Keokuk County Health Center
Keokuk County Health Center in Sigourney, IA publishes cash prices for 232 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 Iowa median for 137 of 229 procedures and above it for 92. By typical cash price it ranks #26 of 85 Iowa hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
23019 Highway 149 Sigourney, IA 52591 Collected Sep 29, 2026 Source price file (641) 622-2720
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 161315 · CMS hospital register NPI 1376611103
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Keokuk County Health Center in Sigourney, IA:
- Mar 13, 2026 Corrective action plan requested
- Apr 2, 2026 Case closed
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V | $202.30 | $289.00 | $127.74–$245.65 | 19% below | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LT | $74.20 | $106.00 | $74.20–$140.39 | 67% below | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RT | $74.20 | $106.00 | $74.20–$140.39 | 67% below | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O RT | $1,197.00 | $1,710.00 | $312.99–$1,453.50 | 1% below | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O LT | $1,197.00 | $1,710.00 | $312.99–$1,453.50 | 1% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O | $1,130.50 | $1,615.00 | $833.65–$1,372.75 | 57% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS WITH | $1,267.70 | $1,811.00 | $833.65–$1,539.35 | 60% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W W/O | $1,815.10 | $2,593.00 | $833.65–$2,204.05 | 47% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL(SINUS) W/O | $1,144.50 | $1,635.00 | $312.99–$1,389.75 | 11% below | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O | $1,054.90 | $1,507.00 | $833.65–$1,280.95 | 21% below | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/WO | $1,054.90 | $1,507.00 | $833.65–$1,280.95 | 21% below | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH | $1,223.60 | $1,748.00 | $833.65–$1,485.80 | 19% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE | $1,307.60 | $1,868.00 | $312.99–$1,587.80 | 14% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE | $1,233.40 | $1,762.00 | $312.99–$1,497.70 | 18% below | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILAT | $640.50 | $915.00 | $393.67–$777.75 | — | 30% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WITH AND W/O | $1,770.30 | $2,529.00 | $833.65–$2,149.65 | 9% below | 30% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT | $140.70 | $201.00 | $127.74–$170.85 | 32% below | 30% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE | $95.90 | $137.00 | $95.90–$140.39 | 43% below | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT | $166.60 | $238.00 | $127.74–$202.30 | 12% below | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT | $166.60 | $238.00 | $127.74–$202.30 | 12% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA | $232.40 | $332.00 | $219.62–$282.20 | 41% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O | $1,202.60 | $1,718.00 | $312.99–$1,460.30 | 13% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH | $1,351.70 | $1,931.00 | $833.65–$1,641.35 | 24% below | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL | $169.40 | $242.00 | $169.40–$225.78 | 42% below | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US PERIPH DOPPLER BILAT LOWER EXT | $1,146.60 | $1,638.00 | $393.67–$1,392.30 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE | $1,094.80 | $1,564.00 | $1,094.80–$1,392.42 | 28% below | 30% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LT | $109.90 | $157.00 | $109.90–$140.39 | 30% below | 30% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RT | $109.90 | $157.00 | $109.90–$140.39 | 30% below | 30% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW W/RADIAL HEAD RT | $122.50 | $175.00 | $122.50–$148.75 | 43% below | 30% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW W/RADIAL HEAD LT | $122.50 | $175.00 | $122.50–$148.75 | 43% below | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WITHOUT CONTRAST | $1,236.20 | $1,766.00 | $312.99–$1,501.10 | 5% below | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES | $227.50 | $325.00 | $127.74–$276.25 | 16% below | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LT | $148.40 | $212.00 | $127.74–$180.20 | 23% below | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RT | $148.40 | $212.00 | $127.74–$180.20 | 23% below | 30% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 3 VIEW RT | $74.90 | $107.00 | $74.90–$140.39 | 54% below | 30% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 3 VIEW LT | $74.90 | $107.00 | $74.90–$140.39 | 54% below | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR OS CALCIS LT | $126.70 | $181.00 | $126.70–$153.85 | 24% below | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR OS CALCIS RT | $126.70 | $181.00 | $126.70–$153.85 | 24% below | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STD AIRFLOW HRT RATE02 SAT EFFORT | $455.00 | $650.00 | $455.00–$683.89 | 18% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6>YRS SLEEP W/CPAP 4> ADDL PARAM | $2,186.10 | $3,123.00 | $2,186.10–$2,987.62 | 31% below | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEW LT | $185.50 | $265.00 | $127.74–$225.25 | 13% below | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEW RT | $185.50 | $265.00 | $127.74–$225.25 | 13% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O LT | $1,197.00 | $1,710.00 | $312.99–$1,453.50 | 10% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O RT | $1,197.00 | $1,710.00 | $312.99–$1,453.50 | 10% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN SINGLE ORGAN/QUADRANT | $343.00 | $490.00 | $257.72–$416.50 | 29% below | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CA SCR W/O CONTRAST | $602.00 | $860.00 | $312.99–$731.00 | 39% above | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB-FIB RT | $154.70 | $221.00 | $127.74–$187.85 | 19% below | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB-FIB LT | $154.70 | $221.00 | $127.74–$187.85 | 19% below | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O | $688.10 | $983.00 | $602.83–$835.55 | 70% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANY JOINT LOWER EXT W/O RT | $872.20 | $1,246.00 | $720.11–$1,059.10 | 61% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANY JOINT LOWER EXT W/O LT | $872.20 | $1,246.00 | $720.11–$1,059.10 | 61% below | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANY JOINT LOWER EXT W W/O LT | $1,135.40 | $1,622.00 | $992.02–$1,378.70 | 64% below | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANY JOINT LOWER EXT W W/O RT | $1,135.40 | $1,622.00 | $992.02–$1,378.70 | 64% below | 30% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O | $889.70 | $1,271.00 | $720.11–$1,080.35 | 57% below | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W W/O | $1,157.10 | $1,653.00 | $992.02–$1,405.05 | 66% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O | $837.90 | $1,197.00 | $720.11–$1,017.45 | 63% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WITH AND W/O | $1,344.70 | $1,921.00 | $992.02–$1,632.85 | 62% below | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR W/O | $833.00 | $1,190.00 | $720.11–$1,011.50 | 65% below | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR W W/O | $877.10 | $1,253.00 | $877.10–$1,090.29 | 74% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC W/O | $833.00 | $1,190.00 | $720.11–$1,011.50 | 64% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERVICAL WITH AND W/O | $877.10 | $1,253.00 | $877.10–$1,090.29 | 73% below | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL W/O | $833.00 | $1,190.00 | $720.11–$1,011.50 | 63% below | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WITH AND W/O | $1,135.40 | $1,622.00 | $992.02–$1,378.70 | 65% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O | $872.20 | $1,246.00 | $720.11–$1,059.10 | 58% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ANY JOINT UPPER EXT W/O LT | $870.80 | $1,244.00 | $720.11–$1,057.40 | 61% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ANY JOINT UPPER EXT W/O RT | $870.80 | $1,244.00 | $720.11–$1,057.40 | 61% below | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE W/OBL (ORTHO) | $256.20 | $366.00 | $127.74–$311.10 | 21% below | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISUE NECK WITH | $1,343.30 | $1,919.00 | $833.65–$1,631.15 | 16% below | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O | $1,131.20 | $1,616.00 | $312.99–$1,373.60 | 10% below | 30% |
