Hospital Blytheville, AR

McHs-Smc Regional Medical Center

McHs-Smc Regional Medical Center in Osceola, AR publishes cash prices for 178 common procedures listed here, from its own machine-readable price file updated Sep 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arkansas median for 109 of 177 procedures and below it for 45. By typical cash price it ranks #18 of 31 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

611 WEST LEE AVE,OSCEOLA,AR,72370-0000 Collected Sep 28, 2026 Source price file (870) 563-7000

Rural emergency hospital Emergency department CCN 040782 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE RIGHT	$162.38	$242.00	$18.00–$484.00	at median	33%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP LEFT	$162.38	$242.00	$18.00–$484.00	at median	33%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE RIGHT	$162.38	$242.00	$18.00–$484.00	—	33%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP LEFT	$162.38	$242.00	$18.00–$484.00	—	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922-TCP02/ABI	$196.60	$293.00	$27.30–$919.00	19% below	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDICES	$196.60	$293.00	$27.30–$919.00	19% below	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922-TCP02/ABI	$196.60	$293.00	$27.30–$919.00	—	33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDICES	$196.60	$293.00	$27.30–$919.00	—	33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,299.05	$1,936.00	$158.12–$1,936.00	15% above	33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAM CHEST	$1,299.05	$1,936.00	$158.12–$1,936.00	15% above	33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,299.05	$1,936.00	$158.12–$1,936.00	—	33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAM CHEST	$1,299.05	$1,936.00	$158.12–$1,936.00	—	33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,390.98	$2,073.00	$108.30–$2,073.00	at median	33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,390.98	$2,073.00	$108.30–$2,073.00	at median	33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,390.98	$2,073.00	$108.30–$2,073.00	—	33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,390.98	$2,073.00	$108.30–$2,073.00	—	33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,623.82	$2,420.00	$206.27–$2,420.00	3% above	33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST	$1,623.82	$2,420.00	$206.27–$2,420.00	3% above	33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,623.82	$2,420.00	$206.27–$2,420.00	—	33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST	$1,623.82	$2,420.00	$206.27–$2,420.00	—	33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST	$1,970.72	$2,937.00	$225.89–$2,937.00	at median	33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$1,970.72	$2,937.00	$225.89–$2,937.00	at median	33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$1,970.72	$2,937.00	$225.89–$2,937.00	—	33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST	$1,970.72	$2,937.00	$225.89–$2,937.00	—	33%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAS	$1,099.09	$1,638.00	$158.12–$1,638.00	at median	33%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAS	$1,099.09	$1,638.00	$158.12–$1,638.00	—	33%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRA	$1,076.95	$1,605.00	$94.24–$1,605.00	10% above	33%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRA	$1,076.95	$1,605.00	$94.24–$1,605.00	—	33%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$966.24	$1,440.00	$94.24–$1,440.00	21% above	33%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WITHOUT CONTRAST	$966.24	$1,440.00	$94.24–$1,440.00	21% above	33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WITHOUT CONTRAST	$966.24	$1,440.00	$94.24–$1,440.00	—	33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$966.24	$1,440.00	$94.24–$1,440.00	—	33%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$895.78	$1,335.00	$94.24–$1,335.00	at median	33%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$895.78	$1,335.00	$94.24–$1,335.00	at median	33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$895.78	$1,335.00	$94.24–$1,335.00	—	33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$895.78	$1,335.00	$94.24–$1,335.00	—	33%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$1,011.19	$1,507.00	$158.12–$1,507.00	12% above	33%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$1,011.19	$1,507.00	$158.12–$1,507.00	—	33%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,299.05	$1,936.00	$158.12–$1,936.00	18% above	33%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO C	$1,299.05	$1,936.00	$158.12–$1,936.00	18% above	33%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,299.05	$1,936.00	$158.12–$1,936.00	—	33%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO C	$1,299.05	$1,936.00	$158.12–$1,936.00	—	33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,182.97	$1,763.00	$94.24–$1,763.00	18% above	33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO/CONTRA	$1,182.97	$1,763.00	$94.24–$1,763.00	18% above	33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE WO/CONTRA	$1,182.97	$1,763.00	$94.24–$1,763.00	—	33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$1,182.97	$1,763.00	$94.24–$1,763.00	—	33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO/CONTRA	$987.71	$1,472.00	$94.24–$1,472.00	3% above	33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$987.71	$1,472.00	$94.24–$1,472.00	3% above	33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$987.71	$1,472.00	$94.24–$1,472.00	—	33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO/CONTRA	$987.71	$1,472.00	$94.24–$1,472.00	—	33%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$1,054.81	$1,572.00	$158.12–$1,572.00	at median	33%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$1,054.81	$1,572.00	$158.12–$1,572.00	—	33%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$507.27	$756.00	$70.00–$756.00	—	33%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMPLETE/BILATERAL	$507.27	$756.00	$70.00–$756.00	—	33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$507.27	$756.00	$70.00–$756.00	—	33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMPLETE/BILATERAL	$507.27	$756.00	$70.00–$756.00	—	33%
Chest X-ray, 2 views CPT 71046 XR CHEST PA AND LATERAL 2 VIEWS	$122.12	$182.00	$21.87–$364.00	14% below	33%
Chest X-ray, 2 views CPT 71046 XR CHEST LATERAL DECUBIS BUCKY STUDIES	$122.12	$182.00	$21.87–$364.00	14% below	33%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST LATERAL DECUBIS BUCKY STUDIES	$122.12	$182.00	$21.87–$364.00	—	33%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA AND LATERAL 2 VIEWS	$122.12	$182.00	$21.87–$364.00	—	33%
Chest X-ray, single view CPT 71045 XT CHEST PORTABLE	$122.12	$182.00	$11.86–$364.00	at median	33%
Chest X-ray, single view CPT 71045 XR CHEST PA ONE VIEW	$122.12	$182.00	$11.86–$364.00	at median	33%
