Hospital

McGehee Hospital

Listed in its price file as “McGehee Hospital Incorporated”.

McGehee Hospital in McGehee, AR publishes cash prices for 199 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 117 of 197 procedures and above it for 76. By typical cash price it ranks #11 of 36 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

900 S 3RD, PO BOX 351, MCGEHEE, AR, 716542562 Collected Sep 29, 2026 Source price file (870) 222-5600

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 041308 · CMS hospital register NPI 1770802217

Scans and imaging

ProcedureCash price List priceInsurers payvs ArkansasOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI ARM/LEG ARTERIES $231.15 $345.00 $27.30–$345.00 17% below 33%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI ARM/LEG ARTERIES $231.15 $345.00 $27.30–$345.00 — 33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST $368.50 $550.00 $239.67–$550.00 68% below 33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST $368.50 $550.00 $239.67–$550.00 — 33%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING $180.90 $270.00 $54.87–$270.00 189% above 33%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING $180.90 $270.00 $54.87–$270.00 — 33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST $489.77 $731.00 $108.30–$731.00 65% below 33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONTRAST $489.77 $731.00 $108.30–$731.00 — 33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST $716.90 $1,070.00 $206.27–$1,070.00 56% below 33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONTRAST $716.90 $1,070.00 $206.27–$1,070.00 — 33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O & W/CONTRAST $716.90 $1,070.00 $272.95–$1,070.00 62% below 33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/O & W/CONTRAST $716.90 $1,070.00 $272.95–$1,070.00 — 33%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST $360.46 $538.00 $198.44–$538.00 67% below 33%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST $360.46 $538.00 $198.44–$538.00 — 33%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $225.79 $337.00 $119.17–$337.00 75% below 33%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST $225.79 $337.00 $119.17–$337.00 — 33%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST $225.79 $337.00 $111.12–$337.00 71% below 33%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $225.79 $337.00 $111.12–$337.00 71% below 33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST $225.79 $337.00 $111.12–$337.00 — 33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $225.79 $337.00 $111.12–$337.00 — 33%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST $225.79 $337.00 $92.85–$337.00 73% below 33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST $225.79 $337.00 $92.85–$337.00 — 33%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST $360.46 $538.00 $128.91–$538.00 64% below 33%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST $360.46 $538.00 $128.91–$538.00 — 33%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/O & W/CONTRAST $360.46 $538.00 $150.36–$538.00 69% below 33%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/O & W/CONTRAST $360.46 $538.00 $150.36–$538.00 — 33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST $225.79 $337.00 $113.11–$337.00 76% below 33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST $225.79 $337.00 $113.11–$337.00 — 33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST $219.09 $327.00 $113.67–$327.00 76% below 33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST $219.09 $327.00 $113.67–$327.00 — 33%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST $360.46 $538.00 $194.28–$538.00 66% below 33%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST $360.46 $538.00 $194.28–$538.00 — 33%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER $489.77 $731.00 $70.00–$731.00 15% above 33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DOPPLER $489.77 $731.00 $70.00–$731.00 — 33%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS $180.90 $270.00 $21.87–$270.00 at median 33%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS $180.90 $270.00 $21.87–$270.00 — 33%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW $180.90 $270.00 $11.86–$270.00 34% above 33%
Chest X-ray, single view CPT 71045 CHEST PORTABLE $180.90 $270.00 $11.86–$270.00 34% above 33%
Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE $180.90 $270.00 $11.86–$270.00 — 33%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW $180.90 $270.00 $11.86–$270.00 — 33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL $214.40 $320.00 $44.00–$320.00 33% below 33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL (UROLOGY) $235.07 $350.85 $44.00–$350.85 26% below 33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL $214.40 $320.00 $44.00–$320.00 — 33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL (UROLOGY) $235.07 $350.85 $44.00–$350.85 — 33%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB HIGH RISK $522.60 $780.00 $139.49–$780.00 71% above 33%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB HIGH RISK $522.60 $780.00 $139.49–$780.00 — 33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LOW DOSE LUNG SCAN 3-6M F/U $225.79 $337.00 $115.69–$337.00 71% below 33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION $225.79 $337.00 $115.69–$337.00 71% below 33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST $225.79 $337.00 $115.69–$337.00 71% below 33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LOW DOSE LUNG SCAN 3-6M F/U $225.79 $337.00 $115.69–$337.00 — 33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST $225.79 $337.00 $115.69–$337.00 — 33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGH RESOLUTION $225.79 $337.00 $115.69–$337.00 — 33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST $368.50 $550.00 $144.51–$550.00 67% below 33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST $368.50 $550.00 $144.51–$550.00 — 33%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPPLER BILATERAL LOWER EXT $489.77 $731.00 $73.00–$731.00 — 33%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPPLER BILATERAL LOWER EXT $489.77 $731.00 $73.00–$731.00 — 33%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILATERAL UPPER EXT $489.77 $731.00 $42.00–$731.00 — 33%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILATERAL LOWER EXT $489.77 $731.00 $42.00–$731.00 — 33%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER BILATERAL UPPER EXT $489.77 $731.00 $42.00–$731.00 — 33%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER BILATERAL LOWER EXT $489.77 $731.00 $42.00–$731.00 — 33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D WITH COLORFLOW DOPPLER $1,122.25 $1,675.00 $171.26–$1,675.00 8% below 33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO 2D WITH COLORFLOW DOPPLER $1,122.25 $1,675.00 $171.26–$1,675.00 — 33%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY $443.54 $662.00 $90.40–$662.00 19% above 33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W/ CPAP/BIPAP $1,763.44 $2,632.00 $205.37–$2,632.00 48% below 33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT STUDY $1,763.44 $2,632.00 $205.37–$2,632.00 48% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD WALL/LWR BACK $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LUQ $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS $221.77 $331.00 $20.00–$331.00 