.95	$73.25	$5.22	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, MATERNAL SERUM FOR OPEN SPINA B SO	$37.20	$62.00	$16.44–$21.47	24% below	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, MATERNAL SERUM FOR OPEN SPINA B SO	$37.20	$62.00	$16.44–$21.47	—	40%
Ammonia blood test CPT 82140 AMMONIA SO	$32.40	$54.00	$14.28–$18.65	34% below	40%
Ammonia blood test inpatient CPT 82140 AMMONIA SO	$32.40	$54.00	$14.28–$18.65	—	40%
Amylase blood test CPT 82150 AMYLASE	$14.40	$24.00	$2.05–$24.00	35% below	40%
Amylase blood test inpatient CPT 82150 AMYLASE	$14.40	$24.00	$2.05–$24.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP SO	$28.80	$48.00	$12.69–$38.40	31% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA SO	$28.80	$48.00	$12.69–$38.40	31% below	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP SO	$28.80	$48.00	$12.69–$38.40	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA SO	$28.80	$48.00	$12.69–$38.40	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX SO	$27.00	$45.00	$11.85–$48.00	41% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT SO	$28.80	$48.00	$11.85–$48.00	38% below	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX SO	$27.00	$45.00	$11.85–$48.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT SO	$28.80	$48.00	$11.85–$48.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$75.60	$126.00	$38.47–$126.00	15% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$75.60	$126.00	$38.47–$126.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL SO	$24.00	$40.00	$8.45–$8.62	15% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SOURCE SO	$30.60	$51.00	$8.45–$8.62	9% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULT	$30.60	$51.00	$8.45–$8.62	9% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$30.60	$51.00	$8.45–$8.62	9% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$30.60	$51.00	$8.45–$8.62	9% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL SO	$24.00	$40.00	$8.45–$8.62	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER SOURCE SO	$30.60	$51.00	$8.45–$8.62	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$30.60	$51.00	$8.45–$8.62	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$30.60	$51.00	$8.45–$8.62	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULT	$30.60	$51.00	$8.45–$8.62	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL	$18.60	$31.00	$8.29–$31.00	47% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL	$18.60	$31.00	$8.29–$31.00	—	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$11.40	$19.00	$4.73–$4.82	31% below	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$11.40	$19.00	$4.73–$4.82	—	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE SO	$22.80	$38.00	$10.32–$38.00	49% below	40%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE SO	$22.80	$38.00	$10.32–$38.00	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$5.40	$9.00	$3.00–$111.83	35% below	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$5.40	$9.00	$3.00–$111.83	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$9.00	$15.00	$3.85–$3.93	31% below	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$9.00	$15.00	$3.85–$3.93	—	40%
Blood lead test CPT 83655 LEAD ADULT LEVEL SO	$27.00	$45.00	$12.11	at median	40%
Blood lead test CPT 83655 LEAD PEDIATRIC LEVEL SO	$27.00	$45.00	$12.11	at median	40%
Blood lead test inpatient CPT 83655 LEAD ADULT LEVEL SO	$27.00	$45.00	$12.11	—	40%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC LEVEL SO	$27.00	$45.00	$12.11	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG URINE QUALITATIVE	$16.80	$28.00	$4.10–$28.00	43% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE	$16.80	$28.00	$4.10–$28.00	43% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG URINE QUALITATIVE	$16.80	$28.00	$4.10–$28.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUALITATIVE	$16.80	$28.00	$4.10–$28.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPING (ABO)	$18.00	$30.00	$2.99–$304.00	59% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPING (ABO)	$18.00	$30.00	$2.99–$304.00	—	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$9.00	$15.00	$5.45	46% below	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$9.00	$15.00	$5.45	—	40%
C-peptide blood test CPT 84681 C-PEPTIDE SO	$54.00	$90.00	$20.39–$28.75	5% above	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SO	$54.00	$90.00	$20.39–$28.75	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) SO	$11.40	$19.00	$5.08–$40.86	51% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HS C-REACTIVE PROTEIN (CRP)	$11.40	$19.00	$5.08–$40.86	51% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HS C-REACTIVE PROTEIN (CRP)	$11.40	$19.00	$5.08–$40.86	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP) SO	$11.40	$19.00	$5.08–$40.86	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID AMPLIFIED PROBE TQ	$92.40	$154.00	$33.84–$154.00	29% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID AMPLIFIED PROBE TQ	$92.40	$154.00	$33.84–$154.00	—	40%
Calcium blood test, total CPT 82310 CALCIUM	$11.40	$19.00	$5.06–$7.12	43% below	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$11.40	$19.00	$5.06–$7.12	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA SO	$42.00	$70.00	$18.96	28% below	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA SO	$42.00	$70.00	$18.96	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER TOTAL SO	$28.80	$48.00	$12.88–$15.50	21% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER	$42.00	$70.00	$12.88–$15.50	15% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER TOTAL SO	$28.80	$48.00	$12.88–$15.50	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER	$42.00	$70.00	$12.88–$15.50	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROBE SO	$78.00	$130.00	$35.09–$48.50	36% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROBE SO	$78.00	$130.00	$35.09–$48.50	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$30.00	$50.00	$13.12–$50.00	40% below	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$30.00	$50.00	$13.12–$50.00	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO	$17.40	$29.00	$7.61–$29.00	34% below	40%
