Hospital Toccoa, GA

Stephens County Hospital

Stephens County Hospital in Toccoa, GA publishes cash prices for 291 common procedures listed here, from its own machine-readable price file updated May 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 255 of 288 procedures and above it for 33. By typical cash price it ranks #1 of 89 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

163 Hospital Road Toccoa, GA 30577 Collected Sep 29, 2026 Source price file (706) 282-4250

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 110032 · CMS hospital register NPI 1033191267

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 Stephens County Hospital in Toccoa, GA:

Mar 11, 2026 Warning notice
Jun 16, 2026 Corrective action plan requested

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

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 Georgia	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILAT 3V	$115.50	$192.50	$61.89–$173.25	—	40%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILAT 1-2V	$115.50	$192.50	$61.89–$173.25	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY EXAM ANKLE 3 VIEWS	$28.80	$48.00	—	89% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 PORT ANKLE 3V LT	$96.30	$160.50	$51.60–$144.45	64% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 PORT ANKLE 3V RT	$109.20	$182.00	$58.51–$163.80	60% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V LT	$160.20	$267.00	$85.69–$240.30	41% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V RT	$160.20	$267.00	$85.69–$240.30	41% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILATERAL PHYSIOLOGIC STUDY	$139.05	$231.75	$74.51–$208.58	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILATERAL PHYS 1-2 LEVELS	$139.05	$231.75	$74.51–$208.58	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS	$54.00	$90.00	—	84% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 PORT ESOPHAGUS	$216.00	$360.00	$115.74–$324.00	37% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$392.40	$654.00	$173.25–$588.60	14% above	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$445.01	$741.69	$238.45–$667.52	65% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE AND/JOINT IMAGING WHOLE BODY	$723.00	$1,205.00	$387.41–$1,084.50	43% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 (E) BONE SCAN WHOLE BODY	$854.10	$1,423.50	$391.08–$1,281.15	33% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 (E) NM BONE SCAN	$895.95	$1,493.25	$391.08–$1,343.93	30% below	40%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL	$284.40	$474.00	$103.49–$426.60	—	40%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL	$750.00	$1,250.00	$103.49–$1,125.00	—	40%
Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST	$81.60	$136.00	—	81% below	40%
Breast ultrasound, complete, one breast CPT 76641 PORT US BREAST ECHOGRAPHY UNIL	$155.10	$258.50	$83.11–$232.65	63% below	40%
Breast ultrasound, complete, one breast CPT 76641 (E) US BREAST ECHOGRAPHY	$328.65	$547.75	$103.49–$492.98	22% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE RT	$177.60	$296.00	$95.16–$266.40	58% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE LT	$177.60	$296.00	$95.16–$266.40	58% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL LT	$456.47	$760.78	$103.49–$684.70	8% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL RT	$456.47	$760.78	$103.49–$684.70	8% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT OF CHEST W/ & W/O CONTRAST	$233.40	$389.00	—	84% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$447.60	$746.00	$173.25–$671.40	70% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 (E) CTA FOR PE	$855.15	$1,425.25	$173.25–$1,282.73	42% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA FOR PE	$855.15	$1,425.25	$173.25–$1,282.73	42% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO CONTRAST	$366.00	$610.00	—	83% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONTRAST	$865.65	$1,442.75	$235.25–$1,298.48	61% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO CONTRAST	$1,151.40	$1,919.00	$235.25–$1,727.10	48% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST	$393.00	$655.00	—	85% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CONTRAST	$2,274.60	$3,791.00	$347.57–$3,411.90	12% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WWO CONTRAST	$366.00	$610.00	—	88% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO CONTRAST	$1,672.80	$2,788.00	$347.57–$2,509.20	46% below	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE	$196.20	$327.00	—	88% below	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$568.80	$948.00	$173.25–$853.20	66% below	40%
