Hospital Mountain Home, AR

Izard Regional Hospital

Izard Regional Hospital in Calico Rock, AR publishes cash prices for 262 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 above the Arkansas median for 223 of 260 procedures and below it for 26. By typical cash price it ranks #35 of 36 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

61 Grasse St, Calico Rock, AR, 72519 Collected Sep 29, 2026 Source price file (870) 297-2400

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 041306 · CMS hospital register NPI 1871221176

The price file shows no self-pay discount

For 837 of the 851 prices listed here, the cash price in Izard Regional Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

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

Jul 27, 2022 Warning notice
Nov 8, 2022 Corrective action plan requested
Nov 22, 2023 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US BILAT ABI SINGLE-LEVEL	$656.00	$656.00	$72.00–$472.98	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US BILAT ABI SINGLE-LEVEL	$656.00	$656.00	$72.00–$472.98	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORACIS/ABD AORTA	$4,741.50	$4,741.50	$174.94–$3,418.62	307% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORAX (PE OR AORTA)	$4,741.50	$4,741.50	$174.94–$3,418.62	307% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY EMBOLISM	$4,741.50	$4,741.50	$174.94–$3,418.62	307% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORAX (PE OR AORTA)	$4,741.50	$4,741.50	$174.94–$3,418.62	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA PULMONARY EMBOLISM	$4,741.50	$4,741.50	$174.94–$3,418.62	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORACIS/ABD AORTA	$4,741.50	$4,741.50	$174.94–$3,418.62	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O C	$6,368.25	$6,368.25	$163.97–$4,591.51	358% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/O C	$6,368.25	$6,368.25	$163.97–$4,591.51	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/C	$6,102.25	$6,102.25	$264.78–$4,399.73	276% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/C	$6,102.25	$6,102.25	$264.78–$4,399.73	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/WO C	$6,783.00	$6,783.00	$297.86–$4,890.54	257% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W/WO C	$6,783.00	$6,783.00	$297.86–$4,890.54	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABD ONLY W/C	$6,580.00	$6,580.00	$174.94–$4,744.18	498% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD ONLY W/C	$6,580.00	$6,580.00	$174.94–$4,744.18	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABD ONLY W/O	$6,669.25	$6,669.25	$107.60–$4,808.53	650% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD ONLY W/O	$6,669.25	$6,669.25	$107.60–$4,808.53	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES COMPLETE WO/C	$3,183.25	$3,183.25	$107.60–$2,295.13	306% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO/C	$3,183.25	$3,183.25	$107.60–$2,295.13	306% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO/C	$3,183.25	$3,183.25	$107.60–$2,295.13	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES COMPLETE WO/C	$3,183.25	$3,183.25	$107.60–$2,295.13	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO/C	$4,459.00	$4,459.00	$94.74–$3,214.94	426% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO/C	$4,459.00	$4,459.00	$94.74–$3,214.94	—	—
CT scan of the head with contrast CPT 70460 CT HEAD W/C	$5,117.00	$5,117.00	$131.54–$3,689.36	406% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/C	$5,117.00	$5,117.00	$131.54–$3,689.36	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO C	$4,882.50	$4,882.50	$153.43–$3,520.28	317% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO C	$4,882.50	$4,882.50	$153.43–$3,520.28	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO/C	$3,543.75	$3,543.75	$107.60–$2,555.04	280% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO/C	$3,543.75	$3,543.75	$107.60–$2,555.04	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO/C	$3,298.75	$3,298.75	$107.60–$2,378.39	254% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO/C	$3,298.75	$3,298.75	$107.60–$2,378.39	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C	$6,669.25	$6,669.25	$174.94–$4,808.53	532% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C	$6,669.25	$6,669.25	$174.94–$4,808.53	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PF US CAROTID DOPP DUPL BILAT	$236.25	$236.25	$39.44–$221.67	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PF US CAROTID DOPP DUPL BILAT	$236.25	$236.25	$161.62–$300.07	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER DUPLEX BILAT	$1,285.00	$1,285.00	$164.92–$926.48	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PF US CAROTID DOPP DUPL BILAT	$236.25	$236.25	$161.62–$300.07	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER DUPLEX BILAT	$1,285.00	$1,285.00	$164.92–$926.48	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$1,260.00	$1,260.00	$29.16–$908.46	749% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$1,260.00	$1,260.00	$29.16–$908.46	—	—
Chest X-ray, single view CPT 71045 XR CHEST ONE VIEW	$1,260.00	$1,260.00	$22.42–$908.46	896% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST ONE VIEW	$1,260.00	$1,260.00	$22.42–$908.46	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PF US RETROPERITONAL COMP	$79.50	$79.50	$36.29–$79.50	75% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PF US RETROPERITONAL COMP	$139.75	$139.75	$92.17–$159.37	56% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP	$942.50	$942.50	$94.05–$679.54	195% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL/BLADDER	$942.50	$942.50	$94.05–$679.54	195% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 PF US RETROPERITONAL COMP	$139.75	$139.75	$92.17–$159.37	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL/BLADDER	$942.50	$942.50	$94.05–$679.54	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP	$942.50	$942.50	$94.05–$679.54	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL	$1,260.00	$1,260.00	$34.57–$908.46	504% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY AXIAL	$1,260.00	$1,260.00	$34.57–$908.46	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG 2ND TRI ANATOMICAL SURVEY	$1,205.75	$1,205.75	$163.82–$869.34	295% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG 2ND TRI ANATOMICAL SURVEY	$1,205.75	$1,205.75	$163.82–$869.34	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO/C	$3,090.50	$3,090.50	$107.60–$2,228.25	298% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO/C	$3,090.50	$3,090.50	$107.60–$2,228.25	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/C	$3,365.25	$3,365.25	$147.46–$2,426.35	205% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/C	$3,365.25	$3,365.25	$147.46–$2,426.35	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXT BILAT	$1,253.00	$1,253.00	$206.41–$903.41	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 PF DUP SCAN LWR EXT ART/ART BYP GRAFT	$315.50	$315.50	$202.28–$380.26	28% below	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LOWER EXT BILAT	$1,253.00	$1,253.00	$206.41–$903.41	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 PF DUP SCAN LWR EXT ART/ART BYP GRAFT	$315.50	$315.50	$202.28–$380.26	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 PF BIL VENOUS DOPPLER EXT DS COMPLETE	$233.25	$233.25	$157.05–$290.15	35% below	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER UPPER EXT BIL	$1,453.00	$1,453.00	$160.26–$1,047.61	303% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER LOWER EXT BIL	$1,453.00	$1,453.00	$160.26–$1,047.61	303% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PF BIL VENOUS DOPPLER EXT DS COMPLETE	$233.25	$233.25	$157.05–$290.15	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOPPLER LOWER EXT BIL	$1,453.00	$1,453.00	$160.26–$1,047.61	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS DOPPLER UPPER EXT BIL	$1,453.00	$1,453.00	$160.26–$1,047.61	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PF US ECHO TRANS COMPLETE	$272.50	$272.50	$72.21–$272.50	76% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PF US ECHO TRANS COMPLETE	$272.50	$272.50	$171.26–$313.01	76% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO TRANS COMPLETE	$2,523.25	$2,523.25	$174.76–$1,819.27	125% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PF US ECHO TRANS COMPLETE	$272.50	$272.50	$171.26–$313.01	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO TRANS COMPLETE	$2,523.25	$2,523.25	$174.76–$1,819.27	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PF US ABD/SGL ORGAN OR LMTD	$63.50	$63.50	$29.20–$63.50	76% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PF US ABD/SGL ORGAN OR LMTD	$112.50	$112.50	$74.77–$128.26	57% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE	$955.25	$955.25	$76.30–$688.74	262% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$955.25	$955.25	$76.30–$688.74	262% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LMT - 1QUAD/ORG	$955.25	$955.25	$76.30–$688.74	262% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PF US ABD/SGL ORGAN OR LMTD	$112.50	$112.50	$74.77–$128.26	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LMT - 1QUAD/ORG	$955.25	$955.25	$76.30–$688.74	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE	$955.25	$955.25	$76.30–$688.74	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$955.25	$955.25	$76.30–$688.74	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS TRANSABD (NON-OB)	$955.25	$955.25	$92.96–$688.74	137% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS TRANSABD (NON-OB)	$955.25	$955.25	$92.96–$688.74	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL >14 WEEKS 2ND TRI T/A	$960.00	$960.00	$107.60–$692.16	194% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB FETAL >14 WEEKS 2ND TRI T/A	$960.00	$960.00	$107.60–$692.16	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER <14WKS TA APPROACH	$960.00	$960.00	$104.30–$692.16	201% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER <14WKS TA APPROACH	$960.00	$960.00	$104.30–$692.16	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LMT	$811.25	$811.25	$72.40–$584.92	335% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LMT	$811.25	$811.25	$72.40–$584.92	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PF US STRESS ECHO W/OR W/O MEDICA INDUCE	$327.50	$327.50	$203.31–$352.59	42% below	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PF US STRESS ECHO W/OR W/O MEDICA INDUCE	$327.50	$327.50	$86.87–$327.50	42% below	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US STRESS ECHO W/OR W/O MEDIC INDUCED	$779.50	$779.50	$207.46–$562.02	39% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PF US STRESS ECHO W/OR W/O MEDICA INDUCE	$327.50	$327.50	$203.31–$352.59	—	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US STRESS ECHO W/OR W/O MEDIC INDUCED	$779.50	$779.50	$207.46–$562.02	—	—