Chest X-ray, single view inpatient CPT 71045 XT CHEST PORTABLE	$122.12	$182.00	$11.86–$364.00	—	33%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PA ONE VIEW	$122.12	$182.00	$11.86–$364.00	—	33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$319.39	$476.00	$44.00–$476.00	at median	33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$319.39	$476.00	$44.00–$476.00	at median	33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$319.39	$476.00	$44.00–$476.00	—	33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA	$319.39	$476.00	$44.00–$476.00	—	33%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$208.68	$311.00	$62.20–$366.11	2% above	33%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DXA BONE DENSITY 1 OR MORE SITES	$208.68	$311.00	$62.20–$366.11	2% above	33%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$208.68	$311.00	$62.20–$366.11	—	33%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR DXA BONE DENSITY 1 OR MORE SITES	$208.68	$311.00	$62.20–$366.11	—	33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,048.77	$1,563.00	$94.24–$3,126.00	31% above	33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 LOW DOSE CT LUNG CANCER SCREENING F/U	$1,048.77	$1,563.00	$94.24–$3,126.00	31% above	33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST OR THORAX W0/CONTRAST	$1,048.77	$1,563.00	$94.24–$3,126.00	31% above	33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 LOW DOSE CT LUNG CANCER SCREENING F/U	$1,048.77	$1,563.00	$94.24–$3,126.00	—	33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST OR THORAX W0/CONTRAST	$1,048.77	$1,563.00	$94.24–$3,126.00	—	33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C-	$1,048.77	$1,563.00	$94.24–$3,126.00	—	33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST OR THORAX W/CONTRAST	$1,252.08	$1,866.00	$158.12–$1,866.00	10% above	33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,252.08	$1,866.00	$158.12–$1,866.00	10% above	33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX C+	$1,252.08	$1,866.00	$158.12–$1,866.00	—	33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST OR THORAX W/CONTRAST	$1,252.08	$1,866.00	$158.12–$1,866.00	—	33%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US EXT BIL LOWER ARTERIAL DOP	$540.82	$806.00	$73.00–$806.00	16% above	33%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US EXT BIL LOWER ARTERIAL DOP	$540.82	$806.00	$73.00–$806.00	—	33%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$540.82	$806.00	$42.00–$1,612.00	50% above	33%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT BIL UPPER VENOUS DOP	$540.82	$806.00	$42.00–$1,612.00	50% above	33%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT BIL LOWER VENOUS DOP	$540.82	$806.00	$42.00–$1,612.00	50% above	33%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$540.82	$806.00	$42.00–$1,612.00	—	33%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT BIL UPPER VENOUS DOP	$540.82	$806.00	$42.00–$1,612.00	—	33%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT BIL LOWER VENOUS DOP	$540.82	$806.00	$42.00–$1,612.00	—	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIAGRAPHY WITH DOPPLER & COLOR FL	$1,616.43	$2,409.00	$171.36–$2,409.00	44% above	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIAGRAPHY WITH DOPPLER & COLOR FL	$1,616.43	$2,409.00	$171.36–$2,409.00	—	33%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$185.86	$277.00	$32.59–$554.00	at median	33%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$185.86	$277.00	$32.59–$554.00	at median	33%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$185.86	$277.00	$32.59–$554.00	—	33%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT	$185.86	$277.00	$32.59–$554.00	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$319.39	$476.00	$20.00–$476.00	16% above	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$319.39	$476.00	$20.00–$476.00	16% above	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$319.39	$476.00	$20.00–$476.00	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$319.39	$476.00	$20.00–$476.00	—	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CANCER SCREENING INITIA	$1,048.77	$1,563.00	$78.83–$1,563.00	320% above	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT LUNG CANCER SCREENING INITIA	$1,048.77	$1,563.00	$78.83–$1,563.00	—	33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$110.71	$165.00	$24.00–$165.00	14% below	33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$110.71	$165.00	$24.00–$165.00	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS, NON OB COMPLETE	$442.86	$660.00	$40.00–$660.00	10% above	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$442.86	$660.00	$40.00–$660.00	10% above	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$442.86	$660.00	$40.00–$660.00	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS, NON OB COMPLETE	$442.86	$660.00	$40.00–$660.00	—	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$531.43	$792.00	$56.00–$792.00	85% above	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS >=14 WEEKS SINGLE-76805	$531.43	$792.00	$56.00–$792.00	85% above	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >=14 WEEKS SINGLE-76805	$531.43	$792.00	$56.00–$792.00	—	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$531.43	$792.00	$56.00–$792.00	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$319.39	$476.00	$42.75–$476.00	5% above	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PERG UTERUS <14 WEEKS SINGLE-76801	$319.39	$476.00	$42.75–$476.00	5% above	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PERG UTERUS <14 WEEKS SINGLE-76801	$319.39	$476.00	$42.75–$476.00	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$319.39	$476.00	$42.75–$476.00	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS LIMITED-76815	$199.95	$298.00	$26.00–$298.00	16% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$199.95	$298.00	$26.00–$298.00	16% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG UTERUS LIMITED-76815	$199.95	$298.00	$26.00–$298.00	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$199.95	$298.00	$26.00–$298.00	—	33%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEW RIGHT	$173.78	$259.00	$20.00–$518.00	at median	33%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEW LEFT	$173.78	$259.00	$20.00–$518.00	at median	33%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEW LEFT	$173.78	$259.00	$20.00–$518.00	—	33%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEW RIGHT	$173.78	$259.00	$20.00–$518.00	—	33%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB	$377.10	$562.00	$68.00–$562.00	8% above	33%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$377.10	$562.00	$68.00–$562.00	8% above	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$377.10	$562.00	$68.00–$562.00	—	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB	$377.10	$562.00	$68.00–$562.00	—	33%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL-76817	$163.72	$244.00	$48.80–$244.00	18% below	33%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$163.72	$244.00	$48.80–$244.00	18% below	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG UTERUS TRANSVAGINAL-76817	$163.72	$244.00	$48.80–$244.00	—	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$163.72	$244.00	$48.80–$244.00	—	33%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$552.23	$823.00	$56.00–$823.00	20% above	33%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$552.23	$823.00	$56.00–$823.00	20% above	33%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$552.23	$823.00	$56.00–$823.00	—	33%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$552.23	$823.00	$56.00–$823.00	—	33%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$319.39	$476.00	$31.00–$476.00	at median	33%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$319.39	$476.00	$31.00–$476.00	at median	33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$319.39	$476.00	$31.00–$476.00	—	33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$319.39	$476.00	$31.00–$476.00	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$381.79	$569.00	$54.00–$1,138.00	at median	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$381.79	$569.00	$54.00–$1,138.00	at median	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD AND NECK NON VASCULA	$381.79	$569.00	$54.00–$1,138.00	at median	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$381.79	$569.00	$54.00–$1,138.00	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD AND NECK NON VASCULA	$381.79	$569.00	$54.00–$1,138.00	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$381.79	$569.00	$54.00–$1,138.00	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$317.38	$473.00	$73.00–$1,892.00	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT RT LOWER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LT UPPER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LT LOWER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT RT UPPER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	7% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$317.38	$473.00	$73.00–$1,892.00	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT RT LOWER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LT LOWER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT RT UPPER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LT UPPER VENOUS DOP	$317.38	$473.00	$73.00–$1,892.00	—	33%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST 3 VIEWS LEFT	$163.05	$243.00	$23.00–$486.00	at median	33%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3 VIEWS RIGHT	$163.05	$243.00	$23.00–$486.00	at median	33%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST 3 VIEWS LEFT	$163.05	$243.00	$23.00–$486.00	—	33%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPLETE 3 VIEWS RIGHT	$163.05	$243.00	$23.00–$486.00	—	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEWS LEFT	$144.26	$215.00	$27.84–$1,022.00	6% above	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP & PEL 2-3 V RIGHT	$180.49	$269.00	$27.84–$1,022.00	33% above	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEWS RIGHT	$180.49	$269.00	$27.84–$1,022.00	33% above	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP & PELVIS 2-3 VIEWS LEFT	$180.49	$269.00	$27.84–$1,022.00	33% above	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEWS LEFT	$144.26	$215.00	$27.84–$1,022.00	—	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP & PELVIS 2-3 VIEWS LEFT	$180.49	$269.00	$27.84–$1,022.00	—	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEWS RIGHT	$180.49	$269.00	$27.84–$1,022.00	—	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP & PEL 2-3 V RIGHT	$180.49	$269.00	$27.84–$1,022.00	—	33%
X-ray of the abdomen, 1 view CPT 74018 XR ABD 1 VIEW	$122.12	$182.00	$20.26–$546.00	at median	33%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP (KUB)	$122.12	$182.00	$20.26–$546.00	at median	33%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN PORTABLE	$122.12	$182.00	$20.26–$546.00	at median	33%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN PORTABLE	$122.12	$182.00	$20.26–$546.00	—	33%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1 VIEW	$122.12	$182.00	$20.26–$546.00	—	33%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP (KUB)	$122.12	$182.00	$20.26–$546.00	—	33%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2V LF	$148.29	$221.00	$25.96–$442.00	11% above	33%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RT	$148.29	$221.00	$25.96–$442.00	11% above	33%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2V LF	$148.29	$221.00	$25.96–$442.00	—	33%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V RT	$148.29	$221.00	$25.96–$442.00	—	33%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/THUMB RIGHT	$128.16	$191.00	$16.00–$382.00	8% above	33%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/THUMB LEFT	$128.16	$191.00	$16.00–$382.00	8% above	33%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/THUMB RIGHT	$128.16	$191.00	$16.00–$382.00	—	33%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/THUMB LEFT	$128.16	$191.00	$16.00–$382.00	—	33%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEW RIGHT	$128.16	$191.00	$23.00–$382.00	20% above	33%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V LEFT	$128.16	$191.00	$23.00–$382.00	20% above	33%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEW RIGHT	$128.16	$191.00	$23.00–$382.00	—	33%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2V LEFT	$128.16	$191.00	$23.00–$382.00	—	33%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE RIGHT	$163.05	$243.00	$28.00–$486.00	at median	33%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP LEFT	$163.05	$243.00	$28.00–$486.00	at median	33%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE RIGHT	$163.05	$243.00	$28.00–$486.00	—	33%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP LEFT	$163.05	$243.00	$28.00–$486.00	—	33%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LEFT	$163.05	$243.00	$25.00–$486.00	5% below	33%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RT	$163.05	$243.00	$25.00–$486.00	5% below	33%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RT	$163.05	$243.00	$25.00–$486.00	—	33%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LEFT	$163.05	$243.00	$25.00–$486.00	—	33%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEW LEFT	$122.12	$182.00	$25.00–$364.00	at median	33%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2V RIGHT	$122.12	$182.00	$25.00–$364.00	at median	33%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEW LEFT	$122.12	$182.00	$25.00–$364.00	—	33%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2V RIGHT	$122.12	$182.00	$25.00–$364.00	—	33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2-3 VIEWS	$163.72	$244.00	$28.00–$244.00	at median	33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$163.72	$244.00	$28.00–$244.00	at median	33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 2-3 VIEWS	$163.72	$244.00	$28.00–$244.00	—	33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$163.72	$244.00	$28.00–$244.00	—	33%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE W FLEX/EXT	$163.72	$244.00	$40.00–$488.00	35% below	33%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE W OBL	$163.72	$244.00	$40.00–$488.00	35% below	33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE W FLEX/EXT	$163.72	$244.00	$40.00–$488.00	—	33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE W OBL	$163.72	$244.00	$40.00–$488.00	—	33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2V	$163.72	$244.00	$24.00–$244.00	11% below	33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$163.72	$244.00	$24.00–$244.00	11% below	33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$163.72	$244.00	$24.00–$244.00	—	33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE 2V	$163.72	$244.00	$24.00–$244.00	—	33%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONE COMPLETE MINIMUM 3 VIEWS	$122.12	$182.00	$23.00–$182.00	7% above	33%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONE COMPLETE MINIMUM 3 VIEWS	$122.12	$182.00	$23.00–$182.00	—	33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2 OR 3 VIEWS	$122.12	$182.00	$28.00–$182.00	at median	33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE 2 OR 3 VIEWS	$122.12	$182.00	$28.00–$182.00	—	33%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$163.72	$244.00	$21.00–$244.00	at median	33%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP 1-2 VIEWS	$163.72	$244.00	$21.00–$244.00	at median	33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$163.72	$244.00	$21.00–$244.00	—	33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP 1-2 VIEWS	$163.72	$244.00	$21.00–$244.00	—	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX	$185.86	$277.00	$17.00–$277.00	41% above	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND COCCYX	$185.86	$277.00	$17.00–$277.00	—	33%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$54.35	$81.00	$4.46–$81.00	104% above	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$54.35	$81.00	$4.46–$81.00	—	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$65.08	$97.00	$4.37–$97.00	95% above	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$65.08	$97.00	$4.37–$97.00	—	33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANE	$244.24	$364.00	$40.21–$364.00	15% above	33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANE	$244.24	$364.00	$40.21–$364.00	—	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUANT	$11.40	$17.00	$4.40–$129.00	25% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$16.77	$25.00	$4.40–$129.00	11% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE(ALPHA-GAL)	$58.37	$87.00	$4.40–$129.00	286% above	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE QUANT	$11.40	$17.00	$4.40–$129.00	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$16.77	$25.00	$4.40–$129.00	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE(ALPHA-GAL)	$58.37	$87.00	$4.40–$129.00	—	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBX IGG	$30.19	$45.00	$9.00–$45.00	51% below	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBX IGG	$30.19	$45.00	$9.00–$45.00	—	33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$74.48	$111.00	$10.21–$318.00	16% above	33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 FLUORESCENT ANTIBODY	$138.89	$207.00	$10.21–$318.00	116% above	33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$74.48	$111.00	$10.21–$318.00	—	33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 FLUORESCENT ANTIBODY	$138.89	$207.00	$10.21–$318.00	—	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$136.88	$204.00	$28.66–$452.00	66% above	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC P	$166.40	$248.00	$28.66–$452.00	102% above	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$136.88	$204.00	$28.66–$452.00	—	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC P	$166.40	$248.00	$28.66–$452.00	—	33%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANE	$163.05	$243.00	$7.15–$243.00	47% above	33%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANE	$163.05	$243.00	$7.15–$243.00	—	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415-LAB DRAWN	$5.03	$7.50	$1.80–$23.50	58% below	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$10.73	$16.00	$1.80–$23.50	10% below	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415-LAB DRAWN	$5.03	$7.50	$1.80–$23.50	—	33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$10.73	$16.00	$1.80–$23.50	—	33%
Blood glucose (sugar) test CPT 82947 GLUCOSE, SERUM, FAST	$43.61	$65.00	$3.31–$264.00	43% above	33%
Blood glucose (sugar) test CPT 82947 GLUCOSE, SERUM, RAND	$43.61	$65.00	$3.31–$264.00	43% above	33%
Blood glucose (sugar) test CPT 82947 GLUCOSE, 2 HR. PP	$44.95	$67.00	$3.31–$264.00	47% above	33%
Blood glucose (sugar) test CPT 82947 GLUCOSE, CSF	$44.95	$67.00	$3.31–$264.00	47% above	33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, SERUM, RAND	$43.61	$65.00	$3.31–$264.00	—	33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, SERUM, FAST	$43.61	$65.00	$3.31–$264.00	—	33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, 2 HR. PP	$44.95	$67.00	$3.31–$264.00	—	33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, CSF	$44.95	$67.00	$3.31–$264.00	—	33%
Blood lead test CPT 83655 LEAD, SERUM	$44.95	$67.00	$10.22–$158.00	22% above	33%
Blood lead test CPT 83655 LEAD	$61.06	$91.00	$10.22–$158.00	65% above	33%
Blood lead test inpatient CPT 83655 LEAD, SERUM	$44.95	$67.00	$10.22–$158.00	—	33%
Blood lead test inpatient CPT 83655 LEAD	$61.06	$91.00	$10.22–$158.00	—	33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG SERUM QUALI	$69.11	$103.00	$6.34–$103.00	43% above	33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG SERUM QUALI	$69.11	$103.00	$6.34–$103.00	—	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RC ABO TYPE	$170.43	$254.00	$2.52–$762.00	165% above	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO	$170.43	$254.00	$2.52–$762.00	165% above	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 # ABO TYPE AND RH	$170.43	$254.00	$2.52–$762.00	165% above	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RC ABO TYPE	$170.43	$254.00	$2.52–$762.00	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 # ABO TYPE AND RH	$170.43	$254.00	$2.52–$762.00	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE ABO	$170.43	$254.00	$2.52–$762.00	—	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$38.24	$57.00	$4.37–$57.00	2% below	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$38.24	$57.00	$4.37–$57.00	—	33%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN B QUANTITATI	$148.96	$222.00	$29.63–$222.00	38% above	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN B QUANTITATI	$148.96	$222.00	$29.63–$222.00	—	33%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$130.84	$195.00	$17.57–$195.00	37% above	33%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$130.84	$195.00	$17.57–$195.00	—	33%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$116.08	$173.00	$17.57–$173.00	61% above	33%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$116.08	$173.00	$17.57–$173.00	—	33%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2/RNA RT/PCR QUALITATIKE REAL	$81.19	$121.00	$24.20–$121.13	38% below	33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2/RNA RT/PCR QUALITATIKE REAL	$81.19	$121.00	$24.20–$121.13	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHALAMYDIA TRACHOMATIS RNA	$32.87	$49.00	$19.60–$118.32	55% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA,AMPLIFIED	$32.87	$49.00	$19.60–$118.32	55% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHALAMYDIA TRACHOMATIS RNA	$32.87	$49.00	$19.60–$118.32	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA,AMPLIFIED	$32.87	$49.00	$19.60–$118.32	—	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$109.37	$163.00	$11.31–$163.00	29% above	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$109.37	$163.00	$11.31–$163.00	—	33%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED 5 PA	$75.82	$113.00	$6.56–$113.00	56% above	33%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED 5 PA	$75.82	$113.00	$6.56–$113.00	—	33%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$81.86	$122.00	$5.47–$122.00	152% above	33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFF	$81.86	$122.00	$5.47–$122.00	—	33%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABO	$273.09	$407.00	$8.92–$407.00	113% above	33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABO	$273.09	$407.00	$8.92–$407.00	—	33%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$113.39	$169.00	$18.77–$169.00	53% above	33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$113.39	$169.00	$18.77–$169.00	—	33%
Estradiol blood test CPT 82670 ESTRADIOL	$73.13	$109.00	$21.80–$109.00	25% below	33%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$73.13	$109.00	$21.80–$109.00	—	33%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING	$101.32	$151.00	$15.69–$151.00	39% above	33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING	$101.32	$151.00	$15.69–$151.00	—	33%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$93.94	$140.00	$16.57–$502.00	24% below	33%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$242.90	$362.00	$16.57–$502.00	97% above	33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$93.94	$140.00	$16.57–$502.00	—	33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$242.90	$362.00	$16.57–$502.00	—	33%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$52.33	$78.00	$11.50–$78.00	17% below	33%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$52.33	$78.00	$11.50–$78.00	—	33%
