Hospital

Southwest Arkansas Regional Medical Center

Southwest Arkansas Regional Medical Center in Hope, AR publishes cash prices for 253 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 Arkansas median for 131 of 249 procedures and above it for 112. By typical cash price it ranks #14 of 31 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2001 S Main Street Hope AR 71801 Collected Sep 28, 2026 Source price file (870) 722-3800

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 041335 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Southwest Arkansas Regional Medical Center in Hope, AR:

Jan 21, 2026 Corrective action plan requested
Apr 24, 2026 Corrective action plan requested
May 20, 2026 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE MIN 3V BI	$392.23	$980.58	$980.58–$392.23	—	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3V RT	$202.00	$505.00	$505.00–$202.00	24% above	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3V LT	$202.00	$505.00	$505.00–$202.00	24% above	60%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE MIN 3V BI	$392.23	$980.58	$980.58–$392.23	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3V LT	$202.00	$505.00	$505.00–$202.00	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3V RT	$202.00	$505.00	$505.00–$202.00	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US TBI BILATERAL	$154.68	$386.70	$386.70–$154.68	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI BILATERAL	$154.68	$386.70	$386.70–$154.68	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR L XTREMITY ART 2 LEVELS	$335.28	$838.21	$838.21–$335.28	38% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ABI BILATERAL	$154.68	$386.70	$386.70–$154.68	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US TBI BILATERAL	$154.68	$386.70	$386.70–$154.68	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR L XTREMITY ART 2 LEVELS	$335.28	$838.21	$838.21–$335.28	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$284.60	$711.50	$711.50–$284.60	23% above	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$284.60	$711.50	$711.50–$284.60	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$600.00	$1,500.00	$1,500.00–$600.00	3% below	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY	$600.00	$1,500.00	$1,500.00–$600.00	—	60%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$174.40	$436.01	$436.01–$174.40	17% above	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$174.40	$436.01	$436.01–$174.40	—	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$174.40	$436.01	$436.01–$174.40	8% above	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED	$174.40	$436.01	$436.01–$174.40	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W	$655.20	$1,638.00	$1,638.00–$655.20	42% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W	$655.20	$1,638.00	$1,638.00–$655.20	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO	$1,152.00	$2,880.00	$2,880.00–$1,152.00	17% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO	$1,152.00	$2,880.00	$2,880.00–$1,152.00	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W	$1,230.00	$3,075.00	$3,075.00–$1,230.00	22% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W	$1,230.00	$3,075.00	$3,075.00–$1,230.00	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WWO	$1,552.00	$3,880.00	$3,880.00–$1,552.00	21% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WWO	$1,552.00	$3,880.00	$3,880.00–$1,552.00	—	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$604.88	$1,512.20	$1,512.20–$604.88	45% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$604.88	$1,512.20	$1,512.20–$604.88	—	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO	$593.00	$1,482.50	$1,482.50–$593.00	40% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO	$593.00	$1,482.50	$1,482.50–$593.00	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO	$133.40	$333.50	$333.50–$133.40	83% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL WO	$464.99	$1,162.47	$1,162.47–$464.99	42% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO	$133.40	$333.50	$333.50–$133.40	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLO FACIAL WO	$464.99	$1,162.47	$1,162.47–$464.99	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT STROKE PROTOCOL	$602.81	$1,507.02	$1,507.02–$602.81	33% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$602.81	$1,507.02	$1,507.02–$602.81	33% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT STROKE PROTOCOL	$602.81	$1,507.02	$1,507.02–$602.81	—	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO	$602.81	$1,507.02	$1,507.02–$602.81	—	60%
CT scan of the head with contrast CPT 70460 CT HEAD W	$886.76	$2,216.91	$2,216.91–$886.76	2% below	60%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W	$886.76	$2,216.91	$2,216.91–$886.76	—	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO	$1,102.37	$2,755.92	$2,755.92–$1,102.37	at median	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO	$1,102.37	$2,755.92	$2,755.92–$1,102.37	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO	$842.00	$2,105.00	$2,105.00–$842.00	16% below	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO	$842.00	$2,105.00	$2,105.00–$842.00	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO	$533.74	$1,334.34	$1,334.34–$533.74	44% below	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO	$533.74	$1,334.34	$1,334.34–$533.74	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$855.32	$2,138.30	$2,138.30–$855.32	19% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$855.32	$2,138.30	$2,138.30–$855.32	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILAT	$492.49	$1,231.23	$1,231.23–$492.49	—	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN BILAT	$666.72	$1,666.81	$1,666.81–$666.72	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILAT	$492.49	$1,231.23	$1,231.23–$492.49	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN BILAT	$666.72	$1,666.81	$1,666.81–$666.72	—	60%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V	$170.57	$426.42	$426.42–$170.57	19% above	60%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V W DECUBITUS	$207.79	$519.48	$519.48–$207.79	46% above	60%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V	$170.57	$426.42	$426.42–$170.57	—	60%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V W DECUBITUS	$207.79	$519.48	$519.48–$207.79	—	60%
Chest X-ray, single view CPT 71045 XR CHEST 1V	$144.74	$361.86	$361.86–$144.74	19% above	60%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V	$144.74	$361.86	$361.86–$144.74	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BI AND AORTA W NOD	$207.03	$517.58	$517.58–$207.03	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL BI AND AORTA W NOD	$207.03	$517.58	$517.58–$207.03	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY DEXA	$127.61	$319.02	$319.02–$127.61	38% below	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY DEXA	$127.61	$319.02	$319.02–$127.61	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY PERIPH	$105.66	$264.15	$264.15–$105.66	31% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY PERIPH	$105.66	$264.15	$264.15–$105.66	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US FETAL ANATOMY	$290.06	$725.16	$725.16–$290.06	8% above	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US FETAL ANATOMY	$290.06	$725.16	$725.16–$290.06	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$749.20	$1,873.00	$1,873.00–$749.20	6% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$749.20	$1,873.00	$1,873.00–$749.20	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$908.40	$2,271.00	$2,271.00–$908.40	20% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W	$908.40	$2,271.00	$2,271.00–$908.40	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MM BR DIG MAMMO BILAT GG	$181.12	$452.80	$452.80–$181.12	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MM BR DIG MAMMO BILAT	$181.12	$452.80	$452.80–$181.12	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM BR DIG MAMMO BILAT GG	$181.12	$452.80	$452.80–$181.12	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM BR DIG MAMMO BILAT	$181.12	$452.80	$452.80–$181.12	—	60%
Diagnostic mammogram, one breast CPT 77065 MM BR DIG MAMMO UNI	$147.84	$369.60	$369.60–$147.84	1% below	60%
Diagnostic mammogram, one breast CPT 77065 MM BR DIG MAMMO UNI GG	$147.84	$369.60	$369.60–$147.84	1% below	60%
Diagnostic mammogram, one breast CPT 77065 MM MAMMOGRAM CAD DIAGNO	$253.86	$634.66	$634.66–$253.86	69% above	60%
Diagnostic mammogram, one breast one side CPT 77065 MM BR DIG MAMMO UNILAT	$147.84	$369.60	$369.60–$147.84	1% below	60%
Diagnostic mammogram, one breast inpatient CPT 77065 MM BR DIG MAMMO UNI	$147.84	$369.60	$369.60–$147.84	—	60%
Diagnostic mammogram, one breast inpatient CPT 77065 MM BR DIG MAMMO UNI GG	$147.84	$369.60	$369.60–$147.84	—	60%
Diagnostic mammogram, one breast inpatient CPT 77065 MM MAMMOGRAM CAD DIAGNO	$253.86	$634.66	$634.66–$253.86	—	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM BR DIG MAMMO UNILAT	$147.84	$369.60	$369.60–$147.84	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART BPG BILAT	$663.40	$1,658.50	$1,658.50–$663.40	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US EXT LWR ART BIL	$492.49	$1,231.23	$1,231.23–$492.49	6% above	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART BPG BILAT	$663.40	$1,658.50	$1,658.50–$663.40	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US EXT LWR ART BIL	$492.49	$1,231.23	$1,231.23–$492.49	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS BILAT	$774.64	$1,936.61	$1,936.61–$774.64	—	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAPPING	$290.06	$725.16	$725.16–$290.06	20% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT UPPR VEN BIL	$492.49	$1,231.23	$1,231.23–$492.49	37% above	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT LWR VEN BIL	$492.49	$1,231.23	$1,231.23–$492.49	37% above	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS BILAT	$774.64	$1,936.61	$1,936.61–$774.64	—	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN MAPPING	$290.06	$725.16	$725.16–$290.06	—	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT LWR VEN BIL	$492.49	$1,231.23	$1,231.23–$492.49	—	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT UPPR VEN BIL	$492.49	$1,231.23	$1,231.23–$492.49	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO W DOPPLER AND COLO	$657.96	$1,644.90	$1,644.90–$657.96	41% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO W DOPPLER AND COLO	$657.96	$1,644.90	$1,644.90–$657.96	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA WO	$482.20	$1,205.49	$1,205.49–$482.20	22% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HIDA WO	$482.20	$1,205.49	$1,205.49–$482.20	—	60%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3V BI	$362.46	$906.16	$906.16–$362.46	—	60%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT	