Monroe Surgical Hospital
Monroe Surgical Hospital in Monroe, LA publishes cash prices for 208 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 Louisiana median for 138 of 206 procedures and below it for 63. By typical cash price it ranks #29 of 40 Louisiana hospitals and #5 of 6 hospitals in the Monroe, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
2408 Broadmoor Blvd Monroe, LA 71201 Collected Sep 29, 2026 Source price file (318) 410-0002
Acute care hospital No emergency department CCN 190245 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3+ VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3+ VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 51% above | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3+ VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 51% above | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CE ANKLE/BRACHIAL INDICES (ABI) | $477.00 | $636.00 | $81.66–$572.40 | 125% above | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $415.37 | $553.82 | $71.11–$498.44 | 62% above | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY | $876.91 | $1,169.21 | $150.13–$1,052.29 | 28% above | 25% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL COMPLETE | $715.50 | $954.00 | $94.66–$858.60 | — | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $477.00 | $636.00 | $81.66–$572.40 | 168% above | 25% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED | $477.00 | $636.00 | $78.80–$572.40 | — | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED | $477.00 | $636.00 | $78.80–$572.40 | 167% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST PE PROTOCOL W/ CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 53% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST STENT GRAFT PROTOCOL W/WO | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 53% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 53% above | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART CORONARY ARTERIES AND BYPASS G | $1,717.54 | $2,290.05 | $264.10–$2,061.05 | 322% above | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $1,717.54 | $2,290.05 | $26.30–$2,061.05 | 1808% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O CONTRAST | $1,717.54 | $2,290.05 | $216.05–$2,061.05 | 15% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SPIRAL ABDOMEN | $1,717.54 | $2,290.05 | $216.05–$2,061.05 | 15% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/ CONTRAST | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 3% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT HEMATURIA PROTOCOL | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 4% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD EXACT SCIENCES PROTOCOL | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 4% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELV TRIPLE PHASE W/WO CONTRAST | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 4% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/WO CONTRAST | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 4% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELV W/3D UROGRAM W/WO CONTRAST | $1,717.54 | $2,290.05 | $294.04–$2,061.05 | 4% below | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 77% above | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 112% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT LOWER JAW | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 158% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 158% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX SINUS W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 158% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O MRgFUS PROTOCOL W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 151% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 151% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O STRYKER CMF IMP W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 151% above | 25% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 115% above | 25% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 77% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 113% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 115% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT CYSTROGRAM PELVIS W/ CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 98% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 98% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT VENOGRAM OF PELVIS WITH CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 98% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US**CAROTID DOPPLER | $477.00 | $636.00 | $81.66–$572.40 | 2% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP SCAN EXTRACRANIAL ARTERIES COMP BILA | $477.00 | $636.00 | $81.66–$572.40 | 2% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER | $477.00 | $636.00 | $81.66–$572.40 | 2% above | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS | $200.11 | $266.81 | $29.82–$240.13 | 41% above | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS DRP | $200.11 | $266.81 | $29.82–$240.13 | 41% above | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $200.11 | $266.81 | $19.62–$240.13 | 63% above | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW** | $200.11 | $266.81 | $19.62–$240.13 | 63% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $477.00 | $636.00 | $81.66–$572.40 | 61% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL (AORTA/KIDNEY) COMPLE | $477.00 | $636.00 | $81.66–$572.40 | 61% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY AXIAL SKELETON | $246.17 | $328.23 | $42.14–$295.41 | 24% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY IMA RESEARCH AXIAL SKELE | $252.75 | $337.00 | $43.27–$303.30 | 27% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 