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAG (NON OB)	$498.25	$498.25	$103.46–$359.24	52% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$971.25	$971.25	$103.46–$700.28	196% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAG (NON OB)	$498.25	$498.25	$103.46–$359.24	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$971.25	$971.25	$103.46–$700.28	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREG FIRST TRIM UTERUS TRANSVAGINAL	$440.00	$440.00	$82.63–$317.24	58% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG FIRST TRIM UTERUS TRANSVAGINAL	$440.00	$440.00	$82.63–$317.24	—	—
Ultrasound of the abdomen, complete CPT 76700 PF US ABDOMEN COMPLETE	$87.50	$87.50	$39.90–$87.50	80% below	—
Ultrasound of the abdomen, complete CPT 76700 PF US ABDOMEN COMPLETE	$153.50	$153.50	$99.14–$172.03	64% below	—
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$987.25	$987.25	$101.16–$711.81	131% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 PF US ABDOMEN COMPLETE	$153.50	$153.50	$99.14–$172.03	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$987.25	$987.25	$101.16–$711.81	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM/TESTICULAR	$789.00	$789.00	$86.98–$568.87	147% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM/TESTICULAR	$789.00	$789.00	$86.98–$568.87	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PF US THYROID	$61.00	$61.00	$28.08–$61.00	81% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PF US THYROID	$154.50	$154.50	$93.47–$161.65	53% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK	$971.25	$971.25	$95.38–$700.28	198% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$971.25	$971.25	$95.38–$700.28	198% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PF US THYROID	$154.50	$154.50	$93.47–$161.65	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$971.25	$971.25	$95.38–$700.28	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK	$971.25	$971.25	$95.38–$700.28	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PF UNILAT/LIMITED VENOUS DOPP EXT	$149.75	$149.75	$99.31–$179.88	53% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PF UNILAT/LIMITED VENOUS DOPP EXT	$149.75	$149.75	$99.31–$179.88	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$1,260.00	$1,260.00	$26.15–$908.46	757% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$1,260.00	$1,260.00	$26.15–$908.46	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2 OR 3 VIEWS	$1,620.00	$1,620.00	$35.48–$1,168.02	732% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2 OR 3 VIEWS	$1,620.00	$1,620.00	$35.48–$1,168.02	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR MIN 4V	$1,926.00	$1,926.00	$46.74–$1,388.65	617% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR MIN 4V	$1,926.00	$1,926.00	$46.74–$1,388.65	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP 3+ VIEWS	$1,440.00	$1,440.00	$32.71–$1,038.24	1079% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMP 3+ VIEWS	$1,440.00	$1,440.00	$32.71–$1,038.24	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERV 2/3 VIEW	$1,620.00	$1,620.00	$34.90–$1,168.02	1227% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERV 2/3 VIEW	$1,620.00	$1,620.00	$34.90–$1,168.02	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP 1 VIEW	$1,440.00	$1,440.00	$24.67–$1,038.24	692% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP 1 VIEW	$1,440.00	$1,440.00	$24.67–$1,038.24	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2 VIEW	$1,379.00	$1,379.00	$28.11–$994.26	652% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2 VIEW	$1,379.00	$1,379.00	$28.11–$994.26	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$104.50	$104.50	$5.30–$75.34	292% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 AEL SGPT (ALT)	$104.50	$104.50	$5.30–$75.34	292% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$104.50	$104.50	$5.30–$75.34	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 AEL SGPT (ALT)	$104.50	$104.50	$5.30–$75.34	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$102.75	$102.75	$5.18–$74.08	237% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$102.75	$102.75	$5.18–$74.08	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$636.75	$636.75	$47.63–$459.09	200% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$636.75	$636.75	$47.63–$459.09	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CAULIFLOWER IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CELERY IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CHICKEN	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CORN IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL LETTUCE IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN OAT IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN PORK IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN POTATO IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN RICE IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN RYE IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL SPINACH IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN TOMATO IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGY PANEL MOLD	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUANT	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ADULT FOOD PANEL 1	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS (ZONE 11)	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ADULT FOOD PANEL 2	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS (ZONE 7)	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE EACH	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN SPECIFIC IgE EACH	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN BARLEY GRASS IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL BROCCOLI IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CABBAGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 AEL ALLERGEN CHEDDAR CHEESE IGE	$129.25	$129.25	$5.22–$93.19	696% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL SPINACH IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE QUANT	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGENS (ZONE 11)	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE EACH	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGENS (ZONE 7)	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGY PANEL MOLD	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN TOMATO IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN RYE IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN RICE IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN POTATO IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN PORK IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN OAT IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL LETTUCE IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CORN IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CHICKEN	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CELERY IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CAULIFLOWER IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CHEDDAR CHEESE IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN CABBAGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL BROCCOLI IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN BARLEY GRASS IGE	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ALLERGEN SPECIFIC IgE EACH	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ADULT FOOD PANEL 2	$129.25	$129.25	$5.22–$93.19	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AEL ADULT FOOD PANEL 1	$129.25	$129.25	$5.22–$93.19	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULNATED PEPTIDE CCP	$410.50	$410.50	$12.95–$295.97	567% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULNATED PEPTIDE CCP	$410.50	$410.50	$12.95–$295.97	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 AEL LUPUS PROFILE	$1,125.00	$1,125.00	$12.09–$811.12	1648% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADING ANTIB	$1,125.00	$1,125.00	$12.09–$811.12	1648% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CASCADING ANTIB	$1,125.00	$1,125.00	$12.09–$811.12	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AEL LUPUS PROFILE	$1,125.00	$1,125.00	$12.09–$811.12	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 AEL NT-Pro-NATRIURETIC PEPTIDE	$661.25	$661.25	$39.26–$476.77	641% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-NATRIURETIC PEP.	$661.25	$661.25	$39.26–$476.77	641% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 AEL NT-Pro-NATRIURETIC PEPTIDE	$661.25	$661.25	$39.26–$476.77	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-NATRIURETIC PEP.	$661.25	$661.25	$39.26–$476.77	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METAB PANEL	$332.50	$332.50	$8.46–$239.73	199% above	—
Basic metabolic panel (blood test) CPT 80048 AEL BASIC METABOLIC PANEL	$332.50	$332.50	$8.46–$239.73	199% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 AEL BASIC METABOLIC PANEL	$332.50	$332.50	$8.46–$239.73	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METAB PANEL	$332.50	$332.50	$8.46–$239.73	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BX SURG PATH LEVEL IV	$518.75	$518.75	$51.66–$374.01	369% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BX SURG PATH LEVEL IV	$518.75	$518.75	$51.66–$374.01	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$270.00	$270.00	$10.32–$194.67	284% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$270.00	$270.00	$10.32–$194.67	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 RHC ROUTINE VENIPUNCTURE	$26.75	$26.75	$9.34–$19.28	124% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$47.50	$47.50	$9.34–$34.25	298% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RHC ROUTINE VENIPUNCTURE	$26.75	$26.75	$9.34–$19.28	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$47.50	$47.50	$9.34–$34.25	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$85.50	$85.50	$3.93–$61.65	194% above	—
Blood glucose (sugar) test CPT 82947 ZZ GLUCOSE BLOOD RHC	$85.50	$85.50	$3.93–$61.65	194% above	—
Blood glucose (sugar) test inpatient CPT 82947 ZZ GLUCOSE BLOOD RHC	$85.50	$85.50	$3.93–$61.65	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$85.50	$85.50	$3.93–$61.65	—	—
Blood lead test CPT 83655 LEAD LEVEL (PLASMA)	$235.75	$235.75	$12.11–$169.97	486% above	—
Blood lead test inpatient CPT 83655 LEAD LEVEL (PLASMA)	$235.75	$235.75	$12.11–$169.97	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUAL	$133.75	$133.75	$7.52–$96.43	172% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 AEL BETA-HCG QUALITATIVE SERUM	$133.75	$133.75	$7.52–$96.43	172% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 AEL BETA-HCG QUALITATIVE SERUM	$133.75	$133.75	$7.52–$96.43	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUAL	$133.75	$133.75	$7.52–$96.43	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLD TYPING ABO	$95.00	$95.00	$2.99–$95.00	42% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLD TYPING ABO	$95.00	$95.00	$2.99–$95.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$159.75	$159.75	$5.18–$115.17	318% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$159.75	$159.75	$5.18–$115.17	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA	$171.00	$171.00	$37.27–$123.29	59% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN GENE NAA	$171.00	$171.00	$37.27–$123.29	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$351.50	$351.50	$20.81–$253.43	268% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$351.50	$351.50	$20.81–$253.43	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$309.75	$309.75	$20.81–$223.32	340% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$309.75	$309.75	$20.81–$223.32	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2-0 PCR	$292.75	$292.75	$51.31–$211.07	125% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2-0 PCR	$292.75	$292.75	$51.31–$211.07	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 AEL CHLAMYDIA AMPLIFIED PROBE	$171.00	$171.00	$35.09–$123.29	129% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED PROBE URINE	$171.00	$171.00	$35.09–$123.29	129% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED PROBE URINE	$171.00	$171.00	$35.09–$123.29	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 AEL CHLAMYDIA AMPLIFIED PROBE	$171.00	$171.00	$35.09–$123.29	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$296.50	$296.50	$13.39–$213.78	231% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$296.50	$296.50	$13.39–$213.78	—	—