$188.13	$470.32	$470.32–$188.13	1% above	60%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT	$188.13	$470.32	$470.32–$188.13	1% above	60%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3V BI	$362.46	$906.16	$906.16–$362.46	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V LT	$188.13	$470.32	$470.32–$188.13	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3V RT	$188.13	$470.32	$470.32–$188.13	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US BLADDER LIMITED	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ST LWR BACK	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US BACK SOFT TISSUE	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$208.00	$520.00	$520.00–$208.00	25% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US BLADDER LIMITED	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ST LWR BACK	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US BACK SOFT TISSUE	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$208.00	$520.00	$520.00–$208.00	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$208.00	$520.00	$520.00–$208.00	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANKLE BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	65% above	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	65% above	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI EXT LWR JT BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	65% above	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	65% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LWR JT RT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LWR JT LT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT WO	$996.57	$2,491.42	$2,491.42–$996.57	5% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI HIP BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANKLE BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI KNEE BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI EXT LWR JT BIL WO	$1,726.79	$4,316.98	$4,316.98–$1,726.79	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE LT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LWR JT LT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE RT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LWR JT RT WO	$996.57	$2,491.42	$2,491.42–$996.57	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI EXT LWR JT BIL WWO	$2,183.50	$5,458.74	$5,458.74–$2,183.50	71% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LWR JT LT WWO	$1,188.81	$2,972.03	$2,972.03–$1,188.81	7% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LWR JT RT WWO	$1,188.81	$2,972.03	$2,972.03–$1,188.81	7% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI EXT LWR JT BIL WWO	$2,183.50	$5,458.74	$5,458.74–$2,183.50	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LWR JT RT WWO	$1,188.81	$2,972.03	$2,972.03–$1,188.81	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LWR JT LT WWO	$1,188.81	$2,972.03	$2,972.03–$1,188.81	—	60%
MRI of the abdomen without contrast CPT 74181 MRI ABD WO	$454.77	$1,136.93	$1,136.93–$454.77	62% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD WO	$454.77	$1,136.93	$1,136.93–$454.77	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WWO	$800.00	$2,000.00	$2,000.00–$800.00	37% below	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD WWO	$800.00	$2,000.00	$2,000.00–$800.00	—	60%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$504.00	$1,260.00	$1,260.00–$504.00	58% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI IAC WO	$754.18	$1,885.44	$1,885.44–$754.18	36% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO	$754.18	$1,885.44	$1,885.44–$754.18	36% below	60%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$504.00	$1,260.00	$1,260.00–$504.00	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC WO	$754.18	$1,885.44	$1,885.44–$754.18	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY WO	$754.18	$1,885.44	$1,885.44–$754.18	—	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO	$840.00	$2,100.00	$2,100.00–$840.00	51% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO	$1,343.38	$3,358.46	$3,358.46–$1,343.38	22% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY WWO	$1,343.38	$3,358.46	$3,358.46–$1,343.38	22% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO	$840.00	$2,100.00	$2,100.00–$840.00	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY WWO	$1,343.38	$3,358.46	$3,358.46–$1,343.38	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO	$1,343.38	$3,358.46	$3,358.46–$1,343.38	—	60%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO	$904.00	$2,260.00	$2,260.00–$904.00	11% below	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO	$904.00	$2,260.00	$2,260.00–$904.00	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WWO	$1,190.00	$2,975.00	$2,975.00–$1,190.00	25% below	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WWO	$1,190.00	$2,975.00	$2,975.00–$1,190.00	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO	$1,326.63	$3,316.58	$3,316.58–$1,326.63	16% above	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO	$1,326.63	$3,316.58	$3,316.58–$1,326.63	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL WWO	$1,234.00	$3,085.00	$3,085.00–$1,234.00	24% below	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL WWO	$1,234.00	$3,085.00	$3,085.00–$1,234.00	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO	$904.00	$2,260.00	$2,260.00–$904.00	21% below	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO	$904.00	$2,260.00	$2,260.00–$904.00	—	60%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO	$842.00	$2,105.00	$2,105.00–$842.00	33% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO	$842.00	$2,105.00	$2,105.00–$842.00	—	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM WO	$496.89	$1,242.23	$1,242.23–$496.89	47% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$504.00	$1,260.00	$1,260.00–$504.00	46% below	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM WO	$496.89	$1,242.23	$1,242.23–$496.89	—	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$504.00	$1,260.00	$1,260.00–$504.00	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI WRIST BILAT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI EXT UPPR JT BIL WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	66% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER BIL WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	66% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT WO	$208.00	$519.99	$519.99–$208.00	80% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT WO	$896.03	$2,240.08	$2,240.08–$896.03	14% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT WO	$922.02	$2,305.05	$2,305.05–$922.02	11% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT WO	$922.02	$2,305.05	$2,305.05–$922.02	11% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT WO	$922.02	$2,305.05	$2,305.05–$922.02	11% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPR JT RT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	66% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPR JT LT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	66% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI WRIST BILAT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI EXT UPPR JT BIL WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI SHOULDER BIL WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST RT WO	$208.00	$519.99	$519.99–$208.00	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST LT WO	$896.03	$2,240.08	$2,240.08–$896.03	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW LT WO	$922.02	$2,305.05	$2,305.05–$922.02	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER RT WO	$922.02	$2,305.05	$2,305.05–$922.02	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER LT WO	$922.02	$2,305.05	$2,305.05–$922.02	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPR JT LT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPR JT RT WO	$1,717.84	$4,294.61	$4,294.61–$1,717.84	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF SPECT MULT	$1,566.58	$3,916.44	$3,916.44–$1,566.58	20% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERF SPECT MULT	$1,566.58	$3,916.44	$3,916.44–$1,566.58	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US IUD PLACEMENT	$125.70	$314.25	$314.25–$125.70	2% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD	$184.80	$462.00	$462.00–$184.80	44% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US IUD PLACEMENT	$125.70	$314.25	$314.25–$125.70	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD	$184.80	$462.00	$462.00–$184.80	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$236.66	$591.64	$591.64–$236.66	41% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$236.66	$591.64	$591.64–$236.66	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US ULS OBSTETRIC POST FIRST	$167.61	$419.02	$419.02–$167.61	42% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WKS SING FIRST	$167.61	$419.02	$419.02–$167.61	42% below	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WKS SING FIRST	$167.61	$419.02	$419.02–$167.61	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US ULS OBSTETRIC POST FIRST	$167.61	$419.02	$419.02–$167.61	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS SING FIRST	$127.61	$319.02	$319.02–$127.61	58% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS SING FIRST	$127.61	$319.02	$319.02–$127.61	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$127.61	$319.02	$319.02–$127.61	26% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$127.61	$319.02	$319.02–$127.61	—	60%