30% below 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD WALL/LWR BACK $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PYLORUS $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LUQ $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ $221.77 $331.00 $20.00–$331.00 — 33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER $221.77 $331.00 $20.00–$331.00 — 33%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCAN $225.79 $337.00 $94.39–$337.00 6% below 33%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCAN $225.79 $337.00 $94.39–$337.00 — 33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE PELVIC WALL/BUTTOCKS $214.40 $320.00 $24.00–$320.00 54% above 33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER $214.40 $320.00 $24.00–$320.00 54% above 33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE PELVIC WALL/BUTTOCKS $214.40 $320.00 $24.00–$320.00 — 33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER $214.40 $320.00 $24.00–$320.00 — 33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS $214.40 $320.00 $40.00–$320.00 47% below 33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS $214.40 $320.00 $40.00–$320.00 — 33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WKS $350.41 $523.00 $56.00–$523.00 7% above 33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WKS $350.41 $523.00 $56.00–$523.00 — 33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WKS $234.50 $350.00 $42.75–$350.00 27% below 33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WKS $234.50 $350.00 $42.75–$350.00 — 33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED $214.40 $320.00 $26.00–$320.00 7% above 33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED $214.40 $320.00 $26.00–$320.00 — 33%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY $1,763.44 $2,632.00 $122.00–$2,632.00 16% below 33%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 6YRS+ $1,763.44 $2,632.00 $122.00–$2,632.00 16% below 33%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB $214.40 $320.00 $68.00–$320.00 35% below 33%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB $214.40 $320.00 $68.00–$320.00 — 33%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB $214.40 $320.00 $57.69–$320.00 23% below 33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB $214.40 $320.00 $57.69–$320.00 — 33%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $214.40 $320.00 $56.00–$320.00 53% below 33%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $214.40 $320.00 $56.00–$320.00 — 33%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $225.79 $337.00 $31.00–$337.00 29% below 33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $225.79 $337.00 $31.00–$337.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US FACE SOFT TISSUE $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK SOFT TISSUE $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PAROTID $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PARATHYROID $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD SOFT TISSUE $214.40 $320.00 $54.00–$320.00 43% below 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $214.40 $320.00 $54.00–$320.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD SOFT TISSUE $214.40 $320.00 $54.00–$320.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US PARATHYROID $214.40 $320.00 $54.00–$320.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US PAROTID $214.40 $320.00 $54.00–$320.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US FACE SOFT TISSUE $214.40 $320.00 $54.00–$320.00 — 33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK SOFT TISSUE $214.40 $320.00 $54.00–$320.00 — 33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI $360.46 $538.00 $30.00–$538.00 40% above 33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI $360.46 $538.00 $30.00–$538.00 — 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILATERAL UPPER EXT $214.40 $320.00 $73.00–$320.00 32% below 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILATERAL LOWER EXT $214.40 $320.00 $73.00–$320.00 32% below 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER UNILATERAL LOWER EXT $214.40 $320.00 $73.00–$320.00 — 33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER UNILATERAL UPPER EXT $214.40 $320.00 $73.00–$320.00 — 33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL WITH PELVIS 2 TO 3 VIEWS $180.90 $270.00 $27.84–$270.00 23% above 33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL WITH PELVIS 2 TO 3 VIEWS $180.90 $270.00 $27.84–$270.00 — 33%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW $180.90 $270.00 $20.26–$270.00 5% above 33%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW $180.90 $270.00 $20.26–$270.00 — 33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEWS $225.79 $337.00 $28.00–$337.00 10% above 33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2-3 VIEWS $225.79 $337.00 $28.00–$337.00 — 33%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 OR MORE VIEWS $225.79 $337.00 $40.00–$337.00 16% below 33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 4 OR MORE VIEWS $225.79 $337.00 $40.00–$337.00 — 33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS $225.79 $337.00 $24.00–$337.00 12% above 33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS $225.79 $337.00 $24.00–$337.00 — 33%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MINIMUM OF 3 VIEWS $180.90 $270.00 $23.00–$270.00 48% above 33%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MINIMUM OF 3 VIEWS $180.90 $270.00 $23.00–$270.00 — 33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS $180.90 $270.00 $28.00–$270.00 3% above 33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS $180.90 $270.00 $28.00–$270.00 — 33%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $225.79 $337.00 $21.00–$337.00 15% above 33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS $225.79 $337.00 $21.00–$337.00 — 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX 2 VIEWS $180.90 $270.00 $17.00–$270.00 1% below 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM 2 VIEW $180.90 $270.00 $17.00–$270.00 1% below 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX 2 VIEWS MINIMUM $180.90 $270.00 $17.00–$270.00 1% below 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX 2 VIEWS $180.90 $270.00 $17.00–$270.00 — 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM 2 VIEW $180.90 $270.00 $17.00–$270.00 — 33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX 2 VIEWS MINIMUM $180.90 $270.00 $17.00–$270.00 — 33%

Lab tests