| Neck soft tissue X-ray CPT 70360 XR NECK-SOFT TISSUE | $160.30 | $229.00 | $127.74–$194.65 | 9% below | 30% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS (R/O FRACTURE) | $1,103.90 | $1,577.00 | $312.99–$1,340.45 | 15% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $354.20 | $506.00 | $354.20–$432.67 | 35% below | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT LT | $157.50 | $225.00 | $127.74–$191.25 | 26% below | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT RT | $157.50 | $225.00 | $127.74–$191.25 | 26% below | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR CHEST PA W/RIBS RT | $162.40 | $232.00 | $127.74–$197.20 | 43% below | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR CHEST PA W/RIBS LT | $162.40 | $232.00 | $127.74–$197.20 | 43% below | 30% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY BILATERAL | $184.10 | $263.00 | $184.10–$225.78 | — | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LT | $80.50 | $115.00 | $80.50–$140.39 | 65% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RT | $80.50 | $115.00 | $80.50–$140.39 | 65% below | 30% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS | $199.50 | $285.00 | $127.74–$242.25 | 19% below | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL (PRE-MRI) | $98.70 | $141.00 | $98.70–$140.39 | 52% below | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6>YRS SLEEP 4> ADDL PARAM ATTND | $1,987.30 | $2,839.00 | $1,987.30–$2,987.62 | 31% below | 30% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LT | $165.20 | $236.00 | $127.74–$200.60 | 15% below | 30% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RT | $165.20 | $236.00 | $127.74–$200.60 | 15% below | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE | $1,207.50 | $1,725.00 | $312.99–$1,466.25 | 13% below | 30% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES RT | $123.90 | $177.00 | $123.90–$150.45 | 28% below | 30% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES LT | $123.90 | $177.00 | $123.90–$150.45 | 28% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $366.80 | $524.00 | $257.72–$445.40 | 28% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $471.80 | $674.00 | $393.67–$572.90 | 32% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $366.10 | $523.00 | $257.72–$444.55 | 33% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/ST NECK | $312.20 | $446.00 | $257.72–$379.10 | 33% below | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RT | $160.30 | $229.00 | $127.74–$194.65 | 14% below | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LT | $160.30 | $229.00 | $127.74–$194.65 | 14% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US PERIPH DOPPLER UNILAT LOWER EXT RT | $429.80 | $614.00 | $257.72–$521.90 | 34% below | 30% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 3 VIEW RT | $129.50 | $185.00 | $127.74–$157.25 | 29% below | 30% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 3 VIEW LT | $129.50 | $185.00 | $127.74–$157.25 | 29% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT | $79.80 | $114.00 | $79.80–$140.39 | 64% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT | $79.80 | $114.00 | $79.80–$140.39 | 64% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT INC SCAPHOID VIEW | $129.50 | $185.00 | $127.74–$157.25 | 41% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT INC SCAPHOID VIEW | $129.50 | $185.00 | $127.74–$157.25 | 41% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RT | $154.70 | $221.00 | $127.74–$187.85 | 26% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LT | $154.70 | $221.00 | $127.74–$187.85 | 26% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB | $130.90 | $187.00 | $127.74–$158.95 | 26% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 3 VIEW RT | $158.90 | $227.00 | $127.74–$192.95 | 5% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 3 VIEW LT | $158.90 | $227.00 | $127.74–$192.95 | 5% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RT | $118.30 | $169.00 | $118.30–$143.65 | 30% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LT | $118.30 | $169.00 | $118.30–$143.65 | 30% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 3 VIEW RT | $135.10 | $193.00 | $127.74–$164.05 | 17% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 3 VIEW LT | $135.10 | $193.00 | $127.74–$164.05 | 17% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LT | $77.00 | $110.00 | $77.00–$140.39 | 65% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RT | $77.00 | $110.00 | $77.00–$140.39 | 65% below | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LT | $152.60 | $218.00 | $127.74–$185.30 | 25% below | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RT | $152.60 | $218.00 | $127.74–$185.30 | 25% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RT | $114.80 | $164.00 | $114.80–$140.39 | 41% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LT | $114.80 | $164.00 | $114.80–$140.39 | 41% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE | $191.80 | $274.00 | $127.74–$232.90 | 33% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE W/OBL (ORTHO) | $169.40 | $242.00 | $127.74–$205.70 | 52% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE | $144.20 | $206.00 | $127.74–$175.10 | 42% below | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES | $177.10 | $253.00 | $127.74–$215.05 | 10% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE | $207.90 | $297.00 | $127.74–$252.45 | 16% below | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS | $141.40 | $202.00 | $127.74–$171.70 | 28% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX | $148.40 | $212.00 | $127.74–$180.20 | 32% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH (ADRENOCORTICOTROPIC HORMONE) (SO) | $145.60 | $208.00 | $99.35–$176.80 | 13% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $62.30 | $89.00 | $32.12–$75.65 | 43% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $51.10 | $73.00 | $32.12–$62.05 | 27% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL (SO) | $401.80 | $574.00 | $56.77–$487.90 | 71% above | 30% |
| Albumin blood test CPT 82040 ALBUMIN (SO) | $42.70 | $61.00 | $32.12–$51.85 | 19% above | 30% |
| Albumin blood test CPT 82040 ALBUMIN | $42.70 | $61.00 | $32.12–$51.85 | 19% above | 30% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE (SO) | $259.00 | $370.00 | $99.35–$314.50 | 48% above | 30% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM (SO) | $259.00 | $370.00 | $99.35–$314.50 | 48% above | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $50.40 | $72.00 | $32.12–$61.20 | 23% above | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN TUMOR MARKER (SO) | $100.10 | $143.00 | $59.76–$121.55 | 11% above | 30% |
| Amylase blood test CPT 82150 AMYLASE | $71.40 | $102.00 | $32.12–$86.70 | 34% above | 30% |
| Amylase blood test CPT 82150 AMYLASE, PANCREATIC FLUID (SO) | $71.40 | $102.00 | $32.12–$86.70 | 34% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC CITRULLINATED PEPTIDE AB (SO) | $162.40 | $232.00 | $40.34–$197.20 | 105% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (SO) | $98.70 | $141.00 | $40.34–$119.85 | 36% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $121.10 | $173.00 | $56.77–$147.05 | 40% above | 30% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $49.70 | $71.00 | $32.12–$60.35 | 9% above | 30% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE (SO) | $123.90 | $177.00 | $34.36–$150.45 | 35% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING FEE ONLY | $20.30 | $29.00 | $11.21–$24.65 | 4% below | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (SO) | $32.90 | $47.00 | $32.12–$39.95 | 2% below | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE -E | $32.90 | $47.00 | $32.12–$39.95 | 2% below | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $32.90 | $47.00 | $32.12–$39.95 | 2% below | 30% |
| Blood lead test CPT 83655 LEAD CAPILLARY W/ DEMOGRAPHICS (SO) | $72.80 | $104.00 | $31.37–$88.40 | 35% above | 30% |
| Blood lead test CPT 83655 LEAD VENOUS W/ DEMOGRAPHICS (SO) | $72.80 | $104.00 | $31.37–$88.40 | 35% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG, SERUM QUALITATIVE | $81.20 | $116.00 | $32.12–$98.60 | 31% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO (SO) | $34.30 | $49.00 | $34.30–$51.72 | 40% below | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $40.60 | $58.00 | $32.12–$49.30 | 21% above | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN-E | $40.60 | $58.00 | $32.12–$49.30 | 21% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $77.00 | $110.00 | $40.34–$93.50 | 32% above | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF TOXIN, PCR (SO) | $108.50 | $155.00 | $89.64–$131.75 | at median | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF PCR | $108.50 | $155.00 | $89.64–$131.75 | at median | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 (CA 19-9) SERUM(SO) | $21.70 | $31.00 | $21.70–$44.33 | 78% below | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 (SO) | $92.40 | $132.00 | $40.34–$112.20 | 19% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RT-PCR | $108.50 | $155.00 | $89.64–$131.75 | 8% below | 30% |