Complete blood count (CBC) with differential CPT 85025 AEL CBC W/AUTO DIFF	$154.00	$154.00	$7.77–$111.03	266% above	—
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$154.00	$154.00	$7.77–$111.03	266% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$154.00	$154.00	$7.77–$111.03	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 AEL CBC W/AUTO DIFF	$154.00	$154.00	$7.77–$111.03	—	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMOGRAM	$110.25	$110.25	$6.47–$79.50	265% above	—
Complete blood count (CBC), no differential CPT 85027 AEL CBC NO DIFF	$110.25	$110.25	$6.47–$79.50	265% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMOGRAM	$110.25	$110.25	$6.47–$79.50	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 AEL CBC NO DIFF	$110.25	$110.25	$6.47–$79.50	—	—
Comprehensive metabolic panel (blood test) CPT 80053 AEL COMPREHENSIVE METABOLIC PANEL	$479.00	$479.00	$10.56–$345.36	274% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$479.00	$479.00	$10.56–$345.36	274% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$479.00	$479.00	$10.56–$345.36	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 AEL COMPREHENSIVE METABOLIC PANEL	$479.00	$479.00	$10.56–$345.36	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QNT	$315.50	$315.50	$10.18–$227.48	420% above	—
D-dimer blood test (blood clot marker) CPT 85379 AEL D-DIMER	$315.50	$315.50	$10.18–$227.48	420% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 AEL D-DIMER	$315.50	$315.50	$10.18–$227.48	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QNT	$315.50	$315.50	$10.18–$227.48	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$273.75	$273.75	$22.23–$197.37	257% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$273.75	$273.75	$22.23–$197.37	—	—
Estradiol blood test CPT 82670 AEL ESTRADIOL TOTAL	$423.75	$423.75	$27.94–$305.52	335% above	—
Estradiol blood test CPT 82670 ESTRADIOL	$423.75	$423.75	$27.94–$305.52	335% above	—
Estradiol blood test inpatient CPT 82670 AEL ESTRADIOL TOTAL	$423.75	$423.75	$27.94–$305.52	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$423.75	$423.75	$27.94–$305.52	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$315.50	$315.50	$18.58–$227.48	337% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$315.50	$315.50	$18.58–$227.48	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$149.25	$149.25	$19.63–$107.61	21% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$149.25	$149.25	$19.63–$107.61	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$268.00	$268.00	$13.63–$193.23	356% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$268.00	$268.00	$13.63–$193.23	—	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$209.00	$209.00	$14.70–$150.69	230% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$209.00	$209.00	$14.70–$150.69	—	—
Free T3 thyroid hormone test CPT 84481 FT 3(FREE T3)	$328.75	$328.75	$16.94–$237.02	416% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FT 3(FREE T3)	$328.75	$328.75	$16.94–$237.02	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE FT4	$184.50	$184.50	$9.02–$133.02	284% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE FT4	$184.50	$184.50	$9.02–$133.02	—	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$273.75	$273.75	$25.47–$197.37	201% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$273.75	$273.75	$25.47–$197.37	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$568.25	$568.25	$23.56–$409.71	260% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$568.25	$568.25	$23.56–$409.71	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST INCLUD	$125.50	$125.50	$4.75–$90.49	264% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST INCLUD	$125.50	$125.50	$4.75–$90.49	—	—
Glucose tolerance test, 3 samples CPT 82951 GTT 3 HOUR (+)	$167.25	$167.25	$12.87–$120.59	159% above	—
Glucose tolerance test, 3 samples CPT 82951 GTT (FIRST 3 SPECIMENS)	$167.25	$167.25	$12.87–$120.59	159% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT (FIRST 3 SPECIMENS)	$167.25	$167.25	$12.87–$120.59	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 HOUR (+)	$167.25	$167.25	$12.87–$120.59	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 AEL GONORRHOEAE AMP PROBE	$171.00	$171.00	$35.09–$123.29	123% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE AMP PROBE URINE	$304.00	$304.00	$35.09–$219.18	296% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 AEL GONORRHOEAE AMP PROBE	$171.00	$171.00	$35.09–$123.29	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHOEAE AMP PROBE URINE	$304.00	$304.00	$35.09–$219.18	—	—
H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY SERUM/PLASMA	$287.00	$287.00	$16.85–$206.93	287% above	—
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODY SERUM/PLASMA	$287.00	$287.00	$16.85–$206.93	—	—
H. pylori stool antigen test CPT 87338 H. PYLORI STOOL	$211.00	$211.00	$14.38–$152.13	198% above	—
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL	$211.00	$211.00	$14.38–$152.13	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR	$420.00	$420.00	$85.10–$302.82	87% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BY PCR	$420.00	$420.00	$85.10–$302.82	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIBODY	$235.75	$235.75	$13.71–$169.97	168% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 ANTIBODY	$235.75	$235.75	$13.71–$169.97	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C GLYCATED	$171.00	$171.00	$9.71–$123.29	348% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 AEL HEMOGLOBIN A1c GLYCATED	$171.00	$171.00	$9.71–$123.29	348% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C GLYCATED	$171.00	$171.00	$9.71–$123.29	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 AEL HEMOGLOBIN A1c GLYCATED	$171.00	$171.00	$9.71–$123.29	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$150.25	$150.25	$10.74–$108.34	149% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$150.25	$150.25	$10.74–$108.34	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$265.50	$265.50	$10.33–$191.43	531% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$265.50	$265.50	$10.33–$191.43	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$283.25	$283.25	$14.27–$204.23	394% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$283.25	$283.25	$14.27–$204.23	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT VIRAL LOAD	$629.00	$629.00	$42.84–$453.51	369% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR	$629.00	$629.00	$42.84–$453.51	369% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$629.00	$629.00	$42.84–$453.51	369% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$629.00	$629.00	$42.84–$453.51	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT VIRAL LOAD	$629.00	$629.00	$42.84–$453.51	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR	$629.00	$629.00	$42.84–$453.51	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$340.25	$340.25	$13.19–$245.33	614% above	—
Herpes blood test, HSV-1 antibody CPT 86695 AEL HERPES SIMPLEX VIRUS TYPE 1	$340.25	$340.25	$13.19–$245.33	614% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$340.25	$340.25	$13.19–$245.33	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AEL HERPES SIMPLEX VIRUS TYPE 1	$340.25	$340.25	$13.19–$245.33	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$252.75	$252.75	$19.35–$182.23	337% above	—
Herpes blood test, HSV-2 antibody CPT 86696 AEL HSV TYPE 2 ANTIBODY IGG	$252.75	$252.75	$19.35–$182.23	337% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$252.75	$252.75	$19.35–$182.23	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AEL HSV TYPE 2 ANTIBODY IGG	$252.75	$252.75	$19.35–$182.23	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$211.00	$211.00	$12.95–$152.13	309% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$211.00	$211.00	$12.95–$152.13	—	—
Homocysteine blood test CPT 83090 HOMOCYSTINE	$292.75	$292.75	$17.92–$211.07	307% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$292.75	$292.75	$17.92–$211.07	—	—
Insulin blood test CPT 83525 INSULIN TOTAL	$216.75	$216.75	$11.43–$156.27	374% above	—
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$216.75	$216.75	$11.43–$156.27	—	—
Iron blood test (serum iron) CPT 83540 IRON	$127.50	$127.50	$6.47–$91.93	247% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$127.50	$127.50	$6.47–$91.93	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$173.00	$173.00	$8.74–$124.73	454% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$173.00	$173.00	$8.74–$124.73	—	—
Kidney function blood test panel CPT 80069 RENAL PANEL	$252.75	$252.75	$8.68–$182.23	185% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$252.75	$252.75	$8.68–$182.23	—	—
LH (luteinizing hormone) test CPT 83002 LH	$363.00	$363.00	$18.52–$261.72	448% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$363.00	$363.00	$18.52–$261.72	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$169.25	$169.25	$6.89–$122.03	343% above	—
Lipase blood test (pancreas enzyme) CPT 83690 AEL LIPASE	$169.25	$169.25	$6.89–$122.03	343% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 AEL LIPASE	$169.25	$169.25	$6.89–$122.03	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$169.25	$169.25	$6.89–$122.03	—	—
Liver function blood test panel CPT 80076 LIVER PANEL	$929.25	$929.25	$8.17–$669.99	944% above	—
Liver function blood test panel inpatient CPT 80076 LIVER PANEL	$929.25	$929.25	$8.17–$669.99	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE IGM EARLY	$252.75	$252.75	$17.03–$182.23	209% above	—
Lyme disease antibody test CPT 86618 LYME TOTAL AB+ WESTERN BLOT	$252.75	$252.75	$17.03–$182.23	209% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE BY PCR	$252.75	$252.75	$17.03–$182.23	209% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL	$252.75	$252.75	$17.03–$182.23	209% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB TOTAL	$252.75	$252.75	$17.03–$182.23	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE BY PCR	$252.75	$252.75	$17.03–$182.23	—	—