ProcedureCash price List priceInsurers payvs ArkansasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $16.08 $24.00 $4.88–$24.00 40% below 33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT $16.08 $24.00 $4.88–$24.00 — 33%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $15.41 $23.00 $4.76–$23.00 50% below 33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT $15.41 $23.00 $4.76–$23.00 — 33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL,ACUTE $142.04 $212.00 $42.98–$212.00 33% below 33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL,GENERAL $142.04 $212.00 $42.98–$212.00 33% below 33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL,GENERAL $142.04 $212.00 $42.98–$212.00 — 33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL,ACUTE $142.04 $212.00 $42.98–$212.00 — 33%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT (f13) IgE $16.08 $24.00 $4.80–$24.00 1% below 33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IgE, CONVENTIONAL RAST, ASPEN $16.08 $24.00 $4.80–$24.00 1% below 33%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT (i70)IgE $16.08 $24.00 $4.80–$24.00 1% below 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT (f13) IgE $16.08 $24.00 $4.80–$24.00 — 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IgE, CONVENTIONAL RAST, ASPEN $16.08 $24.00 $4.80–$24.00 — 33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT (i70)IgE $16.08 $24.00 $4.80–$24.00 — 33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE, AB(IGG) $40.20 $60.00 $11.92–$60.00 35% below 33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE, AB(IGG) $40.20 $60.00 $11.92–$60.00 — 33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY $36.18 $54.00 $11.13–$54.00 44% below 33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RNP ANTIBODY $36.18 $54.00 $11.13–$54.00 44% below 33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN,IFA,TITER REFL TO 11 CASCADE $36.18 $54.00 $11.13–$54.00 44% below 33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN,IFA,w/REFL TO TITER & PATTERN $36.18 $54.00 $11.13–$54.00 44% below 33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN,IFA,w/REFL TO TITER & PATTERN $36.18 $54.00 $11.13–$54.00 — 33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RNP ANTIBODY $36.18 $54.00 $11.13–$54.00 — 33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B ANTIBODY $36.18 $54.00 $11.13–$54.00 — 33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN,IFA,TITER REFL TO 11 CASCADE $36.18 $54.00 $11.13–$54.00 — 33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP BRAIN QUEST $100.50 $150.00 $31.25–$150.00 13% above 33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP BRAIN NPE $100.50 $150.00 $31.25–$150.00 13% above 33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP,N-TERMINAL $100.50 $150.00 $31.25–$150.00 13% above 33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP,N-TERMINAL $100.50 $150.00 $31.25–$150.00 — 33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP BRAIN QUEST $100.50 $150.00 $31.25–$150.00 — 33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP BRAIN NPE $100.50 $150.00 $31.25–$150.00 — 33%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC $30.15 $45.00 $7.79–$45.00 73% below 33%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL(UROLOGY) $30.15 $45.00 $7.79–$45.00 73% below 33%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL(UROLOGY) $30.15 $45.00 $7.79–$45.00 — 33%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC $30.15 $45.00 $7.79–$45.00 — 33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH 88305 $194.30 $290.00 $28.00–$290.00 76% above 33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH 88305 $194.30 $290.00 $28.00–$290.00 — 33%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $30.82 $46.00 $9.50–$46.00 56% below 33%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $30.82 $46.00 $9.50–$46.00 — 33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $8.04 $12.00 $1.95–$11.16 33% below 33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ADD $8.04 $12.00 $1.95–$11.16 33% below 33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLL VENIPUNCTURE $8.04 $12.00 $1.95–$11.16 33% below 33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ADD $8.04 $12.00 $1.95–$11.16 — 33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLL VENIPUNCTURE $8.04 $12.00 $1.95–$11.16 — 33%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $8.04 $12.00 $1.95–$11.16 — 33%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM $13.40 $20.00 $3.61–$20.00 54% below 33%
Blood glucose (sugar) test CPT 82947 GLUCOSE, CSF $13.40 $20.00 $3.61–$20.00 54% below 33%
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLERANCE TEST, POSTPRANDIAL/2HR $13.40 $20.00 $3.61–$20.00 54% below 33%
Blood glucose (sugar) test CPT 82947 OSULLIVAN ( 1 HOUR POSTPRANDIAL) $13.40 $20.00 $3.61–$20.00 54% below 33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TOLERANCE TEST, POSTPRANDIAL/2HR $13.40 $20.00 $3.61–$20.00 — 33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM $13.40 $20.00 $3.61–$20.00 — 33%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, CSF $13.40 $20.00 $3.61–$20.00 — 33%
Blood glucose (sugar) test inpatient CPT 82947 OSULLIVAN ( 1 HOUR POSTPRANDIAL) $13.40 $20.00 $3.61–$20.00 — 33%
Blood lead test CPT 83655 LEAD $40.20 $60.00 $11.15–$60.00 at median 33%
Blood lead test CPT 83655 LEAD, CAPILLARY $40.20 $60.00 $11.15–$60.00 at median 33%
Blood lead test inpatient CPT 83655 LEAD $40.20 $60.00 $11.15–$60.00 — 33%
Blood lead test inpatient CPT 83655 LEAD, CAPILLARY $40.20 $60.00 $11.15–$60.00 — 33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM HCG QUAL $22.78 $34.00 $6.92–$34.00 54% below 33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM HCG QUAL $22.78 $34.00 $6.92–$34.00 — 33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPE $67.00 $100.00 $2.75–$100.00 at median 33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPE $67.00 $100.00 $2.75–$100.00 — 33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP $15.41 $23.00 $4.76–$23.00 60% below 33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP $15.41 $23.00 $4.76–$23.00 — 33%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF NAAT PCR $97.82 $146.00 $32.31–$146.00 9% below 33%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOXIN B, QUAL, REAL-TIME PCR $97.82 $146.00 $32.31–$146.00 9% below 33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOXIN B, QUAL, REAL-TIME PCR $97.82 $146.00 $32.31–$146.00 — 33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF NAAT PCR $97.82 $146.00 $32.31–$146.00 — 33%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $62.31 $93.00 $19.16–$93.00 35% below 33%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $62.31 $93.00 $19.16–$93.00 — 33%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $70.35 $105.00 $19.16–$105.00 at median 33%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $70.35 $105.00 $19.16–$105.00 — 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID IN-HOUSE ADD $107.20 $160.00 $50.28–$160.00 18% below 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COV-2, RNA, QUAL. PCR $107.20 $160.00 $50.28–$160.00 18% below 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID IN-HOUSE $107.20 $160.00 $50.28–$160.00 18% below 33%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR IN-HOUSE $107.20 $160.00 $50.28–$160.00 18% below 33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR IN-HOUSE $107.20 $160.00 $50.28–$160.00 — 33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID IN-HOUSE ADD $107.20 $160.00 $50.28–$160.00 — 33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COV-2, RNA, QUAL. PCR $107.20 $160.00 $50.28–$160.00 — 33%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID IN-HOUSE $107.20 $160.00 $50.28–$160.00 — 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM/NEISS GONORR. RNA/TMA URINE $104.52 $156.00 $32.31–$156.00 40% above 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA,UROGENITA $104.52 $156.00 $32.31–$156.00 40% above 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM/NEISS GONORR. RNA/TMA URINE $104.52 $156.00 $32.31–$156.00 — 33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA,UROGENITA $104.52 $156.00 $32.31–$156.00 — 33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $44.89 $67.00 $11.99–$67.00 50% below 33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $44.89 $67.00 $11.99–$67.00 — 33%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF, POST TRANSFUSION $19.43 $29.00 $7.16–$29.00 54% below 33%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $23.45 $35.00 $7.16–$35.00 44% below 33%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF, POST TRANSFUSION $19.43 $29.00 $7.16–$29.00 — 33%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $23.45 $35.00 $7.16–$35.00 — 33%