Complete blood count (CBC) with differential CPT 85025 IRON AND TIBC	$17.40	$29.00	$7.61–$29.00	34% below	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$17.40	$29.00	$7.61–$29.00	34% below	40%
Complete blood count (CBC) with differential inpatient CPT 85025 IRON AND TIBC	$17.40	$29.00	$7.61–$29.00	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO	$17.40	$29.00	$7.61–$29.00	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$17.40	$29.00	$7.61–$29.00	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$14.40	$24.00	$6.34–$12.72	48% below	40%
Complete blood count (CBC), no differential CPT 85027 CHARGE HEMOGRAM	$14.40	$24.00	$6.34–$12.72	48% below	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CHARGE HEMOGRAM	$14.40	$24.00	$6.34–$12.72	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$14.40	$24.00	$6.34–$12.72	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$23.40	$39.00	$10.35–$39.00	68% below	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$23.40	$39.00	$10.35–$39.00	—	40%
Cortisol blood test, total CPT 82533 CORTISOL, AM SO	$10.08	$16.80	$15.97–$16.30	73% below	40%
Cortisol blood test, total CPT 82533 CORTISOL SO	$60.00	$100.00	$15.97–$16.30	59% above	40%
Cortisol blood test, total CPT 82533 CORTISOL TIMES 3	$180.00	$300.00	$15.97–$16.30	376% above	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, AM SO	$10.08	$16.80	$15.97–$16.30	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SO	$60.00	$100.00	$15.97–$16.30	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TIMES 3	$180.00	$300.00	$15.97–$16.30	—	40%
Creatine kinase (CK) blood test, total CPT 82550 CKI	$14.40	$24.00	$6.38–$24.00	35% below	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CKI	$14.40	$24.00	$6.38–$24.00	—	40%
Creatinine blood test CPT 82565 CREATININE BLOOD	$11.40	$19.00	$7.07	31% below	40%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$11.40	$19.00	$7.07	—	40%
D-dimer blood test (blood clot marker) CPT 85379 LAB D-DIMER LEVEL 5	$18.60	$31.00	$10.18–$14.06	63% below	40%
D-dimer blood test (blood clot marker) CPT 85379 LAB D-DIMER LEVEL 4	$18.60	$31.00	$10.18–$14.06	63% below	40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$22.80	$38.00	$10.18–$14.06	55% below	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB D-DIMER LEVEL 4	$18.60	$31.00	$10.18–$14.06	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB D-DIMER LEVEL 5	$18.60	$31.00	$10.18–$14.06	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$22.80	$38.00	$10.18–$14.06	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE SO	$64.80	$108.00	$21.79–$30.72	15% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE SO	$64.80	$108.00	$21.79–$30.72	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE/COTININE SCREEN AND CONFIRM SO	$111.60	$186.00	$62.14	238% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 16 WITH REFLEX CONFIRM SO	$111.60	$186.00	$62.14	238% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 WITH REFLEX CONFIRM SO	$111.85	$186.42	$16.92–$215.00	239% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE SCREEN INHOUSE	$129.00	$215.00	$16.92–$215.00	291% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC CANNABINOIDS (K2, SPICE) W/REF	$248.99	$414.99	$16.92–$215.00	655% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE/COTININE SCREEN AND CONFIRM SO	$111.60	$186.00	$62.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 16 WITH REFLEX CONFIRM SO	$111.60	$186.00	$62.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 13 WITH REFLEX CONFIRM SO	$111.85	$186.42	$16.92–$215.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE SCREEN INHOUSE	$129.00	$215.00	$16.92–$215.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC CANNABINOIDS (K2, SPICE) W/REF	$248.99	$414.99	$16.92–$215.00	—	40%
Estradiol blood test CPT 82670 SERUM ESTRADIOL	$19.80	$33.00	$27.38–$53.55	65% below	40%
Estradiol blood test CPT 82670 ESTRADIOL E2 SO	$72.00	$120.00	$27.38–$53.55	26% above	40%
Estradiol blood test inpatient CPT 82670 SERUM ESTRADIOL	$19.80	$33.00	$27.38–$53.55	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL E2 SO	$72.00	$120.00	$27.38–$53.55	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SO	$41.40	$69.00	$18.21–$35.48	25% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SO	$41.40	$69.00	$18.21–$35.48	—	40%
Ferritin blood test (iron stores) CPT 82728 *FERRITIN SO	$30.00	$50.00	$13.36–$18.83	34% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN SO	$30.00	$50.00	$13.36–$18.83	34% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$30.00	$50.00	$13.36–$18.83	34% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SO	$30.00	$50.00	$13.36–$18.83	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 *FERRITIN SO	$30.00	$50.00	$13.36–$18.83	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$30.00	$50.00	$13.36–$18.83	—	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN SO	$18.60	$31.00	$9.72	40% below	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN SO	$18.60	$31.00	$9.72	—	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (EXL)	$32.40	$54.00	$14.41–$20.32	14% below	40%
Folate (folic acid) blood test CPT 82746 LCP FOLIC ACID SERUM SO	$32.40	$54.00	$14.41–$20.32	14% below	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (EXL)	$32.40	$54.00	$14.41–$20.32	—	40%
Folate (folic acid) blood test inpatient CPT 82746 LCP FOLIC ACID SERUM SO	$32.40	$54.00	$14.41–$20.32	—	40%
Free T3 thyroid hormone test CPT 84481 FREE T3	$59.40	$99.00	$13.43–$32.80	20% above	40%