Screening mammogram, both breasts both sides CPT 77067 MM BR SCREEN MAMMO BI	$150.40	$376.00	$376.00–$150.40	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM BR SCREEN MAMMO BI	$150.40	$376.00	$376.00–$150.40	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER 2+ BIL	$392.73	$981.83	$981.83–$392.73	126% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ RT	$201.86	$504.66	$504.66–$201.86	16% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ LT	$201.86	$504.66	$504.66–$201.86	16% above	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER 2+ BIL	$392.73	$981.83	$981.83–$392.73	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ LT	$201.86	$504.66	$504.66–$201.86	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ RT	$201.86	$504.66	$504.66–$201.86	—	60%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$657.96	$1,644.90	$1,644.90–$657.96	17% above	60%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE	$657.96	$1,644.90	$1,644.90–$657.96	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BARIUM SWALLOW (MOD)	$210.07	$525.18	$525.18–$210.07	2% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BARIUM SWALLOW	$305.78	$764.44	$764.44–$305.78	43% above	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR BARIUM SWALLOW (MOD)	$210.07	$525.18	$525.18–$210.07	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR BARIUM SWALLOW	$305.78	$764.44	$764.44–$305.78	—	60%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$205.20	$513.00	$513.00–$205.20	41% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$205.20	$513.00	$513.00–$205.20	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$127.61	$319.02	$319.02–$127.61	36% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$127.61	$319.02	$319.02–$127.61	—	60%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$219.12	$547.79	$547.79–$219.12	52% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$219.12	$547.79	$547.79–$219.12	—	60%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$183.60	$459.00	$459.00–$183.60	43% below	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$183.60	$459.00	$459.00–$183.60	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$192.00	$480.00	$480.00–$192.00	50% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US ST HEAD NECK	$192.00	$480.00	$480.00–$192.00	50% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$192.00	$480.00	$480.00–$192.00	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US ST HEAD NECK	$192.00	$480.00	$480.00–$192.00	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI W KUB	$273.06	$682.64	$682.64–$273.06	13% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI W KUB	$273.06	$682.64	$682.64–$273.06	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US EXT VEN INSUFFICIENCY	$127.61	$319.02	$319.02–$127.61	63% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS UNIL LIMIT	$573.29	$1,433.22	$1,433.22–$573.29	67% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOPPLER VENOUS EXTR	$620.95	$1,552.38	$1,552.38–$620.95	81% above	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT UPPR VEN LT	$125.70	$314.25	$314.25–$125.70	63% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LWR VEN LT	$125.70	$314.25	$314.25–$125.70	63% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT UPPR VEN RT	$125.70	$314.25	$314.25–$125.70	63% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LWR VEN RT	$125.70	$314.25	$314.25–$125.70	63% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US EXT VEN INSUFFICIENCY	$127.61	$319.02	$319.02–$127.61	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS UNIL LIMIT	$573.29	$1,433.22	$1,433.22–$573.29	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DOPPLER VENOUS EXTR	$620.95	$1,552.38	$1,552.38–$620.95	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT UPPR VEN RT	$125.70	$314.25	$314.25–$125.70	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT UPPR VEN LT	$125.70	$314.25	$314.25–$125.70	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LWR VEN RT	$125.70	$314.25	$314.25–$125.70	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LWR VEN LT	$125.70	$314.25	$314.25–$125.70	—	60%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST 3V BI	$251.40	$628.50	$628.50–$251.40	—	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3V LT	$176.06	$440.16	$440.16–$176.06	8% above	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3V RT	$176.06	$440.16	$440.16–$176.06	8% above	60%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST 3V BI	$251.40	$628.50	$628.50–$251.40	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST MIN 3V RT	$176.06	$440.16	$440.16–$176.06	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST MIN 3V LT	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W/ PELVIS RT	$196.67	$491.68	$491.68–$196.67	45% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W/ PELVIS LT	$196.67	$491.68	$491.68–$196.67	45% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W/ PELVIS LT	$196.67	$491.68	$491.68–$196.67	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W/ PELVIS RT	$196.67	$491.68	$491.68–$196.67	—	60%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1V KUB	$105.66	$264.15	$264.15–$105.66	13% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1V KUB	$105.66	$264.15	$264.15–$105.66	—	60%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2V BIL	$207.79	$519.48	$519.48–$207.79	55% above	60%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RT	$130.08	$325.20	$325.20–$130.08	3% below	60%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT	$130.08	$325.20	$325.20–$130.08	3% below	60%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2V BIL	$207.79	$519.48	$519.48–$207.79	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V RT	$130.08	$325.20	$325.20–$130.08	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V LT	$130.08	$325.20	$325.20–$130.08	—	60%
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGERS MIN 2V BI	$264.84	$662.10	$662.10–$264.84	—	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2V RT	$142.34	$355.86	$355.86–$142.34	20% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2V LT	$142.34	$355.86	$355.86–$142.34	20% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT INDEX	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT RING	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT MIDDLE	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT INDEX	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT THUMB	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT THUMB	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT LITTLE	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT MIDDLE	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT RING	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT LITTLE	$176.06	$440.16	$440.16–$176.06	48% above	60%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGERS MIN 2V BI	$264.84	$662.10	$662.10–$264.84	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2V LT	$142.34	$355.86	$355.86–$142.34	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2V RT	$142.34	$355.86	$355.86–$142.34	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT THUMB	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT LITTLE	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT RING	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT MIDDLE	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT INDEX	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT THUMB	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT LITTLE	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT RING	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT MIDDLE	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT INDEX	$176.06	$440.16	$440.16–$176.06	—	60%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT MIN 2V BI	$262.18	$655.44	$655.44–$262.18	—	60%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V LT	$131.08	$327.70	$327.70–$131.08	22% above	60%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V RT	$131.08	$327.70	$327.70–$131.08	22% above	60%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT MIN 2V BI	$262.18	$655.44	$655.44–$262.18	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2V RT	$131.08	$327.70	$327.70–$131.08	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2V LT	$131.08	$327.70	$327.70–$131.08	—	60%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT MIN 3V BI	$393.75	$984.38	$984.38–$393.75	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT MIN 3V LT	$202.78	$506.96	$506.96–$202.78	24% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT MIN 3V RT	$202.78	$506.96	$506.96–$202.78	24% above	60%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT MIN 3V BI	$393.75	$984.38	$984.38–$393.75	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT MIN 3V LT	$202.78	$506.96	$506.96–$202.78	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT MIN 3V RT	$202.78	$506.96	$506.96–$202.78	—	60%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND MIN 3V BI	$377.61	$944.03	$944.03–$377.61	—	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V RT	$194.35	$485.87	$485.87–$194.35	13% above	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V LT	$194.35	$485.87	$485.87–$194.35	13% above	60%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND MIN 3V BI	$377.61	$944.03	$944.03–$377.61	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND MIN 3V RT	$194.35	$485.87	$485.87–$194.35	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND MIN 3V LT	$194.35	$485.87	$485.87–$194.35	—	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1-2V BI	$326.70	$816.76	$816.76–$326.70	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V RT	$165.52	$413.79	$413.79–$165.52	36% above	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V LT	$165.52	$413.79	$413.79–$165.52	36% above	60%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1-2V BI	$326.70	$816.76	$816.76–$326.70	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V RT	$165.52	$413.79	$413.79–$165.52	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V LT	$165.52	$413.79	$413.79–$165.52	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2-3V	$127.61	$319.02	$319.02–$127.61	22% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2-3V	$127.61	$319.02	$319.02–$127.61	—	60%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR 4V	$268.80	$672.00	$672.00–$268.80	6% above	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR 4V	$268.80	$672.00	$672.00–$268.80	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2V	$395.73	$989.33	$989.33–$395.73	116% above	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2V	$395.73	$989.33	$989.33–$395.73	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XR FACIAL BONES 1-2	$103.90	$259.74	$259.74–$103.90	9% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3V	$127.61	$319.02	$319.02–$127.61	11% above	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR FACIAL BONES 1-2	$103.90	$259.74	$259.74–$103.90	—	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3V	$127.61	$319.02	$319.02–$127.61	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3V	$195.62	$489.05	$489.05–$195.62	60% above	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3V	$195.62	$489.05	$489.05–$195.62	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1V	$167.12	$417.81	$417.81–$167.12	2% above	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V	$185.15	$462.88	$462.88–$185.15	13% above	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1V	$167.12	$417.81	$417.81–$167.12	—	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V	$185.15	$462.88	$462.88–$185.15	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$214.82	$537.05	$537.05–$214.82	63% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX	$214.82	$537.05	$537.05–$214.82	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 BF SGPT ALT	$27.66	$69.15	$69.15–$27.66	4% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT PICCOLO	$27.73	$69.32	$69.32–$27.73	4% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$27.73	$69.32	$69.32–$27.73	4% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 BF SGPT ALT	$27.66	$69.15	$69.15–$27.66	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT PICCOLO	$27.73	$69.32	$69.32–$27.73	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$27.73	$69.32	$69.32–$27.73	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST PICCOLO	$27.73	$69.32	$69.32–$27.73	17% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$27.73	$69.32	$69.32–$27.73	17% below	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$27.73	$69.32	$69.32–$27.73	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST PICCOLO	$27.73	$69.32	$69.32–$27.73	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$74.10	$185.26	$185.26–$74.10	65% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$74.10	$185.26	$185.26–$74.10	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT	$13.20	$33.00	$33.00–$13.20	13% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE QUANT EACH FOR ALLER	$13.20	$33.00	$33.00–$13.20	13% below	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT	$13.20	$33.00	$33.00–$13.