Crenshaw Community Hospital
Listed in its price file as “Crenshaw County Health Care Authority”.
Crenshaw Community Hospital in Luverne, AL publishes cash prices for 216 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 Alabama median for 148 of 212 procedures and above it for 62. By typical cash price it ranks #17 of 46 Alabama hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
101 Hospital Circle, Luverne, AL, 36049 Collected Sep 29, 2026 Source price file (334) 335-3374
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 011308 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI | $359.50 | $719.00 | $176.16 | 68% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI | $359.50 | $719.00 | $176.16 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM | $252.18 | $504.35 | $123.57 | 11% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM | $252.18 | $504.35 | $123.57 | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE | $140.64 | $281.28 | $68.91 | 45% below | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE | $140.64 | $281.28 | $68.91 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $1,140.00 | $2,280.00 | $558.60 | 15% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST | $1,140.00 | $2,280.00 | $558.60 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CHEST CALCIUM SCORING | $129.87 | $259.74 | $63.64 | 20% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CHEST CALCIUM SCORING | $129.87 | $259.74 | $63.64 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O | $1,630.00 | $3,260.00 | $798.70 | 19% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O | $1,630.00 | $3,260.00 | $798.70 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ | $1,800.00 | $3,600.00 | $882.00 | 23% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/ | $1,800.00 | $3,600.00 | $882.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/ AND W/O | $2,030.00 | $4,060.00 | $994.70 | 28% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/ AND W/O | $2,030.00 | $4,060.00 | $994.70 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ | $1,130.00 | $2,260.00 | $553.70 | 31% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ | $1,130.00 | $2,260.00 | $553.70 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O | $930.00 | $1,860.00 | $455.70 | 23% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O | $930.00 | $1,860.00 | $455.70 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O | $600.00 | $1,200.00 | $294.00 | 61% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O | $800.00 | $1,600.00 | $392.00 | 48% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O | $600.00 | $1,200.00 | $294.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O | $800.00 | $1,600.00 | $392.00 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O | $600.00 | $1,200.00 | $294.00 | 46% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O | $600.00 | $1,200.00 | $294.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ | $800.00 | $1,600.00 | $392.00 | 39% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ | $800.00 | $1,600.00 | $392.00 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/ AND W/O | $1,140.00 | $2,280.00 | $558.60 | 42% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/ AND W/O | $1,140.00 | $2,280.00 | $558.60 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O | $600.00 | $1,200.00 | $294.00 | 57% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O | $600.00 | $1,200.00 | $294.00 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O | $600.00 | $1,200.00 | $294.00 | 59% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O | $600.00 | $1,200.00 | $294.00 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ | $800.00 | $1,600.00 | $392.00 | 39% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL | $324.50 | $649.00 | $159.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILATERAL | $324.50 | $649.00 | $159.00 | — | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT 2 V | $109.50 | $219.00 | $53.66 | 49% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA/LAT 2 V | $109.50 | $219.00 | $53.66 | — | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST AP/PA | $89.50 | $179.00 | $43.86 | 41% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST AP/PA | $89.50 | $179.00 | $43.86 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $289.50 | $579.00 | $141.86 | 27% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL | $289.50 | $579.00 | $141.86 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O | $600.00 | $1,200.00 | $294.00 | 41% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O | $600.00 | $1,200.00 | $294.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABD PELVIS W/ | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABD PELVIS W/ AND W/O | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ABD PELVIS W/O | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST AND ABDOMEN W/ AND W/O | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST AND ABDOMEN W/O | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST AND ABDOMEN W/ | $800.00 | $1,600.00 | $392.00 | 50% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST AND ABDOMEN W/ AND W/O | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST AND ABDOMEN W/ | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST AND ABDOMEN W/O | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ABD PELVIS W/ | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ABD PELVIS W/ AND W/O | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ABD PELVIS W/O | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT. BILATERAL | $374.50 | $749.00 | $183.50 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER EXT. BILATERAL | $374.50 | $749.00 | $183.50 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM LIIMITED | $624.50 | $1,249.00 | $306.00 | 42% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM | $654.50 | $1,309.00 | $320.70 | 39% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM LIIMITED | $624.50 | $1,249.00 | $306.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM | $654.50 | $1,309.00 | $320.70 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $289.50 | $579.00 | $141.86 | 20% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $289.50 | $579.00 | $141.86 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCAN | $800.00 | $1,600.00 | $392.00 | 300% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCAN | $800.00 | $1,600.00 | $392.00 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $140.64 | $281.28 | $68.91 | 30% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $140.64 | $281.28 | $68.91 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $234.50 | $469.00 | $114.90 | 54% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC | $234.50 | $469.00 | $114.90 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER 14 WEEKS | $259.50 | $519.00 | $127.16 | 29% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GREATER 14 WEEKS | $259.50 | $519.00 | $127.16 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WEEKS | $239.50 | $479.00 | $117.36 | 20% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14 WEEKS | $239.50 | $479.00 | $117.36 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $254.50 | $509.00 | $124.70 | at median | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $254.50 | $509.00 | $124.70 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL | $244.50 | $489.00 | $119.80 | 33% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL | $244.50 | $489.00 | $119.80 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $309.50 | $619.00 | $151.66 | 13% above | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $309.50 | $619.00 | $151.66 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $304.50 | $609.00 | $149.20 | 38% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $304.50 | $609.00 | $149.20 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $285.00 | $570.00 | $139.65 | 29% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $285.00 | $570.00 | $139.65 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/SOFT TISSUE HEAD/NECK | $204.50 | $409.00 | $100.20 | 45% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/SOFT TISSUE HEAD/NECK | $204.50 | $409.00 | $100.20 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI | $252.18 | $504.35 | $123.57 | 27% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI | $252.18 | $504.35 | $123.57 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US VENOUS UPPER EXTREMITY BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 US VENOUS UPPER EXTREMITY BILATERAL | $370.15 | $740.30 | $181.38 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB | $89.50 | $179.00 | $43.86 | 43% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB | $89.50 | $179.00 | $43.86 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE AP AND LAT | $140.64 | $281.28 | $68.91 | 41% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L SPINE 2 V | $140.64 | $281.28 | $68.91 | 41% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE COMPLETE | $153.00 | $306.00 | $74.97 | 36% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L SPINE 2 V | $140.64 | $281.28 | $68.91 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE AP AND LAT | $140.64 | $281.28 | $68.91 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE COMPLETE | $153.00 | $306.00 | $74.97 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES | $77.88 | $155.75 | $38.16 | 62% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES | $77.88 | $155.75 | $38.16 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2 V | $89.50 | $179.00 | $43.86 | 56% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2 V | $89.50 | $179.00 | $43.86 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS | $140.64 | $281.28 | $68.91 | 17% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS | $140.64 | $281.28 | $68.91 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX | $94.50 | $189.00 | $46.30 | 58% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND COCCYX | $94.50 | $189.00 | $46.30 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $34.75 | $69.50 | $17.03 | 4% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT | $34.75 | $69.50 | $17.03 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT | $53.13 | $106.25 | $26.03 | 37% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT | $53.13 | $106.25 | $26.03 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE | $123.18 | $246.36 | $60.36 | 46% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE | $123.18 | $246.36 | $60.36 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PATH TEC COMP SITE | $159.38 | $318.75 | $78.10 | 667% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PATH TECH COMP STAIN | $163.85 | $327.70 | $80.29 | 688% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST ALLERGEN PROFILE | $179.78 | $359.55 | $88.09 | 765% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOOD ALLERGEN PROFILE | $179.78 | $359.55 | $88.09 | 765% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS PERENNIAL | $323.60 | $647.19 | $158.56 | 1457% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS WEED-FALL | $472.88 | $945.75 | $231.71 | 2176% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PATH TEC COMP SITE | $159.38 | $318.75 | $78.10 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PATH TECH COMP STAIN | $163.85 | $327.70 | $80.29 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST ALLERGEN PROFILE | $179.78 | $359.55 | $88.09 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST FOOD ALLERGEN PROFILE | $179.78 | $359.55 | $88.09 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS PERENNIAL | $323.60 | $647.19 | $158.56 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS WEED-FALL | $472.88 | $945.75 | $231.71 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP IgG/IgA | $30.30 | $60.60 | $14.85 | 42% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP IgG/IgA | $30.30 | $60.60 | $14.85 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $47.25 | $94.50 | $23.16 | 7% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $47.25 | $94.50 | $23.16 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $85.50 | $171.00 | $41.90 | 17% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $85.50 | $171.00 | $41.90 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC | $130.00 | $260.00 | $63.70 | 117% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC | $130.00 | $260.00 | $63.70 | — | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $83.63 | $167.25 | $40.97 | 4% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $83.63 | $167.25 | $40.97 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INTRO NEEDLE ARTERY | $7.50 | $15.00 | — | 4% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $12.50 | $25.00 | $6.12 | 74% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INTRO NEEDLE ARTERY | $7.50 | $15.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $12.50 | $25.00 | $6.12 | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $35.04 | $70.07 | $17.17 | 34% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $35.04 | $70.07 | $17.17 | — | 50% |