IMA RESEARCH DXA WHOLE BODY | $252.75 | $337.00 | $43.27–$303.30 | 27% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DELTA RESEARCH AXIAL SKELE | $252.75 | $337.00 | $43.27–$303.30 | 27% above | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY APPENDICULAR | $200.11 | $266.81 | $34.26–$240.13 | 94% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/OUT CONTRAST** | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 122% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 122% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST** | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 74% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $1,717.54 | $2,290.05 | $158.82–$2,061.05 | 74% above | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMMOGRAPHY DIAGNOSTIC BILATERAL | $246.28 | $328.37 | $42.16–$295.53 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 3D MAMMO DIAGNOSTIC BILATERAL | $246.28 | $328.37 | $42.16–$295.53 | — | 25% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAPHY IMPLANTS | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 DIGITAL MAMMOGRAPHY DIAG IMPLANTS w/ CAD | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 DIGITAL MAMMOGRAPHY DIAG BIL w/ CAD | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 DIGITAL MAMMO DIAGNOSTIC BIL w CAD PP | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 3D MAMMOGRAPHY IMPLANTS | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 3D MAMMO DIAGNOSTIC w/ CAD BIL | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, both breasts CPT 77066 3D MAMMO DIAGNOSTIC BIL W/CAD PP | $246.28 | $328.37 | $42.16–$295.53 | 79% above | 25% |
| Diagnostic mammogram, one breast CPT 77065 3D MAMMO SPOT COMPRESSION | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast CPT 77065 3D MAMMOGRAPHY DIAG UNI | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast CPT 77065 3D MAMMOGRAPHY DIAG UNI w CAD | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast CPT 77065 DIGITAL MAMMO SPOT COMPRESSION | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast CPT 77065 DIGITAL MAMMOGRAPHY DIAG UNI w CAD | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 3D MAMMOGRAPHY UNILATERAL DX - LTD | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 3D MAMMOGRAPHY UNILATERAL DIAG | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMMOGRAPHY DIAGNOSTIC UNILAT | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL DIAGNOSTIC | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL DX - LTD | $226.13 | $301.50 | $38.71–$271.35 | 79% above | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART DOPPLER BILAT LOWER EXT | $477.00 | $636.00 | $81.66–$572.40 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US GROIN (VASCULAR) BILATERAL | $535.12 | $713.49 | $91.61–$642.14 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US CARD REFLUX VENOUS STUDY BILAT LOW EX | $477.00 | $636.00 | $81.66–$572.40 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US RAD REFLUX VENOUS STUDY BILAT LOW EXT | $477.00 | $636.00 | $81.66–$572.40 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DOPPLER BILAT UPPER OR LOWER EXT | $477.00 | $636.00 | $81.66–$572.40 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US**VEN DOPPLER BILAT UPPER OR LOWER EXT | $477.00 | $636.00 | $81.66–$572.40 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE W/DOPPLER & COLOR FLOW | $1,122.86 | $1,497.14 | $192.23–$1,347.43 | 38% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CE ECHO COMPLETE W/DOPPLER & COLOR FLOW | $1,122.86 | $1,497.14 | $192.23–$1,347.43 | 38% above | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN | $876.91 | $1,169.21 | $150.13–$1,052.29 | 50% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY SPLIT | $1,707.19 | $2,276.25 | $292.27–$2,048.63 | 47% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP OR BIPAP | $1,707.19 | $2,276.25 | $292.27–$2,048.63 | 47% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP / BIPAP / SPLIT LESS THAN 6 HOURS | $1,707.19 | $2,276.25 | $292.27–$2,048.63 | 47% above | 25% |
| Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 26% above | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 26% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD RUQ | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD, LIMITED | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ADB SOFT TISSUE | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LOWER BACK LTD | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORIC STENOSIS | $477.00 | $636.00 | $81.66–$572.40 | 50% above | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST W/O LOW DOSE SCREENING W/O CONT | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 1007% above | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CANCER SCREENING | $1,717.54 | $2,290.05 | $94.66–$2,061.05 | 1007% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT ANKLE W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW JNT W/O CONTRAST BILATERAL | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT HIP W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT KNEE W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW JNT W/O CONTRAST RT | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW JNT W/O CONTRAST LT | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 98% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI BILAT ANKLE W/WO CONTRAST | $3,217.73 | $4,290.30 | $315.89–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI BILAT HIP W/WO CONTRAST | $3,217.73 | $4,290.30 | $315.89–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI BILAT KNEE W/WO CONTRAST | $3,217.73 | $4,290.30 | $315.89–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW JNT W/WO CONTRAST BILAT | $3,217.73 | $4,290.30 | $315.89–$3,861.27 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI W/O CONSTRAST MATERIALS FOLLOWED BY | $1,541.73 | $2,055.64 | $263.94–$1,937.00 | 14% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW JNT W/WO CONTRAST RT | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LT W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW JNT W/WO CONTRAST LT | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 59% above | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 101% above | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 58% above | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST DO NOT USE | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 90% above | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 90% above | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 48% above | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 70% above | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 54% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 82% above | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 19% above | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 79% above | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $2,145.15 | $2,860.20 | $315.89–$2,574.18 | 63% above | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 103% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI BILAT SHOULDER W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI BILAT WRIST W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI BILAT ELBOW W/O CONTRAST | $3,217.73 | $4,290.30 | $216.05–$3,861.27 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP JNT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RT W/O CONTRAST | $2,145.15 | $2,860.20 | $216.05–$2,574.18 | 99% above | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF EF/WM MULTIPLE | $3,036.68 | $4,048.90 | $519.88–$3,644.01 | 115% above | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF. EF/WM MULTI-SAMP | $3,036.68 | $4,048.90 | $519.88–$3,644.01 | 115% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $477.00 | $636.00 | $81.66–$572.40 | 121% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD | $477.00 | $636.00 | $81.66–$572.40 | 121% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BUTTOCK | $477.00 | $636.00 | $81.66–$572.40 | 121% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $477.00 | $636.00 | $81.66–$572.40 | 38% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG COMP | $477.00 | $636.00 | $81.66–$572.40 | 61% above | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LTD | $477.00 | $636.00 | $81.66–$572.40 | 168% above | 25% |
| Screening mammogram, both breasts CPT 77067 MAMMO BIL SCREEN READING FEE PP | $133.13 | $177.50 | $65.00–$177.50 | 2% above | 25% |
| Screening mammogram, both breasts CPT 77067 DIGITAL MAMMO SCREEN BIL w CAD PP | $210.82 | $281.09 | $36.09–$252.98 | 62% above | 25% |
| Screening mammogram, both breasts CPT 77067 DIGITAL MAMMOGRAPHY SCREENING UNI w CAD | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 3D MAMMO SCREENING BIL IMPLANTS CAD | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 3D MAMMO SCREENING UNI W/ CAD | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 3D MAMMO SCREENING w/ CAD BIL | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 3D MAMMOGRAPHY AXILLARY | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 DIGITAL MAMMO SCREENING BIL IMPLANTS CAD | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 DIGITAL MAMMOGRAPHY AXILLARY | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 DIGITAL MAMMOGRAPHY SCREENING BIL W/CAD | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Screening mammogram, both breasts CPT 77067 3D MAMMO SCREENING w/ CAD BIL PP | $232.31 | $309.75 | $39.77–$278.78 | 79% above | 25% |
| Screening mammogram, both breasts one side CPT 77067 DIGITAL MAMMOGRAPHY SCREENING UNILATERAL | $226.13 | $301.50 | $38.71–$271.35 | 74% above | 25% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 15% above | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 15% above | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4 / MORE SLEEP PARAMETER | $1,707.19 | $2,276.25 | $292.27–$2,048.63 | 28% above | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY LESS THAN 6 HOURS | $1,707.19 | $2,276.25 | $292.27–$2,048.63 | 28% above | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOW FUNC W/CINERADIOGRAPHY | $237.25 | $316.33 | $40.62–$341.47 | 2% below | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION WITH CINERADIOGRAPHY | $415.37 | $553.82 | $71.11–$498.44 | 71% above | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAG | $477.00 | $636.00 | $81.66–$572.40 | 92% above | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMP | $477.00 | $636.00 | $81.66–$572.40 | 35% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US GUIDE FOR ASPIRATE OVA | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US GUIDE FOR PLACEMENT OF RAD | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US GUIDE CHRONIC VILLUS | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US GUIDE FOR INTERSTITIAL RAD | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US GUIDE FOR ENDOMYCARDIAL B | $477.00 | $636.00 | $81.66–$572.40 | 89% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PAROTID | $477.00 | $636.00 | $81.66–$572.40 | 63% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $477.00 | $636.00 | $81.66–$572.40 | 63% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK | $477.00 | $636.00 | $81.66–$572.40 | 63% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O KUB | $415.37 | $553.82 | $71.11–$498.44 | 42% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/SBF-1 | $415.37 | $553.82 | $71.11–$498.44 | 42% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEN DOPPLER UNI UPPER OR LOWER EXT | $421.14 | $561.52 | $72.10–$505.37 | 25% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US**VEN DOPPLR UNILAT UPPER OR LOWER EXT | $477.00 | $636.00 | $81.66–$572.40 | 41% above | 25% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 52% above | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 52% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS AND HIPS INFANT OR CHILD | $200.11 | $266.81 | $34.26–$240.13 | 41% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT 2-3 VW W/WO PELVIS | $200.11 | $266.81 | $34.26–$240.13 | 41% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT 2-3 VW W/WO PELVIS | $200.11 | $266.81 | $34.26–$240.13 | 41% above | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABD 1 VIEW | $200.11 | $266.81 | $26.67–$240.13 | 65% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE TWO VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 81% above | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE TWO VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 81% above | 25% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) 2 VWS BILATERAL | $200.11 | $266.81 | $34.26–$240.13 | — | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN OF 2 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 95% above | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN OF 2 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 95% above | 25% |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 83% above | 25% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 83% above | 25% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3+ VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3+ VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 62% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3+ VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 62% above | 25% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 58% above | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 58% above | 25% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 OR 2 VWS BILATERAL | $300.17 | $400.23 | $51.39–$360.21 | — | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VWS LEFT | $200.11 | $266.81 | $34.26–$240.13 | 73% above | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VWS RIGHT | $200.11 | $266.81 | $34.26–$240.13 | 73% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2 OR 3 VWS | $246.17 | $328.23 | $42.14–$295.41 | 44% above | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VWS | $246.17 | $328.23 | $42.14–$295.41 | 2% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC TWO VIEWS | $246.17 | $328.23 | $42.14–$295.41 | 34% above | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $200.11 | $266.81 | $34.26–$240.13 | 56% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 OR 3 VWS | $200.11 | $266.81 | $34.26–$240.13 | 27% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS | $144.80 | $193.06 | $24.79–$203.53 | 14% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX | $200.11 | $266.81 | $34.26–$240.13 | 14% above | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $17.89 | $23.85 | $5.30–$21.47 | 34% below | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT | $17.89 | $23.85 | $5.30–$21.47 | 34% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST | $17.48 | $23.31 | $5.18–$20.98 | 38% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $17.48 | $23.31 | $5.18–$20.98 | 38% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $160.76 | $214.34 | $47.63–$192.91 | at median | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, PEDIATRIC ALLERGEN, 0-3YRS | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST,SINGLE ALLERGEN,SEROLAB | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PROFILE MINI RAST | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE W IGE, AREA 6 | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMPLETE INHALANT PROFILE SEROLAB | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL IGE FOOD ALLERGEN | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PANEL ZONE 7 | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN,IGE WITH COMPONENTS | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD PROFILE SEROLAB | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST AREA 7 | $17.62 | $23.49 | $5.22–$21.14 | 41% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC CITRULLINATED PEPTIDE | $38.92 | $51.89 | $12.95–$46.70 | 18% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX TO CONFIRMATORY TESTS | $40.81 | $54.41 | $12.09–$48.97 | 21% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LC-ANA W/REFLEX TO CONFIRMATORY TESTS | $40.81 | $54.41 | $12.09–$48.97 | 21% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LC-ANA | $40.81 | $54.41 | $12.09–$48.97 | 21% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA TITER BY IFA | $40.81 | $54.41 | $12.09–$48.97 | 21% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LC-ANA TITER BY IFA | $40.81 | $54.41 | $12.09–$48.97 | 21% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LC-BNP PRO B-TYPE NATRIURETIC PEPTIDE | $132.50 | $176.67 | $39.26–$159.00 | 49% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP PRO B-TYPE NATRIURETIC PEPTIDE | $132.50 | $176.67 | $39.26–$159.00 | 49% above | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL W/ CALCIUM TOTAL | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 M-BASIC METABOLIC PANEL W/CALCIUM TOTAL | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 M-BMP W/eGFR | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 API CHEMISTRY SURVEY | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 API URINE DRUG SCREEN SURVEY | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 LC-BASIC METABOLIC PANEL W/ CALCIUM | $28.55 | $38.07 | $8.46–$34.26 | 52% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $148.76 | $198.35 | $43.46–$178.52 | 83% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BX W/HISTOCHEMISTRY REFERENCE | $148.76 | $198.35 | $43.46–$178.52 | 83% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY | $148.76 | $198.35 | $43.46–$178.52 | 83% above | 25% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $34.83 | $46.44 | $10.32–$41.80 | 40% below | 25% |