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL AB+ WESTERN BLOT	$252.75	$252.75	$17.03–$182.23	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGM EARLY	$252.75	$252.75	$17.03–$182.23	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$135.00	$135.00	$6.70–$97.34	335% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE 24HR	$135.00	$135.00	$6.70–$97.34	335% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$135.00	$135.00	$6.70–$97.34	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24HR	$135.00	$135.00	$6.70–$97.34	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (MEASLES)	$186.25	$186.25	$12.88–$134.29	342% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY (MEASLES)	$186.25	$186.25	$12.88–$134.29	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$118.00	$118.00	$5.18–$85.08	287% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$118.00	$118.00	$5.18–$85.08	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$125.50	$125.50	$18.39–$90.49	71% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$125.50	$125.50	$18.39–$90.49	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$359.25	$359.25	$18.39–$259.02	439% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$359.25	$359.25	$18.39–$259.02	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 AEL AUTO THIN LAYER PAP PREP W REV	$171.00	$171.00	$26.61–$123.29	299% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 AUTOPAP PREP W REV	$171.00	$171.00	$26.61–$123.29	299% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 AEL AUTO THIN LAYER PAP PREP W REV	$171.00	$171.00	$26.61–$123.29	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 AUTOPAP PREP W REV	$171.00	$171.00	$26.61–$123.29	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THIN LAYER	$363.00	$363.00	$20.26–$261.72	602% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THIN LAYER	$363.00	$363.00	$20.26–$261.72	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$273.75	$273.75	$41.28–$197.37	73% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$273.75	$273.75	$41.28–$197.37	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$119.75	$119.75	$6.01–$86.33	243% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 AEL PTT	$119.75	$119.75	$6.01–$86.33	243% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 AEL PTT	$119.75	$119.75	$6.01–$86.33	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$119.75	$119.75	$6.01–$86.33	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$336.50	$336.50	$20.86–$242.62	440% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$336.50	$336.50	$20.86–$242.62	—	—
Prolactin blood test CPT 84146 PROLACTIN	$368.75	$368.75	$19.38–$265.86	426% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$368.75	$368.75	$19.38–$265.86	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 I-STAT PT/INR	$135.00	$135.00	$4.29–$97.34	383% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$135.00	$135.00	$4.29–$97.34	383% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 AEL PROTHROMBIN TIME/INR	$135.00	$135.00	$4.29–$97.34	383% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$135.00	$135.00	$4.29–$97.34	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 AEL PROTHROMBIN TIME/INR	$135.00	$135.00	$4.29–$97.34	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 I-STAT PT/INR	$135.00	$135.00	$4.29–$97.34	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RHC SELF PAY DRUG SCREEN POS	$70.00	$70.00	$12.60–$50.47	165% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RHC URINE DRUG SCREEN - POS	$750.00	$750.00	$12.60–$540.75	2739% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST DIRECT OBSERVATION	$1,425.00	$1,425.00	$12.60–$1,027.42	5294% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 RHC SELF PAY DRUG SCREEN POS	$70.00	$70.00	$12.60–$50.47	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 RHC URINE DRUG SCREEN - POS	$750.00	$750.00	$12.60–$540.75	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST DIRECT OBSERVATION	$1,425.00	$1,425.00	$12.60–$1,027.42	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN	$78.00	$78.00	$16.55–$56.24	54% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$78.00	$78.00	$16.55–$56.24	54% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ANTIGEN	$78.00	$78.00	$16.55–$56.24	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN	$78.00	$78.00	$16.55–$56.24	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A	$142.50	$142.50	$16.53–$102.74	296% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A	$142.50	$142.50	$16.53–$102.74	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTATIVE	$125.50	$125.50	$5.67–$90.49	274% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTATIVE	$125.50	$125.50	$5.67–$90.49	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$129.25	$129.25	$14.39–$93.19	197% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$129.25	$129.25	$14.39–$93.19	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$235.75	$235.75	$12.31–$169.97	90% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$235.75	$235.75	$12.31–$169.97	—	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$211.00	$211.00	$8.90–$152.13	427% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$211.00	$211.00	$8.90–$152.13	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD #2	$35.75	$35.75	$4.38–$25.77	64% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT 1-3 SCREENING	$106.50	$106.50	$4.38–$76.79	388% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD #2	$35.75	$35.75	$4.38–$25.77	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT 1-3 SCREENING	$106.50	$106.50	$4.38–$76.79	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST	$106.50	$106.50	$4.27–$76.79	498% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TREPONEMA PALLIDUM	$106.50	$106.50	$4.27–$76.79	498% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR TREPONEMA PALLIDUM	$106.50	$106.50	$4.27–$76.79	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST	$106.50	$106.50	$4.27–$76.79	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 AEL QUANTIFERON TB	$248.00	$248.00	$61.98–$178.81	150% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$248.00	$248.00	$61.98–$178.81	150% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 AEL QUANTIFERON TB	$248.00	$248.00	$61.98–$178.81	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$248.00	$248.00	$61.98–$178.81	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 AEL TESTOSTERONE TOTAL	$530.25	$530.25	$25.81–$382.32	569% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$530.25	$530.25	$25.81–$382.32	569% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 AEL TESTOSTERONE TOTAL	$530.25	$530.25	$25.81–$382.32	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$530.25	$530.25	$25.81–$382.32	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOME AUTOAB	$287.00	$287.00	$14.55–$206.93	591% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDOSE AB	$287.00	$287.00	$14.55–$206.93	591% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDOSE AB	$287.00	$287.00	$14.55–$206.93	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOME AUTOAB	$287.00	$287.00	$14.55–$206.93	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LABCORP	$330.75	$330.75	$16.80–$238.47	420% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LABCORP	$330.75	$330.75	$16.80–$238.47	—	—
Trichomonas test (NAAT) CPT 87661 AEL TRICHOMONAS VAGINALIS AMPLIF	$171.00	$171.00	$35.09–$123.29	119% above	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$304.00	$304.00	$35.09–$219.18	289% above	—
Trichomonas test (NAAT) inpatient CPT 87661 AEL TRICHOMONAS VAGINALIS AMPLIF	$171.00	$171.00	$35.09–$123.29	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$304.00	$304.00	$35.09–$219.18	—	—
Uric acid blood test CPT 84550 URIC ACID	$106.50	$106.50	$4.52–$76.79	194% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$106.50	$106.50	$4.52–$76.79	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO	$119.75	$119.75	$3.17–$86.33	307% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO	$119.75	$119.75	$3.17–$86.33	—	—
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK AUTO W/O MICRO	$74.25	$74.25	$2.25–$53.54	288% above	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$74.25	$74.25	$2.25–$53.54	288% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTICK AUTO W/O MICRO	$74.25	$74.25	$2.25–$53.54	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO	$74.25	$74.25	$2.25–$53.54	—	—
Urinalysis without microscope exam, manual CPT 81002 RHC MANUAL UA	$14.75	$14.75	$3.48–$10.63	5% below	—
Urinalysis without microscope exam, manual inpatient CPT 81002 RHC MANUAL UA	$14.75	$14.75	$3.48–$10.63	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE, MOLECULAR	$123.50	$123.50	$8.07–$89.04	168% above	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$123.50	$123.50	$8.07–$89.04	168% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$123.50	$123.50	$8.07–$89.04	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE, MOLECULAR	$123.50	$123.50	$8.07–$89.04	—	—
Urine pregnancy test, read by color change CPT 81025 HCG URINE QUAL	$111.75	$111.75	$8.61–$80.57	87% above	—
Urine pregnancy test, read by color change CPT 81025 RHC URINE PREGNANCY TEST BY VISUAL COL	$130.25	$130.25	$8.61–$93.92	118% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE QUAL	$111.75	$111.75	$8.61–$80.57	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 RHC URINE PREGNANCY TEST BY VISUAL COL	$130.25	$130.25	$8.61–$93.92	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$237.50	$237.50	$15.08–$171.24	329% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$237.50	$237.50	$15.08–$171.24	—	—
Zinc blood test CPT 84630 ZINC SERUM	$233.75	$233.75	$11.39–$168.53	431% above	—
Zinc blood test inpatient CPT 84630 ZINC SERUM	$233.75	$233.75	$11.39–$168.53	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREGNANCY QUANT SERUM	$197.75	$197.75	$15.05–$142.57	399% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QUANT SERUM	$220.50	$220.50	$15.05–$158.98	456% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREGNANCY QUANT SERUM	$197.75	$197.75	$15.05–$142.57	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG QUANT SERUM	$220.50	$220.50	$15.05–$158.98	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY RUP APPEN W/ABSCE	$9,261.00	$9,261.00	$732.99–$6,677.18	364% above	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY RUP APPEN W/ABSCE	$9,261.00	$9,261.00	$732.99–$6,677.18	—	—
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$9,261.00	$9,261.00	$538.88–$6,677.18	634% above	—
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$9,261.00	$9,261.00	$538.88–$6,677.18	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PF ANKLE FX LAT MALLEOULUS	$965.75	$965.75	$302.16–$667.23	156% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PF ANKLE FX LAT MALLEOULUS	$965.75	$965.75	$210.54–$696.30	156% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ANKLE FX LAT MALLEOLUS	$4,294.50	$4,294.50	$210.54–$3,096.33	1037% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PF ANKLE FX LAT MALLEOULUS	$965.75	$965.75	$302.16–$667.23	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PF METATARSAL FX	$1,089.25	$1,089.25	$208.85–$785.35	185% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PF METATARSAL FX	$1,089.25	$1,089.25	$205.51–$752.56	185% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX	$4,294.50	$4,294.50	$209.70–$3,096.33	1024% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PF METATARSAL FX	$1,089.25	$1,089.25	$205.51–$752.56	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 PF CARDIOVERSION ELECTIVE EXTRN	$1,943.25	$1,943.25	$100.23–$1,401.09	220% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 PF CARDIOVERSION ELECTIVE EXTRN	$1,943.25	$1,943.25	$137.49–$1,342.59	220% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTRN	$2,122.75	$2,122.75	$140.30–$1,530.50	249% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PF CARDIOVERSION ELECTIVE EXTRN	$1,943.25	$1,943.25	$137.49–$1,342.59	—	—