| Blood lead test CPT 83655 LEAD BLOOD LEVEL | $73.88 | $147.75 | $36.20 | 70% above | 50% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD LEVEL | $73.88 | $147.75 | $36.20 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM | $45.38 | $90.75 | $22.24 | 14% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 .HCG QUAL URINE/SERUM | $45.38 | $90.75 | $22.24 | 14% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 .HCG QUAL URINE/SERUM | $45.38 | $90.75 | $22.24 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM | $45.38 | $90.75 | $22.24 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $133.10 | $266.20 | $65.22 | 145% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $133.10 | $266.20 | $65.22 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RCRP | $97.63 | $195.25 | $47.83 | 117% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RCRP | $97.63 | $195.25 | $47.83 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $66.38 | $132.75 | $32.53 | 36% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $66.38 | $132.75 | $32.53 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $76.13 | $152.25 | $37.30 | 24% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $76.13 | $152.25 | $37.30 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TESTING | $150.00 | $300.00 | $73.50 | 156% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TESTING | $150.00 | $300.00 | $73.50 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA DNA PROBE | $15.34 | $30.68 | $7.52 | 77% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA DNA PROBE | $15.34 | $30.68 | $7.52 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $62.38 | $124.75 | $30.57 | 18% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $62.38 | $124.75 | $30.57 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO MAN DIFF IF IND | $57.66 | $115.31 | $28.25 | 43% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO | $58.63 | $117.25 | $28.72 | 46% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO MAN DIFF IF IND | $57.66 | $115.31 | $28.25 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO | $58.63 | $117.25 | $28.72 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $57.66 | $115.31 | $28.25 | 85% above | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $57.66 | $115.31 | $28.25 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $99.25 | $198.50 | $48.64 | 4% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $99.25 | $198.50 | $48.64 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $39.13 | $78.25 | $19.17 | 44% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $39.13 | $78.25 | $19.17 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS | $86.25 | $172.50 | $42.27 | 20% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS | $86.25 | $172.50 | $42.27 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $97.50 | $195.00 | $47.78 | 4% below | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL | $97.50 | $195.00 | $47.78 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $42.50 | $85.00 | $20.82 | 53% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $42.50 | $85.00 | $20.82 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $300.00 | $600.00 | $147.00 | 25% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $300.00 | $600.00 | $147.00 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $65.13 | $130.25 | $31.91 | 11% above | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $65.13 | $130.25 | $31.91 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $68.75 | $137.50 | $33.69 | 4% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $68.75 | $137.50 | $33.69 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $58.65 | $117.30 | $28.74 | 28% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $58.65 | $117.30 | $28.74 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $54.50 | $109.00 | $26.70 | 12% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $54.50 | $109.00 | $26.70 | — | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $78.50 | $157.00 | $38.46 | 6% above | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $78.50 | $157.00 | $38.46 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HEALTH PANEL CMP CBC TSH | $118.75 | $237.50 | $58.19 | at median | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HEALTH PANEL CMP CBC TSH | $118.75 | $237.50 | $58.19 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NEISSERI PANEL | $97.03 | $194.05 | $47.54 | 39% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NEISSERI PANEL | $97.03 | $194.05 | $47.54 | — | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTG | $51.50 | $103.00 | $25.24 | 27% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTG | $51.50 | $103.00 | $25.24 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD RNA | $195.38 | $390.75 | $95.74 | 14% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD RNA | $195.38 | $390.75 | $95.74 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREENING | $17.25 | $34.50 | $8.46 | 42% below | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV CONFIRM | $65.13 | $130.25 | $31.91 | 119% above | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREENING | $17.25 | $34.50 | $8.46 | — | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV CONFIRM | $65.13 | $130.25 | $31.91 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB | $214.70 | $429.39 | $105.20 | 255% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB | $214.70 | $429.39 | $105.20 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV | $312.91 | $625.82 | $153.33 | 583% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV | $312.91 | $625.82 | $153.33 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $97.63 | $195.25 | $47.83 | 184% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $97.63 | $195.25 | $47.83 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $47.75 | $95.50 | $23.40 | 17% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $47.75 | $95.50 | $23.40 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBS AG | $74.75 | $149.50 | $36.63 | 146% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBS AG | $74.75 | $149.50 | $36.63 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $61.25 | $122.50 | $30.02 | 8% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C | $61.25 | $122.50 | $30.02 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT | $194.25 | $388.50 | $95.19 | at median | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QUANT | $194.25 | $388.50 | $95.19 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 ANTB IGG | $75.00 | $150.00 | $36.75 | 24% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 ANTB IGG | $75.00 | $150.00 | $36.75 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 ANTB IGG | $75.00 | $150.00 | $36.75 | 6% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 ANTB IGG | $75.00 | $150.00 | $36.75 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP | $115.44 | $230.88 | $56.57 | 96% above | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP | $115.44 | $230.88 | $56.57 | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $33.63 | $67.25 | $16.47 | 73% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $33.63 | $67.25 | $16.47 | — | 50% |
| Insulin blood test CPT 83525 INSULIN | $48.63 | $97.25 | $23.82 | 22% below | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN | $48.63 | $97.25 | $23.82 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $34.88 | $69.75 | $17.09 | 19% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $57.72 | $115.44 | $28.28 | 96% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $34.88 | $69.75 | $17.09 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $57.72 | $115.44 | $28.28 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON & TIBC | $50.00 | $100.00 | $24.50 | 28% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON & TIBC | $50.00 | $100.00 | $24.50 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $97.50 | $195.00 | $47.78 | 16% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $97.50 | $195.00 | $47.78 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $42.50 | $85.00 | $20.82 | 54% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $42.50 | $85.00 | $20.82 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $61.25 | $122.50 | $30.02 | 8% above | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $61.25 | $122.50 | $30.02 | — | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $82.63 | $165.25 | $40.48 | 4% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $82.63 | $165.25 | $40.48 | — | 50% |