CT scan of the abdomen with contrast CPT 74160 (E) CT ABDOMEN W/CONTRAST	$855.15	$1,425.25	$173.25–$1,282.73	49% below	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$180.60	$301.00	—	86% below	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$549.60	$916.00	$103.49–$824.40	57% below	40%
CT scan of the abdomen without contrast CPT 74150 (E) CT ABDOMEN W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	34% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W /O DYE	$170.40	$284.00	—	83% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL WO CONTRAST	$472.20	$787.00	$103.49–$708.30	54% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WITHOUT	$497.40	$829.00	$103.49–$746.10	52% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$568.80	$948.00	$103.49–$853.20	45% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST	$631.20	$1,052.00	$103.49–$946.80	39% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL LTD	$855.15	$1,425.25	$103.49–$1,282.73	17% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 (E) CT FACIAL BONES W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	17% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 (E) CT SINUSES (LIMITED) W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	17% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT OF HEAD/BRAIN W/O DYE	$170.40	$284.00	—	87% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$398.40	$664.00	$103.49–$597.60	69% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 (E) CT HEAD W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	34% below	40%
CT scan of the head with contrast CPT 70460 CT OF HEAD/BRAIN W/DYE	$168.60	$281.00	—	89% below	40%
CT scan of the head with contrast CPT 70460 (E) CT HEAD W/CONTRAST	$855.15	$1,425.25	$173.25–$1,282.73	46% below	40%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$855.15	$1,425.25	$173.25–$1,282.73	46% below	40%
CT scan of the head without and with contrast CPT 70470 CT OF HEAD/BRAIN W/ & W/O DYE	$195.60	$326.00	—	89% below	40%
CT scan of the head without and with contrast CPT 70470 (E) CT HEAD W & W/O CONTRAST	$1,140.15	$1,900.25	$173.25–$1,710.23	38% below	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CONTRAST	$1,140.15	$1,900.25	$173.25–$1,710.23	38% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O DYE	$196.20	$327.00	—	85% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WO CONTRAST	$447.60	$746.00	$103.49–$671.40	65% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 (E) CT SPINE LUMBAR W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	34% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONTRAST	$840.00	$1,400.00	$103.49–$1,260.00	29% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 (E) CT SPINE CERVICAL W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	28% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$196.20	$327.00	—	88% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$675.00	$1,125.00	$173.25–$1,012.50	58% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 (E) CT PELVIS W/CONTRAST	$855.15	$1,425.25	$173.25–$1,282.73	47% below	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS	$307.20	$512.00	$164.61–$460.80	51% below	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 (E) US CAROTIDS	$561.60	$936.00	$235.25–$842.40	11% below	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PORT US CAROTIDS	$596.85	$994.75	$235.25–$895.28	6% below	40%
Chest X-ray, 2 views CPT 71046 CHEST XRAY FRONTAL & LATERAL	$36.60	$61.00	—	84% below	40%
Chest X-ray, 2 views CPT 71046 CHEST PA & LAT	$72.60	$121.00	$38.90–$108.90	69% below	40%
Chest X-ray, 2 views CPT 71046 PORT CHEST PA/LAT 2V	$96.30	$160.50	$51.60–$144.45	58% below	40%
Chest X-ray, 2 views CPT 71046 DAILY CHEST PA/LAT	$115.50	$192.50	$61.89–$173.25	50% below	40%
Chest X-ray, 2 views CPT 71046 CHEST PA/LAT	$142.80	$238.00	$76.52–$214.20	38% below	40%
Chest X-ray, single view CPT 71045 CHEST PA/LAT FOR TB	$29.61	$49.35	$15.87–$85.69	83% below	40%
Chest X-ray, single view CPT 71045 CHEST XRAY SPECIAL VIEWS	$32.40	$54.00	—	81% below	40%
Chest X-ray, single view CPT 71045 CHEST XRAY SINGLE VIEW FRONTAL	$32.40	$54.00	—	81% below	40%
Chest X-ray, single view CPT 71045 PORT CHEST 1V	$79.80	$133.00	$42.76–$119.70	54% below	40%
Chest X-ray, single view CPT 71045 CHEST SINGLE	$79.80	$133.00	$42.76–$119.70	54% below	40%
Chest X-ray, single view CPT 71045 CHEST DECUBITUS	$96.30	$160.50	$51.60–$144.45	45% below	40%