Complete blood count (CBC), no differential CPT 85027 CBC $19.43 $29.00 $5.96–$29.00 36% below 33%
Complete blood count (CBC), no differential CPT 85027 CBC CHARGE(UROLOGY) $27.87 $41.60 $5.96–$41.60 8% below 33%
Complete blood count (CBC), no differential CPT 85027 CBC CHARGE $30.66 $45.76 $5.96–$45.76 2% above 33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC $19.43 $29.00 $5.96–$29.00 — 33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC CHARGE(UROLOGY) $27.87 $41.60 $5.96–$41.60 — 33%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC CHARGE $30.66 $45.76 $5.96–$45.76 — 33%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC $33.50 $50.00 $9.73–$50.00 74% below 33%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PNL(UROLOGY) $33.50 $50.00 $9.73–$50.00 74% below 33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC $33.50 $50.00 $9.73–$50.00 — 33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PNL(UROLOGY) $33.50 $50.00 $9.73–$50.00 — 33%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE $30.82 $46.00 $9.37–$46.00 49% below 33%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE,QUEST $30.82 $46.00 $9.37–$46.00 49% below 33%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE $30.82 $46.00 $9.37–$46.00 — 33%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE,QUEST $30.82 $46.00 $9.37–$46.00 — 33%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE $66.33 $99.00 $20.47–$99.00 14% below 33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE $66.33 $99.00 $20.47–$99.00 — 33%
Estradiol blood test CPT 82670 ESTRADIOL $83.75 $125.00 $25.73–$125.00 14% below 33%
Estradiol blood test CPT 82670 ESTRADIOL, ULTRASENSITIVE, LC/MS $83.75 $125.00 $25.73–$125.00 14% below 33%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $83.75 $125.00 $25.73–$125.00 — 33%
Estradiol blood test inpatient CPT 82670 ESTRADIOL, ULTRASENSITIVE, LC/MS $83.75 $125.00 $25.73–$125.00 — 33%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $55.61 $83.00 $17.11–$83.00 23% below 33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $55.61 $83.00 $17.11–$83.00 — 33%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL $106.53 $159.00 $18.07–$159.00 14% below 33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL $106.53 $159.00 $18.07–$159.00 — 33%
Ferritin blood test (iron stores) CPT 82728 FERRITIN IN-HOUSE $50.25 $75.00 $12.55–$75.00 15% below 33%
Ferritin blood test (iron stores) CPT 82728 FERRITIN QUEST $50.25 $75.00 $12.55–$75.00 15% below 33%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN IN-HOUSE $50.25 $75.00 $12.55–$75.00 — 33%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN QUEST $50.25 $75.00 $12.55–$75.00 — 33%
Folate (folic acid) blood test CPT 82746 FOLIC ACID QUEST $50.25 $75.00 $13.53–$75.00 21% below 33%
Folate (folic acid) blood test CPT 82746 FOLATE IN-HOUSE $50.25 $75.00 $13.53–$75.00 21% below 33%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID QUEST $50.25 $75.00 $13.53–$75.00 — 33%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE IN-HOUSE $50.25 $75.00 $13.53–$75.00 — 33%
Free T3 thyroid hormone test CPT 84481 FREE T3 $50.92 $76.00 $15.60–$76.00 20% below 33%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 $50.92 $76.00 $15.60–$76.00 — 33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4(QUEST) $27.47 $41.00 $8.30–$41.00 43% below 33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4(QUEST) $27.47 $41.00 $8.30–$41.00 — 33%
Free testosterone test CPT 84402 FREE TESTOSTERONE $76.38 $114.00 $23.45–$114.00 16% below 33%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE $76.38 $114.00 $23.45–$114.00 — 33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $45.56 $68.00 $25.66–$68.00 71% below 33%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $45.56 $68.00 $25.66–$68.00 — 33%
Glucose tolerance test, 3 samples CPT 82951 OB GTT 1 HOUR W/URINE GLUCOSE $43.55 $65.00 $11.85–$65.00 33% below 33%
Glucose tolerance test, 3 samples CPT 82951 TOL 3 SPEC $43.55 $65.00 $11.85–$65.00 33% below 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 OB GTT 1 HOUR W/URINE GLUCOSE $43.55 $65.00 $11.85–$65.00 — 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOL 3 SPEC $43.55 $65.00 $11.85–$65.00 — 33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFCT.AGENT DTCTN, DNA/RNA,NEISSGONO $104.52 $156.00 $32.31–$156.00 36% above 33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFCT.AGENT DTCTN, DNA/RNA,NEISSGONO $104.52 $156.00 $32.31–$156.00 — 33%
H. pylori stool antigen test CPT 87338 H PYLORI AG, STOOL $42.88 $64.00 $6.12–$64.00 39% below 33%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG, STOOL $42.88 $64.00 $6.12–$64.00 — 33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,QUANT, REAL-TIME PCR $237.85 $355.00 $78.34–$355.00 6% above 33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA,QUANT, REAL-TIME PCR $237.85 $355.00 $78.34–$355.00 — 33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG &AB,4TH GENERATION,W/REFLEXES $80.40 $120.00 $22.18–$120.00 7% above 33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG &AB,4TH GENERATION,W/REFLEXES $80.40 $120.00 $22.18–$120.00 — 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C $33.50 $50.00 $8.94–$50.00 12% below 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C (QUEST) $33.50 $50.00 $8.94–$50.00 12% below 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C (QUEST) $33.50 $50.00 $8.94–$50.00 — 33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C $33.50 $50.00 $8.94–$50.00 — 33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY,QUAL,REFL $33.50 $50.00 $9.89–$50.00 45% below 33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY,QUAL,REFL $33.50 $50.00 $9.89–$50.00 — 33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP Bs AG $33.50 $50.00 $9.51–$50.00 20% below 33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP Bs AG $33.50 $50.00 $9.51–$50.00 — 33%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB W/REFLEX TO HCV,RNA,QUANT,PCR $46.90 $70.00 $13.14–$70.00 18% below 33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB W/REFLEX TO HCV,RNA,QUANT,PCR $46.90 $70.00 $13.14–$70.00 — 33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL RNA,QUANT,PCR $120.60 $180.00 $39.44–$180.00 10% below 33%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL RNA,QUANT PCR W/REFLEXES $120.60 $180.00 $39.44–$180.00 10% below 33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL RNA,QUANT PCR W/REFLEXES $120.60 $180.00 $39.44–$180.00 — 33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL RNA,QUANT,PCR $120.60 $180.00 $39.44–$180.00 — 33%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS I $43.55 $65.00 $12.14–$65.00 9% below 33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS I $43.55 $65.00 $12.14–$65.00 — 33%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS II $63.65 $95.00 $17.82–$95.00 10% above 33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS II $63.65 $95.00 $17.82–$95.00 — 33%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP $26.80 $40.00 $11.92–$40.00 48% below 33%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP $26.80 $40.00 $11.92–$40.00 — 33%