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE QUANT EACH FOR ALLER	$13.20	$33.00	$33.00–$13.20	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLICCITRULL PEPTIDE	$91.29	$228.23	$228.23–$91.29	49% above	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLICCITRULL PEPTIDE	$91.29	$228.23	$228.23–$91.29	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX MULT CONFIRM	$85.39	$213.48	$213.48–$85.39	33% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY	$93.83	$234.57	$234.57–$93.83	46% above	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX MULT CONFIRM	$85.39	$213.48	$213.48–$85.39	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY	$93.83	$234.57	$234.57–$93.83	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$96.00	$240.00	$240.00–$96.00	16% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B NATRIURETIC PEPTIDE	$117.58	$293.94	$293.94–$117.58	42% above	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$96.00	$240.00	$240.00–$96.00	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B NATRIURETIC PEPTIDE	$117.58	$293.94	$293.94–$117.58	—	60%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$17.60	$44.00	$44.00–$17.60	84% below	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL TOTAL CA	$78.11	$195.28	$195.28–$78.11	30% below	60%
Basic metabolic panel (blood test) CPT 80048 BMP ISTAT	$78.11	$195.28	$195.28–$78.11	30% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA	$17.60	$44.00	$44.00–$17.60	—	60%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL TOTAL CA	$78.11	$195.28	$195.28–$78.11	—	60%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP ISTAT	$78.11	$195.28	$195.28–$78.11	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY LEVEL IV	$49.71	$124.28	$124.28–$49.71	53% below	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY LEVEL IV	$49.71	$124.28	$124.28–$49.71	—	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$87.36	$218.39	$218.39–$87.36	20% above	60%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$87.36	$218.39	$218.39–$87.36	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE	$54.00	$135.00	$135.00–$54.00	351% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE	$54.00	$135.00	$135.00–$54.00	—	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD RANDOM	$18.78	$46.96	$46.96–$18.78	38% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT	$21.37	$53.43	$53.43–$21.37	30% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE PICCOLO	$21.37	$53.43	$53.43–$21.37	30% below	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD RANDOM	$18.78	$46.96	$46.96–$18.78	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE PICCOLO	$21.37	$53.43	$53.43–$21.37	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT	$21.37	$53.43	$53.43–$21.37	—	60%
Blood lead test CPT 83655 LEAD URINE	$22.51	$56.28	$56.28–$22.51	39% below	60%
Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC	$34.03	$85.07	$85.07–$34.03	8% below	60%
Blood lead test CPT 83655 LEAD BLOOD ADULT	$35.41	$88.52	$88.52–$35.41	4% below	60%
Blood lead test inpatient CPT 83655 LEAD URINE	$22.51	$56.28	$56.28–$22.51	—	60%
Blood lead test inpatient CPT 83655 LEAD BLOOD PEDIATRIC	$34.03	$85.07	$85.07–$34.03	—	60%
Blood lead test inpatient CPT 83655 LEAD BLOOD ADULT	$35.41	$88.52	$88.52–$35.41	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM QU	$60.77	$151.92	$151.92–$60.77	26% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM	$99.02	$247.54	$247.54–$99.02	105% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM QU	$60.77	$151.92	$151.92–$60.77	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM	$99.02	$247.54	$247.54–$99.02	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$44.93	$112.33	$112.33–$44.93	30% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$44.93	$112.33	$112.33–$44.93	30% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$44.93	$112.33	$112.33–$44.93	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$44.93	$112.33	$112.33–$44.93	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$39.86	$99.66	$99.66–$39.86	2% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$39.86	$99.66	$99.66–$39.86	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN & ANTIGEN	$46.80	$117.00	$117.00–$46.80	57% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMPLIFIED PROBE	$46.80	$117.00	$117.00–$46.80	57% below	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMPLIFIED PROBE	$46.80	$117.00	$117.00–$46.80	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN & ANTIGEN	$46.80	$117.00	$117.00–$46.80	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$128.09	$320.22	$320.22–$128.09	34% above	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$128.09	$320.22	$320.22–$128.09	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 BODY FLUID	$76.07	$190.17	$190.17–$76.07	6% above	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$76.25	$190.63	$190.63–$76.25	6% above	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 BODY FLUID	$76.07	$190.17	$190.17–$76.07	—	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$76.25	$190.63	$190.63–$76.25	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$40.00	$100.00	$100.00–$40.00	69% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$40.00	$100.00	$100.00–$40.00	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA GC NAA	$42.11	$105.27	$105.27–$42.11	42% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$46.80	$117.00	$117.00–$46.80	35% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY LCR TRACHA	$92.80	$232.01	$232.01–$92.80	28% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA GC NAA	$42.11	$105.27	$105.27–$42.11	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS	$46.80	$117.00	$117.00–$46.80	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY LCR TRACHA	$92.80	$232.01	$232.01–$92.80	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$55.12	$137.79	$137.79–$55.12	35% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PICCOLO	$55.12	$137.79	$137.79–$55.12	35% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PICCOLO	$55.12	$137.79	$137.79–$55.12	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$55.12	$137.79	$137.79–$55.12	—	60%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$13.20	$33.00	$33.00–$13.20	73% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC AUTOMATED DIFF	$14.35	$35.87	$35.87–$14.35	71% below	60%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$13.20	$33.00	$33.00–$13.20	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTOMATED DIFF	$14.35	$35.87	$35.87–$14.35	—	60%
Complete blood count (CBC), no differential CPT 85027 CBC HEMOGRAM NO DIFF	$15.14	$37.86	$37.86–$15.14	53% below	60%
Complete blood count (CBC), no differential CPT 85027 .CBC HEMOGRAM (CHARGE)	$15.14	$37.86	$37.86–$15.14	53% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMOGRAM NO DIFF	$15.14	$37.86	$37.86–$15.14	—	60%
Complete blood count (CBC), no differential inpatient CPT 85027 .CBC HEMOGRAM (CHARGE)	$15.14	$37.86	$37.86–$15.14	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$20.40	$51.00	$51.00–$20.40	84% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$97.73	$244.33	$244.33–$97.73	24% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 CMP PICCOLO	$97.73	$244.33	$244.33–$97.73	24% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$20.40	$51.00	$51.00–$20.40	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$97.73	$244.33	$244.33–$97.73	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP PICCOLO	$97.73	$244.33	$244.33–$97.73	—	60%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$60.66	$151.65	$151.65–$60.66	1% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$60.66	$151.65	$151.65–$60.66	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S	$80.66	$201.66	$201.66–$80.66	9% above	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA S	$80.66	$201.66	$201.66–$80.66	—	60%
Estradiol blood test CPT 82670 ESTRADIOL	$111.29	$278.22	$278.22–$111.29	14% above	60%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$111.29	$278.22	$278.22–$111.29	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$47.87	$119.67	$119.67–$47.87	34% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$47.87	$119.67	$119.67–$47.87	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$97.81	$244.53	$244.53–$97.81	21% below	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$97.81	$244.53	$244.53–$97.81	—	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LAB CORP	$125.29	$313.23	$313.23–$125.29	98% above	60%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LAB CORP	$125.29	$313.23	$313.23–$125.29	—	60%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$107.47	$268.67	$268.67–$107.47	71% above	60%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$107.47	$268.67	$268.67–$107.47	—	60%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$134.23	$335.57	$335.57–$134.23	111% above	60%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$134.23	$335.57	$335.57–$134.23	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE T4	$28.28	$70.71	$70.71–$28.28	41% below	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE T4	$28.28	$70.71	$70.71–$28.28	—	60%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$118.48	$296.19	$296.19–$118.48	35% above	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$118.48	$296.19	$296.19–$118.48	—	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$93.20	$233.00	$233.00–$93.20	41% below	60%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$93.20	$233.00	$233.00–$93.20	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PC GLU COLA	$20.54	$51.35	$51.35–$20.54	40% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PC 50G	$21.43	$53.57	$53.57–$21.43	38% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PC GLU COLA	$20.54	$51.35	$51.35–$20.54	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PC 50G	$21.43	$53.57	$53.57–$21.43	—	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 1ST 3 SPECIM	$23.73	$59.32	$59.32–$23.73	59% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL GTT 3 SPCIME	$56.32	$140.80	$140.80–$56.32	2% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 1ST 3 SPECIM	$23.73	$59.32	$59.32–$23.73	—	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL GTT 3 SPCIME	$56.32	$140.80	$140.80–$56.32	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR AMP PROBE	$71.85	$179.62	$179.62–$71.85	1% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORR AMP PROBE	$71.85	$179.62	$179.62–$71.85	—	60%