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL	$6,020.00	$6,020.00	$426.06–$4,340.42	159% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL	$6,020.00	$6,020.00	$426.06–$4,340.42	—	—
Cervical biopsy CPT 57500 RHC BX OF CERVIX	$3,483.00	$3,483.00	$133.07–$2,511.24	157% above	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PF CIRCUM 28 DAYS OR OLDER	$1,879.00	$1,879.00	$165.94–$1,879.00	at median	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION	$6,174.00	$6,174.00	$165.94–$4,451.45	229% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PF CIRCUM 28 DAYS OR OLDER	$1,879.00	$1,879.00	$165.94–$1,879.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION	$6,174.00	$6,174.00	$165.94–$4,451.45	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION CLAMP	$3,326.50	$3,326.50	$136.50–$2,398.41	447% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION CLAMP	$3,326.50	$3,326.50	$136.50–$2,398.41	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PF RADIAL ULNAR FX DISTAL	$1,053.00	$1,053.00	$330.79–$727.52	168% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PF RADIAL ULNAR FX DISTAL	$1,053.00	$1,053.00	$210.54–$759.21	168% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 RADIAL ULNAR FX DISTAL	$3,822.00	$3,822.00	$210.54–$2,755.66	872% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PF RADIAL ULNAR FX DISTAL	$1,053.00	$1,053.00	$330.79–$727.52	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/ LESN REM BY SNARE	$3,087.00	$3,087.00	$444.65–$2,225.73	84% above	—
Colonoscopy with polyp removal CPT 45385 PF COLONOSCOPY FLEX W/ LESN REM BY SNARE	$3,463.75	$3,463.75	$435.76–$2,393.10	107% above	—
Colonoscopy with polyp removal CPT 45385 PF COLONOSCOPY FLEX W/ LESN REM BY SNARE	$3,463.75	$3,463.75	$233.39–$2,497.36	107% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/ LESN REM BY SNARE	$3,087.00	$3,087.00	$444.65–$2,225.73	—	—
Colonoscopy with polyp removal inpatient CPT 45385 PF COLONOSCOPY FLEX W/ LESN REM BY SNARE	$3,463.75	$3,463.75	$435.76–$2,393.10	—	—
Colonoscopy with tissue sample CPT 45380 PF COLONOSCOPY W/ BX SINGLE/MULTI	$2,089.00	$2,089.00	$415.33–$1,443.30	147% above	—
Colonoscopy with tissue sample CPT 45380 PF COLONOSCOPY W/ BX SINGLE/MULTI	$2,089.00	$2,089.00	$184.99–$1,506.17	147% above	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ BX	$2,453.00	$2,453.00	$423.81–$1,768.61	190% above	—
Colonoscopy with tissue sample inpatient CPT 45380 PF COLONOSCOPY W/ BX SINGLE/MULTI	$2,089.00	$2,089.00	$415.33–$1,443.30	—	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/ BX	$2,453.00	$2,453.00	$423.81–$1,768.61	—	—
Colonoscopy, diagnostic CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$1,283.75	$1,283.75	$328.35–$886.94	65% above	—
Colonoscopy, diagnostic CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$1,283.75	$1,283.75	$170.98–$925.58	65% above	—
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,929.25	$2,929.25	$335.05–$2,111.99	277% above	—
Colonoscopy, diagnostic inpatient CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$1,283.75	$1,283.75	$328.35–$886.94	—	—
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,929.25	$2,929.25	$335.05–$2,111.99	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEP PROC)	$6,483.50	$6,483.50	$190.07–$4,674.60	298% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEP PROC)	$6,483.50	$6,483.50	$190.07–$4,674.60	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DIAGNOSTIC/THERAPEUTIC	$6,174.00	$6,174.00	$265.23–$4,451.45	55% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C DIAGNOSTIC/THERAPEUTIC	$6,174.00	$6,174.00	$265.23–$4,451.45	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PRE-MALIG 1ST LESION	$88.25	$88.25	$59.19–$88.25	12% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PF WART REMOVAL SINGLE	$180.00	$180.00	$58.01–$124.36	80% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PF WART REMOVAL SINGLE	$180.00	$180.00	$48.60–$180.00	80% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 RHC 17000 DEST PREMALIG LES; SINGLE LES	$502.75	$502.75	$59.19–$362.48	402% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PRE-MALIG 1ST LESION	$88.25	$88.25	$59.19–$88.25	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PF WART REMOVAL SINGLE	$180.00	$180.00	$58.01–$124.36	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 RHC REMOVE EARWAX IRRIG/LAVAG, UNI	$195.00	$195.00	$14.52–$140.60	282% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$155.50	$155.50	$43.00–$112.12	159% above	—
Earwax removal with instruments, one ear CPT 69210 RHC REMOVE EARWAX W/INSTRU, UNI	$156.00	$156.00	$43.00–$112.48	160% above	—
Earwax removal with instruments, one ear CPT 69210 PF REM IMPACT CERUMEN	$232.50	$232.50	$28.41–$167.63	288% above	—
Earwax removal with instruments, one ear CPT 69210 PF REM IMPACT CERUMEN	$232.50	$232.50	$42.14–$160.63	288% above	—
Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMEN 1 OR 2 EARS	$301.00	$301.00	$43.00–$217.02	402% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$155.50	$155.50	$43.00–$112.12	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 PF REM IMPACT CERUMEN	$232.50	$232.50	$42.14–$160.63	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 RHC ENDOMETRIAL BX	$805.00	$805.00	$87.50–$580.40	275% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PF FLEX SIGMOID, DIAGNOSTIC	$1,853.75	$1,853.75	$54.86–$1,336.55	343% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PF FLEX SIGMOID, DIAGNOSTIC	$1,853.75	$1,853.75	$183.51–$1,280.75	343% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PF FLEX SIGMOID, DIAGNOSTIC	$1,853.75	$1,853.75	$183.51–$1,280.75	—	—
Gallbladder removal, laparoscopic CPT 47562 PF CHOLECYSTECTOMY	$8,243.25	$8,243.25	$549.04–$5,695.26	22% above	—
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECY	$13,892.25	$13,892.25	$560.25–$10,016.32	106% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 PF CHOLECYSTECTOMY	$8,243.25	$8,243.25	$549.04–$5,695.26	—	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECY	$13,892.25	$13,892.25	$560.25–$10,016.32	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO	$15,435.00	$15,435.00	$606.76–$11,128.64	365% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO	$15,435.00	$15,435.00	$606.76–$11,128.64	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 PF CHOLECYSTECTOMY	$3,730.75	$3,730.75	$880.22–$2,577.58	97% above	—
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$10,034.00	$10,034.00	$898.18–$7,234.51	431% above	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 PF CHOLECYSTECTOMY	$3,730.75	$3,730.75	$880.22–$2,577.58	—	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$10,034.00	$10,034.00	$898.18–$7,234.51	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORHOIDECTOMY INTL&EXTL SNGL	$3,001.75	$3,001.75	$511.28–$2,613.23	14% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORHOIDECTOMY INTL&EXTL SNGL	$3,001.75	$3,001.75	$511.28–$2,613.23	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABD HYST W/WO REM OVARY	$13,121.00	$13,121.00	$841.95–$9,460.24	59% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABD HYST W/WO REM OVARY	$13,121.00	$13,121.00	$841.95–$9,460.24	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 PF I&D OF ABSCESS	$467.75	$467.75	$101.96–$337.24	149% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 PF I&D OF ABSCESS	$467.75	$467.75	$112.28–$323.16	149% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 RHC I&D ABSCESS; SINGLE OR SIMPLE	$502.75	$502.75	$114.57–$362.48	167% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$1,235.00	$1,235.00	$114.57–$890.44	557% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE SINGLE	$1,697.50	$1,697.50	$114.57–$1,223.90	803% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP OR SINGLE	$1,697.50	$1,697.50	$114.57–$1,223.90	803% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF I&D OF ABSCESS	$467.75	$467.75	$112.28–$323.16	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SIMPLE	$1,235.00	$1,235.00	$114.57–$890.44	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PF REP INIT ING HERNIA 5 & OVER	$3,654.00	$3,654.00	$449.39–$3,602.26	at median	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$9,107.00	$9,107.00	$449.39–$6,566.15	149% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PF REP INIT ING HERNIA 5 & OVER	$3,654.00	$3,654.00	$449.39–$3,602.26	—	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR	$9,107.00	$9,107.00	$449.39–$6,566.15	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TEND SHEATH	$1,543.50	$1,543.50	$54.34–$1,112.86	684% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RHC 20610 INJECTION & ASPIR MAJOR JNT	$105.00	$105.00	$61.24–$105.00	39% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS&/OR INJ MJR JNT	$564.25	$564.25	$61.24–$406.83	226% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF ASP/INJECT MAJR JT/BURSA W/O US GUIDE	$633.00	$633.00	$60.02–$437.34	266% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF ASP/INJECT MAJR JT/BURSA W/O US GUIDE	$633.00	$633.00	$40.89–$456.39	266% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJECT MAJOR JT/BURSA W/O US GUIDE	$2,136.75	$2,136.75	$61.24–$1,540.59	1136% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS&/OR INJ MJR JNT	$564.25	$564.25	$61.24–$406.83	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF ASP/INJECT MAJR JT/BURSA W/O US GUIDE	$633.00	$633.00	$60.02–$437.34	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OR REMOVAL OF IMPLANT	$319.25	$319.25	$95.20–$230.18	96% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PF INSERTION OR REMOVAL OF IMPLANT	$379.25	$379.25	$93.30–$262.02	133% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 PF INSERTION OR REMOVAL OF IMPLANT	$379.25	$379.25	$56.20–$273.44	133% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION OR REMOVAL OF IMPLANT	$319.25	$319.25	$95.20–$230.18	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 PF INSERTION OR REMOVAL OF IMPLANT	$379.25	$379.25	$93.30–$262.02	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF ASP/INJECT INTMT JT(WRIST/ELBOW/ANKLE	$192.00	$192.00	$33.51–$192.00	9% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT/ASPIRATION &/OR INJ	$1,610.00	$1,610.00	$51.25–$1,160.81	812% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF ASP/INJECT INTMT JT(WRIST/ELBOW/ANKLE	$192.00	$192.00	$33.51–$192.00	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJECT SMALL JT/BURSA W/O US GUIDE	$1,610.00	$1,610.00	$50.30–$1,160.81	990% above	—