Folate (folic acid) blood test CPT 82746 FOLATE	$48.98	$73.00	$12.41–$73.00	22% below	33%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$48.98	$73.00	$12.41–$73.00	—	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS	$20.13	$30.00	$7.61–$250.00	58% below	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4,FREE	$73.81	$110.00	$7.61–$250.00	53% above	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE	$73.81	$110.00	$7.61–$250.00	53% above	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE, DIRECT DIALYSIS	$20.13	$30.00	$7.61–$250.00	—	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4,FREE	$73.81	$110.00	$7.61–$250.00	—	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE	$73.81	$110.00	$7.61–$250.00	—	33%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$48.31	$72.00	$14.40–$85.84	45% below	33%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$48.31	$72.00	$14.40–$85.84	—	33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$293.89	$438.00	$23.56–$438.00	86% above	33%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$293.89	$438.00	$23.56–$438.00	—	33%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$32.54	$48.50	$10.87–$387.50	43% below	33%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 2	$75.82	$113.00	$10.87–$387.50	32% above	33%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 HR	$75.82	$113.00	$10.87–$387.50	32% above	33%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 1 HR	$75.82	$113.00	$10.87–$387.50	32% above	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$32.54	$48.50	$10.87–$387.50	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 2	$75.82	$113.00	$10.87–$387.50	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 1 HR	$75.82	$113.00	$10.87–$387.50	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 HR	$75.82	$113.00	$10.87–$387.50	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEA	$46.97	$70.00	$14.00–$118.32	35% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEA	$46.97	$70.00	$14.00–$118.32	—	33%
H. pylori stool antigen test CPT 87338 HELICOBACTOR PYLOIS ANTIZEN EIA STOOL	$83.20	$124.00	$6.12–$279.00	17% above	33%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN ENZYME	$104.00	$155.00	$6.12–$279.00	47% above	33%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTOR PYLOIS ANTIZEN EIA STOOL	$83.20	$124.00	$6.12–$279.00	—	33%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN ENZYME	$104.00	$155.00	$6.12–$279.00	—	33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ANTIGEN QUANTITA	$158.35	$236.00	$47.20–$286.86	28% below	33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV ANTIGEN QUANTITA	$158.35	$236.00	$47.20–$286.86	—	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 ANTIGEN ANTIBODIES	$56.36	$84.00	$20.47–$229.00	25% below	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIBODY SCREEN	$97.29	$145.00	$20.47–$229.00	30% above	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 ANTIGEN ANTIBODIES	$56.36	$84.00	$20.47–$229.00	—	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIBODY SCREEN	$97.29	$145.00	$20.47–$229.00	—	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B IMMUNIZA	$42.27	$63.00	$9.07–$140.00	25% below	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE	$51.66	$77.00	$9.07–$140.00	8% below	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B IMMUNIZA	$42.27	$63.00	$9.07–$140.00	—	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE	$51.66	$77.00	$9.07–$140.00	—	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE	$71.12	$106.00	$8.72–$106.00	62% above	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE	$71.12	$106.00	$8.72–$106.00	—	33%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$160.36	$239.00	$12.05–$239.00	166% above	33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$160.36	$239.00	$12.05–$239.00	—	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOW	$134.20	$200.00	$36.17–$726.00	1% above	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BY TMA	$149.63	$223.00	$36.17–$726.00	13% above	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RN	$203.31	$303.00	$36.17–$726.00	53% above	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOW	$134.20	$200.00	$36.17–$726.00	—	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C BY TMA	$149.63	$223.00	$36.17–$726.00	—	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RN	$203.31	$303.00	$36.17–$726.00	—	33%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE	$47.64	$71.00	$11.14–$71.00	4% below	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE	$47.64	$71.00	$11.14–$71.00	—	33%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE	$47.64	$71.00	$14.20–$71.00	12% below	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE	$47.64	$71.00	$14.20–$71.00	—	33%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, CARDIOVASCULAR	$20.13	$30.00	$6.00–$56.87	72% below	33%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, CARDIOVASCULAR	$20.13	$30.00	$6.00–$56.87	—	33%
Insulin blood test CPT 83525 INSULIN	$69.78	$104.00	$9.65–$104.00	53% above	33%
Insulin blood test inpatient CPT 83525 INSULIN	$69.78	$104.00	$9.65–$104.00	—	33%
Iron blood test (serum iron) CPT 83540 IRON	$40.26	$60.00	$5.47–$60.00	at median	33%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$40.26	$60.00	$5.47–$60.00	—	33%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$41.60	$62.00	$7.38–$62.00	33% above	33%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$41.60	$62.00	$7.38–$62.00	—	33%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$201.97	$301.00	$7.33–$301.00	128% above	33%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$201.97	$301.00	$7.33–$301.00	—	33%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$179.82	$268.00	$15.64–$268.00	171% above	33%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$179.82	$268.00	$15.64–$268.00	—	33%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, SERUM	$70.45	$105.00	$5.81–$105.00	70% above	33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, SERUM	$70.45	$105.00	$5.81–$105.00	—	33%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$252.96	$377.00	$6.89–$377.00	184% above	33%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$252.96	$377.00	$6.89–$377.00	—	33%
Lyme disease antibody test CPT 86618 LYMES DISEASE ANTIBO	$184.52	$275.00	$14.38–$275.00	125% above	33%
Lyme disease antibody test inpatient CPT 86618 LYMES DISEASE ANTIBO	$184.52	$275.00	$14.38–$275.00	—	33%
Magnesium blood test CPT 83735 MAGNESIUM, SERUM	$37.57	$56.00	$5.66–$56.00	19% above	33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, SERUM	$37.57	$56.00	$5.66–$56.00	—	33%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY	$41.60	$62.00	$10.88–$62.00	1% below	33%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODY	$41.60	$62.00	$10.88–$62.00	—	33%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$121.45	$181.00	$4.37–$181.00	268% above	33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$121.45	$181.00	$4.37–$181.00	—	33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AN	$138.89	$207.00	$15.53–$207.00	89% above	33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AN	$138.89	$207.00	$15.53–$207.00	—	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC A	$63.07	$94.00	$15.53–$94.00	7% below	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC A	$63.07	$94.00	$15.53–$94.00	—	33%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$211.36	$315.00	$34.85–$315.00	33% above	33%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$211.36	$315.00	$34.85–$315.00	—	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PANEL	$69.11	$103.00	$5.07–$103.00	80% above	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PANEL	$69.11	$103.00	$5.07–$103.00	—	33%
Progesterone blood test CPT 84144 PROGESTERONE	$82.53	$123.00	$17.62–$123.00	28% above	33%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$82.53	$123.00	$17.62–$123.00	—	33%