| Blood culture for bacteria CPT 87040 LC-CULTURE BLOOD AERO/ANA | $34.83 | $46.44 | $10.32–$41.80 | 40% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $28.93 | $38.57 | $2.99–$34.71 | 216% above | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $13.27 | $17.69 | $3.93–$15.92 | 21% below | 25% |
| Blood lead test CPT 83655 LEAD | $40.88 | $54.50 | $12.11–$49.05 | 1% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 API HCG SERUM SURVEY | $25.38 | $33.84 | $7.52–$30.46 | 43% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM | $25.38 | $33.84 | $7.52–$30.46 | 43% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE | $334.69 | $446.25 | $2.99–$401.63 | 523% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (TO LABCORP) | $17.48 | $23.31 | $5.18–$20.98 | 46% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $17.48 | $23.31 | $5.18–$20.98 | 46% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 M-CRP | $17.48 | $23.31 | $5.18–$20.98 | 46% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 M-COVID-19 RAPID TEST | $82.69 | $110.25 | $51.31–$110.31 | 6% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST 7305 (PCR TO CPL) | $82.69 | $110.25 | $51.31–$110.31 | 6% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID TEST | $82.69 | $110.25 | $51.31–$110.31 | 6% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID TEST (ID NOW MOLECULAR) | $82.69 | $110.25 | $51.31–$110.31 | 6% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAYMDIA/GC, URINE | $118.43 | $157.91 | $35.09–$142.12 | 102% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS;AMP PROBE TECHNIQU | $118.43 | $157.91 | $35.09–$142.12 | 102% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 M-LIPID PANEL | $45.20 | $60.26 | $13.39–$54.23 | 35% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $45.20 | $60.26 | $13.39–$54.23 | 35% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLATELET AUTO 6 DIFF LIS CHARGE TEST | $26.23 | $34.97 | $7.77–$31.47 | 34% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLATELET AUTO 6 DIFF | $26.23 | $34.97 | $7.77–$31.47 | 34% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 M-CBC | $26.23 | $34.97 | $7.77–$31.47 | 34% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC/PLTS | $21.84 | $29.12 | $6.47–$26.21 | 44% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC/PLTS LIS CHARGE TEST | $21.84 | $29.12 | $6.47–$26.21 | 44% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 M-COMP METABOLIC PANEL | $35.64 | $47.52 | $10.56–$42.77 | 68% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 M-CMP W/eGFR | $35.64 | $47.52 | $10.56–$42.77 | 68% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $35.64 | $47.52 | $10.56–$42.77 | 68% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $34.36 | $45.81 | $10.18–$41.23 | 53% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 LC-D-DIMER QUANTITATIVE | $34.36 | $45.81 | $10.18–$41.23 | 53% below | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $75.03 | $100.04 | $22.23–$90.04 | 2% above | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE, LC/MS | $94.30 | $125.73 | $27.94–$113.16 | 8% above | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL FEMALE ADULT PRE-MENOPAUS | $94.30 | $125.73 | $27.94–$113.16 | 8% above | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL MALE CHILD FEMALE POST-MENO | $94.30 | $125.73 | $27.94–$113.16 | 8% above | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $62.71 | $83.61 | $18.57–$75.25 | at median | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 LC-CALPROTECTIN STOOL | $66.26 | $88.34 | $19.63–$79.51 | 55% below | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL (TO LABCORP) | $66.26 | $88.34 | $19.63–$79.51 | 55% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $46.01 | $61.34 | $13.63–$55.21 | 18% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 LC-FERRITIN | $46.01 | $61.34 | $13.63–$55.21 | 18% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 M-FERRITIN | $46.01 | $61.34 | $13.63–$55.21 | 18% below | 25% |
| Folate (folic acid) blood test CPT 82746 M-FOLATE | $49.61 | $66.15 | $14.70–$59.54 | at median | 25% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $49.61 | $66.15 | $14.70–$59.54 | at median | 25% |
| Free T3 thyroid hormone test CPT 84481 T3, FREE | $57.17 | $76.23 | $12.02–$68.61 | 1% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $30.44 | $40.59 | $9.02–$36.53 | 44% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 M-T4 FREE | $30.44 | $40.59 | $9.02–$36.53 | 44% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (TO LABCORP) | $30.44 | $40.59 | $9.02–$36.53 | 44% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY EQUILIBRIUM DIALYSIS | $30.44 | $40.59 | $9.02–$36.53 | 44% below | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE,TOTAL/FREE MALE | $85.97 | $114.62 | $25.47–$103.16 | 12% above | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE,FREE,FEMALE OR CHILD | $85.97 | $114.62 | $25.47–$103.16 | 12% above | 25% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 MCD/UHC GENERAL HEALTH PANEL | $113.35 | $151.13 | $45.54–$136.02 | 41% below | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2 HOUR POST PRANDIAL | $16.04 | $21.38 | $4.75–$19.24 | 25% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 1HR GTT | $43.44 | $57.92 | $12.87–$52.13 | 11% below | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE,AMP PROBE TECH | $118.43 | $157.91 | $35.09–$142.12 | 106% above | 25% |