| Calcium blood test, total CPT 82310 CALCIUM | $58.10 | $83.00 | $32.12–$70.55 | 45% above | 30% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (SO) | $124.60 | $178.00 | $59.76–$151.30 | 18% above | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB IGG & IGM (SO) | $31.50 | $45.00 | $31.50–$44.33 | 51% below | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS IGG (SO) | $31.50 | $45.00 | $31.50–$44.33 | 51% below | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS IGM (SO) | $31.50 | $45.00 | $31.50–$44.33 | 51% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA (SO) | $93.80 | $134.00 | $89.64–$113.90 | 6% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS, PCR | $93.80 | $134.00 | $89.64–$113.90 | 6% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS MISCELLANEOUS (SO) | $93.80 | $134.00 | $89.64–$113.90 | 6% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROTEIN PROFILE (SO) | $103.60 | $148.00 | $56.77–$125.80 | 19% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $103.60 | $148.00 | $56.77–$125.80 | 19% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF | $80.50 | $115.00 | $27.64–$97.75 | 28% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $167.30 | $239.00 | $56.77–$203.15 | 35% above | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL PM (SO) | $109.90 | $157.00 | $47.06–$133.45 | 10% above | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL AM (SO) | $109.90 | $157.00 | $47.06–$133.45 | 10% above | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL (SO) | $109.90 | $157.00 | $47.06–$133.45 | 10% above | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE | $75.60 | $108.00 | $32.12–$91.80 | 55% above | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK (SO) | $75.60 | $108.00 | $32.12–$91.80 | 55% above | 30% |
| Creatinine blood test CPT 82565 CREATININE | $42.70 | $61.00 | $32.12–$51.85 | 19% above | 30% |
| Creatinine blood test CPT 82565 CREATININE-E | $42.70 | $61.00 | $32.12–$51.85 | 19% above | 30% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG (CMV) (SO) | $102.90 | $147.00 | $40.34–$124.95 | 52% above | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $101.50 | $145.00 | $29.88–$123.25 | 19% above | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE (SO) | $113.40 | $162.00 | $47.06–$137.70 | 2% below | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $81.20 | $116.00 | $56.77–$98.60 | 18% above | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR ANTIBODY VIRUS | $84.70 | $121.00 | $40.34–$102.85 | 18% above | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS (EBV) AB, IgG | $84.70 | $121.00 | $40.34–$102.85 | 18% above | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS (EBV) AB, IgM | $84.70 | $121.00 | $40.34–$102.85 | 18% above | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL; TOTAL (SO) | $126.00 | $180.00 | $47.06–$153.00 | 2% below | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE (SO) | $106.40 | $152.00 | $47.06–$129.20 | 4% above | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN (SO) | $161.70 | $231.00 | $59.76–$196.35 | 1% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $104.30 | $149.00 | $59.76–$126.65 | 16% above | 30% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $21.00 | $30.00 | $21.00–$32.84 | 68% below | 30% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $103.60 | $148.00 | $59.76–$125.80 | 18% above | 30% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $90.30 | $129.00 | $47.06–$109.65 | 17% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE BY DIALYSIS (SO) | $76.30 | $109.00 | $47.06–$92.65 | 16% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE (SO) | $76.30 | $109.00 | $47.06–$92.65 | 16% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $76.30 | $109.00 | $47.06–$92.65 | 16% above | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE, SERUM | $107.10 | $153.00 | $47.06–$130.05 | 4% above | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSPEPTIDASE | $51.10 | $73.00 | $32.12–$62.05 | 1% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 4-HR | $179.20 | $256.00 | $59.76–$217.60 | 105% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 5-HR | $184.80 | $264.00 | $59.76–$224.40 | 111% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3-HR PREGNANT | $184.80 | $264.00 | $59.76–$224.40 | 111% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3-HR | $184.80 | $264.00 | $59.76–$224.40 | 111% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 6-HR | $184.80 | $264.00 | $59.76–$224.40 | 111% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEAE (SO) | $86.10 | $123.00 | $86.10–$104.55 | 7% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE, PCR | $86.10 | $123.00 | $86.10–$104.55 | 7% below | 30% |