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHRO W/MENISTMY MEDIAL	$4,924.00	$4,924.00	$459.17–$3,550.20	7% above	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHRO W/MENISTMY MEDIAL	$4,924.00	$4,924.00	$459.17–$3,550.20	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PF KNEE ARTHROSCOPY/SURGERY	$6,552.00	$6,552.00	$465.48–$4,526.78	42% above	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PF KNEE ARTHROSCOPY/SURGERY	$6,552.00	$6,552.00	$474.98–$4,723.99	42% above	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHRO MENISTMY MEDL&LTRL	$6,573.00	$6,573.00	$474.98–$4,739.13	42% above	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 PF KNEE ARTHROSCOPY/SURGERY	$6,552.00	$6,552.00	$465.48–$4,526.78	—	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHRO MENISTMY MEDL&LTRL	$6,573.00	$6,573.00	$474.98–$4,739.13	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY DEBRIDE/SHAVE	$3,330.75	$3,330.75	$523.13–$3,027.36	9% below	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE ARTHROSCOPY DEBRIDE/SHAVE	$3,330.75	$3,330.75	$523.13–$3,027.36	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 PF LAP APPENDECTOMY	$5,247.25	$5,247.25	$502.43–$3,625.32	at median	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPARO SURGICAL APPENDECTOMY	$12,348.00	$12,348.00	$512.68–$8,902.91	135% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 PF LAP APPENDECTOMY	$5,247.25	$5,247.25	$502.43–$3,625.32	—	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPARO SURGICAL APPENDECTOMY	$12,348.00	$12,348.00	$512.68–$8,902.91	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP REPAIR INTL INGINAL HERNI	$2,867.25	$2,867.25	$374.85–$2,867.25	at median	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PF LAP ING HERNIA REPAIR INIT	$3,228.50	$3,228.50	$374.85–$3,228.50	13% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PF LAP ING HERNIA REPAIR INIT	$3,228.50	$3,228.50	$367.35–$2,230.57	13% above	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP REPAIR INTL INGINAL HERNI	$2,867.25	$2,867.25	$374.85–$2,867.25	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 PF LAP ING HERNIA REPAIR INIT	$3,228.50	$3,228.50	$367.35–$2,230.57	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PF LAP ING HERNIA REPAIR	$2,511.75	$2,511.75	$476.59–$1,735.36	7% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PF LAP ING HERNIA REPAIR	$2,511.75	$2,511.75	$486.32–$2,511.75	7% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REP RECURRENT INGINAL HERNIA	$13,892.25	$13,892.25	$486.32–$10,016.32	417% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 PF LAP ING HERNIA REPAIR	$2,511.75	$2,511.75	$476.59–$1,735.36	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 REP RECURRENT INGINAL HERNIA	$13,892.25	$13,892.25	$486.32–$10,016.32	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE	$13,892.25	$13,892.25	$531.19–$10,016.32	207% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE	$13,892.25	$13,892.25	$531.19–$10,016.32	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REP WOUND INTER TRNK/SCLP/EXT	$773.00	$773.00	$229.76–$557.33	140% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF LAC REP INT SCLP, TK, EXT <2.5	$1,207.00	$1,207.00	$225.16–$833.92	274% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF LAC REP INT SCLP, TK, EXT <2.5	$1,207.00	$1,207.00	$136.39–$870.25	274% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTER SCALP/TRUNK/EXT <=2.5CM	$1,295.00	$1,295.00	$229.76–$933.70	302% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REP WOUND INTER TRNK/SCLP/EXT	$773.00	$773.00	$229.76–$557.33	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PF LAC REP INT SCLP, TK, EXT <2.5	$1,207.00	$1,207.00	$225.16–$833.92	—	—
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL/LUMPECTOMY	$11,576.75	$11,576.75	$560.76–$8,346.83	647% above	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL/LUMPECTOMY	$11,576.75	$11,576.75	$560.76–$8,346.83	—	—
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE	$11,576.75	$11,576.75	$812.53–$8,346.83	300% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE COMPLETE	$11,576.75	$11,576.75	$812.53–$8,346.83	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PF EXC TR-EXT B9+MARG 0.5 CM<	$711.25	$711.25	$110.51–$491.40	140% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PF EXC TR-EXT B9+MARG 0.5 CM<	$711.25	$711.25	$77.29–$660.03	140% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESN TRNK/ARM/LEG 0.5 CM	$4,631.25	$4,631.25	$112.77–$3,339.14	1463% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PF EXC TR-EXT B9+MARG 0.5 CM<	$711.25	$711.25	$110.51–$491.40	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LESN TRNK/ARM/LEG 0.5 CM	$4,631.25	$4,631.25	$112.77–$3,339.14	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 RHC EXC FACE-MM B9+MARGIN 0.2CM<	$1,741.75	$1,741.75	$125.48–$1,255.80	632% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EX B9 LESN FACE 0.5 CM	$4,631.25	$4,631.25	$125.48–$3,339.14	1847% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EX B9 LESN FACE 0.5 CM	$4,631.25	$4,631.25	$125.48–$3,339.14	—	—
Nail removal (partial or complete), one nail CPT 11730 PF AVULSION NAIL PLATE SINGLE	$403.25	$403.25	$97.72–$278.60	173% above	—
Nail removal (partial or complete), one nail CPT 11730 PF AVULSION NAIL PLATE SINGLE	$403.25	$403.25	$51.59–$290.75	173% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSN NAIL PLT PART/COMP SIMP	$460.75	$460.75	$99.71–$332.20	212% above	—
Nail removal (partial or complete), one nail CPT 11730 RHC AVUL NAIL PLATE, PAR OR COM, SIM;SIN	$628.50	$628.50	$99.71–$453.15	325% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE SIMPLE	$987.00	$987.00	$99.71–$711.63	567% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 PF AVULSION NAIL PLATE SINGLE	$403.25	$403.25	$97.72–$278.60	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSN NAIL PLT PART/COMP SIMP	$460.75	$460.75	$99.71–$332.20	—	—
Paracentesis with imaging guidance CPT 49083 PF ABD PARACENTESIS W/IMAGING	$1,814.50	$1,814.50	$245.91–$1,253.64	181% above	—
Paracentesis with imaging guidance CPT 49083 PF ABD PARACENTESIS W/IMAGING	$1,814.50	$1,814.50	$97.52–$1,308.25	181% above	—
Paracentesis with imaging guidance inpatient CPT 49083 PF ABD PARACENTESIS W/IMAGING	$1,814.50	$1,814.50	$245.91–$1,253.64	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PF EXC INGROWN TOENAIL	$420.00	$420.00	$97.54–$379.42	20% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PF EXC INGROWN TOENAIL	$420.00	$420.00	$138.25–$290.18	20% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RHC EX NAIL/NAIL MATRIX PERMANENT REMOV	$968.50	$968.50	$141.07–$698.29	177% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE INGROWN TOENAIL	$3,860.00	$3,860.00	$141.07–$2,783.06	1004% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PF EXC INGROWN TOENAIL	$420.00	$420.00	$138.25–$290.18	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISE INGROWN TOENAIL	$3,860.00	$3,860.00	$141.07–$2,783.06	—	—
Removal of a breast lump, open surgery CPT 19120 PF EXC BREAST LESION	$2,315.75	$2,315.75	$492.80–$1,599.95	47% above	—
Removal of a breast lump, open surgery CPT 19120 PF EXC BREAST LESION	$2,315.75	$2,315.75	$406.67–$2,315.75	47% above	—
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LE	$7,564.25	$7,564.25	$502.86–$5,453.83	379% above	—
Removal of a breast lump, open surgery CPT 19120 EXC BREAST LESION	$7,564.25	$7,564.25	$502.86–$5,453.83	379% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 PF EXC BREAST LESION	$2,315.75	$2,315.75	$492.80–$1,599.95	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LE	$7,564.25	$7,564.25	$502.86–$5,453.83	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 EXC BREAST LESION	$7,564.25	$7,564.25	$502.86–$5,453.83	—	—
Removal of a foreign object under the skin, simple CPT 10120 PF INCISION AND REMOVAL OF FB	$459.25	$459.25	$136.35–$317.29	73% above	—
Removal of a foreign object under the skin, simple CPT 10120 PF INCISION AND REMOVAL OF FB	$459.25	$459.25	$103.45–$379.42	73% above	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB SUBQ SIMPLE	$1,235.00	$1,235.00	$139.13–$890.44	366% above	—
Removal of a foreign object under the skin, simple CPT 10120 RHC INC & REM OF FB, SUB TIS; SIMPLE	$1,235.50	$1,235.50	$139.13–$890.80	366% above	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FB	$1,697.50	$1,697.50	$139.13–$1,223.90	540% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 PF INCISION AND REMOVAL OF FB	$459.25	$459.25	$136.35–$317.29	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FB SUBQ SIMPLE	$1,235.00	$1,235.00	$139.13–$890.44	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PF COLONOSCOPY SCRN-NO RISK	$2,173.00	$2,173.00	$328.52–$1,501.33	247% above	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCRN NOT HIGH RISK	$2,315.75	$2,315.75	$335.22–$1,669.65	270% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PF COLONOSCOPY SCRN-NO RISK	$2,173.00	$2,173.00	$328.52–$1,501.33	—	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCRN NOT HIGH RISK	$2,315.75	$2,315.75	$335.22–$1,669.65	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PF COLONOSCOPY HIGH RISK	$2,447.25	$2,447.25	$170.98–$1,764.47	291% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PF COLONOSCOPY HIGH RISK	$2,447.25	$2,447.25	$328.35–$1,690.80	291% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCRN HIGH RISK	$2,469.75	$2,469.75	$335.05–$1,780.68	295% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PF COLONOSCOPY HIGH RISK	$2,447.25	$2,447.25	$328.35–$1,690.80	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY SCRN HIGH RISK	$2,469.75	$2,469.75	$335.05–$1,780.68	—	—
Short arm cast (elbow to hand) CPT 29075 RHC APPLICATION OF SHORT ARM SPLINT	$157.25	$157.25	$85.70–$157.25	35% above	—
Short arm cast (elbow to hand) CPT 29075 PF SHORT ARM CAST APPLICATION	$868.00	$868.00	$83.99–$599.70	644% above	—
Short arm cast (elbow to hand) CPT 29075 PF SHORT ARM CAST APPLICATION	$868.00	$868.00	$59.07–$625.83	644% above	—
Short arm cast (elbow to hand) CPT 29075 APPLICATION FOREARM CAST	$890.75	$890.75	$85.70–$642.23	664% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 PF SHORT ARM CAST APPLICATION	$868.00	$868.00	$83.99–$599.70	—	—
Short arm splint (forearm and hand) CPT 29125 PF APPLY SHORT ARM SPLINT	$381.00	$381.00	$67.88–$263.24	188% above	—
Short arm splint (forearm and hand) CPT 29125 PF APPLY SHORT ARM SPLINT	$381.00	$381.00	$41.20–$274.70	188% above	—
Short arm splint (forearm and hand) CPT 29125 RHC APPLY SHORT ARM SPLINT	$392.00	$392.00	$69.27–$282.63	196% above	—
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT; STATIC	$857.50	$857.50	$69.27–$618.26	547% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 PF APPLY SHORT ARM SPLINT	$381.00	$381.00	$67.88–$263.24	—	—
Short leg cast (below the knee) CPT 29405 PF APPLI OF SHORT LEG CAST	$557.25	$557.25	$76.09–$385.00	310% above	—
Short leg cast (below the knee) CPT 29405 PF APPLI OF SHORT LEG CAST	$557.25	$557.25	$56.45–$401.78	310% above	—