| H. pylori stool antigen test CPT 87338 LC-HELICOBACTER,STOOL ANTIGEN | $48.53 | $64.71 | $6.46–$58.24 | 26% below | 25% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER,STOOL ANTIGEN | $48.53 | $64.71 | $6.46–$58.24 | 26% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANTITATIVE BY PCR | $287.21 | $382.95 | $84.91–$344.66 | 47% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO | $81.27 | $108.36 | $24.08–$97.52 | 48% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C WITH MBG ESTIMATION | $32.78 | $43.70 | $9.71–$39.33 | 34% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSOLATED HEMOGLOBIN | $32.78 | $43.70 | $9.71–$39.33 | 34% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 M-HEMOGLOBIN A1C | $32.78 | $43.70 | $9.71–$39.33 | 34% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $36.25 | $48.33 | $10.74–$43.50 | 9% below | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG | $34.87 | $46.49 | $10.33–$41.84 | 16% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB | $48.17 | $64.22 | $14.27–$57.80 | 18% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA, NAA QUAL | $144.59 | $192.78 | $42.84–$173.50 | 13% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA/PCR QUANT | $144.59 | $192.78 | $42.84–$173.50 | 13% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 QUANTIFICATION | $144.59 | $192.78 | $42.84–$173.50 | 13% below | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1&2 IgG | $44.52 | $59.36 | $13.19–$53.42 | 6% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG | $65.31 | $87.08 | $19.35–$78.37 | 37% above | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, CARDIAC HIGH SENSITIVITY | $43.71 | $58.28 | $12.95–$52.45 | 2% below | 25% |
| Insulin blood test CPT 83525 INSULIN 90 MINUTES | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Insulin blood test CPT 83525 INSULIN FASTING | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Insulin blood test CPT 83525 INSULIN 120 MINUTES | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Insulin blood test CPT 83525 INSULIN 30 MINUTES | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Insulin blood test CPT 83525 INSULIN RANDOM | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Insulin blood test CPT 83525 INSULIN 60 MINUTES | $38.58 | $51.44 | $11.43–$46.30 | 1% below | 25% |
| Iron blood test (serum iron) CPT 83540 M-IRON | $21.84 | $29.12 | $6.34–$26.21 | 36% below | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $21.84 | $29.12 | $6.34–$26.21 | 36% below | 25% |
| Iron blood test (serum iron) CPT 83540 LC-IRON | $21.84 | $29.12 | $6.34–$26.21 | 36% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 MSH-TIBC | $29.50 | $39.33 | $8.74–$35.40 | 31% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON W/TIBC | $29.50 | $39.33 | $8.74–$35.40 | 31% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 LC-IRON W/TIBC | $29.50 | $39.33 | $8.74–$35.40 | 31% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 M-IRON W/TIBC | $29.50 | $39.33 | $8.74–$35.40 | 31% below | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $29.30 | $39.06 | $8.68–$35.15 | 56% below | 25% |
| Kidney function blood test panel CPT 80069 M-RENAL FUNCTION PANEL W/ eGFR | $29.30 | $39.06 | $8.68–$35.15 | 56% below | 25% |
| LH (luteinizing hormone) test CPT 83002 LH-LUTENIZING HORMONE | $62.51 | $83.34 | $18.52–$75.01 | 1% above | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $23.26 | $31.01 | $6.89–$27.91 | 43% below | 25% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $27.58 | $36.77 | $8.17–$33.09 | 62% below | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION | $27.58 | $36.77 | $8.17–$33.09 | 62% below | 25% |
| Liver function blood test panel CPT 80076 M-LIVER PROFILE | $27.58 | $36.77 | $8.17–$33.09 | 62% below | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $57.48 | $76.64 | $17.03–$68.98 | 3% below | 25% |
| Magnesium blood test CPT 83735 STOOL MAGNESIUM | $22.61 | $30.15 | $6.70–$27.14 | 23% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $22.61 | $30.15 | $6.70–$27.14 | 23% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $22.61 | $30.15 | $6.70–$27.14 | 23% below | 25% |
| Magnesium blood test CPT 83735 M-MAGNESIUM | $22.61 | $30.15 | $6.70–$27.14 | 23% below | 25% |
| Magnesium blood test CPT 83735 MSH-MAGNESIUM | $22.61 | $30.15 | $6.70–$27.14 | 23% below | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA / MEASLES TITER, IGG | $43.47 | $57.96 | $12.88–$52.16 | 12% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHIL ANTIBODY TITER | $17.48 | $23.31 | $5.18–$20.98 | 50% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $17.48 | $23.31 | $5.18–$20.98 | 50% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 M-MONO | $17.48 | $23.31 | $5.18–$20.98 | 50% below | 25% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $161.36 | $215.14 | $24.01–$193.63 | 98% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE,PERCENTAGE FREE,TOTAL | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 M-PSA DIAGNOSTIC | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $62.07 | $82.76 | $18.39–$74.48 | at median | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $139.32 | $185.76 | $41.28–$167.18 | 15% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH | $139.32 | $185.76 | $41.28–$167.18 | 15% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $20.29 | $27.05 | $6.01–$24.35 | 31% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 M-PTT | $20.29 | $27.05 | $6.01–$24.35 | 31% below | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE | $70.40 | $93.87 | $20.86–$84.48 | at median | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $65.41 | $87.21 | $19.38–$78.49 | 11% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 M-PT WITH INR | $14.48 | $19.31 | $4.29–$17.38 | 33% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME PT WITH INR | $14.48 | $19.31 | $4.29–$17.38 | 33% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE 12 DRUGS (MSH) | $42.53 | $56.70 | $12.60–$51.03 | 87% above | 25% |