| H. pylori antibody blood test CPT 86677 HELICOPACTOR PYLORI IgG AB SERUM | $108.50 | $155.00 | $40.34–$131.75 | 36% above | 30% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI - STOOL (SO) | $53.90 | $77.00 | $34.36–$65.45 | 52% below | 30% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN (SO) | $53.90 | $77.00 | $34.36–$65.45 | 52% below | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG & AB SCREEN, PLASMA (SO) | $113.40 | $162.00 | $34.36–$137.70 | 47% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV, TYPE 1 AND TYPE 2 (SO) (MHP) | $113.40 | $162.00 | $34.36–$137.70 | 47% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $66.50 | $95.00 | $32.12–$80.75 | 2% above | 30% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL ANTIBODIES (SO) | $74.20 | $106.00 | $40.34–$90.10 | 4% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (SO) | $77.70 | $111.00 | $40.34–$94.35 | 13% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (SO) | $76.30 | $109.00 | $34.36–$92.65 | 9% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/ REFLEX TO HCV RNA PCR (SO) | $92.40 | $132.00 | $40.34–$112.20 | 16% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA DETECT/QUANT PCR (SO) | $133.00 | $190.00 | $89.64–$161.50 | 50% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA DETECTION & QUANT(SO) | $557.20 | $796.00 | $89.64–$676.60 | 111% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $42.70 | $61.00 | $40.34–$51.85 | 37% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $21.70 | $31.00 | $21.70–$44.33 | 62% below | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP (HIGH SENSITIVITY) (SO) | $109.20 | $156.00 | $40.34–$132.60 | 36% above | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL PLASMA (SO) | $135.80 | $194.00 | $47.06–$164.90 | 41% above | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL (SO) | $135.80 | $194.00 | $47.06–$164.90 | 41% above | 30% |
| Insulin blood test CPT 83525 INSULIN SERUM (SO) | $87.50 | $125.00 | $47.06–$106.25 | 15% above | 30% |
| Iron blood test (serum iron) CPT 83540 IRON (SO) | $52.50 | $75.00 | $32.12–$63.75 | 25% above | 30% |
| Iron blood test (serum iron) CPT 83540 IRON | $52.50 | $75.00 | $32.12–$63.75 | 25% above | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $74.20 | $106.00 | $32.12–$90.10 | 52% above | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $137.20 | $196.00 | $56.77–$166.60 | 46% above | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION TEST (SO) | $137.20 | $196.00 | $56.77–$166.60 | 46% above | 30% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (SO) | $60.90 | $87.00 | $47.06–$73.95 | 33% below | 30% |
| Lactate (lactic acid) blood test CPT 83605 D-LACTATE (SO) | $91.00 | $130.00 | $59.76–$110.50 | 20% above | 30% |
| Lactate (lactic acid) blood test CPT 83605 LAC (VITROS) | $91.00 | $130.00 | $59.76–$110.50 | 20% above | 30% |
| Lactate (lactic acid) blood test CPT 83605 Lactate (EPOC) | $91.00 | $130.00 | $59.76–$110.50 | 20% above | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE (SO) | $52.50 | $75.00 | $32.12–$63.75 | 22% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $79.10 | $113.00 | $32.12–$96.05 | 21% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (SO) | $79.10 | $113.00 | $32.12–$96.05 | 21% above | 30% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $107.10 | $153.00 | $56.77–$130.05 | 21% above | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE (BORRELIA BURGDORFERI) IgM | $51.45 | $73.50 | $40.34–$62.48 | 41% below | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE (BORRELIA BURGDORFERI) IgG | $51.45 | $73.50 | $40.34–$62.48 | 41% below | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY (SO) | $105.70 | $151.00 | $40.34–$128.35 | 21% above | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM | $53.90 | $77.00 | $32.12–$65.45 | 11% above | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG (SO) | $81.20 | $116.00 | $40.34–$98.60 | 42% above | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGM (SO) | $81.20 | $116.00 | $40.34–$98.60 | 42% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $53.90 | $77.00 | $40.34–$65.45 | 11% above | 30% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM, SERUM | $215.60 | $308.00 | $40.34–$261.80 | 311% above | 30% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM AND IGG | $215.60 | $308.00 | $40.34–$261.80 | 311% above | 30% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG, SERUM (SO) | $215.60 | $308.00 | $40.34–$261.80 | 311% above | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $133.70 | $191.00 | $59.76–$162.35 | 37% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PLUS EXTENSION, SERUM (SO) | $94.50 | $135.00 | $59.76–$114.75 | 3% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $94.50 | $135.00 | $59.76–$114.75 | 3% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE-SPECIFIC ANTIGEN TOTAL (SO) | $94.50 | $135.00 | $59.76–$114.75 | 3% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $190.40 | $272.00 | $99.35–$231.20 | 7% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (SO) | $190.40 | $272.00 | $99.35–$231.20 | 7% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH II | $190.40 | $272.00 | $99.35–$231.20 | 7% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBO TIME (SO) | $50.40 | $72.00 | $29.88–$61.20 | 9% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $50.40 | $72.00 | $29.88–$61.20 | 9% above | 30% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $42.70 | $61.00 | $32.12–$51.85 | 20% above | 30% |
| Potassium blood test CPT 84132 POTASSIUM | $42.00 | $60.00 | $32.12–$51.00 | 22% above | 30% |
| Potassium blood test CPT 84132 POTASSIUM-E | $42.00 | $60.00 | $32.12–$51.00 | 22% above | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE (SO) | $106.40 | $152.00 | $47.06–$129.20 | 6% above | 30% |
| Prolactin blood test CPT 84146 PROLACTIN SERUM (SO) | $130.90 | $187.00 | $47.06–$158.95 | 27% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/ INR | $36.40 | $52.00 | $29.88–$44.20 | 11% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT), PLASMA (SO) | $36.40 | $52.00 | $29.88–$44.20 | 11% above | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RAPID URINE DRUG SCREEN | $121.80 | $174.00 | $26.15–$147.90 | 67% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GROUP A RAPID STREP | $53.20 | $76.00 | $34.36–$64.60 | 3% above | 30% |
| Renin blood test CPT 84244 RENIN ACTIVITY PLASMA (SO) | $211.40 | $302.00 | $47.06–$256.70 | 94% above | 30% |
| Rh blood typing CPT 86901 BLOOD TYPING, RH (SO) | $33.60 | $48.00 | $33.60–$51.72 | 25% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, SERUM (SO) | $33.60 | $48.00 | $33.60–$44.33 | 31% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG (SEND OUT, MAYO) | $77.70 | $111.00 | $40.34–$94.35 | 21% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTOMATED | $61.60 | $88.00 | $27.64–$74.80 | 77% above | 30% |
| Sodium blood test CPT 84295 SODIUM | $44.80 | $64.00 | $32.12–$54.40 | 33% above | 30% |
| Sodium blood test CPT 84295 SODIUM-E | $44.80 | $64.00 | $32.12–$54.40 | 33% above | 30% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES DIRECT SMEARS | $77.00 | $110.00 | $34.36–$93.50 | 55% above | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECES-SCREENING | $19.60 | $28.00 | $19.60–$35.30 | 41% below | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SCREENING-TREPONEMA PALLIDUM | $47.60 | $68.00 | $40.34–$57.80 | 12% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,SYPHILIS,SERUM (SO) | $50.40 | $72.00 | $40.34–$61.20 | 4% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN AB (RPR) (SO) | $50.40 | $72.00 | $40.34–$61.20 | 4% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS (MAYO) (SO) | $140.00 | $200.00 | $106.82–$170.00 | 7% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS (SEND OUT, UHL) | $140.00 | $200.00 | $106.82–$170.00 | 7% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MASS SPECTROMETRY(SO) | $126.70 | $181.00 | $47.06–$153.85 | 23% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (SO) | $126.70 | $181.00 | $47.06–$153.85 | 23% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE ANTIBODY SERUM (SO) | $100.10 | $143.00 | $40.34–$121.55 | 25% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOME TYPE 1 AB SER(SO) | $100.10 | $143.00 | $40.34–$121.55 | 25% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $88.20 | $126.00 | $47.06–$107.10 | 11% below | 30% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (SO) | $77.70 | $111.00 | $59.76–$94.35 | 3% above | 30% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL ONLY (SO) | $9.10 | $13.00 | $9.10–$51.72 | 83% below | 30% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL (SO) | $81.90 | $117.00 | $47.06–$99.45 | 5% above | 30% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $14.70 | $21.00 | $14.70–$65.68 | 78% below | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, PCR | $108.50 | $155.00 | $89.64–$131.75 | 14% above | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP RNA MISC SITES (SO) | $108.50 | $155.00 | $89.64–$131.75 | 14% above | 30% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $57.40 | $82.00 | $32.12–$69.70 | 37% above | 30% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $121.10 | $173.00 | $59.76–$147.05 | 4% above | 30% |