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST	$1,102.50	$1,102.50	$77.64–$794.90	710% above	—
Short leg cast (below the knee) inpatient CPT 29405 PF APPLI OF SHORT LEG CAST	$557.25	$557.25	$76.09–$385.00	—	—
Short leg splint (calf to foot) CPT 29515 PF APPLY SHORT LEG SPLINT	$252.00	$252.00	$50.40–$181.69	87% above	—
Short leg splint (calf to foot) CPT 29515 PF APPLY SHORT LEG SPLINT	$252.00	$252.00	$71.37–$174.11	87% above	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$890.75	$890.75	$72.83–$642.23	562% above	—
Short leg splint (calf to foot) inpatient CPT 29515 PF APPLY SHORT LEG SPLINT	$252.00	$252.00	$71.37–$174.11	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SIMPLE TRNK/SCLP/EXT 2.5CM	$302.50	$302.50	$99.63–$218.10	27% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF LAC REPAIR 2.5CM FOR LESS	$330.50	$330.50	$44.71–$238.29	39% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF LAC REPAIR 2.5CM FOR LESS	$330.50	$330.50	$97.64–$228.34	39% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RHC SIM REP SCNK,AX,GEN,TRK/EXT 2.5OR LE	$628.50	$628.50	$99.63–$453.15	164% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REP SCLP TK SMPL <=2.5	$1,062.25	$1,062.25	$99.63–$765.89	347% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SIMPLE TRNK/SCLP/EXT 2.5CM	$302.50	$302.50	$99.63–$218.10	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PF LAC REPAIR 2.5CM FOR LESS	$330.50	$330.50	$97.64–$228.34	—	—
Skin biopsy, punch, one lesion CPT 11104 RHC PUNCH BX OF SKIN, SINGLE LESION	$131.00	$131.00	$89.87–$131.00	42% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 RHC EXC TR-EXT MAL+MARG 0.5CM<	$1,741.75	$1,741.75	$175.50–$1,255.80	458% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EX MAL LES TRNK/ARM/LEG <0.5	$4,631.25	$4,631.25	$175.50–$3,339.14	1384% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EX MAL LES TRNK/ARM/LEG <0.5	$4,631.25	$4,631.25	$175.50–$3,339.14	—	—
Skin tag removal, up to 15 tags CPT 11200 RHC 11200 SKIN TAG REMOVAL 1-15 LESIONS	$199.75	$199.75	$82.04–$144.01	26% above	—
Skin tag removal, up to 15 tags CPT 11200 PF EXCIS SKIN TAGS UP TO 15	$297.00	$297.00	$80.40–$205.20	87% above	—
Skin tag removal, up to 15 tags CPT 11200 PF EXCIS SKIN TAGS UP TO 15	$297.00	$297.00	$70.15–$214.14	87% above	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG 1-15	$927.00	$927.00	$82.04–$668.37	483% above	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$1,158.50	$1,158.50	$82.04–$835.28	629% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 PF EXCIS SKIN TAGS UP TO 15	$297.00	$297.00	$80.40–$205.20	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAG 1-15	$927.00	$927.00	$82.04–$668.37	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 PF LUMBAR PUNCTURE	$1,439.25	$1,439.25	$59.48–$1,037.70	141% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 PF LUMBAR PUNCTURE	$1,439.25	$1,439.25	$141.13–$994.38	141% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$2,702.00	$2,702.00	$144.01–$1,948.14	352% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PF LUMBAR PUNCTURE	$1,439.25	$1,439.25	$141.13–$994.38	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SIMPLE SCLP/NECK 2.6-7.5CM	$381.00	$381.00	$122.11–$274.70	35% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RHC SIM REP SCNK,AX,GEN,TRK/EXT 2.6-7.5	$628.50	$628.50	$122.11–$453.15	122% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PF LAC REP SCLP TK SMPL 2.6-7.5	$731.00	$731.00	$58.40–$527.05	158% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PF LAC REP SCLP TK SMPL 2.6-7.5	$731.00	$731.00	$119.67–$505.05	158% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REP SCLP TK SMPL 2.6-7.5	$1,295.00	$1,295.00	$122.11–$933.70	357% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SIMPLE SCLP/NECK 2.6-7.5CM	$381.00	$381.00	$122.11–$274.70	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PF LAC REP SCLP TK SMPL 2.6-7.5	$731.00	$731.00	$119.67–$505.05	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PF SIMPLE REPAIR SUPERF WOUND	$330.50	$330.50	$55.24–$238.29	101% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PF SIMPLE REPAIR SUPERF WOUND	$330.50	$330.50	$119.75–$228.34	101% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SIMPLE FACE 2.5 CM OR LESS	$381.00	$381.00	$122.19–$274.70	131% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RHC SM RP FACE,ERS,EYEL,NOS,LIPS 2.5OR L	$628.50	$628.50	$122.19–$453.15	281% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SIMP FACE/EAR/LIP <=2.5 CM	$1,062.25	$1,062.25	$122.19–$765.89	545% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PF SIMPLE REPAIR SUPERF WOUND	$330.50	$330.50	$119.75–$228.34	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SIMPLE FACE 2.5 CM OR LESS	$381.00	$381.00	$122.19–$274.70	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS & ADENOIDS >12	$6,174.00	$6,174.00	$246.84–$4,451.45	155% above	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS & ADENOIDS >12	$6,174.00	$6,174.00	$246.84–$4,451.45	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS & ADENOIDS <12	$6,174.00	$6,174.00	$236.66–$5,430.62	103% above	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS & ADENOIDS <12	$6,174.00	$6,174.00	$236.66–$5,430.62	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY > 12 AGE	$6,174.00	$6,174.00	$209.14–$4,451.45	156% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY > 12 AGE	$6,174.00	$6,174.00	$209.14–$4,451.45	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY < 12 AGE	$6,174.00	$6,174.00	$219.75–$5,430.62	107% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY < 12 AGE	$6,174.00	$6,174.00	$219.75–$5,430.62	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 PF INJ(S), SGL/MULT, TRGR PTS 1-2 MUSC	$201.75	$201.75	$37.09–$201.75	12% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 PF INJ(S), SGL/MULT, TRGR PTS 1-2 MUSC	$201.75	$201.75	$45.75–$139.39	12% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 RHC 20552 INJ SING OR MULT TRIG 1-2 MUSC	$203.00	$203.00	$46.68–$203.00	13% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJCT(S), SGL/MULTI TRIGGER PTS, 1-2 MUS	$761.50	$761.50	$46.68–$549.04	323% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ; SINGLE/MULTI TRIGGER PTS,1 OR 2 MUS	$1,427.50	$1,427.50	$46.68–$1,029.23	693% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF INJ(S), SGL/MULT, TRGR PTS 1-2 MUSC	$201.75	$201.75	$45.75–$139.39	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PF UPPER GI W/BALLOON DILATN	$2,091.75	$2,091.75	$141.85–$1,771.26	at median	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PF UPPER GI W/BALLOON DILATN	$2,091.75	$2,091.75	$1,002.30–$1,633.32	at median	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI W/BALLOON DILATN	$3,550.50	$3,550.50	$1,022.75–$2,559.91	70% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PF UPPER GI W/BALLOON DILATN	$2,091.75	$2,091.75	$1,002.30–$1,633.32	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UPPER GI W/BALLOON DILATN	$3,550.50	$3,550.50	$1,022.75–$2,559.91	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 PF GASTROSCOPY/FUNT/BX	$2,276.50	$2,276.50	$360.31–$1,572.83	173% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 PF GASTROSCOPY/FUNT/BX	$2,276.50	$2,276.50	$128.51–$1,641.36	173% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY W B	$2,469.75	$2,469.75	$367.66–$1,780.68	196% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF GASTROSCOPY/FUNT/BX	$2,276.50	$2,276.50	$360.31–$1,572.83	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY W B	$2,469.75	$2,469.75	$367.66–$1,780.68	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI W/DIRECTED INJ	$3,396.50	$3,396.50	$391.19–$2,448.88	79% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GI W/DIRECTED INJ	$3,396.50	$3,396.50	$391.19–$2,448.88	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GI SCOPE W/SNARE	$3,550.50	$3,550.50	$480.25–$2,559.91	180% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 UPPER GI SCOPE W/SNARE	$3,550.50	$3,550.50	$480.25–$2,559.91	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 PF GASTROSCOPY W FUNCTION	$1,641.00	$1,641.00	$278.33–$1,133.77	23% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 PF GASTROSCOPY W FUNCTION	$1,641.00	$1,641.00	$114.75–$1,183.16	23% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY	$2,625.00	$2,625.00	$284.01–$1,892.62	97% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PF GASTROSCOPY W FUNCTION	$1,641.00	$1,641.00	$278.33–$1,133.77	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY	$2,625.00	$2,625.00	$284.01–$1,892.62	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY	$7,564.25	$7,564.25	$308.49–$5,453.83	505% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY	$7,564.25	$7,564.25	$308.49–$5,453.83	—	—
Wart removal, up to 14 warts CPT 17110 DEST BEGIN LESIONS/WARTS TO 14	$91.00	$91.00	$62.43–$91.00	41% below	—
Wart removal, up to 14 warts CPT 17110 RHC 17110 DESTR BGN LES UP TO 14 LESIONS	$354.25	$354.25	$97.94–$255.42	130% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DEST BEGIN LESIONS/WARTS TO 14	$91.00	$91.00	$62.43–$91.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF DEBRID SKIN/SQ TISSUE 1ST 20CM	$333.25	$333.25	$114.69–$230.24	18% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF DEBRID SKIN/SQ TISSUE 1ST 20CM	$333.25	$333.25	$57.53–$333.25	18% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN &SQ TISS 1ST 20CM	$927.00	$927.00	$117.03–$668.37	127% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRID SUPERFICIAL	$1,239.00	$1,239.00	$117.03–$893.32	204% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PF DEBRID SKIN/SQ TISSUE 1ST 20CM	$333.25	$333.25	$114.69–$230.24	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN &SQ TISS 1ST 20CM	$927.00	$927.00	$117.03–$668.37	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 0-4 HRS	$789.75	$789.75	$40.40–$569.40	59% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION (PER DAY)	$1,404.25	$1,404.25	$40.40–$1,012.47	183% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 0-4 HRS	$789.75	$789.75	$40.40–$569.40	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION (PER DAY)	$1,404.25	$1,404.25	$40.40–$1,012.47	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RHC PRESSURIZEDNONPRESSURIZED INHALATION	$53.25	$53.25	$7.34–$53.25	50% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX DX AERO, NEB, MDI, IPPB	$635.75	$635.75	$7.34–$458.37	498% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL	$713.25	$713.25	$7.34–$514.26	571% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX DX AERO NEB MDI IPPB	$728.00	$728.00	$7.34–$524.89	585% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RHC PRESSURIZEDNONPRESSURIZED INHALATION	$53.25	$53.25	$7.34–$53.25	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX DX AERO, NEB, MDI, IPPB	$635.75	$635.75	$7.34–$458.37	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL	$713.25	$713.25	$7.34–$514.26	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX DX AERO NEB MDI IPPB	$728.00	$728.00	$7.34–$524.89	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 RHC EYE EXAM COM, NEW PT 1 OR MORE VISIT	$496.25	$496.25	$114.72–$357.80	357% above	—