| Lyme disease antibody test CPT 86618 LYME DZ ANTIBODY | $35.70 | $71.40 | $17.49 | 63% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DZ ANTIBODY | $35.70 | $71.40 | $17.49 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $19.74 | $39.48 | $9.67 | 26% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $55.38 | $110.75 | $27.14 | 106% above | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $19.74 | $39.48 | $9.67 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $55.38 | $110.75 | $27.14 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY GRP | $57.45 | $114.90 | $28.16 | 31% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY GRP | $57.45 | $114.90 | $28.16 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $42.13 | $84.25 | $20.64 | 34% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN | $42.13 | $84.25 | $20.64 | — | 50% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE | $31.50 | $63.00 | $15.44 | 83% below | 50% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE | $31.50 | $63.00 | $15.44 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 REFLEX PSA FREE | $55.85 | $111.69 | $27.36 | 34% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC ANTG FREE | $99.25 | $198.50 | $48.64 | 17% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 REFLEX PSA FREE | $55.85 | $111.69 | $27.36 | — | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATIC SPECIFIC ANTG FREE | $99.25 | $198.50 | $48.64 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC TOTAL | $99.25 | $198.50 | $48.64 | 8% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC TOTAL | $99.25 | $198.50 | $48.64 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPHAOLOGY CERVICAL OR VAGNIAL | $180.64 | $361.27 | $88.51 | 304% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPHAOLOGY CERVICAL OR VAGNIAL | $180.64 | $361.27 | $88.51 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH LEVEL | $32.50 | $65.00 | $15.92 | 76% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH LEVEL | $32.50 | $65.00 | $15.92 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $70.38 | $140.75 | $34.49 | 75% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $70.38 | $140.75 | $34.49 | — | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $86.63 | $173.25 | $42.44 | 22% below | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $86.63 | $173.25 | $42.44 | — | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $33.63 | $67.25 | $16.47 | 68% below | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $33.63 | $67.25 | $16.47 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR | $70.38 | $140.75 | $34.49 | 217% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR | $70.38 | $140.75 | $34.49 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN | $97.50 | $195.00 | $47.78 | 106% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN | $97.50 | $195.00 | $47.78 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN | $28.00 | $56.00 | $13.72 | 1% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN | $28.00 | $56.00 | $13.72 | 1% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN | $28.00 | $56.00 | $13.72 | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN | $28.00 | $56.00 | $13.72 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ANTIGEN | $25.00 | $50.00 | $12.25 | 43% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ANTIGEN | $25.00 | $50.00 | $12.25 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA QUANT | $32.50 | $65.00 | $15.92 | 28% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANT | $32.50 | $65.00 | $15.92 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG | $12.25 | $24.50 | $6.01 | 68% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM | $12.25 | $24.50 | $6.01 | 68% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $27.00 | $54.00 | $13.23 | 29% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG | $12.25 | $24.50 | $6.01 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGM | $12.25 | $24.50 | $6.01 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN | $27.00 | $54.00 | $13.23 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR | $16.64 | $33.28 | $8.15 | 25% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR | $16.64 | $33.28 | $8.15 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $43.50 | $87.00 | $21.32 | 22% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $43.50 | $87.00 | $21.32 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $25.38 | $50.75 | $12.44 | 1% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $25.38 | $50.75 | $12.44 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $84.15 | $168.30 | $41.24 | 28% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $84.15 | $168.30 | $41.24 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $50.00 | $100.00 | $24.50 | 40% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $50.00 | $100.00 | $24.50 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL ANTB | $24.13 | $48.25 | $11.82 | 47% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $29.84 | $59.67 | $14.62 | 34% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTB GRP | $39.50 | $79.00 | $19.36 | 12% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL ANTB | $24.13 | $48.25 | $11.82 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $29.84 | $59.67 | $14.62 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTB GRP | $39.50 | $79.00 | $19.36 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $87.38 | $174.75 | $42.82 | 5% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $87.38 | $174.75 | $42.82 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS | $68.85 | $137.70 | $33.74 | 3% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS | $68.85 | $137.70 | $33.74 | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $29.75 | $59.50 | $14.58 | 8% below | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $29.75 | $59.50 | $14.58 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $61.25 | $122.50 | $30.02 | 91% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $61.25 | $122.50 | $30.02 | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NO MICRO | $6.63 | $13.25 | $3.24 | 72% below | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NO MICRO | $6.63 | $13.25 | $3.24 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $15.00 | $30.00 | $7.35 | 33% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $15.00 | $30.00 | $7.35 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE BACTERIAL URINE | $71.96 | $143.91 | $35.26 | 35% above | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE BACTERIAL URINE | $71.96 | $143.91 | $35.26 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE | $45.38 | $90.75 | $22.24 | 12% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE | $45.38 | $90.75 | $22.24 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $51.00 | $102.00 | $24.99 | 10% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 | $51.00 | $102.00 | $24.99 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY CALCIFEROL | $78.13 | $156.25 | $38.28 | 18% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROXY CALCIFEROL | $78.13 | $156.25 | $38.28 | — | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $21.50 | $43.00 | $10.54 | 62% below | 50% |