Prolactin blood test CPT 84146 PROLACTIN	$104.00	$155.00	$16.36–$155.00	49% above	33%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$104.00	$155.00	$16.36–$155.00	—	33%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/PT	$53.68	$80.00	$3.32–$80.00	92% above	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/PT	$53.68	$80.00	$3.32–$80.00	—	33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BIG RIVER DRUG SCREEN	$23.48	$35.00	$8.98–$173.00	5% below	33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 *C URINE DRUG SCREEN	$33.55	$50.00	$8.98–$173.00	36% above	33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 MRO CHARGE ONLY	$59.04	$88.00	$8.98–$173.00	140% above	33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 BIG RIVER DRUG SCREEN	$23.48	$35.00	$8.98–$173.00	—	33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 *C URINE DRUG SCREEN	$33.55	$50.00	$8.98–$173.00	—	33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 MRO CHARGE ONLY	$59.04	$88.00	$8.98–$173.00	—	33%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BACTERIAL ANTIGEN ST	$55.02	$82.00	$10.13–$82.00	57% above	33%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 BACTERIAL ANTIGEN ST	$55.02	$82.00	$10.13–$82.00	—	33%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (SEND OUT)	$10.06	$15.00	$4.79–$96.00	70% below	33%
Rheumatoid factor (RF) test CPT 86431 ISLET CELL ANTIBODIE	$54.35	$81.00	$4.79–$96.00	62% above	33%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (SEND OUT)	$10.06	$15.00	$4.79–$96.00	—	33%
Rheumatoid factor (RF) test inpatient CPT 86431 ISLET CELL ANTIBODIE	$54.35	$81.00	$4.79–$96.00	—	33%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER, IGM	$47.64	$71.00	$12.15–$71.00	9% above	33%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER, IGM	$47.64	$71.00	$12.15–$71.00	—	33%
Stool ova and parasites exam CPT 87177 OVA, CYSTS, AND PARA	$87.23	$130.00	$7.51–$130.00	115% above	33%
Stool ova and parasites exam inpatient CPT 87177 OVA, CYSTS, AND PARA	$87.23	$130.00	$7.51–$130.00	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$28.18	$42.00	$3.61–$84.00	46% above	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$28.18	$42.00	$3.61–$84.00	46% above	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF	$28.18	$42.00	$3.61–$84.00	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$28.18	$42.00	$3.61–$84.00	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$67.10	$100.00	$20.00–$211.24	22% below	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD	$67.10	$100.00	$20.00–$211.24	—	33%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$144.93	$216.00	$21.80–$216.00	83% above	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$144.93	$216.00	$21.80–$216.00	—	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER, KIDNEY,MICROS	$44.95	$67.00	$12.29–$384.00	10% above	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE A	$92.59	$138.00	$12.29–$384.00	126% above	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THRYROID ANTIBO	$120.10	$179.00	$12.29–$384.00	194% above	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER, KIDNEY,MICROS	$44.95	$67.00	$12.29–$384.00	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE A	$92.59	$138.00	$12.29–$384.00	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THRYROID ANTIBO	$120.10	$179.00	$12.29–$384.00	—	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING	$71.12	$106.00	$14.18–$106.00	9% above	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING	$71.12	$106.00	$14.18–$106.00	—	33%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG	$39.58	$59.00	$11.80–$113.01	43% below	33%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG	$39.58	$59.00	$11.80–$113.01	—	33%
Uric acid blood test CPT 84550 URIC ACID, SERUM	$36.23	$54.00	$3.82–$54.00	at median	33%
Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM	$36.23	$54.00	$3.82–$54.00	—	33%
Urinalysis with microscope exam, manual CPT 81000 REDUCING SUBSTANCE U	$9.39	$14.00	$2.67–$14.00	54% below	33%
Urinalysis with microscope exam, manual inpatient CPT 81000 REDUCING SUBSTANCE U	$9.39	$14.00	$2.67–$14.00	—	33%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT M	$32.20	$48.00	$1.90–$48.00	59% above	33%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT M	$32.20	$48.00	$1.90–$48.00	—	33%
Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE, URI	$63.74	$95.00	$5.34–$95.00	5% above	33%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE, URI	$63.74	$95.00	$5.34–$95.00	—	33%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$77.16	$115.00	$12.73–$115.00	37% above	33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$77.16	$115.00	$12.73–$115.00	—	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D	$248.94	$371.00	$25.00–$371.00	223% above	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$248.94	$371.00	$25.00–$371.00	—	33%
Zinc blood test CPT 84630 ZINC,SERUM	$45.62	$68.00	$9.61–$68.00	4% above	33%
Zinc blood test inpatient CPT 84630 ZINC,SERUM	$45.62	$68.00	$9.61–$68.00	—	33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG, SERUM QUANTITATIVE	$129.50	$193.00	$11.54–$193.00	244% above	33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG, SERUM QUANTITATIVE	$129.50	$193.00	$11.54–$193.00	—	33%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960-CARDIOVERSION	$848.31	$1,264.25	$76.00–$1,264.25	65% above	33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$848.31	$1,264.25	$76.00–$1,264.25	65% above	33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$848.31	$1,264.25	$76.00–$1,264.25	—	33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960-CARDIOVERSION	$848.31	$1,264.25	$76.00–$1,264.25	—	33%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$536.80	$800.00	$160.00–$958.84	11% below	33%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/GUIDANCE	$536.80	$800.00	$160.00–$958.84	11% below	33%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$536.80	$800.00	$160.00–$958.84	—	33%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/GUIDANCE	$536.80	$800.00	$160.00–$958.84	—	33%
Short arm cast (elbow to hand) CPT 29075 29075-APPLY ELBOW TO FINGER SHORT ARM	$210.02	$313.00	$62.60–$1,777.00	95% above	33%
Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM	$210.02	$313.00	$62.60–$1,777.00	95% above	33%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL CST ELBW FNGR SHORT ARM	$210.02	$313.00	$62.60–$1,777.00	—	33%
Short arm cast (elbow to hand) inpatient CPT 29075 29075-APPLY ELBOW TO FINGER SHORT ARM	$210.02	$313.00	$62.60–$1,777.00	—	33%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$131.51	$196.00	$39.20–$1,777.00	at median	33%
Short arm splint (forearm and hand) CPT 29125 29125-APPLY SHT SPLINT FOREARM TO HAND	$131.51	$196.00	$39.20–$1,777.00	at median	33%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPLINT STATIC	$131.51	$196.00	$39.20–$1,777.00	—	33%
Short arm splint (forearm and hand) inpatient CPT 29125 29125-APPLY SHT SPLINT FOREARM TO HAND	$131.51	$196.00	$39.20–$1,777.00	—	33%
Short leg cast (below the knee) CPT 29405 29405-APPLY CAST SH LEG BELOW KNEE-TOES	$303.29	$452.00	$90.40–$1,777.00	126% above	33%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$303.29	$452.00	$90.40–$1,777.00	126% above	33%
Short leg cast (below the knee) inpatient CPT 29405 29405-APPLY CAST SH LEG BELOW KNEE-TOES	$303.29	$452.00	$90.40–$1,777.00	—	33%
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST	$303.29	$452.00	$90.40–$1,777.00	—	33%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$135.54	$202.00	$40.40–$1,777.00	2% above	33%
Short leg splint (calf to foot) CPT 29515 29515-APPLY SPLINT SH LEG CALF-FOOT	$135.54	$202.00	$40.40–$1,777.00	2% above	33%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$135.54	$202.00	$40.40–$1,777.00	—	33%