Homocysteine blood test CPT 83090 HOMOCYSTEINE $50.25 $75.00 $15.53–$75.00 30% below 33%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE $50.25 $75.00 $15.53–$75.00 — 33%
Insulin blood test CPT 83525 INSULIN LEVEL $34.17 $51.00 $10.52–$51.00 25% below 33%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL $34.17 $51.00 $10.52–$51.00 — 33%
Iron blood test (serum iron) CPT 83540 IRON QUEST $20.10 $30.00 $5.97–$30.00 45% below 33%
Iron blood test (serum iron) CPT 83540 IRON IN-HOUSE $20.10 $30.00 $5.97–$30.00 45% below 33%
Iron blood test (serum iron) inpatient CPT 83540 IRON QUEST $20.10 $30.00 $5.97–$30.00 — 33%
Iron blood test (serum iron) inpatient CPT 83540 IRON IN-HOUSE $20.10 $30.00 $5.97–$30.00 — 33%
Iron-binding capacity (TIBC) test CPT 83550 TIBC $26.13 $39.00 $8.05–$39.00 16% below 33%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC $26.13 $39.00 $8.05–$39.00 — 33%
Kidney function blood test panel CPT 80069 RENAL PROFILE $26.13 $39.00 $8.00–$39.00 71% below 33%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $26.13 $39.00 $8.00–$39.00 — 33%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $55.61 $83.00 $17.05–$83.00 16% below 33%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $55.61 $83.00 $17.05–$83.00 — 33%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $20.77 $31.00 $6.34–$31.00 46% below 33%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE QUEST $20.77 $31.00 $6.34–$31.00 46% below 33%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, RANDOM URINE $20.77 $31.00 $6.34–$31.00 46% below 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, RANDOM URINE $20.77 $31.00 $6.34–$31.00 — 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $20.77 $31.00 $6.34–$31.00 — 33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE QUEST $20.77 $31.00 $6.34–$31.00 — 33%
Liver function blood test panel CPT 80076 HEPATIC PANEL $24.79 $37.00 $7.52–$37.00 72% below 33%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL $24.79 $37.00 $7.52–$37.00 — 33%
Lyme disease antibody test CPT 86618 ANTIBODY;BORRELIA BURGDORFERI CONF.TEST $56.95 $85.00 $15.68–$85.00 30% below 33%
Lyme disease antibody test CPT 86618 LYME DISEASE AB W/REFLEX TO BLOT(IGG,IGM $56.95 $85.00 $15.68–$85.00 30% below 33%
Lyme disease antibody test CPT 86618 LYME DS AB $56.95 $85.00 $15.68–$85.00 30% below 33%
Lyme disease antibody test inpatient CPT 86618 LYME DS AB $56.95 $85.00 $15.68–$85.00 — 33%
Lyme disease antibody test inpatient CPT 86618 ANTIBODY;BORRELIA BURGDORFERI CONF.TEST $56.95 $85.00 $15.68–$85.00 — 33%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB W/REFLEX TO BLOT(IGG,IGM $56.95 $85.00 $15.68–$85.00 — 33%
Magnesium blood test CPT 83735 MAGNESIUM $20.10 $30.00 $6.17–$30.00 35% below 33%
Magnesium blood test CPT 83735 MAGNESIUM,QUEST $20.10 $30.00 $6.17–$30.00 35% below 33%
Magnesium blood test CPT 83735 RBC MG $20.10 $30.00 $6.17–$30.00 35% below 33%
Magnesium blood test CPT 83735 MAGNESIUM-URINE $20.10 $30.00 $6.17–$30.00 35% below 33%
Magnesium blood test inpatient CPT 83735 RBC MG $20.10 $30.00 $6.17–$30.00 — 33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM-URINE $20.10 $30.00 $6.17–$30.00 — 33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM,QUEST $20.10 $30.00 $6.17–$30.00 — 33%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $20.10 $30.00 $6.17–$30.00 — 33%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG $26.80 $40.00 $11.86–$40.00 36% below 33%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG $26.80 $40.00 $11.86–$40.00 — 33%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $15.41 $23.00 $4.76–$23.00 49% below 33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $15.41 $23.00 $4.76–$23.00 — 33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE AND TOTAL $54.94 $82.00 $16.94–$82.00 25% below 33%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA SCREENING $61.64 $92.00 $16.94–$92.00 16% below 33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE AND TOTAL $54.94 $82.00 $16.94–$82.00 — 33%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA SCREENING $61.64 $92.00 $16.94–$92.00 — 33%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING,TOTAL/DIAG (QUEST) $61.64 $92.00 $16.94–$92.00 7% below 33%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL/DIAG $61.64 $92.00 $16.94–$92.00 7% below 33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL/DIAG $61.64 $92.00 $16.94–$92.00 — 33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING,TOTAL/DIAG (QUEST) $61.64 $92.00 $16.94–$92.00 — 33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO-PAP SMEAR $67.00 $100.00 $18.66–$100.00 30% above 33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SUREPATH PAP QUEST $67.00 $100.00 $18.66–$100.00 30% above 33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO-PAP SMEAR $67.00 $100.00 $18.66–$100.00 — 33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 SUREPATH PAP QUEST $67.00 $100.00 $18.66–$100.00 — 33%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE W/O CALCIUM $123.28 $184.00 $38.00–$184.00 22% below 33%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE W/O CALCIUM $123.28 $184.00 $38.00–$184.00 — 33%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT(UROLOGY) $20.10 $30.00 $5.53–$30.00 42% below 33%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $20.10 $30.00 $5.53–$30.00 42% below 33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT(UROLOGY) $20.10 $30.00 $5.53–$30.00 — 33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $20.10 $30.00 $5.53–$30.00 — 33%
Progesterone blood test CPT 84144 PROGESTRONE $62.31 $93.00 $19.21–$93.00 at median 33%
Progesterone blood test inpatient CPT 84144 PROGESTRONE $62.31 $93.00 $19.21–$93.00 — 33%
Prolactin blood test CPT 84146 PROLACTIN $58.29 $87.00 $17.84–$87.00 17% below 33%
Prolactin blood test inpatient CPT 84146 PROLACTIN $58.29 $87.00 $17.84–$87.00 — 33%
Prothrombin time (PT/INR) clotting test CPT 85610 MIXING STUDY, PT/PTT $13.40 $20.00 $3.61–$20.00 52% below 33%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME(UROLOGY) $13.40 $20.00 $3.61–$20.00 52% below 33%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $13.40 $20.00 $3.61–$20.00 52% below 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME(UROLOGY) $13.40 $20.00 $3.61–$20.00 — 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING STUDY, PT/PTT $13.40 $20.00 $3.61–$20.00 — 33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $13.40 $20.00 $3.61–$20.00 — 33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYEE DRUG SCREEN (MHI ONLY) $33.50 $50.00 $12.35–$50.00 27% above 33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMPLOYEE DRUG SCREEN (MHI ONLY) $33.50 $50.00 $12.35–$50.00 — 33%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IDNow $44.89 $67.00 $11.04–$67.00 25% above 33%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IDNow $44.89 $67.00 $11.04–$67.00 — 33%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR(RA/RF) $20.10 $30.00 $5.23–$30.00 40% below 33%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR(RA/RF) $20.10 $30.00 $5.23–$30.00 — 33%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IMMUNE STATUS $28.81 $43.00 $13.25–$43.00 34% below 33%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IMMUNE STATUS $28.81 $43.00 $13.25–$43.00 — 33%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 MISC-SEMEN-COMPLETE $40.20 $60.00 $11.10–$60.00 68% below 33%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 MISC-SEMEN-COMPLETE $40.20 $60.00 $11.10–$60.00 — 33%