| Zinc blood test inpatient CPT 84630 ZINC LEVEL | $21.50 | $43.00 | $10.54 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG | $86.00 | $172.00 | $42.14 | 47% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANTITATIVE HCG | $86.00 | $172.00 | $42.14 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPIC ACL REPAIR | $3,027.00 | $6,054.00 | $1,483.23 | 76% below | 50% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ACL REPAIR ARTHROSCOPIC | $8,549.39 | $17,098.77 | $4,189.20 | 33% below | 50% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPIC ACL REPAIR | $3,027.00 | $6,054.00 | $1,483.23 | — | 50% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ACL REPAIR ARTHROSCOPIC | $8,549.39 | $17,098.77 | $4,189.20 | — | 50% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY ROTATOR CUFF REPAIR | $8,549.39 | $17,098.77 | $4,189.20 | 27% below | 50% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY ROTATOR CUFF REPAIR | $8,549.39 | $17,098.77 | $4,189.20 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL | $658.12 | $1,316.23 | $322.48 | 7% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL | $658.12 | $1,316.23 | $322.48 | — | 50% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL | $1,092.00 | $2,184.00 | $535.08 | 79% below | 50% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE | $2,447.22 | $4,894.44 | $1,199.14 | 54% below | 50% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL | $1,092.00 | $2,184.00 | $535.08 | — | 50% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL RELEASE | $2,447.22 | $4,894.44 | $1,199.14 | — | 50% |
| Cervical biopsy CPT 57500 OR MINOR POLYPECTOMY-CERV | $697.55 | $1,395.10 | $341.80 | 71% below | 50% |
| Cervical biopsy inpatient CPT 57500 OR MINOR POLYPECTOMY-CERV | $697.55 | $1,395.10 | $341.80 | — | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 OR MAJOR CIRCUMCISION | $2,174.69 | $4,349.38 | $1,065.60 | 37% below | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 OR MAJOR CIRCUMCISION | $2,174.69 | $4,349.38 | $1,065.60 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $2,174.69 | $4,349.38 | $1,065.60 | 14% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $2,174.69 | $4,349.38 | $1,065.60 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED REDUCTION DISTAL RADIUS FX | $292.50 | $585.00 | $143.32 | 5% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED REDUCTION DISTAL RADIUS FX | $292.50 | $585.00 | $143.32 | — | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH POLYPECTOMY | $783.38 | $1,566.75 | $383.86 | 75% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY REMOVAL POLYOID | $1,224.74 | $2,449.48 | $600.12 | 61% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH POLYPECTOMY | $783.38 | $1,566.75 | $383.86 | — | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY REMOVAL POLYOID | $1,224.74 | $2,449.48 | $600.12 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH REMOVAL POLYP | $756.51 | $1,513.02 | $370.69 | 71% below | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH REMOVAL OF POLYP | $1,224.74 | $2,449.48 | $600.12 | 53% below | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY | $1,224.74 | $2,449.48 | $600.12 | 53% below | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH REMOVAL POLYP | $756.51 | $1,513.02 | $370.69 | — | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH REMOVAL OF POLYP | $1,224.74 | $2,449.48 | $600.12 | — | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY | $1,224.74 | $2,449.48 | $600.12 | — | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC | $769.50 | $1,539.00 | $377.06 | 66% below | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY SCREENING | $931.12 | $1,862.23 | $456.25 | 59% below | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC-NO BIOPSIES | $931.12 | $1,862.23 | $456.25 | 59% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC | $769.50 | $1,539.00 | $377.06 | — | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC-NO BIOPSIES | $931.12 | $1,862.23 | $456.25 | — | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY SCREENING | $931.12 | $1,862.23 | $456.25 | — | 50% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 LEEP | $2,951.59 | $5,903.18 | $1,446.28 | 50% below | 50% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 LEEP | $2,951.59 | $5,903.18 | $1,446.28 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 OR MINOR CYSTOSCOPY W/ DILATION | $702.82 | $1,405.63 | $344.38 | 65% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 OR MINOR CYSTOSCOPY W/ DILATION | $702.82 | $1,405.63 | $344.38 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC W/GUIDANCE | $805.43 | $1,610.85 | $394.66 | 44% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC W/GUIDANCE | $805.43 | $1,610.85 | $394.66 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PARAVERTEBRAL INJ LUMBAR LEVEL 1 | $1,065.23 | $2,130.45 | $521.96 | 3% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PARAVERTEBRAL INJ LUMBAR LEVEL 1 | $1,065.23 | $2,130.45 | $521.96 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY | $931.12 | $1,862.23 | $456.25 | 19% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY | $931.12 | $1,862.23 | $456.25 | — | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY | $5,744.82 | $11,489.63 | $2,814.96 | 22% below | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY | $5,744.82 | $11,489.63 | $2,814.96 | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY | $931.12 | $1,862.23 | $456.25 | 49% below | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY | $931.12 | $1,862.23 | $456.25 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $241.50 | $483.00 | $118.34 | 18% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE | $247.50 | $495.00 | $121.28 | 16% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE | $241.50 | $483.00 | $118.34 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE | $247.50 | $495.00 | $121.28 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT-PC | $339.87 | $679.73 | $166.53 | 17% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT-PC | $339.87 | $679.73 | $166.53 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 DRAIN/INJECT JOINT/BURSA BI LG | $339.87 | $679.73 | $166.53 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION INJECTION MAJOR JOINT | $76.50 | $153.00 | $37.48 | 80% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRANAGE/INJ JOINT/BURSA W/O US | $316.50 | $633.00 | $155.08 | 18% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJECT LARBE BURSA JOINT | $400.25 | $800.49 | $196.12 | 4% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 DRAIN/INJECT JOINT/BURSA BI LG | $339.87 | $679.73 | $166.53 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION INJECTION MAJOR JOINT | $76.50 | $153.00 | $37.48 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRANAGE/INJ JOINT/BURSA W/O US | $316.50 | $633.00 | $155.08 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJECT LARBE BURSA JOINT | $400.25 | $800.49 | $196.12 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION INTERMEDIATE JOINT | $54.24 | $108.48 | $26.58 | 85% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA | $309.35 | $618.70 | $151.59 | 15% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION BURSA/JOINT MED-PC | $339.87 | $679.73 | $166.53 | 7% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION INTERMEDIATE JOINT | $54.24 | $108.48 | $26.58 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA | $309.35 | $618.70 | $151.59 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION BURSA/JOINT MED-PC | $339.87 | $679.73 | $166.53 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION BURSA/JOINT SMALL-PC | $339.87 | $679.73 | $166.53 | 12% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION BURSA/JOINT SMALL-PC | $339.87 | $679.73 | $166.53 | — | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPIC MEDIAL OR LATERAL REPAIR | $2,104.50 | $4,209.00 | $1,031.20 | 83% below | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 LATERAL MENISCAL REPAIR | $3,935.01 | $7,870.02 | $1,928.16 | 67% below | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTH MENISUS OR LATERAL REPAIR | $3,935.01 | $7,870.02 | $1,928.16 | 67% below | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPIC MEDIAL OR LATERAL REPAIR | $2,104.50 | $4,209.00 | $1,031.20 | — | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTH MENISUS OR LATERAL REPAIR | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 LATERAL MENISCAL REPAIR | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPIC MEDIAL OR LATERAL MENISCECT | $1,945.50 | $3,891.00 | $953.30 | 65% below | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 MEDIAL OR LATER MENISCECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | 29% below | 50% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPIC MEDIAL OR LATERAL MENISCECT | $1,945.50 | $3,891.00 | $953.30 | — | 50% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 MEDIAL OR LATER MENISCECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTH LATERAL AND MEDIAL MENISCAL REPAIR | $2,056.32 | $4,112.64 | $1,007.60 | 74% below | 50% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE LATERAL MENISCECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | 50% below | 50% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTH LATERAL AND MEDIAL MENISCAL REPAIR | $2,056.32 | $4,112.64 | $1,007.60 | — | 50% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE LATERAL MENISCECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPIC CHONDROPLASTY | $1,867.50 | $3,735.00 | $915.08 | 72% below | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTH CHONDROPLASTY | $3,935.01 | $7,870.02 | $1,928.16 | 41% below | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE MENISCUS REPAIR M OR L | $3,935.01 | $7,870.02 | $1,928.16 | 41% below | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPIC CHONDROPLASTY | $1,867.50 | $3,735.00 | $915.08 | — | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTH CHONDROPLASTY | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY KNEE MENISCUS REPAIR M OR L | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR INGUINAL HERNIA | $5,744.82 | $11,489.63 | $2,814.96 | 36% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 REPAIR INGUINAL HERNIA | $5,744.82 | $11,489.63 | $2,814.96 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF INTMD RPR S/A/T/EXT 2.5CM | $330.00 | $660.00 | $161.70 | 13% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE/SCALP/A/T/EX <2.5CM | $392.60 | $785.20 | $192.37 | 3% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PF INTMD RPR S/A/T/EXT 2.5CM | $330.00 | $660.00 | $161.70 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE/SCALP/A/T/EX <2.5CM | $392.60 | $785.20 | $192.37 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECT SPINE LUMBAR/SACRAL | $748.52 | $1,497.03 | $366.77 | 51% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECT SPINE LUMBAR/SARAL | $748.52 | $1,497.03 | $366.77 | 51% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 OR MINOR EPIDURAL | $748.52 | $1,497.03 | $366.77 | 51% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR/SACRAL CAUDAL EPIDURAL | $972.78 | $1,945.56 | $476.66 | 37% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR EPIDURAL STEROID INJECTION | $1,008.09 | $2,016.18 | $493.97 | 35% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 GHOST CHG- INJ LUMB | $1,008.09 | $2,016.18 | $87.70 | 35% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION | $1,008.09 | $2,016.18 | $87.70 | 35% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECT SPINE LUMBAR/SARAL | $748.52 | $1,497.03 | $366.77 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 OR MINOR EPIDURAL | $748.52 | $1,497.03 | $366.77 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECT SPINE LUMBAR/SACRAL | $748.52 | $1,497.03 | $366.77 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR/SACRAL CAUDAL EPIDURAL | $972.78 | $1,945.56 | $476.66 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 GHOST CHG- INJ LUMB | $1,008.09 | $2,016.18 | $87.70 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR EPIDURAL STEROID INJECTION | $1,008.09 | $2,016.18 | $493.97 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECTION | $1,008.09 | $2,016.18 | $87.70 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION LUMBOSACRAL 1 | $1,261.10 | $2,522.19 | $617.94 | 7% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION LUMBOSACRAL 1 | $1,261.10 | $2,522.19 | $617.94 | — | 50% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY BREAST SIMPLE | $6,144.02 | $12,288.03 | $3,010.57 | 42% below | 50% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY BREAST SIMPLE | $6,144.02 | $12,288.03 | $3,010.57 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLE | $220.57 | $441.13 | $108.07 | 6% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLE | $220.57 | $441.13 | $108.07 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OCCIP NERVE | $339.87 | $679.73 | $166.53 | 26% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION OCCIP NERVE | $339.87 | $679.73 | $166.53 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 US PARACENTESIS | $951.94 | $1,903.88 | $466.45 | 15% above | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS | $951.94 | $1,903.88 | $466.45 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PERMAN | $471.12 | $942.24 | $230.85 | 17% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PERMAN | $471.12 | $942.24 | $230.85 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RFA - LUMBAR | $651.00 | $1,302.00 | $318.99 | 62% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RFA- LUMBAR | $2,689.97 | $5,379.93 | $1,318.08 | 57% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RFA - LUMBAR | $651.00 | $1,302.00 | $318.99 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RFA- LUMBAR | $2,689.97 | $5,379.93 | $1,318.08 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REMOVE FOREIGN BODY SUBQ | $392.60 | $785.20 | $192.37 | 2% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REMOVE FOREIGN BODY SUBQ | $392.60 | $785.20 | $192.37 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCREENING | $931.12 | $1,862.23 | $456.25 | 60% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING | $931.13 | $1,862.25 | $456.25 | 60% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCREENING | $931.12 | $1,862.23 | $456.25 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENING | $931.13 | $1,862.25 | $456.25 | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCREENING | $769.50 | $1,539.00 | $377.06 | 50% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY SCREENING | $769.50 | $1,539.00 | $377.06 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 CAST APPLICATON ELBOW TO FINGERS | $99.00 | $198.00 | $48.51 | 61% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST SCOTCH | $294.48 | $588.95 | $144.30 | 16% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST | $294.48 | $588.95 | $144.30 | 16% above | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 CAST APPLICATON ELBOW TO FINGERS | $99.00 | $198.00 | $48.51 | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST SCOTCH | $294.48 | $588.95 | $144.30 | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST | $294.48 | $588.95 | $144.30 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $90.86 | $181.71 | $44.52 | 42% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT STATIC | $133.10 | $266.20 | $65.22 | 15% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT ARM-SHORT | $151.43 | $302.85 | $74.20 | 4% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM | $90.86 | $181.71 | $44.52 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT STATIC | $133.10 | $266.20 | $65.22 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT ARM-SHORT | $151.43 | $302.85 | $74.20 | — | 50% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST WITHOUT WALKER | $294.48 | $588.95 | $144.30 | 31% above | 50% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $344.69 | $689.37 | $168.89 | 54% above | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST WITHOUT WALKER | $294.48 | $588.95 | $144.30 | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST | $344.69 | $689.37 | $168.89 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG CAST SCOTCH | $168.28 | $336.55 | $82.46 | 12% above | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG CAST SCOTCH | $168.28 | $336.55 | $82.46 | — | 50% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPIC DISTAL CLAVICULECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | 69% below | 50% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 ARTHROSCOPIC DISTAL CLAVICULECTOMY | $3,935.01 | $7,870.02 | $1,928.16 | — | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTH SUBACROMIAL DECOMPRESSION | $950.00 | $1,900.00 | $465.50 | 91% below | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPIC SUBACROMIAL DECOMPRESSION | $1,751.34 | $3,502.68 | $858.16 | 84% below | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTH SUBACROMIAL DECOMPRESSION | $950.00 | $1,900.00 | $465.50 | — | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPIC SUBACROMIAL DECOMPRESSION | $1,751.34 | $3,502.68 | $858.16 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE SUTURE | $220.57 | $441.13 | $108.07 | 1% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE WOUND UP TO 2.5 CM | $220.57 | $441.13 | $108.07 | 1% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE SUTURE | $220.57 | $441.13 | $108.07 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE WOUND UP TO 2.5 CM | $220.57 | $441.13 | $108.07 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $748.52 | $1,497.03 | $366.77 | 11% above | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR PC | $805.43 | $1,610.85 | $394.66 | 19% above | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $748.52 | $1,497.03 | $366.77 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE, LUMBAR PC | $805.43 | $1,610.85 | $394.66 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE SUPERFICIAL WOUND 2.6-7.5 CM | $220.57 | $441.13 | $108.07 | at median | 50% |
| 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 SUPERFICIAL WOUND 2.6-7.5 CM | $220.57 | $441.13 | $108.07 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR TO FACE 2.5CM OR LESS | $220.57 | $441.13 | $108.07 | 1% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR TO FACE 2.5CM OR LESS | $220.57 | $441.13 | $108.07 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W/ GUIDANCE | $775.02 | $1,550.03 | $379.76 | 25% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W/ GUIDANCE | $775.02 | $1,550.03 | $379.76 | — | 50% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION TRIGGER FINGER | $1,113.00 | $2,226.00 | $545.37 | 33% below | 50% |
| Trigger finger release surgery CPT 26055 TRIGGER FINGER RELEASE | $2,024.91 | $4,049.82 | $992.21 | 23% above | 50% |
| Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION TRIGGER FINGER | $1,113.00 | $2,226.00 | $545.37 | — | 50% |
| Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER RELEASE | $2,024.91 | $4,049.82 | $992.21 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ-1 OR 2 MUSCLE | $339.87 | $679.73 | $166.53 | 1% above | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ-1 OR 2 MUSCLE | $339.87 | $679.73 | $166.53 | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/DILATION | $1,854.19 | $3,708.38 | $908.56 | 44% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/DILATION | $1,854.19 | $3,708.38 | $908.56 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD | $951.94 | $1,903.88 | $466.45 | 70% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BX | $951.94 | $1,903.88 | $466.45 | 70% below | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BX | $951.94 | $1,903.88 | $466.45 | — | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD | $951.94 | $1,903.88 | $466.45 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $657.02 | $1,314.03 | $321.94 | 67% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC | $769.50 | $1,539.00 | $377.06 | 62% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC PROCEDURE | $951.94 | $1,903.88 | $466.45 | 53% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD | $657.02 | $1,314.03 | $321.94 | — | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC | $769.50 | $1,539.00 | $377.06 | — | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC PROCEDURE | $951.94 | $1,903.88 | $466.45 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OR MINOR DEBRIDEMENT & EXCISISON | $392.60 | $785.20 | $192.37 | 25% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OR MINOR DEBRIDEMENT & EXCISISON | $392.60 | $785.20 | $192.37 