Short leg splint (calf to foot) inpatient CPT 29515 29515-APPLY SPLINT SH LEG CALF-FOOT	$135.54	$202.00	$40.40–$1,777.00	—	33%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 BLD ADMIN UP TO 1 H	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 BLD ADM > 4 HOURS	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 BLD ADMIN 1-2 HOURS	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 BLD ADM. 2-3 HOURS	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 BLD. ADM. 3-4 HOURS	$598.53	$892.00	$99.40–$4,460.00	28% above	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD. ADM. 3-4 HOURS	$598.53	$892.00	$99.40–$4,460.00	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD ADM. 2-3 HOURS	$598.53	$892.00	$99.40–$4,460.00	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD ADMIN UP TO 1 H	$598.53	$892.00	$99.40–$4,460.00	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT	$598.53	$892.00	$99.40–$4,460.00	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD ADMIN 1-2 HOURS	$598.53	$892.00	$99.40–$4,460.00	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD ADM > 4 HOURS	$598.53	$892.00	$99.40–$4,460.00	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 SPUTUM INDUCT TRMT	$283.18	$422.03	$6.00–$2,110.15	167% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AEROSOL INHAL TRMT	$283.18	$422.03	$6.00–$2,110.15	167% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640-NEBULIZER TREATMENT	$283.18	$422.03	$6.00–$2,110.15	167% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 IPPB TRMT	$283.18	$422.03	$6.00–$2,110.15	167% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 VENT AEROSOL TRM	$283.18	$422.03	$6.00–$2,110.15	167% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AEROSOL INHAL TRMT	$283.18	$422.03	$6.00–$2,110.15	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 SPUTUM INDUCT TRMT	$283.18	$422.03	$6.00–$2,110.15	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 VENT AEROSOL TRM	$283.18	$422.03	$6.00–$2,110.15	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640-NEBULIZER TREATMENT	$283.18	$422.03	$6.00–$2,110.15	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 IPPB TRMT	$283.18	$422.03	$6.00–$2,110.15	—	33%
Critical care, first 30 to 74 minutes CPT 99291 99291-CC EVAL & MGMT CRIT ILL OR INJURED	$1,221.22	$1,820.00	$364.00–$1,820.00	83% above	33%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291-CC EVAL & MGMT CRIT ILL OR INJURED	$1,221.22	$1,820.00	$364.00–$1,820.00	—	33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG PROF FEE AWAKE &	$94.61	$141.00	$25.00–$473.35	73% below	33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG,INCL RECORDING A	$218.07	$325.00	$25.00–$473.35	37% below	33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG PROF FEE AWAKE &	$94.61	$141.00	$25.00–$473.35	—	33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG,INCL RECORDING A	$218.07	$325.00	$25.00–$473.35	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-EKG 12 LEAD	$83.86	$124.98	$9.30–$437.96	5% below	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93008-EKG TRACING ONLY	$83.86	$124.98	$9.30–$437.96	5% below	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG-12 LEAD	$126.14	$188.00	$9.30–$437.96	43% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93008-EKG TRACING ONLY	$83.86	$124.98	$9.30–$437.96	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005-EKG 12 LEAD	$83.86	$124.98	$9.30–$437.96	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG-12 LEAD	$126.14	$188.00	$9.30–$437.96	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281-MEDICAL SCREENING NO TREATMENT	$109.37	$163.00	$14.61–$596.00	at median	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281-MEDICAL SCREENING WITH TREATMENT	$109.37	$163.00	$14.61–$596.00	at median	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281-ER EXAM UNCOMPLCD TX/SUTURE REMOV	$181.17	$270.00	$14.61–$596.00	66% above	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281-MEDICAL SCREENING NO TREATMENT	$109.37	$163.00	$14.61–$596.00	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281-MEDICAL SCREENING WITH TREATMENT	$109.37	$163.00	$14.61–$596.00	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281-ER EXAM UNCOMPLCD TX/SUTURE REMOV	$181.17	$270.00	$14.61–$596.00	—	33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282-ER 2 FOCUSED EXAM LOW COMPLEX	$268.40	$400.00	$53.58–$400.00	51% above	33%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282-ER 2 FOCUSED EXAM LOW COMPLEX	$268.40	$400.00	$53.58–$400.00	—	33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283-ER 3 FOCUSED EXAM MOD COMPL	$409.31	$610.00	$75.60–$610.00	25% above	33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283-ER 3 FOCUSED EXAM MOD COMPL	$409.31	$610.00	$75.60–$610.00	—	33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284-ER 4 DETAILED HX/EXAM MOD DEC	$548.20	$817.00	$156.75–$817.00	at median	33%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284-ER 4 DETAILED HX/EXAM MOD DEC	$548.20	$817.00	$156.75–$817.00	—	33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285-ER 5 COMPR HX/EXM HI COMPLX MD/DEC	$787.08	$1,173.00	$227.16–$1,173.00	8% above	33%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285-ER 5 COMPR HX/EXM HI COMPLX MD/DEC	$787.08	$1,173.00	$227.16–$1,173.00	—	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$398.70	$594.20	$51.81–$594.20	9% below	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST	$398.70	$594.20	$51.81–$594.20	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF HYDRATION 1ST 31 MINUTES TO 1 HOUR	$308.19	$459.30	$44.28–$1,377.90	71% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-INF HYDRAT INITAL 30M-1HOUR	$308.19	$459.30	$44.28–$1,377.90	71% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-IV HYDRATION 1ST 31 MIN TO 1 HR	$308.19	$459.30	$44.28–$1,377.90	71% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF HYDRATION 1ST 31 MINUTES TO 1 HOUR	$308.19	$459.30	$44.28–$1,377.90	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360-INF HYDRAT INITAL 30M-1HOUR	$308.19	$459.30	$44.28–$1,377.90	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360-IV HYDRATION 1ST 31 MIN TO 1 HR	$308.19	$459.30	$44.28–$1,377.90	—	33%
IV infusion of a medicine, first hour CPT 96365 96365-INF SPEC DRUG INTIAL UP TO 1HR	$308.19	$459.30	$89.00–$918.60	60% above	33%
IV infusion of a medicine, first hour CPT 96365 96365-INF 1ST DRUG/TH/PROPHY/DX TO 1 HR	$308.19	$459.30	$89.00–$918.60	60% above	33%
IV infusion of a medicine, first hour inpatient CPT 96365 96365-INF SPEC DRUG INTIAL UP TO 1HR	$308.19	$459.30	$89.00–$918.60	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 96365-INF 1ST DRUG/TH/PROPHY/DX TO 1 HR	$308.19	$459.30	$89.00–$918.60	—	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-INJECTION IM	$61.06	$91.00	$20.37–$369.40	11% below	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-INJ IM/SUB-Q SPECIFIC SUBSTANCE	$93.40	$139.20	$20.37–$369.40	36% above	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-THERAP/DX/PROPHYLA INJ IM/SUBQ	$93.40	$139.20	$20.37–$369.40	36% above	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372-INJECTION IM	$61.06	$91.00	$20.37–$369.40	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372-THERAP/DX/PROPHYLA INJ IM/SUBQ	$93.40	$139.20	$20.37–$369.40	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372-INJ IM/SUB-Q SPECIFIC SUBSTANCE	$93.40	$139.20	$20.37–$369.40	—	33%
Neuromuscular re-education, 15 minutes CPT 97112 PT MS RE ED BAL 15M	$58.37	$87.00	$28.78–$870.00	10% below	33%
Neuromuscular re-education, 15 minutes CPT 97112 PT MS RE ED BAL 30M	$116.75	$174.00	$28.78–$870.00	79% above	33%
Neuromuscular re-education, 15 minutes CPT 97112 PAT MS RE ED BAL 45M	$175.13	$261.00	$28.78–$870.00	169% above	33%