Stool ova and parasites exam CPT 87177 O&P DIRECT/CONC $26.80 $40.00 $8.19–$40.00 33% below 33%
Stool ova and parasites exam CPT 87177 O&P DIRECT SMEAR $26.80 $40.00 $8.19–$40.00 33% below 33%
Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT/CONC $26.80 $40.00 $8.19–$40.00 — 33%
Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT SMEAR $26.80 $40.00 $8.19–$40.00 — 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $13.40 $20.00 $3.93–$20.00 25% below 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-QUAL $13.40 $20.00 $3.93–$20.00 25% below 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR-QUAL $13.40 $20.00 $3.93–$20.00 — 33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $13.40 $20.00 $3.93–$20.00 — 33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB GOLD PLUS, 1 TUBE $184.92 $276.00 $57.06–$276.00 86% above 33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB GOLD PLUS, 1 TUBE $184.92 $276.00 $57.06–$276.00 — 33%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE(UROLOGY) $55.71 $83.15 $23.77–$83.15 30% below 33%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL $77.05 $115.00 $23.77–$115.00 3% below 33%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL,MALE(ADULT),IMMUNOASS $77.05 $115.00 $23.77–$115.00 3% below 33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE(UROLOGY) $55.71 $83.15 $23.77–$83.15 — 33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL $77.05 $115.00 $23.77–$115.00 — 33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL,MALE(ADULT),IMMUNOASS $77.05 $115.00 $23.77–$115.00 — 33%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM1 AB $43.55 $65.00 $13.40–$65.00 5% above 33%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $43.55 $65.00 $13.40–$65.00 5% above 33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM1 AB $43.55 $65.00 $13.40–$65.00 — 33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB $43.55 $65.00 $13.40–$65.00 — 33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, QUEST $50.25 $75.00 $15.47–$75.00 21% below 33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $50.25 $75.00 $15.47–$75.00 21% below 33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, QUEST $50.25 $75.00 $15.47–$75.00 — 33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $50.25 $75.00 $15.47–$75.00 — 33%
Trichomonas test (NAAT) CPT 87661 INFECT AGENT BY NUCLEIC ACID, TRICHOMON $104.52 $156.00 $34.39–$156.00 34% above 33%
Trichomonas test (NAAT) inpatient CPT 87661 INFECT AGENT BY NUCLEIC ACID, TRICHOMON $104.52 $156.00 $34.39–$156.00 — 33%
Uric acid blood test CPT 84550 URIC ACID-BLOOD $14.07 $21.00 $4.16–$21.00 61% below 33%
Uric acid blood test CPT 84550 URIC ACID-BLOOD QUEST $14.07 $21.00 $4.16–$21.00 61% below 33%
Uric acid blood test inpatient CPT 84550 URIC ACID-BLOOD $14.07 $21.00 $4.16–$21.00 — 33%
Uric acid blood test inpatient CPT 84550 URIC ACID-BLOOD QUEST $14.07 $21.00 $4.16–$21.00 — 33%
Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO(UROLOGY) $10.05 $15.00 $2.91–$15.00 66% below 33%
Urinalysis with microscope exam, automated CPT 81001 UA W/ MICRO $23.45 $35.00 $2.91–$35.00 20% below 33%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/MICRO(UROLOGY) $10.05 $15.00 $2.91–$15.00 — 33%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/ MICRO $23.45 $35.00 $2.91–$35.00 — 33%
Urinalysis with microscope exam, manual CPT 81000 PH, URINE $13.40 $20.00 $2.91–$20.00 13% below 33%
Urinalysis with microscope exam, manual inpatient CPT 81000 PH, URINE $13.40 $20.00 $2.91–$20.00 — 33%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICRO $8.04 $12.00 $2.07–$12.00 58% below 33%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICRO(UROLOGY) $8.04 $12.00 $2.07–$12.00 58% below 33%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICRO(UROLOGY) $8.04 $12.00 $2.07–$12.00 — 33%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICRO $8.04 $12.00 $2.07–$12.00 — 33%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE, QUEST $24.12 $36.00 $7.43–$36.00 48% below 33%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE, QUEST $24.12 $36.00 $7.43–$36.00 — 33%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE $26.80 $40.00 $5.82–$40.00 55% below 33%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE $26.80 $40.00 $5.82–$40.00 — 33%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 QUEST $50.25 $75.00 $13.88–$75.00 9% below 33%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 IN-HOUSE $50.25 $75.00 $13.88–$75.00 9% below 33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 QUEST $50.25 $75.00 $13.88–$75.00 — 33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 IN-HOUSE $50.25 $75.00 $13.88–$75.00 — 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY, IN-HOUSE $88.44 $132.00 $27.26–$132.00 12% above 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH(D2/D3) QUESTASSURE D $88.44 $132.00 $27.26–$132.00 12% above 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25,0H $88.44 $132.00 $27.26–$132.00 12% above 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH(D2/D3) QUESTASSURE D $88.44 $132.00 $27.26–$132.00 — 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY, IN-HOUSE $88.44 $132.00 $27.26–$132.00 — 33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25,0H $88.44 $132.00 $27.26–$132.00 — 33%
Zinc blood test CPT 84630 ZINC $34.17 $51.00 $10.48–$51.00 22% below 33%
Zinc blood test inpatient CPT 84630 ZINC $34.17 $51.00 $10.48–$51.00 — 33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SERUM HCG QUANT $44.89 $67.00 $11.54–$67.00 13% above 33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SERUM HCG QUANT $44.89 $67.00 $11.54–$67.00 — 33%

Surgery and procedures

ProcedureCash price List priceInsurers payvs ArkansasOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ER CLSD TX DSTL FIBULAR FX W/O MANIP $506.52 $756.00 $250.00–$756.00 34% above 33%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PF ER CLSD TX DSTL FIBULAR FX W/O MANIP $531.98 $794.00 $250.00–$794.00 41% above 33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PF ER CLSD TX METATARSAL FX W/O MANIP $378.55 $565.00 $205.51–$565.00 8% below 33%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ER CLSD TX METATARSAL FX W/O MANIP $506.52 $756.00 $205.51–$756.00 23% above 33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION ELECTRIC, EXTERNAL $1,356.75 $2,025.00 $76.00–$2,025.00 123% above 33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER CLSD DSTL RADIAL FX/ULNR STYLD W/O MA $506.52 $756.00 $250.00–$756.00 29% above 33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER CLSD TX DSTL RADIAL FX W/O MAN $506.52 $756.00 $250.00–$756.00 29% above 33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PF ER CLSD TX DSTL RADIAL FX W/O MAN $580.22 $866.00 $250.00–$866.00 48% above 33%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PF ER CLSD DTL RADIAL FX/ULNR STYLDW/O M $580.22 $866.00 $250.00–$866.00 48% above 33%
Earwax removal by irrigation (rinsing), one ear CPT 69209 ER RMVL IMPACTED CERUMEN, IRRIG/LAV,UNIL $120.60 $180.00 $14.23–$180.00 136% above 33%