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $586.00 | $1,172.00 | $287.14 | 51% above | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $586.00 | $1,172.00 | $287.14 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT | $239.50 | $479.00 | $117.36 | 104% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT PER DAY | $239.50 | $479.00 | $117.36 | 104% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT DAILY | $239.50 | $479.00 | $117.36 | 104% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT PER DAY | $239.50 | $479.00 | $117.36 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT | $239.50 | $479.00 | $117.36 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT DAILY | $239.50 | $479.00 | $117.36 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER EKG | $70.00 | $140.00 | $34.30 | 44% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER EKG | $70.00 | $140.00 | $34.30 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL | $233.98 | $467.95 | $114.65 | 11% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP INFUSION THERAPY/IV 1ST HR | $233.98 | $467.95 | $114.65 | 11% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL | $233.98 | $467.95 | $114.65 | 11% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION UV HYDRATION 1HR | $88.50 | $177.00 | $43.36 | 70% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV INITIAL | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IINFUSION IV NON CHEMO INITAIL | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HOUR (INITIAL) | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY 1 HR INITIAL | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION THERAPY-INITIAL | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION THERAPY 31-60M | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV UP TP 1 HR (INITIAL) | $233.98 | $467.95 | $114.65 | 21% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION UV HYDRATION 1HR | $88.50 | $177.00 | $43.36 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSION THERAPY 31-60M | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSION THERAPY-INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HOUR (INITIAL) | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV UP TP 1 HR (INITIAL) | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IINFUSION IV NON CHEMO INITAIL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPY 1 HR INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV INITIAL | $233.98 | $467.95 | $114.65 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION ANTIBOTIC/IM | $74.69 | $149.38 | $36.60 | 3% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC | $74.69 | $149.38 | $36.60 | 3% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJECTION THERPUTIC/SQ/IM | $74.69 | $149.38 | $36.60 | 3% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SC/IM | $74.69 | $149.38 | $36.60 | 3% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION | $75.58 | $151.15 | $37.03 | 5% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION | $108.50 | $217.00 | $53.16 | 50% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $108.50 | $217.00 | $53.16 | 50% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $108.50 | $217.00 | $53.16 | 50% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ANTIBIOTIC | $74.69 | $149.38 | $36.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC SC/IM | $74.69 | $149.38 | $36.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION | $75.58 | $151.15 | $37.03 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION | $108.50 | $217.00 | $53.16 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ | $108.50 | $217.00 | $53.16 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ | $108.50 | $217.00 | $53.16 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW OFF PT VISIT DETAIL/LOW COMPLEXITY | $117.00 | $234.00 | $57.33 | 39% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NEW PATIENT VISIT - PC | $174.25 | $348.50 | $85.39 | 9% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW OFF PT VISIT COMPREHENSIVE/MODERATE | $166.50 | $333.00 | $81.58 | 35% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 NEW PATIENT VISIT - PC | $198.45 | $396.90 | $97.25 | 22% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 NEW PATIENT VISIT - PC | $212.78 | $425.56 | $104.26 | 39% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW OFF PT VISIT COMPREHENSIVE/HIGH COMP | $213.00 | $426.00 | $104.37 | 39% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OFF PT VISIT EXPANDED FOCUS | $79.50 | $159.00 | $38.96 | 38% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 NEW PATIENT VISIT - PC | $112.48 | $224.96 | $55.12 | 12% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $100.65 | $201.30 | $49.32 | 179% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $100.65 | $201.30 | $49.32 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 ESTABLISHED PATIENT VISIT - PC | $132.41 | $264.82 | $64.89 | 9% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 ESTABLISHED PATIENT VISIT - PC | $157.19 | $314.37 | $77.02 | 18% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $133.10 | $266.20 | $65.22 | 11% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $133.10 | $266.20 | $65.22 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B PF SYRINGE 20MCG/ML | $131.92 | $263.84 | $64.64 | 7% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B PF SYRINGE 20MCG/ML | $131.92 | $263.84 | $64.64 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II SDV | $135.03 | $270.05 | $66.16 | 9% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II SDV | $135.03 | $270.05 | $66.16 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VIAL 25MCG/0.50 ML | $209.60 | $419.20 | $102.70 | 48% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 VIAL 25MCG/0.50 ML | $209.60 | $419.20 | $102.70 | — | 50% |
| Rabies vaccine, one dose CPT 90675 IMOVAX VACCINE/ RABAVERT | $729.53 | $1,459.05 | $357.46 | 10% above | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX VACCINE/ RABAVERT | $729.53 | $1,459.05 | $357.46 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC P 0.50 ML | $11.34 | $22.67 | $5.56 | 78% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS VACCINE *** | $71.75 | $143.50 | $35.16 | 40% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC P 0.50 ML | $11.34 | $22.67 | $5.56 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS VACCINE *** | $71.75 | $143.50 | $35.16 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS INJECTION | $74.69 | $149.38 | $36.60 | 21% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINATION ADMIN 1ST | $75.00 | $150.00 | $36.75 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TETANUS INJECTION | $74.69 | $149.38 | $36.60 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINATION ADMIN 1ST | $75.00 | $150.00 | $36.75 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL VACCINE ADMINISTRATION | $75.00 | $150.00 | $36.75 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION ADD'L | $32.50 | $65.00 | $15.92 | 30% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMINISTRATION ADD'L | $32.50 | $65.00 | $15.92 | — | 50% |