Neuromuscular re-education, 15 minutes CPT 97112 PT MS RE ED BAL 60M	$233.50	$348.00	$28.78–$870.00	259% above	33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT MS RE ED BAL 15M	$58.37	$87.00	$28.78–$870.00	—	33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT MS RE ED BAL 30M	$116.75	$174.00	$28.78–$870.00	—	33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PAT MS RE ED BAL 45M	$175.13	$261.00	$28.78–$870.00	—	33%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT MS RE ED BAL 60M	$233.50	$348.00	$28.78–$870.00	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED/NUTR ASSESS EA15	$44.28	$66.00	$13.20–$66.00	8% above	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED/NUTR ASSESS EA15	$44.28	$66.00	$13.20–$66.00	—	33%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION/HIGH COMPLEXITY	$242.23	$361.00	$72.20–$448.92	57% above	33%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION/HIGH COMPLEXITY	$242.23	$361.00	$72.20–$448.92	—	33%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION/LOW COMPLEXITY	$194.59	$290.00	$58.00–$290.00	48% above	33%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION/LOW COMPLEXITY	$194.59	$290.00	$58.00–$290.00	—	33%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION/MODERATE COMPLEXITY	$218.07	$325.00	$65.00–$336.69	59% above	33%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION/MODERATE COMPLEXITY	$218.07	$325.00	$65.00–$336.69	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBIL 15M	$41.60	$62.00	$24.39–$754.00	35% below	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT SOFT TISSUE MOBIL	$44.95	$67.00	$24.39–$754.00	29% below	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MAN THERAPY 15M	$44.95	$67.00	$24.39–$754.00	29% below	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MAN THERAPY 30M	$83.20	$124.00	$24.39–$754.00	31% above	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBIL 30M	$83.20	$124.00	$24.39–$754.00	31% above	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT STM 30M	$83.20	$124.00	$24.39–$754.00	31% above	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MAN THERAPY 45M	$124.80	$186.00	$24.39–$754.00	96% above	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBIL 15M	$41.60	$62.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT SOFT TISSUE MOBIL	$44.95	$67.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MAN THERAPY 15M	$44.95	$67.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBIL 30M	$83.20	$124.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT STM 30M	$83.20	$124.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MAN THERAPY 30M	$83.20	$124.00	$24.39–$754.00	—	33%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MAN THERAPY 45M	$124.80	$186.00	$24.39–$754.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE FOR STRENGTH/ENDURE/FLEX EA 15	$28.85	$43.00	$21.76–$1,043.00	54% below	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE II 15M	$59.04	$88.00	$21.76–$1,043.00	5% below	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE 15M	$66.42	$99.00	$21.76–$1,043.00	7% above	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE I 45M	$66.42	$99.00	$21.76–$1,043.00	7% above	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT ELECTRIC STIM 30M	$118.09	$176.00	$21.76–$1,043.00	90% above	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE I 30M	$132.85	$198.00	$21.76–$1,043.00	114% above	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE I 60M	$228.14	$340.00	$21.76–$1,043.00	267% above	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE FOR STRENGTH/ENDURE/FLEX EA 15	$28.85	$43.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE II 15M	$59.04	$88.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE 15M	$66.42	$99.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE I 45M	$66.42	$99.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT ELECTRIC STIM 30M	$118.09	$176.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE I 30M	$132.85	$198.00	$21.76–$1,043.00	—	33%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE I 60M	$228.14	$340.00	$21.76–$1,043.00	—	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TREATMENT RM LEVEL 5	$214.72	$320.00	$64.00–$320.00	65% above	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TREATMENT RM LEVEL 5	$214.72	$320.00	$64.00–$320.00	—	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMENT RM LEVEL 3	$169.09	$252.00	$50.40–$252.00	100% above	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TREATMENT RM LEVEL 3	$169.09	$252.00	$50.40–$252.00	—	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMENT RM LEVEL 4	$183.85	$274.00	$54.80–$274.00	89% above	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TREATMENT RM LEVEL 4	$183.85	$274.00	$54.80–$274.00	—	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT RM LEVEL 2	$152.31	$227.00	$29.44–$227.00	142% above	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TREATMENT RM LEVEL 2	$152.31	$227.00	$29.44–$227.00	—	33%
Speech therapy session, individual CPT 92507 ST INDIVIDUAL TREATM	$150.30	$224.00	$21.76–$224.00	10% above	33%
Speech therapy session, individual inpatient CPT 92507 ST INDIVIDUAL TREATM	$150.30	$224.00	$21.76–$224.00	—	33%
Spirometry (breathing test) CPT 94010 SPIROMETRY, PULMONAR	$209.00	$311.48	$24.00–$624.96	3% above	33%
Spirometry (breathing test) CPT 94010 PEAK EXPIRATORY FLOW	$210.34	$313.48	$24.00–$624.96	3% above	33%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY, PULMONAR	$209.00	$311.48	$24.00–$624.96	—	33%
Spirometry (breathing test) inpatient CPT 94010 PEAK EXPIRATORY FLOW	$210.34	$313.48	$24.00–$624.96	—	33%
Spirometry before and after a bronchodilator CPT 94060 94060 PEAK FLOW PRE & POST	$398.70	$594.20	$39.00–$1,188.40	28% above	33%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION	$398.70	$594.20	$39.00–$1,188.40	28% above	33%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION	$398.70	$594.20	$39.00–$1,188.40	—	33%
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 PEAK FLOW PRE & POST	$398.70	$594.20	$39.00–$1,188.40	—	33%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACT I	$44.28	$66.00	$21.76–$266.00	34% below	33%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPY ACT II 15M	$45.62	$68.00	$21.76–$266.00	32% below	33%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT I 30M	$88.57	$132.00	$21.76–$266.00	33% above	33%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACT I	$44.28	$66.00	$21.76–$266.00	—	33%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPY ACT II 15M	$45.62	$68.00	$21.76–$266.00	—	33%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THER ACT I 30M	$88.57	$132.00	$21.76–$266.00	—	33%

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 VACCINE 0.5 ML 24-25	$39.45	$58.80	$11.76–$58.80	3% above	33%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 0.5 ML 24-25	$39.45	$58.80	$11.76–$58.80	—	33%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT	$145.13	$216.30	$43.26–$216.30	28% above	33%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT	$145.13	$216.30	$43.26–$216.30	—	33%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE DOSE	$833.18	$1,241.70	$248.34–$1,241.70	11% below	33%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE DOSE	$833.18	$1,241.70	$248.34–$1,241.70	—	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA 0.5ML	$89.10	$132.80	$14.00–$423.00	31% above	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDAP VACCINE 0.5ML	$194.72	$290.20	$14.00–$423.00	186% above	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA 0.5ML	$89.10	$132.80	$14.00–$423.00	—	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDAP VACCINE 0.5ML	$194.72	$290.20	$14.00–$423.00	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN TOX/TD IM/SUB-Q SINGLE/COMBO	$126.14	$188.00	$13.14–$188.00	310% above	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN TOX/TD IM/SUB-Q SINGLE/COMBO	$126.14	$188.00	$13.14–$188.00	—	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-EA ADD VAC/TOX IM/SUB-Q ADMINISTRA	$46.97	$70.00	$13.14–$70.00	149% above	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472-EA ADD VAC/TOX IM/SUB-Q ADMINISTRA	$46.97	$70.00	$13.14–$70.00	—	33%

Source file: https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/340cba5b-23f2-476f-bd9f-b97e6c9f7afa/800370789_MCHS-SMC-REGIONAL-MEDICAL-CENTER_standardcharges.zip