Earwax removal with instruments, one ear CPT 69210 ER EAR REMOVAL CERUMEN $120.60 $180.00 $42.14–$180.00 72% above 33%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 ER INJ PARVT FAC JNT,CV/TH,1 LV,US GUIDE $1,815.70 $2,710.00 $165.52–$2,710.00 99% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ABSCESS SIMPLE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I & D CYST SIMPLE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 FL I&D ABSC/CYST SIMPLE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE/SINGLE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I & D OF SKIN SUBQ TISSUE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I & D PARONYCHIA $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I & D FURUNCLE $399.32 $596.00 $112.28–$596.00 105% above 33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SIMPLE/SINGLE $399.32 $596.00 $112.28–$596.00 — 33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 FL I&D ABSC/CYST SIMPLE $399.32 $596.00 $112.28–$596.00 — 33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER INJ LIGAMENT/ TEND $629.80 $940.00 $53.25–$940.00 220% above 33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 FL INJ LIGAMENT/ TEND $629.80 $940.00 $53.25–$940.00 220% above 33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 FL INJ LIGAMENT/ TEND $629.80 $940.00 $53.25–$940.00 — 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF FL ARTCS ASPIR&/ORINJ MJJT/BURSAW/OUS $73.70 $110.00 $40.89–$110.00 63% below 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTCS ASPIR &/OR INJ MJ JT/BURSA W/O US $629.80 $940.00 $60.02–$940.00 220% above 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER ARTCS ASPR &/OR INJ MJ JT/BRSA W/O US $629.80 $940.00 $60.02–$940.00 220% above 33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTCS ASPIR &/OR INJ MJ JT/BURSA W/O US $629.80 $940.00 $60.02–$940.00 — 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF FL ARTCS ASPIR&/ORINJ INTJT/BURSW/OUS $67.00 $100.00 $33.51–$100.00 80% below 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTCS ASPIR&/OR INJ INT JT/BURSA W/O US $605.68 $904.00 $50.22–$904.00 81% above 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTCS ASPIR&/OR INJ INT JT/BURSA W/O US $629.80 $940.00 $50.22–$940.00 89% above 33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTCS ASPIR&/OR INJ INT JT/BURSA W/O US $629.80 $940.00 $50.22–$940.00 — 33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PF FL ARTCS ASPIR&/ORINJ SMJT/BURS W/OUS $67.00 $100.00 $32.75–$100.00 71% below 33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER ARTCS ASPR &/OR INJ SM JT/BRSA W/O US $629.80 $940.00 $49.29–$940.00 173% above 33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTCS ASPIR &/OR INJ SM JT/BURSA W/O US $629.80 $940.00 $49.29–$940.00 173% above 33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTCS ASPIR &/OR INJ SM JT/BURSA W/O US $629.80 $940.00 $49.29–$940.00 — 33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER INTMD REPAIR SCLP/AX/TNK/EXT 2.5CM,> $834.15 $1,245.00 $225.16–$1,245.00 146% above 33%
Lower-back epidural injection, with imaging guidance CPT 62323 PF ER CAUDAL BLOCK W/ GUID $187.60 $280.00 $93.47–$280.00 74% below 33%
Lower-back epidural injection, with imaging guidance CPT 62323 ER CAUDAL BLOCK W/ GUID $1,450.55 $2,165.00 $236.21–$2,165.00 97% above 33%
Nail removal (partial or complete), one nail CPT 11730 ER AVULSION NAIL PLATE; PART/COMP; SIMPL $412.05 $615.00 $97.72–$615.00 174% above 33%
Occipital nerve block (injection for headaches) CPT 64405 ER NERVE BLOCK INJ,GREATER OCCIPITAL $629.80 $940.00 $68.24–$940.00 120% above 33%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER EXCISION NAIL/NAIL MATRIX PART/COMP $834.15 $1,245.00 $138.25–$1,245.00 138% above 33%
Removal of a foreign object under the skin, simple CPT 10120 ER FBR SUBCU SIMPLE $804.00 $1,200.00 $136.35–$1,200.00 203% above 33%
Short arm cast (elbow to hand) CPT 29075 ER SHORT ARM CAST $574.19 $857.00 $83.99–$857.00 392% above 33%
Short arm splint (forearm and hand) CPT 29125 SPLINT, SHORT ARM $244.55 $365.00 $67.88–$365.00 83% above 33%
Short arm splint (forearm and hand) CPT 29125 ER SPLINT SHORT ARM $273.36 $408.00 $67.88–$408.00 105% above 33%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT, SHORT ARM $244.55 $365.00 $67.88–$365.00 — 33%
Short leg cast (below the knee) CPT 29405 ER SHORT LEG CAST $574.19 $857.00 $76.09–$857.00 322% above 33%
Short leg splint (calf to foot) CPT 29515 ER SPLINT SHORT LEG $335.00 $500.00 $71.37–$500.00 147% above 33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF ER RPR SCLP/NCK/AXI/EXTGEN 2.5CM/LESS $86.43 $129.00 $44.71–$129.00 64% below 33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER REPAIR SCLP/NCK/AXI/EXTGEN 2.5CM/LESS $412.05 $615.00 $97.64–$615.00 73% above 33%
Skin biopsy, punch, one lesion CPT 11104 FL PUNCH BIOPSY SKIN; SINGLE LESION $834.15 $1,245.00 $104.79–$1,245.00 271% above 33%
Skin biopsy, punch, one lesion inpatient CPT 11104 FL PUNCH BIOPSY SKIN; SINGLE LESION $834.15 $1,245.00 $104.79–$1,245.00 — 33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 TX RM LUMBAR PUNCTURE $1,325.26 $1,978.00 $141.13–$1,978.00 77% above 33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER LUMBAR PUNCTURE $1,450.55 $2,165.00 $141.13–$2,165.00 94% above 33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PF ER RPR SCLP/NCK/AXI/EXTGEN 2.6 -7.5CM $113.90 $170.00 $58.40–$170.00 65% below 33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER REPAIR SCLP/NCK/AXI/EXTGEN 2.6- 7.5CM $412.05 $615.00 $119.67–$615.00 27% above 33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PF RPR FCE/ERS/EYLIDS/NSE/LIP 2.5CM/ > $98.49 $147.00 $55.24–$147.00 41% below 33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER SMPL REPAIR FACE/EARS 2.5CM OR LESS $412.05 $615.00 $119.75–$615.00 147% above 33%
Thoracentesis with imaging guidance CPT 32555 PF ER THRCNTSIS,NDL/CTH,ASPR PLEU,W/ IM $207.70 $310.00 $99.74–$310.00 74% below 33%
Thoracentesis with imaging guidance CPT 32555 ER THORACENTESIS, ASPIR PLERL SPC W/ IM $916.56 $1,368.00 $250.00–$1,368.00 13% above 33%
Trigger point injections, 1 or 2 muscles CPT 20552 PF ER TRIGGER POINT INJ 1 OR 2 MUSCLES $67.00 $100.00 $37.09–$100.00 63% below 33%
Trigger point injections, 1 or 2 muscles CPT 20552 ER TRIGGER OINT INJ 1 OR 2 MUSCLES $629.80 $940.00 $45.75–$940.00 250% above 33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRIDE SUB TISS FRST 20 SQCM OR LESS $834.15 $1,245.00 $114.69–$1,245.00 91% above 33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 FL DEBRIDE SUB TISS FRST 20 SQCM OR LESS $834.15 $1,245.00 $114.69–$1,245.00 91% above 33%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 FL DEBRIDE SUB TISS FRST 20 SQCM OR LESS $834.15 $1,245.00 $114.69–$1,245.00 — 33%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs ArkansasOff list
Blood transfusion (giving blood or blood components) CPT 36430 PACKED RED CELLS $221.10 $330.00 $39.59–$330.00 55% below 33%
Blood transfusion (giving blood or blood components) CPT 36430 BB FFP ADM $905.84 $1,352.00 $39.59–$1,352.00 83% above 33%
Blood transfusion (giving blood or blood components) CPT 36430 BB PRBC'S ADM $905.84 $1,352.00 $39.59–$1,352.00 83% above 33%