Free T3 thyroid hormone test CPT 84481 FREE T3 SO	$75.60	$126.00	$13.43–$32.80	53% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$59.40	$99.00	$13.43–$32.80	—	40%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 SO	$75.60	$126.00	$13.43–$32.80	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (EXL)	$23.40	$39.00	$8.84–$39.00	33% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LCP FREE T4 SO	$28.80	$48.00	$8.84–$39.00	18% below	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 (EXL)	$23.40	$39.00	$8.84–$39.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LCP FREE T4 SO	$28.80	$48.00	$8.84–$39.00	—	40%
Free testosterone test CPT 84402 FREE TESTOSTERONE SO	$56.40	$94.00	$24.96–$48.87	6% below	40%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE SO	$56.40	$94.00	$24.96–$48.87	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT SO	$16.20	$27.00	$7.20	34% below	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT SO	$16.20	$27.00	$7.20	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 SPEC	$28.80	$48.00	$12.87–$17.80	36% below	40%
Glucose tolerance test, 3 samples CPT 82951 GTT 1HR O'SULLIVAN	$28.80	$48.00	$12.87–$17.80	36% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1HR O'SULLIVAN	$28.80	$48.00	$12.87–$17.80	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 SPEC	$28.80	$48.00	$12.87–$17.80	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC AMPLIFICATION-SO	$66.00	$110.00	$35.09–$48.50	16% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE SO	$78.00	$130.00	$35.09–$48.50	37% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC AMPLIFICATION-SO	$66.00	$110.00	$35.09–$48.50	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE SO	$78.00	$130.00	$35.09–$48.50	—	40%
H. pylori antibody blood test CPT 86677 H PYLORI, IGA SO	$32.40	$54.00	$16.06	30% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI, IGG SO	$32.40	$54.00	$16.06	30% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI, IGM SO	$32.40	$54.00	$16.06	30% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI, IGA	$43.20	$72.00	$16.06	6% below	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI, IGG SO	$32.40	$54.00	$16.06	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI, IGA SO	$32.40	$54.00	$16.06	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI, IGM SO	$32.40	$54.00	$16.06	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI, IGA	$43.20	$72.00	$16.06	—	40%
H. pylori stool antigen test CPT 87338 STOOL H PYLORI	$31.20	$52.00	$6.31–$90.40	49% below	40%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN SO	$67.80	$113.00	$6.31–$90.40	11% above	40%
H. pylori stool antigen test inpatient CPT 87338 STOOL H PYLORI	$31.20	$52.00	$6.31–$90.40	—	40%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN SO	$67.80	$113.00	$6.31–$90.40	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREEN SO	$53.40	$89.00	$23.60–$71.20	15% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV SCREEN SO	$53.40	$89.00	$23.60–$71.20	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C (HEMOGLOBIN GLYCOSYLATED A1C)	$21.60	$36.00	$9.52–$36.00	39% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C (HEMOGLOBIN GLYCOSYLATED A1C)	$21.60	$36.00	$9.52–$36.00	—	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$6.00	$10.00	$2.32–$2.37	42% below	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN (HGB)	$25.20	$42.00	$2.32–$2.37	142% above	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$6.00	$10.00	$2.32–$2.37	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (HGB)	$25.20	$42.00	$2.32–$2.37	—	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB IGG &IGM SO	$27.00	$45.00	$12.05–$15.42	5% below	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB IGG &IGM SO	$27.00	$45.00	$12.05–$15.42	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY SO	$24.00	$40.00	$10.74–$13.75	20% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B AB ULTRAQUANTITATIVE	$28.20	$47.00	$10.74–$13.75	6% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY SO	$24.00	$40.00	$10.74–$13.75	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B AB ULTRAQUANTITATIVE	$28.20	$47.00	$10.74–$13.75	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG SO	$22.80	$38.00	$10.33–$14.27	36% below	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG SO	$22.80	$38.00	$10.33–$14.27	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB W/REFLX	$43.20	$72.00	$14.27–$19.73	4% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY SO	$43.20	$72.00	$14.27–$19.73	4% below	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY SO	$43.20	$72.00	$14.27–$19.73	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB W/REFLX	$43.20	$72.00	$14.27–$19.73	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV GENSTYN	$110.40	$184.00	$42.84	at median	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT	$111.60	$186.00	$42.84	1% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA W/PCR	$124.80	$208.00	$42.84	13% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA W/ REFLEX GENO	$207.16	$345.27	$42.84	88% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD, QUANT SO	$228.60	$381.00	$42.84	107% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV GENSTYN	$110.40	$184.00	$42.84	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT	$111.60	$186.00	$42.84	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA W/PCR	$124.80	$208.00	$42.84	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA W/ REFLEX GENO	$207.16	$345.27	$42.84	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD, QUANT SO	$228.60	$381.00	$42.84	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC AB, IGM SO	$29.40	$49.00	$12.93–$13.19	17% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC AB, IGG SO	$29.40	$49.00	$12.93–$13.19	17% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX	$37.20	$62.00	$12.93–$13.19	48% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-SPECIFIC AB, IGG SO	$29.40	$49.00	$12.93–$13.19	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-SPECIFIC AB, IGM SO	$29.40	$49.00	$12.93–$13.19	