H. pylori antibody blood test CPT 86677 ANTIBODY HELICO BACTER	$43.72	$109.30	$109.30–$43.72	39% below	60%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY HELICO BACTER	$43.72	$109.30	$109.30–$43.72	—	60%
H. pylori stool antigen test CPT 87338 HELICOBACTOR PYLORI ST	$52.72	$131.81	$131.81–$52.72	26% below	60%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTOR PYLORI ST	$52.72	$131.81	$131.81–$52.72	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA BY PCR QUANT	$204.81	$512.03	$512.03–$204.81	7% below	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA BY PCR QUANT	$204.81	$512.03	$512.03–$204.81	—	60%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2- SINGLE ASSAY	$52.40	$131.00	$131.00–$52.40	12% below	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2- SINGLE ASSAY	$52.40	$131.00	$131.00–$52.40	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AGW HIV 1 AND HIV 2	$43.35	$108.38	$108.38–$43.35	42% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AGW HIV 1 AND HIV 2	$43.35	$108.38	$108.38–$43.35	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$33.20	$83.00	$83.00–$33.20	15% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOB	$39.96	$99.91	$99.91–$39.96	2% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$33.20	$83.00	$83.00–$33.20	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOB	$39.96	$99.91	$99.91–$39.96	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBO	$44.74	$111.86	$111.86–$44.74	20% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBO	$44.74	$111.86	$111.86–$44.74	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGE	$45.96	$114.89	$114.89–$45.96	4% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGE	$45.96	$114.89	$114.89–$45.96	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$57.34	$143.36	$143.36–$57.34	5% below	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$57.34	$143.36	$143.36–$57.34	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT RNA PCR	$66.00	$165.00	$165.00–$66.00	50% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT	$152.51	$381.27	$381.27–$152.51	15% above	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT RNA PCR	$66.00	$165.00	$165.00–$66.00	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT	$152.51	$381.27	$381.27–$152.51	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM	$53.56	$133.91	$133.91–$53.56	8% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG	$59.12	$147.81	$147.81–$59.12	19% above	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 AB IGM	$53.56	$133.91	$133.91–$53.56	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 AB IGG	$59.12	$147.81	$147.81–$59.12	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX IGM	$53.56	$133.91	$133.91–$53.56	2% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 AND 2 AB, IGG	$53.56	$133.91	$133.91–$53.56	2% below	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX IGM	$53.56	$133.91	$133.91–$53.56	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 AND 2 AB, IGG	$53.56	$133.91	$133.91–$53.56	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS	$44.60	$111.49	$111.49–$44.60	14% below	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS	$44.60	$111.49	$111.49–$44.60	—	60%
Homocysteine blood test CPT 83090 HOMO CYSTINE SERUM	$49.88	$124.70	$124.70–$49.88	30% below	60%
Homocysteine blood test inpatient CPT 83090 HOMO CYSTINE SERUM	$49.88	$124.70	$124.70–$49.88	—	60%
Insulin blood test CPT 83525 INSULIN	$38.96	$97.39	$97.39–$38.96	15% below	60%
Insulin blood test inpatient CPT 83525 INSULIN	$38.96	$97.39	$97.39–$38.96	—	60%
Iron blood test (serum iron) CPT 83540 IRON	$54.66	$136.64	$136.64–$54.66	36% above	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$54.66	$136.64	$136.64–$54.66	—	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$82.29	$205.72	$205.72–$82.29	164% above	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$82.29	$205.72	$205.72–$82.29	—	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$76.93	$192.33	$192.33–$76.93	13% below	60%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$76.93	$192.33	$192.33–$76.93	—	60%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$50.06	$125.14	$125.14–$50.06	24% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$50.06	$125.14	$125.14–$50.06	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$51.54	$128.86	$128.86–$51.54	25% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$54.61	$136.53	$136.53–$54.61	32% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$51.54	$128.86	$128.86–$51.54	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$54.61	$136.53	$136.53–$54.61	—	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$120.98	$302.46	$302.46–$120.98	36% above	60%
Liver function blood test panel CPT 80076 HEPATIC PICCOLO	$120.98	$302.46	$302.46–$120.98	36% above	60%
Liver function blood test panel inpatient CPT 80076 HEPATIC PICCOLO	$120.98	$302.46	$302.46–$120.98	—	60%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$120.98	$302.46	$302.46–$120.98	—	60%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$90.09	$225.23	$225.23–$90.09	10% above	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$90.09	$225.23	$225.23–$90.09	—	60%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$13.62	$34.06	$34.06–$13.62	57% below	60%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$21.20	$53.00	$53.00–$21.20	33% below	60%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$58.61	$146.52	$146.52–$58.61	86% above	60%
Magnesium blood test CPT 83735 MAGNESIUM	$61.86	$154.66	$154.66–$61.86	96% above	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$13.62	$34.06	$34.06–$13.62	—	60%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$21.20	$53.00	$53.00–$21.20	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$58.61	$146.52	$146.52–$58.61	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$61.86	$154.66	$154.66–$61.86	—	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$33.94	$84.85	$84.85–$33.94	19% below	60%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$33.94	$84.85	$84.85–$33.94	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILEAB SCREEN	$21.37	$53.43	$53.43–$21.37	35% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$22.02	$55.04	$55.04–$22.02	33% below	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILEAB SCREEN	$21.37	$53.43	$53.43–$21.37	—	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$22.02	$55.04	$55.04–$22.02	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$85.71	$214.27	$214.27–$85.71	17% above	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$85.71	$214.27	$214.27–$85.71	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL LAB CORP	$76.09	$190.22	$190.22–$76.09	13% above	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL LAB CORP	$76.09	$190.22	$190.22–$76.09	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONEN TERMIN	$98.69	$246.73	$246.73–$98.69	38% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT	$98.94	$247.35	$247.35–$98.94	38% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONEN TERMIN	$98.69	$246.73	$246.73–$98.69	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID INTACT	$98.94	$247.35	$247.35–$98.94	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 MIXING STUDIES PTT	$55.95	$139.87	$139.87–$55.95	46% above	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$57.74	$144.34	$144.34–$57.74	50% above	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MIXING STUDIES PTT	$55.95	$139.87	$139.87–$55.95	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$57.74	$144.34	$144.34–$57.74	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT 21 PLUS CORE	$480.00	$1,200.00	$1,200.00–$480.00	64% below	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT 21 PLUS CORE	$480.00	$1,200.00	$1,200.00–$480.00	—	60%
Progesterone blood test CPT 84144 PROGESTERONE	$51.14	$127.85	$127.85–$51.14	21% below	60%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$51.14	$127.85	$127.85–$51.14	—	60%
Prolactin blood test CPT 84146 PROLACTIN	$44.14	$110.35	$110.35–$44.14	37% below	60%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$44.14	$110.35	$110.35–$44.14	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PT / INR	$48.56	$121.41	$121.41–$48.56	74% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PT / INR DAILY	$48.56	$121.41	$121.41–$48.56	74% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT / INR	$48.56	$121.41	$121.41–$48.56	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT / INR DAILY	$48.56	$121.41	$121.41–$48.56	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYER DRUG SCREEN - SEND OUT	$85.20	$213.00	$213.00–$85.20	246% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMPLOYER DRUG SCREEN - SEND OUT	$85.20	$213.00	$213.00–$85.20	—	60%
Rapid flu test (influenza antigen) CPT 87804 z INFLUENZA B AG RAPID NOT IN USE	$26.81	$67.02	$67.02–$26.81	47% below	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG RAPID ER	$30.00	$75.00	$75.00–$30.00	41% below	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B AG RAPID ER	$30.00	$75.00	$75.00–$30.00	41% below	60%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU A	$31.20	$78.00	$78.00–$31.20	38% below	60%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU B	$31.20	$78.00	$78.00–$31.20	38% below	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B AG RAPID	$53.62	$134.04	$134.04–$53.62	6% above	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 z INFLUENZA B AG RAPID NOT IN USE	$26.81	$67.02	$67.02–$26.81	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG RAPID ER	$30.00	$75.00	$75.00–$30.00	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B AG RAPID ER	$30.00	$75.00	$75.00–$30.00	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU B	$31.20	$78.00	$78.00–$31.20	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU A	$31.20	$78.00	$78.00–$31.20	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B AG RAPID	$53.62	$134.04	$134.04–$53.62	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP	$19.84	$49.59	$49.59–$19.84	43% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A - PCR	$35.73	$89.32	$89.32–$35.73	2% above	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCCUS GROUP A	$38.00	$95.00	$95.00–$38.00	9% above	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP	$19.84	$49.59	$49.59–$19.84	—	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A - PCR	$35.73	$89.32	$89.32–$35.73	—	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCCUS GROUP A	$38.00	$95.00	$95.00–$38.00	—	60%