Blood transfusion (giving blood or blood components) CPT 36430 BB PLATELET ADM $905.84 $1,352.00 $39.59–$1,352.00 83% above 33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PACKED RED CELLS $221.10 $330.00 $39.59–$330.00 — 33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB PRBC'S ADM $905.84 $1,352.00 $39.59–$1,352.00 — 33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB PLATELET ADM $905.84 $1,352.00 $39.59–$1,352.00 — 33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB FFP ADM $905.84 $1,352.00 $39.59–$1,352.00 — 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TRMT INT $449.57 $671.00 $6.00–$671.00 323% above 33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT TRMT INT $449.57 $671.00 $6.00–$671.00 — 33%
Critical care, first 30 to 74 minutes CPT 99291 ER CRIT CARE 1ST 30-74 MIN $1,699.12 $2,536.00 $51.00–$2,536.00 71% above 33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY $443.54 $662.00 $25.00–$662.00 28% above 33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY $443.54 $662.00 $25.00–$662.00 — 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $117.25 $175.00 $5.79–$175.00 11% above 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-TECH $120.60 $180.00 $5.79–$180.00 15% above 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $117.25 $175.00 $5.79–$175.00 — 33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-TECH $120.60 $180.00 $5.79–$180.00 — 33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER SCREENING TRIAGE LEV I $170.85 $255.00 $10.09–$255.00 27% above 33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER TX LEV II $314.90 $470.00 $12.00–$470.00 31% above 33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER EMERG TX LEV III $546.05 $815.00 $51.00–$815.00 33% above 33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER EMERG TX LEV IV $848.22 $1,266.00 $51.00–$1,266.00 51% above 33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER EMERG TX LEV V $1,229.45 $1,835.00 $51.00–$1,835.00 67% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FL IV INFUS;HYDRATION INT 31 MIN TO 1 HR $436.84 $652.00 $28.79–$652.00 144% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV;INFUS;HYDRATION INT 31 MINS TO 1HR $436.84 $652.00 $28.79–$652.00 144% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION PROTOCOL FOR CT $436.84 $652.00 $28.79–$652.00 144% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION;HYDRATION INT 31 MIN TO 1 HR $436.84 $652.00 $28.79–$652.00 144% above 33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION PROTOCOL FOR CT $436.84 $652.00 $28.79–$652.00 — 33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION;HYDRATION INT 31 MIN TO 1 HR $436.84 $652.00 $28.79–$652.00 — 33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FL IV INFUS;HYDRATION INT 31 MIN TO 1 HR $436.84 $652.00 $28.79–$652.00 — 33%
IV infusion of a medicine, first hour CPT 96365 ER IV;INFUS THERAPY UP TO 1 HOUR $436.84 $652.00 $57.04–$652.00 124% above 33%
IV infusion of a medicine, first hour CPT 96365 FL IV INFUSION THERAPY UP TO 1 HOUR $436.84 $652.00 $57.04–$652.00 124% above 33%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY UP TO 1 HOUR $436.84 $652.00 $57.04–$652.00 124% above 33%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY UP TO 1 HOUR $436.84 $652.00 $57.04–$652.00 — 33%
IV infusion of a medicine, first hour inpatient CPT 96365 FL IV INFUSION THERAPY UP TO 1 HOUR $436.84 $652.00 $57.04–$652.00 — 33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJ;SUB OR INTRA-MUSCULAR $147.40 $220.00 $13.60–$220.00 93% above 33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ;SUBCUTANEOUS OR INTRA-MUSCULAR $147.40 $220.00 $13.60–$220.00 93% above 33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ;SUBCUTANEOUS OR INTRA-MUSCULAR $147.40 $220.00 $13.60–$220.00 — 33%
New patient office visit, about 30 minutes CPT 99203 TX RM NEW PT LEVEL 3 $194.30 $290.00 $100.80–$290.00 137% above 33%
New patient office visit, about 45 minutes CPT 99204 TX RM NEW PT LEVEL 4 $257.95 $385.00 $158.60–$385.00 153% above 33%
New patient office visit, about 60 minutes CPT 99205 TX RM NEW PT LEVEL 5 $353.09 $527.00 $12.00–$527.00 96% above 33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 TX RM NEW PT LEVEL 2 $147.40 $220.00 $66.77–$220.00 147% above 33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TX RM ESTAB PT LEVEL 5 $257.95 $385.00 $172.52–$385.00 100% above 33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TX RM ESTAB PT LEVEL 3 $147.40 $220.00 $85.12–$220.00 74% above 33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TX RM ESTAB PT LEVEL 4 $194.30 $290.00 $121.44–$290.00 94% above 33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TX RM ESTAB PT LEVEL 2 $147.40 $220.00 $52.61–$220.00 134% above 33%
Spirometry before and after a bronchodilator CPT 94060 PFT WITH POST UPDRAFT $766.48 $1,144.00 $37.30–$1,144.00 104% above 33%
Spirometry before and after a bronchodilator CPT 94060 PFT W/ DLCO $766.48 $1,144.00 $37.30–$1,144.00 104% above 33%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ DLCO $766.48 $1,144.00 $37.30–$1,144.00 — 33%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT WITH POST UPDRAFT $766.48 $1,144.00 $37.30–$1,144.00 — 33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB THERAP PHLEBO $23.45 $35.00 $21.00–$35.00 83% below 33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $114.91 $171.50 $82.10–$171.50 16% below 33%

Vaccines

ProcedureCash price List priceInsurers payvs ArkansasOff list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 0.5 ML IM SDV $227.95 $340.23 $125.92–$340.23 44% above 33%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 0.5 ML IM SDV $227.95 $340.23 $125.92–$340.23 — 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET-DIPH 0.5ML SDV $53.60 $80.00 $14.00–$80.00 17% below 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA ADULT 0.5ML IM $53.60 $80.00 $14.00–$80.00 17% below 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET-DIPH IM 0.5 ML PFS $96.61 $144.20 $14.00–$144.20 50% above 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET-DIPH 0.5ML SDV $53.60 $80.00 $14.00–$80.00 — 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA ADULT 0.5ML IM $53.60 $80.00 $14.00–$80.00 — 33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET-DIPH IM 0.5 ML PFS $96.61 $144.20 $14.00–$144.20 — 33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMIN IM 1 VACCINE $127.30 $190.00 $13.14–$190.00 285% above 33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETNUS VACCINE ADMIN $127.30 $190.00 $13.14–$190.00 285% above 33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUM VACCINE ADMIN IM 1 VACCINE $127.30 $190.00 $13.14–$190.00 285% above 33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER SINGLE VACCINE ADMIN $147.40 $220.00 $13.14–$220.00 346% above 33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU VACCINE ADMIN IM 1 VACCINE $127.30 $190.00 $13.14–$190.00 — 33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUM VACCINE ADMIN IM 1 VACCINE $127.30 $190.00 $13.14–$190.00 — 33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TETNUS VACCINE ADMIN $127.30 $190.00 $13.14–$190.00 — 33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN IM, EACH ADD $26.80 $40.00 $13.14–$40.00 27% above 33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER ADD VACCINE ADMIN $53.60 $80.00 $13.14–$80.00 153% above 33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN IM, EACH ADD $26.80 $40.00 $13.14–$40.00 — 33%

Source file: https://mcgeheehospital.org/wp-content/uploads/2026/04/364664248-1770802217_mcgehee-hospital_standardcharges.csv