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX	$37.20	$62.00	$12.93–$13.19	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2-SPECIFIC AB, IGG W/REFLEX SO	$43.20	$72.00	$18.97–$19.35	at median	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2-SPECIFIC AB, IGM SO	$43.20	$72.00	$18.97–$19.35	at median	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB	$49.80	$83.00	$18.97–$19.35	15% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2-SPECIFIC AB, IGG W/REFLEX SO	$43.20	$72.00	$18.97–$19.35	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2-SPECIFIC AB, IGM SO	$43.20	$72.00	$18.97–$19.35	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 AB	$49.80	$83.00	$18.97–$19.35	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENS. SO	$28.80	$48.00	$12.69–$24.77	33% below	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENS. SO	$28.80	$48.00	$12.69–$24.77	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTINE LEVEL SO	$43.20	$72.00	$17.56–$57.60	24% below	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE LEVEL SO	$43.20	$72.00	$17.56–$57.60	—	40%
Insulin blood test CPT 83525 INSULIN LEVEL SO	$25.20	$42.00	$11.20–$22.09	12% below	40%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL SO	$25.20	$42.00	$11.20–$22.09	—	40%
Iron blood test (serum iron) CPT 83540 IRON SO	$14.40	$24.00	$6.34–$12.72	34% below	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON SO	$14.40	$24.00	$6.34–$12.72	—	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC	$22.80	$38.00	$8.57–$16.73	29% below	40%
Iron-binding capacity (TIBC) test CPT 83550 *IRON AND TIBC	$22.80	$38.00	$8.57–$16.73	29% below	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC SO	$36.60	$61.00	$8.57–$16.73	14% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 *IRON AND TIBC	$22.80	$38.00	$8.57–$16.73	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON AND TIBC	$22.80	$38.00	$8.57–$16.73	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON AND TIBC SO	$36.60	$61.00	$8.57–$16.73	—	40%
Kidney function blood test panel CPT 80069 RENAL PANEL	$19.20	$32.00	$8.51–$8.68	62% below	40%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$19.20	$32.00	$8.51–$8.68	—	40%
LH (luteinizing hormone) test CPT 83002 LH SERUM SO	$41.40	$69.00	$18.15–$35.48	23% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM SO	$41.40	$69.00	$18.15–$35.48	—	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (EXL)	$24.00	$40.00	$11.57–$40.00	14% below	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (EXL)	$24.00	$40.00	$11.57–$40.00	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH SO	$13.20	$22.00	$5.94–$6.04	35% below	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH SO	$13.20	$22.00	$5.94–$6.04	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$15.60	$26.00	$3.04–$26.00	38% below	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$15.60	$26.00	$3.04–$26.00	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$18.00	$30.00	$8.01–$11.29	64% below	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$18.00	$30.00	$8.01–$11.29	—	40%
Lyme disease antibody test CPT 86618 LYMES IGG &IGM COMBINATION SO	$37.80	$63.00	$17.03	25% below	40%
Lyme disease antibody test CPT 86618 LYMES IGM	$42.00	$70.00	$17.03	17% below	40%
Lyme disease antibody test inpatient CPT 86618 LYMES IGG &IGM COMBINATION SO	$37.80	$63.00	$17.03	—	40%
Lyme disease antibody test inpatient CPT 86618 LYMES IGM	$42.00	$70.00	$17.03	—	40%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE SO	$13.39	$22.32	$6.57–$9.26	38% below	40%
Magnesium blood test CPT 83735 MAGNESIUM	$15.00	$25.00	$6.57–$9.26	30% below	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE SO	$13.39	$22.32	$6.57–$9.26	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$15.00	$25.00	$6.57–$9.26	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS IGG AB	$37.20	$62.00	$12.88	28% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS IGG AB	$37.20	$62.00	$12.88	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST SCREEN	$11.40	$19.00	$5.18	53% below	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST SCREEN	$11.40	$19.00	$5.18	—	40%
Mumps immunity blood test CPT 86735 MUMPSTITER IgG SO	$28.80	$48.00	$13.05	3% below	40%
Mumps immunity blood test CPT 86735 MUMPSTITER IgM SO	$28.80	$48.00	$13.05	3% below	40%
Mumps immunity blood test inpatient CPT 86735 MUMPSTITER IgM SO	$28.80	$48.00	$13.05	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPSTITER IgG SO	$28.80	$48.00	$13.05	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$77.40	$129.00	$18.39	59% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$77.40	$129.00	$18.39	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING APH	$40.80	$68.00	$18.02–$111.83	8% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL(REFLEX TO FREE) SO	$40.80	$68.00	$18.02–$18.39	8% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC SO	$45.60	$76.00	$18.02–$76.00	3% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$66.00	$110.00	$18.02–$18.39	50% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL(REFLEX TO FREE) SO	$40.80	$68.00	$18.02–$18.39	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING APH	$40.80	$68.00	$18.02–$111.83	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC SO	$45.60	$76.00	$18.02–$76.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$66.00	$110.00	$18.02–$18.39	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE SO	$91.80	$153.00	$40.45–$57.04	1% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT SO	$91.80	$153.00	$40.45–$57.04	1% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$149.40	$249.00	$40.45–$57.04	64% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE SO	$91.80	$153.00	$40.45–$57.04	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT SO	$91.80	$153.00	$40.45–$57.04	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE	$149.40	$249.00	$40.45–$57.04	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MIXING	$13.20	$22.00	$5.89–$22.00	35% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$13.20	$22.00	$5.89–$22.00	35% below	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$13.20	$22.00	$5.89–$22.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT MIXING	$13.20	$22.00	$5.89–$22.00	—	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS (EXL)	$10.80	$18.00	$4.65–$6.56	36% below	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS (EXL)	$10.80	$18.00	$4.65–$6.56	—	40%