Rheumatoid factor (RF) test CPT 86431 RA TITER	$45.37	$113.43	$113.43–$45.37	35% above	60%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER	$45.37	$113.43	$113.43–$45.37	—	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$74.82	$187.04	$187.04–$74.82	72% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SPECIFIC IGM	$74.82	$187.04	$187.04–$74.82	72% above	60%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SPECIFIC IGM	$74.82	$187.04	$187.04–$74.82	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$74.82	$187.04	$187.04–$74.82	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE- AUTOMATED	$13.20	$33.00	$33.00–$13.20	48% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE- AUTOMATED	$13.20	$33.00	$33.00–$13.20	—	60%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$25.21	$63.03	$63.03–$25.21	38% below	60%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$25.21	$63.03	$63.03–$25.21	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$15.56	$38.90	$38.90–$15.56	29% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$32.40	$81.00	$81.00–$32.40	49% above	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$15.56	$38.90	$38.90–$15.56	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$32.40	$81.00	$81.00–$32.40	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LABCORP	$42.67	$106.68	$106.68–$42.67	121% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$42.67	$106.68	$106.68–$42.67	121% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR LABCORP	$42.67	$106.68	$106.68–$42.67	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$42.67	$106.68	$106.68–$42.67	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST INTERFERON ANTI	$109.35	$273.38	$273.38–$109.35	27% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST INTERFERON ANTI	$109.35	$273.38	$273.38–$109.35	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$70.58	$176.46	$176.46–$70.58	11% below	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$70.58	$176.46	$176.46–$70.58	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KID MICROSOMAL A	$25.08	$62.71	$62.71–$25.08	39% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THY MICROSOMIAL ANTIBO	$38.34	$95.84	$95.84–$38.34	6% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS	$38.44	$96.10	$96.10–$38.44	6% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$40.00	$99.99	$99.99–$40.00	2% below	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KID MICROSOMAL A	$25.08	$62.71	$62.71–$25.08	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THY MICROSOMIAL ANTIBO	$38.34	$95.84	$95.84–$38.34	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS	$38.44	$96.10	$96.10–$38.44	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$40.00	$99.99	$99.99–$40.00	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIM HORMONE	$66.95	$167.38	$167.38–$66.95	3% above	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIM HORMONE	$66.95	$167.38	$167.38–$66.95	—	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALS	$46.80	$117.00	$117.00–$46.80	33% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALS	$46.80	$117.00	$117.00–$46.80	—	60%
Uric acid blood test CPT 84550 URIC ACID SER/BLD	$36.99	$92.48	$92.48–$36.99	2% above	60%
Uric acid blood test inpatient CPT 84550 URIC ACID SER/BLD	$36.99	$92.48	$92.48–$36.99	—	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS- AUTO W/SCOPE	$14.40	$36.00	$36.00–$14.40	51% below	60%
Urinalysis with microscope exam, automated CPT 81001 .UA AUTO WITH MICRO (CHARGE)	$30.39	$75.98	$75.98–$30.39	3% above	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS- AUTO W/SCOPE	$14.40	$36.00	$36.00–$14.40	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 .UA AUTO WITH MICRO (CHARGE)	$30.39	$75.98	$75.98–$30.39	—	60%
Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK	$9.20	$23.00	$23.00–$9.20	54% below	60%
Urinalysis without microscope exam, automated CPT 81003 .UA AUTO W/O MICRO (CHARGE)	$18.00	$45.00	$45.00–$18.00	11% below	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIPSTICK	$9.20	$23.00	$23.00–$9.20	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 .UA AUTO W/O MICRO (CHARGE)	$18.00	$45.00	$45.00–$18.00	—	60%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$65.11	$162.78	$162.78–$65.11	37% above	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$65.11	$162.78	$162.78–$65.11	—	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$34.40	$86.00	$86.00–$34.40	44% below	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST QUAL	$34.40	$86.00	$86.00–$34.40	44% below	60%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE QL	$60.70	$151.76	$151.76–$60.70	at median	60%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST QUAL	$34.40	$86.00	$86.00–$34.40	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$34.40	$86.00	$86.00–$34.40	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE QL	$60.70	$151.76	$151.76–$60.70	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$119.04	$297.60	$297.60–$119.04	112% above	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12	$119.04	$297.60	$297.60–$119.04	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH	$65.23	$163.08	$163.08–$65.23	15% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH SEND OUT	$65.23	$163.08	$163.08–$65.23	15% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH SEND OUT	$65.23	$163.08	$163.08–$65.23	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 OH	$65.23	$163.08	$163.08–$65.23	—	60%
Zinc blood test CPT 84630 ZINC URINE	$25.14	$62.85	$62.85–$25.14	43% below	60%
Zinc blood test CPT 84630 ZINC SERUM	$25.21	$63.03	$63.03–$25.21	43% below	60%
Zinc blood test inpatient CPT 84630 ZINC URINE	$25.14	$62.85	$62.85–$25.14	—	60%
Zinc blood test inpatient CPT 84630 ZINC SERUM	$25.21	$63.03	$63.03–$25.21	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM	$68.24	$170.59	$170.59–$68.24	81% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHRONIC Q	$73.24	$183.09	$183.09–$73.24	95% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM	$68.24	$170.59	$170.59–$68.24	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHRONIC Q	$73.24	$183.09	$183.09–$73.24	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL FX REDUCT WO MNP - DISTAL FIBULAR	$287.86	$719.64	$719.64–$287.86	18% below	60%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL FX REDUCT WO MNP - DISTAL FIBULAR	$287.86	$719.64	$719.64–$287.86	—	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL FX REDUCT WO MNP - METATARSAL	$287.86	$719.64	$719.64–$287.86	29% below	60%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL FX REDUCT WO MNP - METATARSAL	$287.86	$719.64	$719.64–$287.86	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIV	$1,187.62	$2,969.06	$2,969.06–$1,187.62	131% above	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIV	$1,187.62	$2,969.06	$2,969.06–$1,187.62	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL FX REDUCT WO MNP-DISTAL RADIAL	$287.86	$719.64	$719.64–$287.86	at median	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL FX REDUCT WO MNP-DISTAL RADIAL	$287.86	$719.64	$719.64–$287.86	—	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$162.00	$405.00	$405.00–$162.00	52% below	60%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$162.00	$405.00	$405.00–$162.00	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DETRUCTION PRE-MALIGN LESION 1ST LESION	$238.44	$596.10	$596.10–$238.44	138% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PRE-MALIGN LESION 1ST LESION	$238.44	$596.10	$596.10–$238.44	138% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DETRUCTION PRE-MALIGN LESION 1ST LESION	$238.44	$596.10	$596.10–$238.44	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PRE-MALIGN LESION 1ST LESION	$238.44	$596.10	$596.10–$238.44	—	60%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 CERUMEN REMOVAL W/ IRRIG - LAVAGE BI	$89.10	$222.75	$222.75–$89.10	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL W/ IRRIG - LAVAGE UNI	$59.40	$148.50	$148.50–$59.40	17% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL	$71.28	$178.20	$178.20–$71.28	41% above	60%
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 CERUMEN REMOVAL W/ IRRIG - LAVAGE BI	$89.10	$222.75	$222.75–$89.10	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL W/ IRRIG - LAVAGE UNI	$59.40	$148.50	$148.50–$59.40	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL	$71.28	$178.20	$178.20–$71.28	—	60%
Earwax removal with instruments, one ear both sides CPT 69210 CERUMEN REMOVAL W/ INSTRUMENT BI	$89.10	$222.75	$222.75–$89.10	—	60%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL W/ INSTRUMENT UNI	$59.40	$148.50	$148.50–$59.40	at median	60%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$71.28	$178.20	$178.20–$71.28	19% above	60%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 CERUMEN REMOVAL W/ INSTRUMENT BI	$89.10	$222.75	$222.75–$89.10	—	60%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL W/ INSTRUMENT UNI	$59.40	$148.50	$148.50–$59.40	—	60%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL	$71.28	$178.20	$178.20–$71.28	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE - SIMPLE	$238.44	$596.10	$596.10–$238.44	27% above	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS, SIMPLE / SINGLE 10060	$238.44	$596.10	$596.10–$238.44	27% above	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE - SIMPLE	$238.44	$596.10	$596.10–$238.44	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS, SIMPLE / SINGLE 10060	$238.44	$596.10	$596.10–$238.44	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH/LIGAMENT	$354.12	$885.30	$885.30–$354.12	150% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH/LIGAMENT	$354.12	$885.30	$885.30–$354.12	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT BURSA INJECTION 20610	$354.23	$885.57	$885.57–$354.23	102% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURS	$354.23	$885.57	$885.57–$354.23	102% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT BURSA INJECTION 20610	$354.23	$885.57	$885.57–$354.23	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURS	$354.23	$885.57	$885.57–$354.23	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA WO US	$354.23	$885.57	$885.57–$354.23	101% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE JOINT/ BURSA INJECTION	$354.23	$885.57	$885.57–$354.23	101% above	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JOINT/ BURSA INJECTION	$354.23	$885.57	$885.57–$354.23	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA WO US	$354.23	$885.57	$885.57–$354.23	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT BURSA INJECTION 20600	$72.00	$180.00	$180.00–$72.00	41% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT BURSA INJECTION WO US	$72.00	$180.00	$180.00–$72.00	41% below	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT BURSA INJECTION WO US	$72.00	$180.00	$180.00–$72.00	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT BURSA INJECTION 20600	$72.00	$180.00	$180.00–$72.00	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER <2.5CM	$479.44	$1,198.59	$1,198.59–$479.44	49% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTER <2.5CM	$479.44	$1,198.59	$1,198.59–$479.44	—	60%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$238.44	$596.10	$596.10–$238.44	71% above	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$238.44	$596.10	$596.10–$238.44	—	60%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS	$1,125.07	$2,812.68	$2,812.68–$1,125.07	87% above	60%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS	$1,125.07	$2,812.68	$2,812.68–$1,125.07	—	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$479.44	$1,198.59	$1,198.59–$479.44	37% above	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$479.44	$1,198.59	$1,198.59–$479.44	—	60%