| Rapid flu test (influenza antigen) CPT 87804 M-FLU A & B | $55.86 | $74.48 | $16.18–$67.03 | 50% above | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 M-STREP A | $55.79 | $74.39 | $16.18–$66.95 | 90% above | 25% |
| Rheumatoid factor (RF) test CPT 86431 RA LATEX | $19.14 | $25.52 | $5.67–$22.97 | 29% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM | $48.57 | $64.76 | $14.39–$58.28 | 12% above | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $48.57 | $64.76 | $14.39–$58.28 | 12% above | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG | $48.57 | $64.76 | $14.39–$58.28 | 12% above | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LC-SED RATE | $9.11 | $12.15 | $2.70–$10.94 | 71% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $9.11 | $12.15 | $2.70–$10.94 | 71% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 M-SED RATE | $9.11 | $12.15 | $2.70–$10.94 | 71% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 MSH-SED RATE | $9.11 | $12.15 | $2.70–$10.94 | 71% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL x3 SIMULTANEOUS | $14.78 | $19.71 | $3.23–$17.74 | 11% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STOOL 1-3 SIM | $14.78 | $19.71 | $3.23–$17.74 | 11% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STL PEROXIDASE, NEOPLASM SCR | $14.78 | $19.71 | $3.23–$17.74 | 11% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 M-HEMOCCULT, SCREENING | $14.78 | $19.71 | $3.23–$17.74 | 11% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $14.42 | $19.22 | $4.26–$17.30 | 27% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $14.42 | $19.22 | $4.26–$17.30 | 27% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR / T PALLIDUM | $44.69 | $59.58 | $4.26–$53.62 | 127% above | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LC-QUANTIFERON-TB GOLD PLUS | $209.18 | $278.91 | $61.98–$251.02 | 26% above | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS | $209.18 | $278.91 | $61.98–$251.02 | 26% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL FEMALE OR CHILD | $87.11 | $116.15 | $25.81–$104.54 | 14% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,MALE | $87.11 | $116.15 | $25.81–$104.54 | 14% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOMAL ANTIBODY | $49.11 | $65.48 | $14.55–$58.93 | at median | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $49.11 | $65.48 | $14.55–$58.93 | at median | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $56.70 | $75.60 | $16.80–$68.04 | 7% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 M-TSH | $56.70 | $75.60 | $16.80–$68.04 | 7% above | 25% |
| Uric acid blood test CPT 84550 URIC ACID | $15.26 | $20.34 | $4.51–$18.31 | 41% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/ MICROSCOPY | $10.70 | $14.27 | $3.17–$12.84 | 70% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $10.70 | $14.27 | $3.17–$12.84 | 70% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 THALLIUM,URINE | $13.57 | $18.09 | $3.94–$16.28 | 51% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS PROFICIENCY | $7.60 | $10.13 | $2.25–$9.12 | 31% below | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY | $7.60 | $10.13 | $2.25–$9.12 | 31% below | 25% |
| Urinalysis without microscope exam, automated CPT 81003 M-UA DIP | $7.60 | $10.13 | $2.25–$9.12 | 31% below | 25% |
| Urinalysis without microscope exam, automated CPT 81003 UA W/O MICRO AUTO | $7.60 | $10.13 | $2.25–$9.12 | 31% below | 25% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $27.24 | $36.32 | $8.07–$32.69 | 41% below | 25% |
| Urine culture for bacteria, with colony count CPT 87086 LC-CULTURE URINE | $27.24 | $36.32 | $8.07–$32.69 | 41% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE | $29.06 | $38.75 | $8.15–$34.88 | 10% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 M-HCG URINE | $29.06 | $38.75 | $8.15–$34.88 | 10% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL | $29.06 | $38.75 | $8.15–$34.88 | 10% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 M-VITAMIN B12 | $50.90 | $67.86 | $15.08–$61.07 | 16% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $50.90 | $67.86 | $15.08–$61.07 | 16% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 MSH-VITAMIN B12 | $50.90 | $67.86 | $15.08–$61.07 | 16% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 API IMMUNOASSAY-SPECIAL SURVEY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 M-VITAMIN D 25-HYDROXY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LC-VITAMIN D-25 HYDROXY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LC- VITAMIN D-25 HYDROXY | $99.90 | $133.20 | $29.60–$119.88 | at median | 25% |
| Zinc blood test CPT 84630 ZINC,WHOLE BLOOD | $38.45 | $51.26 | $11.39–$46.13 | 7% below | 25% |
| Zinc blood test CPT 84630 ZINC,PLASMA | $38.45 | $51.26 | $11.39–$46.13 | 7% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT QUANTITATIVE | $50.80 | $67.73 | $15.05–$60.96 | 18% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA,TUMOR MARKER QUANT | $50.80 | $67.73 | $15.05–$60.96 | 18% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM | $50.80 | $67.73 | $15.05–$60.96 | 18% below | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, EXTERNAL | $639.20 | $852.27 | $109.43–$1,286.73 | 12% above | 25% |