Potassium blood test CPT 84132 POTASSIUM	$10.20	$17.00	$4.76	42% below	40%
Potassium blood test inpatient CPT 84132 POTASSIUM	$10.20	$17.00	$4.76	—	40%
Progesterone blood test CPT 84144 PROGESTERONE SO	$73.20	$122.00	$20.44–$97.60	34% above	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE SO	$73.20	$122.00	$20.44–$97.60	—	40%
Prolactin blood test CPT 84146 PROLACTIN SO	$43.20	$72.00	$18.99–$26.78	32% below	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN SO	$43.20	$72.00	$18.99–$26.78	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT MIXING	$9.00	$15.00	$4.20–$15.00	38% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$9.00	$15.00	$4.20–$15.00	38% below	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$9.00	$15.00	$4.20–$15.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT MIXING	$9.00	$15.00	$4.20–$15.00	—	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU A TEST	$30.00	$50.00	$16.22–$100.00	33% above	40%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU B TEST	$30.00	$50.00	$16.22–$100.00	33% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU A TEST	$30.00	$50.00	$16.22–$100.00	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU B TEST	$30.00	$50.00	$16.22–$100.00	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$30.00	$50.00	$11.05–$50.00	35% above	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$30.00	$50.00	$11.05–$50.00	—	40%
Rh blood typing CPT 86901 BB BLOOD TYPING (RH)	$18.00	$30.00	$2.99–$93.00	16% below	40%
Rh blood typing inpatient CPT 86901 BB BLOOD TYPING (RH)	$18.00	$30.00	$2.99–$93.00	—	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID QUANTITATIVE SO	$30.00	$50.00	$5.56–$50.00	28% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID QUANTITATIVE SO	$30.00	$50.00	$5.56–$50.00	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IGM	$30.00	$50.00	$14.39–$19.89	10% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG SO	$31.80	$53.00	$14.39–$19.89	4% below	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IGM	$30.00	$50.00	$14.39–$19.89	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER IGG SO	$31.80	$53.00	$14.39–$19.89	—	40%
Stool ova and parasites exam CPT 87177 STOOL OCP SO	$19.80	$33.00	$8.90–$12.09	34% below	40%
Stool ova and parasites exam inpatient CPT 87177 STOOL OCP SO	$19.80	$33.00	$8.90–$12.09	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (VDRL)	$9.60	$16.00	$4.27–$5.90	33% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (VDRL)	$9.60	$16.00	$4.27–$5.90	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTI FERON TB GOLD SO	$138.00	$230.00	$60.74–$79.33	17% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTI FERON TB GOLD SO	$138.00	$230.00	$60.74–$79.33	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL SO	$57.60	$96.00	$25.29–$49.53	2% below	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL SO	$57.60	$96.00	$25.29–$49.53	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTI- SO	$32.40	$54.00	$14.26–$20.11	10% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID MICROSOMAL (TPO) SO	$32.40	$54.00	$14.26–$20.11	10% below	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID MICROSOMAL (TPO) SO	$32.40	$54.00	$14.26–$20.11	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTI- SO	$32.40	$54.00	$14.26–$20.11	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (ASSAY THYROID STIM HORMONE)	$37.20	$62.00	$16.46–$32.13	10% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (ASSAY THYROID STIM HORMONE)	$37.20	$62.00	$16.46–$32.13	—	40%
Total IgE blood test CPT 82785 IGE, IMMUNOGLOBULINS E SO	$24.00	$40.00	$16.46	37% below	40%
Total IgE blood test CPT 82785 ALLERGEN PROFILE W/TOTAL IGE, RESPIR SO	$36.60	$61.00	$16.46	4% below	40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, TOTAL, SO	$36.60	$61.00	$16.46	4% below	40%
Total IgE blood test inpatient CPT 82785 IGE, IMMUNOGLOBULINS E SO	$24.00	$40.00	$16.46	—	40%
Total IgE blood test inpatient CPT 82785 ALLERGEN PROFILE W/TOTAL IGE, RESPIR SO	$36.60	$61.00	$16.46	—	40%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E, TOTAL, SO	$36.60	$61.00	$16.46	—	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$9.60	$16.00	$4.35–$6.02	36% below	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$9.60	$16.00	$4.35–$6.02	—	40%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL SO	$15.00	$25.00	$6.58–$6.73	36% below	40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL SO	$15.00	$25.00	$6.58–$6.73	—	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL SO	$31.80	$53.00	$8.73–$18.15	34% below	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL SO	$31.80	$53.00	$8.73–$18.15	—	40%
Transferrin blood test CPT 84466 TRANSFERRIN SO	$28.20	$47.00	$12.76	27% below	40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN SO	$28.20	$47.00	$12.76	—	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA SO	$153.50	$255.84	$35.09–$204.67	214% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS NAA SO	$153.50	$255.84	$35.09–$204.67	—	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$12.60	$21.00	$5.74	47% below	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$12.60	$21.00	$5.74	—	40%
Troponin test, quantitative CPT 84484 I-STAT TROPONIN cTnl	$22.20	$37.00	$4.93–$37.00	41% below	40%
Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY	$22.20	$37.00	$4.93–$37.00	41% below	40%