Comprehensive eye exam, returning patient CPT 92014 RHC EYE EXAM COM, EST PT 1 OR MORE VISIT	$416.25	$416.25	$114.72–$300.12	555% above	—
Critical care, first 30 to 74 minutes CPT 99291 PF CC 1ST 30-74 MIN	$2,555.00	$2,555.00	$210.65–$1,842.16	157% above	—
Critical care, first 30 to 74 minutes CPT 99291 PF CC 1ST 30-74 MIN	$2,555.00	$2,555.00	$275.67–$1,765.25	157% above	—
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE	$4,900.00	$4,900.00	$281.30–$3,532.90	393% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 PF CC 1ST 30-74 MIN	$2,555.00	$2,555.00	$275.67–$1,765.25	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 RHC EKG W AT LEAST 12 LEADS; W IN	$59.00	$59.00	$13.77–$53.10	175% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC EKG TRACING ONLY	$131.75	$131.75	$5.91–$94.99	25% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$355.00	$355.00	$5.91–$255.96	237% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$355.00	$355.00	$5.91–$255.96	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PF ER PHYSICIAN LEVEL 1	$482.50	$482.50	$10.30–$347.88	312% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$900.00	$900.00	$10.30–$648.90	669% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PF ER PHYSICIAN LEVEL 2	$648.00	$648.00	$37.83–$467.21	224% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$1,125.00	$1,125.00	$37.83–$811.12	462% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PF ER PHYSICIAN LEVEL 3	$972.00	$972.00	$64.92–$700.81	137% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$1,800.00	$1,800.00	$64.92–$1,297.80	340% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PF ER PHYSICIAN LEVEL 4	$1,440.00	$1,440.00	$110.45–$1,038.24	157% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$2,475.00	$2,475.00	$110.45–$1,784.48	342% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PF ER PHYSICIAN LEVEL 5	$2,160.00	$2,160.00	$160.51–$1,557.36	194% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$3,150.00	$3,150.00	$160.51–$2,271.15	329% above	—
Eye exam, returning patient, intermediate CPT 92012 RHC EYE EXAM INTER, EST PAT	$293.75	$293.75	$81.74–$211.79	362% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RHC IV HYDRATION INIT HOUR	$95.25	$95.25	$29.38–$95.25	47% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31MIN TO 1HR	$630.00	$630.00	$29.38–$454.23	252% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$712.25	$712.25	$29.38–$513.54	298% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RHC IV HYDRATION INIT HOUR	$95.25	$95.25	$29.38–$95.25	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31MIN TO 1HR	$630.00	$630.00	$29.38–$454.23	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$712.25	$712.25	$29.38–$513.54	—	—
IV infusion of a medicine, first hour CPT 96365 RHC IV INFUSION FOR THERAPY PROPHYLAXIS	$241.00	$241.00	$58.20–$196.08	24% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF FOR THERAP/PROPH 1ST HR	$630.00	$630.00	$58.20–$454.23	223% above	—
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY INITIAL HR	$712.25	$712.25	$58.20–$513.54	265% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 RHC IV INFUSION FOR THERAPY PROPHYLAXIS	$241.00	$241.00	$58.20–$196.08	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF FOR THERAP/PROPH 1ST HR	$630.00	$630.00	$58.20–$454.23	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPY INITIAL HR	$712.25	$712.25	$58.20–$513.54	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHC 96372 ADMIN THERAPEUTIC INJECTION	$70.00	$70.00	$13.88–$64.04	8% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DX INJECT IM/SQ	$234.50	$234.50	$13.88–$169.07	207% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP PROPHYL DX INJ/SUBCU/IM	$245.00	$245.00	$13.88–$176.64	221% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RHC 96372 ADMIN THERAPEUTIC INJECTION	$70.00	$70.00	$13.88–$64.04	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DX INJECT IM/SQ	$234.50	$234.50	$13.88–$169.07	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP PROPHYL DX INJ/SUBCU/IM	$245.00	$245.00	$13.88–$176.64	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 RHC PSYCH DIAGNOSTIC EVALUATION	$375.25	$375.25	$138.31–$270.56	155% above	—
New patient office visit, about 30 minutes CPT 99203 RHC 99203 NEW PT OV LOW; 30-44 MINS	$100.00	$260.00	$104.56–$179.63	22% above	62%
New patient office visit, about 30 minutes CPT 99203 PF EXTENDED OUTP NW PT 30 MIN LOW	$259.75	$259.75	$73.58–$187.27	216% above	—
New patient office visit, about 45 minutes CPT 99204 RHC 99204 NEW PT OV MOD; 45-59 MINS	$100.00	$380.00	$158.60–$262.54	2% below	74%
New patient office visit, about 45 minutes CPT 99204 PF EXTENDED OUTP NW PT 45 MIN MODERATE	$444.25	$444.25	$123.87–$320.31	336% above	—
New patient office visit, about 60 minutes CPT 99205 RHC 99205 NEW PT OV HIGH; 60-74 MINS	$100.00	$510.00	$211.45–$352.36	44% below	80%
New patient office visit, about 60 minutes CPT 99205 PF EXTENDED OUTP NW PT 60 MIN HIGH	$580.00	$580.00	$164.48–$418.18	222% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC 99202 NEW PT OV STRTFORW; 15-29 MINS	$100.00	$160.00	$66.77–$110.54	68% above	38%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF EXT OUTPT NW PT 15MIN STRAIGHTFORWARD	$215.75	$215.75	$43.81–$155.55	262% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY INITIAL EACH 15MIN	$131.75	$131.75	$31.78–$94.99	208% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 RHC 99385 INIT NEW PT AGE 18-39 YRS	$100.00	$253.50	$173.90–$228.15	at median	61%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC 99386 INI VISIT NEW PT AGE 40-64 YRS	$100.00	$302.50	$207.52–$272.25	8% below	67%
Preventive checkup, new patient aged 65 or older CPT 99387 RHC 99387 INIT NEW PT AGE 65+ YRS	$100.00	$322.00	$220.89–$289.80	at median	69%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC PREV VISIT EST PT AGE 18-39 YRS	$100.00	$214.25	$148.03–$153.75	at median	53%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC PREV VISIT EST PT AGE 40-64 YRS	$100.00	$235.25	$162.53–$163.58	at median	57%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC 99397 EST PT AGE 65 YRS +	$100.00	$241.00	$166.51–$175.87	at median	59%
Psychiatric evaluation with medical services CPT 90792 RHC PSYCH DIAG EVAL W/MED SERVICES	$418.75	$418.75	$138.31–$301.91	129% above	—
Psychotherapy session, 30 minutes CPT 90832 RHC PSYCHOTHERAPY 30 MIN W PT AND OR	$224.00	$224.00	$82.76–$161.50	127% above	—
Psychotherapy session, 45 minutes CPT 90834 RHC PSYTX PT&/FAMILY 45 MINUTES	$378.75	$378.75	$109.66–$273.07	208% above	—
Psychotherapy session, 60 minutes CPT 90837 RHC PSYTX PT&/FAMILY 60 MINS	$367.50	$367.50	$138.31–$264.97	214% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RHC SMOKING & TOBACCO USE CESSATION COUN	$70.00	$70.00	$14.10–$50.47	96% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION CNSL 3-10 MIN	$108.00	$108.00	$14.10–$77.87	202% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC 99215 EST PT OV HIGH; 40-54 MINS	$100.00	$410.00	$172.52–$283.27	23% below	76%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF EXTENDED OUTP EST PT 40 MIN HIGH	$382.75	$382.75	$133.72–$275.96	196% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 EXTENDED OUTPATIENT PER DAY	$2,100.00	$2,100.00	$145.47–$1,514.10	1525% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC 99213 EST PT OV LOW; 20-29 MINS	$100.00	$210.00	$85.12–$145.09	18% above	52%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF EXTENDED OUTP EST PT 20 MIN LOW	$176.50	$176.50	$61.36–$127.26	108% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 EXTENDED OUTPATIENT PER DAY	$2,100.00	$2,100.00	$74.12–$1,514.10	2375% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC 99214 EST PT OV MOD; 30-39 MINS	$100.00	$290.00	$121.44–$200.36	at median	66%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF EXTENDED OUTP EST PT 30 MIN MODERATE	$271.00	$271.00	$90.18–$195.39	171% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 EXTENDED OUTPATIENT PER DAY	$2,100.00	$2,100.00	$108.00–$1,514.10	2000% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC 99212 EST PT OV STRTFORW; 10-19 MINS	$100.00	$130.00	$52.61–$89.82	59% above	23%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF EXTENDED OUTP EST PT 10 MIN STRTFWD	$140.00	$140.00	$33.01–$100.94	122% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY/PEAK FLOW MEASURE	$389.00	$389.00	$26.11–$280.47	91% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY INCLUDING GRAPHIC RECORD	$429.00	$429.00	$26.11–$309.31	111% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/PEAK FLOW MEASURE	$389.00	$389.00	$26.11–$280.47	—	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCLUDING GRAPHIC RECORD	$429.00	$429.00	$26.11–$309.31	—	—
Spirometry before and after a bronchodilator CPT 94060 PULM FUNCT B&ABD- CO	$845.00	$845.00	$38.06–$609.24	125% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PULM FUNCT B&ABD- CO	$845.00	$845.00	$38.06–$609.24	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THER PHLEBOTOMY	$461.75	$461.75	$83.78–$332.92	239% above	—

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 RHC FLUZONE 0.5 ML VACCINE	$45.00	$45.00	$22.35–$40.50	12% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 RHC FLUZONE HIGH DOSE VACCINE	$167.00	$167.00	$83.49–$150.30	14% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 23	$850.75	$850.75	$133.47–$765.68	439% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 23	$850.75	$850.75	$133.47–$765.68	—	—
Rabies vaccine, one dose CPT 90675 RHC-RABIES VACCINE FOR INJ	$794.25	$794.25	$327.78–$714.82	15% below	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJ	$952.50	$952.50	$327.78–$857.25	2% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE FOR INJ	$952.50	$952.50	$327.78–$857.25	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA 0.5ML INJ	$212.25	$212.25	$33.48–$191.02	230% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 RHC-TETANUS/DIPTHERIA 0.5ML INJ	$212.25	$212.25	$33.48–$191.02	230% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 RHC-TETANUS/DIPTHERIA 0.5ML INJ	$212.25	$212.25	$33.48–$191.02	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA 0.5ML INJ	$212.25	$212.25	$33.48–$191.02	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 RHC-Adacel IM Susp 0.5ML	$97.75	$97.75	$38.63–$87.98	at median	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPTH/PERTUS (ADACEL) 0.5ML INJ	$172.00	$172.00	$38.63–$154.80	76% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPTH/PERTUS (ADACEL) 0.5ML INJ	$172.00	$172.00	$38.63–$154.80	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC 90471 ADMIN IMMUN INITIAL VACCINE	$90.00	$90.00	$19.62–$64.89	172% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN INFLUENZA VACCINE	$90.00	$90.00	$19.62–$64.89	172% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$234.50	$234.50	$19.62–$169.07	609% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC ADMIN IMMUN EA ADD VACC	$43.50	$43.50	$14.36–$39.15	106% above	—

Source file: https://izardregionalhospital.com/wp-content/uploads/2026/03/863590894_izard-regional-hospital_standardcharges-30-03-2026-15_07_53_158.csv