Removal of a foreign object under the skin, simple CPT 10120 SOFT TISSUE FB REMOVAL-SUBCU - SIMPLE	$479.44	$1,198.59	$1,198.59–$479.44	104% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 SOFT TISSUE FB REMOVAL-SUBCU - SIMPLE	$479.44	$1,198.59	$1,198.59–$479.44	—	60%
Short arm splint (forearm and hand) CPT 29125 SPLINT - SHORT ARM	$154.68	$386.70	$386.70–$154.68	18% above	60%
Short arm splint (forearm and hand) one side CPT 29125 SPLINT DISTAL UE RT	$161.79	$404.48	$404.48–$161.79	23% above	60%
Short arm splint (forearm and hand) one side CPT 29125 SUGAR TONG SPLINT LT	$166.13	$415.33	$415.33–$166.13	26% above	60%
Short arm splint (forearm and hand) one side CPT 29125 SUGAR TONG SPLINT RT	$166.13	$415.33	$415.33–$166.13	26% above	60%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT - SHORT ARM	$154.68	$386.70	$386.70–$154.68	—	60%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SPLINT DISTAL UE RT	$161.79	$404.48	$404.48–$161.79	—	60%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SUGAR TONG SPLINT LT	$166.13	$415.33	$415.33–$166.13	—	60%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SUGAR TONG SPLINT RT	$166.13	$415.33	$415.33–$166.13	—	60%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT BIL	$327.92	$819.81	$819.81–$327.92	146% above	60%
Short leg splint (calf to foot) one side CPT 29515 SHORT LEG SPLINT RT	$166.13	$415.33	$415.33–$166.13	25% above	60%
Short leg splint (calf to foot) one side CPT 29515 SHORT LEG SPLINT LT	$189.35	$473.37	$473.37–$189.35	42% above	60%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT BIL	$327.92	$819.81	$819.81–$327.92	—	60%
Short leg splint (calf to foot) inpatient one side CPT 29515 SHORT LEG SPLINT RT	$166.13	$415.33	$415.33–$166.13	—	60%
Short leg splint (calf to foot) inpatient one side CPT 29515 SHORT LEG SPLINT LT	$189.35	$473.37	$473.37–$189.35	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE <2.5CM	$238.44	$596.10	$596.10–$238.44	at median	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE <2.5CM	$238.44	$596.10	$596.10–$238.44	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR S SPINAL TAP DIAGNST	$790.68	$1,976.70	$1,976.70–$790.68	94% above	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$831.10	$2,077.74	$2,077.74–$831.10	104% above	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR S SPINAL TAP DIAGNST	$790.68	$1,976.70	$1,976.70–$790.68	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$831.10	$2,077.74	$2,077.74–$831.10	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE 2.6 TO 7.5CM	$238.44	$596.10	$596.10–$238.44	27% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE 2.6 TO 7.5CM	$238.44	$596.10	$596.10–$238.44	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE 0-2.5CM	$238.44	$596.10	$596.10–$238.44	45% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE 0-2.5CM	$238.44	$596.10	$596.10–$238.44	—	60%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS	$1,000.00	$2,500.00	$2,500.00–$1,000.00	28% above	60%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS	$1,000.00	$2,500.00	$2,500.00–$1,000.00	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PNT 1-2 MUSCLES	$354.23	$885.57	$885.57–$354.23	97% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2 MUSCLE	$354.23	$885.57	$885.57–$354.23	97% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2 MUSCLE	$354.23	$885.57	$885.57–$354.23	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PNT 1-2 MUSCLES	$354.23	$885.57	$885.57–$354.23	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX FIRST LESION U	$1,853.70	$4,634.25	$4,634.25–$1,853.70	80% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BX FIRST LESION U	$1,853.70	$4,634.25	$4,634.25–$1,853.70	—	60%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESIONS 1-15 (NOT SKIN TAGS)	$198.70	$496.75	$496.75–$198.70	28% above	60%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESIONS 1-15 (NOT SKIN TAGS)	$198.70	$496.75	$496.75–$198.70	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID -SUBCU TISSUE<20 CM OR LESS	$479.44	$1,198.59	$1,198.59–$479.44	36% above	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID -SUBCU TISSUE<20 CM OR LESS	$479.44	$1,198.59	$1,198.59–$479.44	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN	$524.62	$1,311.54	$1,311.54–$524.62	12% above	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN	$524.62	$1,311.54	$1,311.54–$524.62	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL	$244.07	$610.17	$610.17–$244.07	130% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX SUBSEQUENT	$244.07	$610.17	$610.17–$244.07	130% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 GIVE SMALL VOLUME NEBULIZER 94640	$244.07	$610.17	$610.17–$244.07	130% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX SUBSEQUENT	$244.07	$610.17	$610.17–$244.07	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX INITIAL	$244.07	$610.17	$610.17–$244.07	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 GIVE SMALL VOLUME NEBULIZER 94640	$244.07	$610.17	$610.17–$244.07	—	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74MIN	$1,431.62	$3,579.05	$3,579.05–$1,431.62	115% above	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74MIN	$1,431.62	$3,579.05	$3,579.05–$1,431.62	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$71.28	$178.20	$178.20–$71.28	19% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-PERF'D BY ER	$120.00	$300.00	$300.00–$120.00	36% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY	$272.57	$681.42	$681.42–$272.57	210% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$71.28	$178.20	$178.20–$71.28	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-PERF'D BY ER	$120.00	$300.00	$300.00–$120.00	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY	$272.57	$681.42	$681.42–$272.57	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER EMTALA MED SCREENING	$172.24	$430.61	$430.61–$172.24	58% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER TRIAGE	$180.79	$451.97	$451.97–$180.79	66% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER NON EMER BASIC	$180.79	$451.97	$451.97–$180.79	66% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT BASIC	$180.79	$451.97	$451.97–$180.79	66% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER EMTALA MED SCREENING	$172.24	$430.61	$430.61–$172.24	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER TRIAGE	$180.79	$451.97	$451.97–$180.79	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER NON EMER BASIC	$180.79	$451.97	$451.97–$180.79	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT BASIC	$180.79	$451.97	$451.97–$180.79	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER DEPT LIMITED VISIT	$240.70	$601.75	$601.75–$240.70	35% above	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LIMITED	$240.70	$601.75	$601.75–$240.70	35% above	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER NON EMER LIMITED	$240.70	$601.75	$601.75–$240.70	35% above	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER NON EMER LIMITED	$240.70	$601.75	$601.75–$240.70	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LIMITED	$240.70	$601.75	$601.75–$240.70	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER DEPT LIMITED VISIT	$240.70	$601.75	$601.75–$240.70	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER NON EMER EXTENSIVE	$386.43	$966.08	$966.08–$386.43	18% above	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT INTERMEDIATE	$386.43	$966.08	$966.08–$386.43	18% above	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER NON EMER EXTENSIVE	$386.43	$966.08	$966.08–$386.43	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT INTERMEDIATE	$386.43	$966.08	$966.08–$386.43	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT EXTENSIVE	$638.44	$1,596.09	$1,596.09–$638.44	16% above	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT EXTENSIVE	$638.44	$1,596.09	$1,596.09–$638.44	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT MAJOR	$735.72	$1,839.30	$1,839.30–$735.72	1% above	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT MAJOR	$735.72	$1,839.30	$1,839.30–$735.72	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST TRACING	$564.12	$1,410.31	$1,410.31–$564.12	28% above	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST TRACING	$564.12	$1,410.31	$1,410.31–$564.12	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$252.83	$632.07	$632.07–$252.83	41% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION3 FIST HOUR	$252.83	$632.07	$632.07–$252.83	41% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION FIRST HOUR	$252.83	$632.07	$632.07–$252.83	41% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION3 FIST HOUR	$252.83	$632.07	$632.07–$252.83	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$252.83	$632.07	$632.07–$252.83	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION FIRST HOUR	$252.83	$632.07	$632.07–$252.83	—	60%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$242.03	$605.07	$605.07–$242.03	26% above	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION NONCHEMO (MED) 1ST HR	$252.83	$632.07	$632.07–$252.83	31% above	60%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THX/PX/DXF	$252.83	$632.07	$632.07–$252.83	31% above	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$242.03	$605.07	$605.07–$242.03	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION NONCHEMO (MED) 1ST HR	$252.83	$632.07	$632.07–$252.83	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THX/PX/DXF	$252.83	$632.07	$632.07–$252.83	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ RHOGAM IM	$85.40	$213.51	$213.51–$85.40	24% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ- SC/IM	$85.40	$213.51	$213.51–$85.40	24% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHOGAM INJECTION	$85.40	$213.51	$213.51–$85.40	24% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/DX IM/SQ	$85.40	$213.51	$213.51–$85.40	24% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ	$85.40	$213.51	$213.51–$85.40	24% above	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ- SC/IM	$85.40	$213.51	$213.51–$85.40	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ	$85.40	$213.51	$213.51–$85.40	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ RHOGAM IM	$85.40	$213.51	$213.51–$85.40	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHOGAM INJECTION	$85.40	$213.51	$213.51–$85.40	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/DX IM/SQ	$85.40	$213.51	$213.51–$85.40	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCRE ED 15M	$45.59	$113.97	$113.97–$45.59	30% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCLE RE ED 15MIN	$62.39	$155.97	$155.97–$62.39	4% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCRE ED 15M	$45.59	$113.97	$113.97–$45.59	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCLE RE ED 15MIN	$62.39	$155.97	$155.97–$62.39	—	60%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT- NEW PT- LEVEL III 99203	$76.00	$190.00	$190.00–$76.00	at median	60%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT- NEW PT- LEVEL III 99203	$76.00	$190.00	$190.00–$76.00	—	60%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT- NEW PT- LEVEL IV 99204	$130.00	$325.00	$325.00–$130.00	25% above	60%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT- NEW PT- LEVEL IV 99204	$130.00	$325.00	$325.00–$130.00	—	60%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT- NEW PT- LEVEL V 99205	$180.00	$450.00	$450.00–$180.00	3% below	60%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT- NEW PT- LEVEL V 99205	$180.00	$450.00	$450.00–$180.00	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT- NEW PT- LEVEL II 99202	$56.00	$140.00	$140.00–$56.00	3% below	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT- NEW PT- LEVEL II 99202	$56.00	$140.00	$140.00–$56.00	—	60%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMP	$121.29	$303.22	$303.22–$121.29	12% above	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMP	$121.29	$303.22	$303.22–$121.29	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HGH COMP	$211.85	$529.63	$529.63–$211.85	37% above	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HGH COMP	$211.85	$529.63	$529.63–$211.85	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP	$144.37	$360.93	$360.93–$144.37	10% above	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMP	$144.37	$360.93	$360.93–$144.37	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP	$176.59	$441.48	$441.48–$176.59	29% above	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMP	$176.59	$441.48	$441.48–$176.59	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15M	$41.91	$104.77	$104.77–$41.91	34% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY 15 MIN	$64.28	$160.70	$160.70–$64.28	1% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15MIN	$64.28	$160.70	$160.70–$64.28	1% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15M	$41.91	$104.77	$104.77–$41.91	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY 15 MIN	$64.28	$160.70	$160.70–$64.28	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15MIN	$64.28	$160.70	$160.70–$64.28	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERA EXERCISE 15MIN	$43.36	$108.40	$108.40–$43.36	30% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE 15MIN	$60.31	$150.77	$150.77–$60.31	3% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15MIN	$60.31	$150.77	$150.77–$60.31	3% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERA EXERCISE 15MIN	$43.36	$108.40	$108.40–$43.36	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15MIN	$60.31	$150.77	$150.77–$60.31	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISE 15MIN	$60.31	$150.77	$150.77–$60.31	—	60%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT- NEW- AGE 18-39 99385	$130.00	$325.00	$325.00–$130.00	30% above	60%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT- NEW- AGE 18-39 99385	$130.00	$325.00	$325.00–$130.00	—	60%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 99386	$150.00	$375.00	$375.00–$150.00	27% above	60%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 99386	$150.00	$375.00	$375.00–$150.00	—	60%
Preventive checkup, new patient aged 65 or older CPT 99387 PREV VISIT- NEW- AGE > 65 YRS 99387	$170.00	$425.00	$425.00–$170.00	70% above	60%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREV VISIT- NEW- AGE > 65 YRS 99387	$170.00	$425.00	$425.00–$170.00	—	60%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT- EST- AGE 18-39 99395	$100.00	$250.00	$250.00–$100.00	at median	60%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT- EST- AGE 18-39 99395	$100.00	$250.00	$250.00–$100.00	—	60%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT- EST- AGE 40-64 99396	$120.00	$300.00	$300.00–$120.00	26% above	60%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT- EST- AGE 40-64 99396	$120.00	$300.00	$300.00–$120.00	—	60%
Preventive checkup, returning patient aged 65 or older CPT 99397 PRE VISIT- EST PAT 65+ YR	$140.00	$350.00	$350.00–$140.00	38% above	60%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PRE VISIT- EST PAT 65+ YR	$140.00	$350.00	$350.00–$140.00	—	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$35.75	$89.37	$89.37–$35.75	at median	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$35.75	$89.37	$89.37–$35.75	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT- EST PT- LEVEL V 99215	$130.00	$325.00	$325.00–$130.00	at median	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT- EST PT- LEVEL V 99215	$130.00	$325.00	$325.00–$130.00	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT- EST PT- LEVEL III 99213	$60.00	$150.00	$150.00–$60.00	29% below	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT- EST PT- LEVEL III 99213	$60.00	$150.00	$150.00–$60.00	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT- EST PT- LEVEL IV 99214	$80.00	$200.00	$200.00–$80.00	18% below	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT- EST PT- LEVEL IV 99214	$80.00	$200.00	$200.00–$80.00	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT- EST PT- LEVEL II 99212	$36.00	$90.00	$90.00–$36.00	43% below	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT- EST PT- LEVEL II 99212	$36.00	$90.00	$90.00–$36.00	—	60%
Speech and language evaluation CPT 92523 ST EVAL SOUND PROD W LANG C	$174.84	$437.11	$437.11–$174.84	4% below	60%
Speech and language evaluation inpatient CPT 92523 ST EVAL SOUND PROD W LANG C	$174.84	$437.11	$437.11–$174.84	—	60%
Speech therapy session, individual CPT 92507 ST SPEECH LANG THERAPY	$76.88	$192.21	$192.21–$76.88	44% below	60%
Speech therapy session, individual inpatient CPT 92507 ST SPEECH LANG THERAPY	$76.88	$192.21	$192.21–$76.88	—	60%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$334.93	$837.33	$837.33–$334.93	65% above	60%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$334.93	$837.33	$837.33–$334.93	—	60%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM PRE & POST BD	$758.56	$1,896.41	$1,896.41–$758.56	144% above	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM PRE & POST BD	$758.56	$1,896.41	$1,896.41–$758.56	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT 15MIN	$45.89	$114.72	$114.72–$45.89	31% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPY ACTIVITY 15 MIN	$50.41	$126.03	$126.03–$50.41	24% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPY ACTIVITY 15 MIN	$50.41	$126.03	$126.03–$50.41	24% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACT 15MIN	$45.89	$114.72	$114.72–$45.89	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPY ACTIVITY 15 MIN	$50.41	$126.03	$126.03–$50.41	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPY ACTIVITY 15 MIN	$50.41	$126.03	$126.03–$50.41	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$153.60	$384.00	$384.00–$153.60	14% above	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$153.60	$384.00	$384.00–$153.60	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC 2025-2026 AFLURIA 0.5ML	$18.03	$45.08	$45.08–$18.03	53% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CL-INFLUENZA VAC 2025-2026 AFLURIA 0.5ML	$18.03	$45.08	$45.08–$18.03	53% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC 2025-2026 AFLURIA 0.5ML	$18.03	$45.08	$45.08–$18.03	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CL-INFLUENZA VAC 2025-2026 AFLURIA 0.5ML	$18.03	$45.08	$45.08–$18.03	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B- ADULT DOSAGE	$42.00	$105.00	$105.00–$42.00	63% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B- ADULT DOSAGE	$42.00	$105.00	$105.00–$42.00	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PRSV FREE INC ANTIG	$24.00	$60.00	$60.00–$24.00	80% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC FLUZONE HD 65Y+ 2025-2026	$78.40	$195.99	$195.99–$78.40	36% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PRSV FREE INC ANTIG	$24.00	$60.00	$60.00–$24.00	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC FLUZONE HD 65Y+ 2025-2026	$78.40	$195.99	$195.99–$78.40	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM	$26.00	$65.00	$65.00–$26.00	73% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CL-TDAP VACCINE IM 0.5ML (ADULT)	$100.00	$250.00	$250.00–$100.00	3% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE IM 0.5ML (ADULT)	$100.00	$250.00	$250.00–$100.00	3% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM	$26.00	$65.00	$65.00–$26.00	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE IM 0.5ML (ADULT)	$100.00	$250.00	$250.00–$100.00	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CL-TDAP VACCINE IM 0.5ML (ADULT)	$100.00	$250.00	$250.00–$100.00	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DT INJECTION	$85.40	$213.51	$213.51–$85.40	178% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE (INITIAL)	$85.40	$213.51	$213.51–$85.40	178% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ TETANUS TOX	$85.40	$213.51	$213.51–$85.40	178% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$85.40	$213.51	$213.51–$85.40	178% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE (INITIAL)	$85.40	$213.51	$213.51–$85.40	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DT INJECTION	$85.40	$213.51	$213.51–$85.40	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ TETANUS TOX	$85.40	$213.51	$213.51–$85.40	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$85.40	$213.51	$213.51–$85.40	—	60%

Source file: https://www.swarmc.org/wp-content/uploads/2026/05/994554436_southwest-arkansas-regional-medical-center_standardcharges-1.csv