Troponin test, quantitative inpatient CPT 84484 I-STAT TROPONIN cTnl	$22.20	$37.00	$4.93–$37.00	—	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY	$22.20	$37.00	$4.93–$37.00	—	40%
Uric acid blood test CPT 84550 URIC ACID (EXL)	$10.20	$17.00	$4.43–$8.70	42% below	40%
Uric acid blood test CPT 84550 URIC ACID SO	$10.20	$17.00	$4.43–$8.70	42% below	40%
Uric acid blood test inpatient CPT 84550 URIC ACID (EXL)	$10.20	$17.00	$4.43–$8.70	—	40%
Uric acid blood test inpatient CPT 84550 URIC ACID SO	$10.20	$17.00	$4.43–$8.70	—	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED W/ MICROSCOPY	$7.20	$12.00	$3.11–$12.00	71% below	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTOMATED W/ MICROSCOPY	$7.20	$12.00	$3.11–$12.00	—	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS	$7.24	$12.06	$3.94–$4.02	10% above	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS	$7.24	$12.06	$3.94–$4.02	—	40%
Urinalysis without microscope exam, automated CPT 81003 .URINALYSIS AUTOMATED W/O MICRO	$4.80	$8.00	$2.20–$41.06	46% below	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 .URINALYSIS AUTOMATED W/O MICRO	$4.80	$8.00	$2.20–$41.06	—	40%
Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN SO	$12.60	$21.00	$5.66–$11.38	28% below	40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN SO	$12.60	$21.00	$5.66–$11.38	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (EXL)	$33.60	$56.00	$14.78–$28.78	15% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 LCP VITAMIN B-12 SO	$33.60	$56.00	$14.78–$28.78	15% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LCP VITAMIN B-12 SO	$33.60	$56.00	$14.78–$28.78	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 (EXL)	$33.60	$56.00	$14.78–$28.78	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 (EXL)	$66.00	$110.00	$29.01–$56.90	14% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HYDROXY VIT D 25	$99.60	$166.00	$29.01–$56.90	30% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D (D2+D3 FRACTIONATE)	$168.60	$281.00	$29.01–$56.90	120% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 (EXL)	$66.00	$110.00	$29.01–$56.90	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HYDROXY VIT D 25	$99.60	$166.00	$29.01–$56.90	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY VITAMIN D (D2+D3 FRACTIONATE)	$168.60	$281.00	$29.01–$56.90	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1,25 DIHYDROXY SO	$85.80	$143.00	$37.73–$38.50	4% below	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1,25 DIHYDROXY SO	$85.80	$143.00	$37.73–$38.50	—	40%
Zinc blood test CPT 84630 ZINC SO	$25.20	$42.00	$11.39	19% below	40%
Zinc blood test inpatient CPT 84630 ZINC SO	$25.20	$42.00	$11.39	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT INTERPRETATION	$66.00	$110.00	$15.05–$110.00	36% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT INTERPRETATION SO	$66.00	$110.00	$15.05–$110.00	36% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT INTERPRETATION	$66.00	$110.00	$15.05–$110.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT INTERPRETATION SO	$66.00	$110.00	$15.05–$110.00	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$1,093.35	$1,822.25	$1,545.50–$1,796.80	38% below	40%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY	$1,093.35	$1,822.25	$1,545.50–$1,796.80	—	40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,794.71	$2,991.18	$391.99–$1,081.57	112% above	40%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,794.71	$2,991.18	$391.99–$1,081.57	—	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,794.71	$2,991.18	$848.60–$1,081.57	110% above	40%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$1,794.71	$2,991.18	$848.60–$1,081.57	—	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,390.00	$2,316.66	$352.50–$2,000.00	86% above	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$1,390.00	$2,316.66	$352.50–$2,000.00	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HERNIA RPR AA 1ST 3-10 RDC	$10,480.80	$17,468.00	$2,871.67	81% above	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HERNIA RPR AA 1ST 3-10 RDC	$10,480.80	$17,468.00	$2,871.67	—	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HERNIA REP AA 1ST < 3 CM RDC	$5,928.00	$9,880.00	$2,870.52	79% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HERNIA REP AA 1ST < 3 CM RDC	$5,928.00	$9,880.00	$2,870.52	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,531.39	$2,552.31	$418.58–$1,108.00	244% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,531.39	$2,552.31	$418.58–$1,108.00	—	40%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$8,775.27	$14,625.45	$260.00–$5,340.00	216% above	40%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$8,775.27	$14,625.45	$260.00–$5,340.00	—	40%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$7,564.57	$12,607.62	$1,038.00	168% above	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION	$7,564.57	$12,607.62	$1,038.00	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$4,754.72	$7,924.53	$703.56–$4,191.00	149% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY	$4,754.72	$7,924.53	$703.56–$4,191.00	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS	$280.80	$468.00	$181.71	44% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SGL SIMP	$304.20	$507.00	$165.77–$183.91	56% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF ABSCESS	$280.80	$468.00	$181.71	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SGL SIMP	$304.20	$507.00	$165.77–$183.91	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$5,928.00	$9,880.00	$3,240.49	94% above	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR	$5,928.00	$9,880.00	$3,240.49	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASPIR INJ MAJOR JOINTS WO GUID	$440.40	$734.00	$111.07–$272.15	77% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASPIR INJ MAJOR JOINTS WO GUID PF	$441.60	$736.00	$111.07–$272.15	78% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASPIR INJ MAJOR JOINTS WO GUID	