| Uric acid blood test CPT 84550 URIC ACID | $52.50 | $75.00 | $32.12–$63.75 | 37% above | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINE-MICROSCOPIC ROUTINE | $25.20 | $36.00 | $25.20–$30.60 | 2% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPIC | $33.60 | $48.00 | $26.15–$40.80 | 28% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK | $32.90 | $47.00 | $26.15–$39.95 | 42% above | 30% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE CC | $52.50 | $75.00 | $34.36–$63.75 | 10% below | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE BACTERIAL URINE-COLONY CNT | $81.20 | $116.00 | $34.36–$98.60 | 39% above | 30% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (SO) | $70.70 | $101.00 | $26.15–$85.85 | 29% above | 30% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $70.70 | $101.00 | $26.15–$85.85 | 29% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 BHCG, URINE | $9.10 | $13.00 | $9.10–$28.74 | 78% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $91.70 | $131.00 | $47.06–$111.35 | 6% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 AND D3 (SO) | $187.60 | $268.00 | $126.24–$227.80 | 45% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL | $187.60 | $268.00 | $126.24–$227.80 | 45% above | 30% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1,25-DIHYDROXYVITAMIN D (SO) | $94.50 | $135.00 | $94.50–$138.75 | 47% below | 30% |
| Zinc blood test CPT 84630 ZINC, SERUM (SO) | $36.40 | $52.00 | $31.37–$44.20 | 31% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QUANTITATIVE | $102.20 | $146.00 | $47.06–$124.10 | 14% above | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS | $394.10 | $563.00 | $377.24–$478.55 | 32% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG 12 LEADS OR > TRACING ONLY | $101.50 | $145.00 | $73.95–$123.25 | 36% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION-HYDRATION UP TO ONE HOUR | $140.70 | $201.00 | $140.70–$471.25 | 50% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION(SPECIFY DRUG)UP T0 1 HR | $166.60 | $238.00 | $166.60–$471.25 | 47% below | 30% |
| IV push of a medicine, first drug CPT 96374 INTRAV PUSH SINGLE OR INITIAL DRUG | $96.60 | $138.00 | $38.84–$117.30 | 49% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ER S/Q OR IM | $96.60 | $138.00 | $38.84–$117.30 | 6% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION-TREATMENT ROOM | $96.60 | $138.00 | $38.84–$117.30 | 6% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED | $45.50 | $65.00 | $45.50–$196.22 | 50% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL NUTRITIONAL ASSMT EA 15 MIN | $28.70 | $41.00 | $28.70–$144.50 | 35% below | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMP 30 MIN | $102.90 | $147.00 | $102.90–$224.13 | 43% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP 45 MIN | $184.80 | $264.00 | $184.80–$248.76 | 14% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP 20 MIN | $99.40 | $142.00 | $99.40–$248.76 | 49% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP 30 MIN | $142.10 | $203.00 | $142.10–$248.76 | 28% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES EA15 MIN | $88.20 | $126.00 | $88.20–$196.22 | 9% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES EA 15 MIN | $88.20 | $126.00 | $88.20–$196.22 | 9% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ROM/STRENGTH EXERCISE | $45.50 | $65.00 | $45.50–$196.22 | 50% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 0-15 MIN | $54.60 | $78.00 | $54.60–$196.22 | 40% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ROM/STRENGTH EXERCISE EACH 15 MIN | $71.40 | $102.00 | $71.40–$196.22 | 22% below | 30% |
| Speech and language evaluation CPT 92523 EVAL LANGUAGE COMP | $203.70 | $291.00 | $203.70–$247.35 | 32% below | 30% |
| Speech therapy session, individual CPT 92507 TX SPEECH LANG COMM | $191.80 | $274.00 | $191.80–$232.90 | 12% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS PRE/POST | $395.50 | $565.00 | $395.50–$488.50 | 1% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 SPEECH THERAPY ACTIVITIES (FUNCTIONAL) | $45.50 | $65.00 | $45.50–$196.22 | 55% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $49.70 | $71.00 | $49.70–$196.22 | 51% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER/ACT/TRANSFER (FUNCTIONAL)15 MN | $65.10 | $93.00 | $65.10–$196.22 | 36% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $102.20 | $146.00 | $102.20–$469.61 | 47% below | 30% |
Source file: https://shop.keokukhealth.com/426037647_keokukcountyhealthcenter_standardcharges.csv