| Colonoscopy with tissue sample CPT 45380 MBP COLONOSCOPY W/BIOPSY | $690.00 | $920.00 | $118.13–$2,329.63 | 24% below | 25% |
| Colonoscopy, diagnostic CPT 45378 MBP COLONOSCOPY | $690.00 | $920.00 | $118.13–$1,810.45 | 22% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JOINT OR ARTHROCENT ASPIRATION | $341.93 | $455.91 | $58.54–$597.57 | 32% above | 25% |
| Left heart catheterization, diagnostic CPT 93452 LT HT CATH | $5,705.33 | $7,607.10 | $976.75–$6,846.39 | 43% above | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 MBP EGD DIAGNOSTIC | $759.00 | $1,012.00 | $129.94–$1,765.73 | 8% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION | $681.73 | $908.97 | $116.71–$858.87 | 43% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER-TX SUBSEQUENT | $249.65 | $332.86 | $42.74–$426.30 | 124% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX -INITIAL | $249.65 | $332.86 | $42.74–$426.30 | 124% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING DR M SAMPOGNARO | $268.88 | $358.50 | $32.26–$322.65 | 196% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING DR ELMALAH | $268.88 | $358.50 | $32.26–$322.65 | 196% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING DR ROSS SMITH | $268.88 | $358.50 | $32.26–$322.65 | 196% above | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIAC STRESS TEST | $614.92 | $819.89 | $105.27–$737.90 | 75% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATIONANTIBIOTIC UP TO 1 HR | $227.88 | $303.84 | $39.01–$414.08 | 25% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAPY | $344.24 | $458.99 | $58.93–$414.08 | 88% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION; HYDRATION INITIAL UP TO 1HR | $354.89 | $473.19 | $60.76–$425.87 | 94% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY | $344.24 | $458.99 | $58.93–$414.08 | 78% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY; UP TO 1 HOUR | $367.49 | $489.98 | $62.91–$440.98 | 90% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION; MONOCLONAL ANTIBODY UP TO 1HR | $367.49 | $489.98 | $62.91–$440.98 | 90% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PROPHY UP TO 1HR | $367.49 | $489.98 | $62.91–$440.98 | 90% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION | $219.83 | $293.10 | $37.63–$263.79 | 287% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM or SUBCUTANEOUS INJECTION | $224.22 | $298.96 | $38.39–$269.06 | 295% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 INTRAOP NEUROPHYS MON PEDICLE SCREW STIM | $73.52 | $98.03 | $12.59–$726.46 | 59% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC REEDUCATION | $136.69 | $182.25 | $23.40–$164.03 | 167% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUCATION | $136.69 | $182.25 | $23.40–$164.03 | 167% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 CLINIC LEVEL III | $163.50 | $218.00 | $37.83–$196.20 | 105% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 CLINIC LEVEL IV | $240.00 | $320.00 | $56.77–$288.00 | 97% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC LEVEL V | $324.00 | $432.00 | $56.77–$388.80 | 105% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC LEVEL II | $251.79 | $335.72 | $32.87–$302.15 | 399% above | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION | $188.87 | $251.83 | $72.35–$226.65 | 66% above | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 45 MIN | $279.77 | $373.03 | $74.48–$335.73 | 126% above | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 20 MIN | $279.77 | $373.03 | $74.48–$335.73 | 147% above | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 30 MIN | $324.45 | $432.60 | $74.48–$389.34 | 161% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT PROCEDURE EA 15 MINUTES | $133.85 | $178.46 | $16.21–$160.61 | 147% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PROCEDURE EA 15 MINUTES | $133.85 | $178.46 | $16.21–$160.61 | 147% above | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 NEW PT PREVENTIVE MED EVAL 18 TO 39 YRS | $188.25 | $251.00 | $32.23–$225.90 | 18% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED LEVEL III | $256.91 | $342.55 | $37.83–$308.30 | 375% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED LEVEL II | $251.79 | $335.72 | $26.59–$302.15 | 517% above | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PATIENT OFFICE CONSULT TYPICALLY 40 MIN | $179.25 | $239.00 | $30.69–$215.10 | 20% above | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PATIENT OFFICE CONSULT TYPICALLY 60 MIN | $294.00 | $392.00 | $50.33–$352.80 | 93% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT/OT FUNCTIONAL THERAPEUTIC ACTIVITIES | $72.92 | $97.22 | $8.76–$156.00 | 47% above | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE (FLUZONE) 0.5ML | $82.82 | $110.43 | $14.18–$99.39 | 176% above | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VACC(MENACTRA)4MCG/0.5ML:INJ | $320.39 | $427.19 | $54.85–$384.47 | 150% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL V (PNU-IMUNE 23) 0.5ML | $271.31 | $361.74 | $46.45–$325.57 | 143% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DT ADULT 0.5ML SINGLE DOSE | $41.90 | $55.86 | $7.17–$50.27 | at median | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTH PERTUSS(ACELL)BOOSTRIX:0.5ML | $117.12 | $156.16 | $20.05–$140.54 | 179% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DT ADULT MDV :5ML | $211.54 | $282.05 | $26.37–$253.85 | 404% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION IM SQ | $66.47 | $88.63 | $11.38–$140.17 | 52% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM IM SQ EA ADDITIONAL | $32.06 | $42.74 | $5.49–$38.47 | 14% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION VACC ADMIN IM SQ EA ADDTL | $66.47 | $88.63 | $11.38–$79.77 | 137% above | 25% |