$440.40	$734.00	$111.07–$272.15	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASPIR INJ MAJOR JOINTS WO GUID PF	$441.60	$736.00	$111.07–$272.15	—	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHA	$5,180.40	$8,634.00	$5,327.00	41% above	40%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHA	$5,180.40	$8,634.00	$5,327.00	—	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$9,799.80	$16,333.00	$5,339.30	107% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY	$9,799.80	$16,333.00	$5,339.30	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$671.09	$1,118.49	$525.00	88% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$671.09	$1,118.49	$525.00	—	40%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB SUBQ,SIMPLE	$559.20	$932.00	$364.68	140% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FB SUBQ,SIMPLE	$559.20	$932.00	$364.68	—	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCRN NOT HI RISK	$1,390.00	$2,316.66	$292.45–$833.75	121% above	40%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCRN NOT HI RISK	$1,390.00	$2,316.66	$292.45–$833.75	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCN HI RISK IND	$1,390.00	$2,316.66	$833.75–$838.86	129% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY SCN HI RISK IND	$1,390.00	$2,316.66	$833.75–$838.86	—	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT(LOWER) LEG SPLINT	$243.60	$406.00	$70.00–$225.00	71% above	40%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$243.60	$406.00	$70.00–$225.00	71% above	40%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT(LOWER) LEG SPLINT	$243.60	$406.00	$70.00–$225.00	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT	$243.60	$406.00	$70.00–$225.00	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SMP SCP-NCK-AX-GN-TRNK-XTRM 2.5CM<	$304.20	$507.00	$124.95–$507.00	62% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SMP SCP-NCK-AX-GN-TRNK-XTRM 2.5CM<	$304.20	$507.00	$124.95–$507.00	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SMP SCP-NK-GN-TRNK XTRM 2.6 -7.5CM	$304.20	$507.00	$225.00–$300.00	66% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SMP SCP-NK-GN-TRNK XTRM 2.6 -7.5CM	$304.20	$507.00	$225.00–$300.00	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SMP FACE<2.5 CM	$304.20	$507.00	$108.92–$225.00	67% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SMP FACE<2.5 CM	$304.20	$507.00	$108.92–$225.00	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,378.62	$2,297.70	$352.50–$860.89	86% above	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,378.62	$2,297.70	$352.50–$860.89	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,378.62	$2,297.70	$430.46–$860.89	70% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,378.62	$2,297.70	$430.46–$860.89	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION PER DAY	$675.00	$1,125.00	$319.16–$324.00	42% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD COMP DERIV ADMIN PER DAY	$675.00	$1,125.00	$319.16–$324.00	42% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN ONE UNIT PER DAY	$675.00	$1,125.00	$319.16–$324.00	42% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION PER DAY	$675.00	$1,125.00	$319.16–$324.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD COMP DERIV ADMIN PER DAY	$675.00	$1,125.00	$319.16–$324.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN ONE UNIT PER DAY	$675.00	$1,125.00	$319.16–$324.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITIAL	$228.00	$380.00	$75.00–$380.00	161% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI / DPI TREATMENT INITIAL	$304.36	$507.27	$75.00–$380.00	249% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI / DPI TREATMENT SUBSEQUENT	$304.36	$507.27	$75.00–$380.00	249% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI / DPI TREATMENT SECOND MED SUBSEQUEN	$304.36	$507.27	$75.00–$380.00	249% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT INITIAL	$228.00	$380.00	$75.00–$380.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI / DPI TREATMENT SECOND MED SUBSEQUEN	$304.36	$507.27	$75.00–$380.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI / DPI TREATMENT INITIAL	$304.36	$507.27	$75.00–$380.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI / DPI TREATMENT SUBSEQUENT	$304.36	$507.27	$75.00–$380.00	—	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITCL CARE 1ST 30 74 MIN	$1,320.60	$2,201.00	$624.42–$1,759.99	76% above	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITCL CARE 1ST 30 74 MIN	$1,320.60	$2,201.00	$624.42–$1,759.99	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/LEAST 12 LEAD TRACING	$144.00	$240.00	$54.54–$240.00	75% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/LEAST 12 LEAD TRACING	$144.00	$240.00	$54.54–$240.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$123.60	$206.00	$58.44–$206.00	32% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$123.60	$206.00	$58.44–$206.00	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$224.40	$374.00	$106.10–$300.00	41% above	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$224.40	$374.00	$106.10–$300.00	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$394.20	$657.00	$186.39–$657.00	59% above	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$394.20	$657.00	$186.39–$657.00	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$640.20	$1,067.00	$180.00–$1,170.65	60% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$640.20	$1,067.00	$180.00–$1,170.65	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$937.20	$1,562.00	$153.15–$903.00	81% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$937.20	$1,562.00	$153.15–$903.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FIRST HOUR IV HYDRATION ONLY ONE	$343.80	$573.00	$45.09–$573.00	132% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATE INIT 1 HR	$353.40	$589.00	$45.09–$573.00	138% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FIRST HOUR IV HYDRATION ONLY ONE	$343.80	$573.00	$45.09–$573.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRATE INIT 1 HR	$353.40	$589.00	$45.09–$573.00	—	40%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THER PROPH DX INIT HR	$343.80	$573.00	$162.56–$401.10	78% above	40%
IV infusion of a medicine, first hour CPT 96365 FIRST HR IV THERAPY-ONLY ONE	$343.80	$573.00	$162.56–$401.10	78% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS THER PROPH DX INIT HR	$343.80	$573.00	$162.56–$401.10	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 FIRST HR IV THERAPY-ONLY ONE	$343.80	$573.00	$162.56–$401.10	—	40%
IV push of a medicine, first drug CPT 96374 INJ THER DX INTRV S/I DRUG	$343.80	$573.00	$160.36–$194.88	254% above	40%
IV push of a medicine, first drug CPT 96374 FIRST IVP DRUG-ONLY ONE	$343.80	$573.00	$160.36–$194.88	254% above	40%
IV push of a medicine, first drug inpatient CPT 96374 FIRST IVP DRUG-ONLY ONE	$343.80	$573.00	$160.36–$194.88	—	40%
IV push of a medicine, first drug inpatient CPT 96374 INJ THER DX INTRV S/I DRUG	$343.80	$573.00	$160.36–$194.88	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT THER DX SUBCU OR IM	$105.00	$175.00	$31.99–$175.00	98% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THER DX SUBCUTA OR IM	$105.00	$175.00	$31.99–$175.00	98% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ALL IM/SC INJECTIONS	$105.00	$175.00	$31.99–$175.00	98% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT THER DX SUBCU OR IM	$105.00	$175.00	$31.99–$175.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ALL IM/SC INJECTIONS	$105.00	$175.00	$31.99–$175.00	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THER DX SUBCUTA OR IM	$105.00	$175.00	$31.99–$175.00	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE ED	$60.00	$100.00	$31.12	55% above	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE ED	$60.00	$100.00	$31.12	—	40%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION	$150.60	$251.00	$57.26–$175.70	32% above	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION	$150.60	$251.00	$57.26–$175.70	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION	$144.60	$241.00	$24.48–$241.00	24% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION	$144.60	$241.00	$24.48–$241.00	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY PTA	$53.40	$89.00	$9.06–$19.75	38% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY	$53.40	$89.00	$19.75–$62.30	38% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY	$53.40	$89.00	$9.06–$19.75	38% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY PTA	$53.40	$89.00	$9.06–$19.75	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY	$53.40	$89.00	$9.06–$19.75	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY	$53.40	$89.00	$19.75–$62.30	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE	$57.00	$95.00	$11.00–$95.00	50% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE	$57.00	$95.00	$10.00–$95.00	50% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE PTA	$57.00	$95.00	$10.00–$95.00	50% above	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE	$57.00	$95.00	$10.00–$95.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE	$57.00	$95.00	$11.00–$95.00	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE PTA	$57.00	$95.00	$10.00–$95.00	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION COUNSELING 3-10 MIN	$45.00	$75.00	$21.28–$27.24	130% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO CESSATION COUNSELING 3-10 MIN	$45.00	$75.00	$21.28–$27.24	—	40%
Speech and language evaluation CPT 92523 SPEECH/SOUND EVALUATION	$258.00	$430.00	$131.19–$430.00	39% above	40%
Speech and language evaluation inpatient CPT 92523 SPEECH/SOUND EVALUATION	$258.00	$430.00	$131.19–$430.00	—	40%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$136.20	$227.00	$33.00–$227.00	60% above	40%
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY	$136.20	$227.00	$33.00–$227.00	—	40%
Spirometry before and after a bronchodilator CPT 94060 PFT - SPIROMETRY WITH BRONCHODILATOR	$327.60	$546.00	$154.90–$285.94	51% above	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT - SPIROMETRY WITH BRONCHODILATOR	$327.60	$546.00	$154.90–$285.94	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES PTA	$69.00	$115.00	$13.35–$115.00	71% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY	$69.00	$115.00	$8.80–$115.00	71% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES	$69.00	$115.00	$13.35–$115.00	71% above	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES PTA	$69.00	$115.00	$13.35–$115.00	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY	$69.00	$115.00	$8.80–$115.00	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES	$69.00	$115.00	$13.35–$115.00	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC TRI PFS 0.5 ML	$43.20	$72.00	$22.76	39% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC TRI PFS 0.5 ML	$43.20	$72.00	$22.76	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE High Dose 65+ 0.5 mL PFS	$144.00	$240.00	$96.20	136% above	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE High Dose 65+ 0.5 mL PFS	$144.00	$240.00	$96.20	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 Vacc 0.5 mL PFS	$388.20	$647.00	$306.64	16% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 Vacc 0.5 mL PFS	$388.20	$647.00	$306.64	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (Tdap) 0.5 mL SDV	$97.80	$163.00	$46.24–$92.49	44% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (Tdap) 0.5 mL SDV	$97.80	$163.00	$46.24–$92.49	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUN INITIAL VACCINE	$105.00	$175.00	$49.65–$175.00	159% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUN INITIAL VACCINE	$105.00	$175.00	$49.65–$175.00	—	40%

Source file: https://hospitalpricetransparencyfiles.com/allen-parish-hospital-district-no-3/720655439_Allen-Parish-Hospital-District-No-3_standardcharges.csv