Chest X-ray, single view CPT 71045 OR CHEST 1V	$101.70	$169.50	$54.49–$152.55	42% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEYS & BLADDER	$268.20	$447.00	$103.49–$402.30	47% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US COMPLETE AORTA/KIDNEY	$567.90	$946.50	$103.49–$851.85	13% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 (E) US RETROPERITIONAL COMP	$573.60	$956.00	$103.49–$860.40	14% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE	$265.20	$442.00	—	75% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$398.40	$664.00	$103.49–$597.60	62% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 (E) CT THORAX W/O CONTRAST	$855.15	$1,425.25	$103.49–$1,282.73	18% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE	$196.20	$327.00	—	87% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$655.20	$1,092.00	$173.25–$982.80	58% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 (E) CT THORAX W/CONTRAST	$855.15	$1,425.25	$173.25–$1,282.73	45% below	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIGITAL DIAG BILATERAL	$54.00	$90.00	—	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMOGRAM BILATERAL	$64.80	$108.00	—	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIGITAL MAMMO SPOT COMP BILAT	$144.00	$240.00	$77.16–$240.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIGITAL DIAG BILAT	$362.88	$604.80	$194.44–$604.80	—	40%
Diagnostic mammogram, both breasts CPT 77066 MM DIGITAL MAMMO DIAG EMPLOYEE	$245.25	$408.75	$131.41–$408.75	16% below	40%
Diagnostic mammogram, both breasts one side CPT 77066 MM MAMMO UNILAT EMPLOYEE LT	$54.30	$90.50	$29.10–$90.50	81% below	40%
Diagnostic mammogram, both breasts one side CPT 77066 MM MAMMO DIAG UNILAT LT	$58.35	$97.25	$31.27–$97.25	80% below	40%
Diagnostic mammogram, both breasts one side CPT 77066 MM MAMMO SPOT COMPR UNILAT LT	$58.35	$97.25	$31.27–$97.25	80% below	40%
Diagnostic mammogram, one breast CPT 77065 MM CAD DIAG EXAM	$194.40	$324.00	$104.17–$324.00	18% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MM MAMMOGRAM, ONE BREAST UNILATERAL	$61.20	$102.00	—	74% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DIAG UNILAT LT	$194.40	$324.00	$104.17–$324.00	18% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DIAG UNILAT RT	$194.40	$324.00	$104.17–$324.00	18% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL MAMMO SPOT COMP UNILAT RT	$315.80	$526.33	$169.22–$526.33	33% above	40%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL MAMMO SPOT COMP UNILAT LT	$315.80	$526.33	$169.22–$526.33	33% above	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US EXTREMITY BILATERAL ARTERIAL	$475.80	$793.00	$235.25–$713.70	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PORT US EXTREMITY BILAT VASCULAR	$895.95	$1,493.25	$235.25–$1,343.93	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 PORT US EXTREMITY VASCULAR	$466.05	$776.75	$235.25–$699.08	26% below	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US EXTREMITY BILATERAL VENOUS	$468.60	$781.00	$235.25–$702.90	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 (E) US BILAT EXTREMITY VASCULAR VEINS	$884.10	$1,473.50	$235.25–$1,326.15	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US 2D ECHO	$539.40	$899.00	$289.03–$809.10	65% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US 2D ECHO WITH BUBBLE STUDY	$818.08	$1,363.46	$438.35–$1,227.11	47% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM BILIARY SCAN (GB)	$854.10	$1,423.50	$391.08–$1,281.15	33% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 (E) NM BILLIARY SCAN (GB)	$895.95	$1,493.25	$391.08–$1,343.93	30% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 (E) HEPATOBILIARY DUCTAL SYSTEM IMAGING	$1,051.80	$1,753.00	$391.08–$1,577.70	18% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 REDUCED CPAP	$1,401.60	$2,336.00	$751.02–$2,102.40	44% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 INITIATION OF CPAP TRAIL	$1,962.30	$3,270.50	$990.18–$2,943.45	21% below	40%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILAT AP/LAT 3V	$96.30	$160.50	$51.60–$144.45	—	40%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILAT 1-2V	$126.00	$210.00	$67.52–$189.00	—	40%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILAT 3V	$171.60	$286.00	$85.69–$257.40	—	40%
Knee X-ray, 3 views both sides CPT 73562 KNEE W/PATELLA BILATERAL 3 VIEWS	$231.60	$386.00	$85.69–$347.40	—	40%
Knee X-ray, 3 views CPT 73562 XRAY EXAM OF KNEE, 3 VIEWS	$46.80	$78.00	—	80% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V LT	$105.00	$175.00	$56.26–$157.50	55% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE AP/LAT/OBL 3V RT	$108.60	$181.00	$58.19–$162.90	54% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE W/PATELLA 3 VIEWS RT	$109.80	$183.00	$58.83–$164.70	53% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE W/PATELLA 3 VIEWS LT	$115.50	$192.50	$61.89–$173.25	51% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE AP/LAT/OBL 3V LT	$119.40	$199.00	$63.98–$179.10	49% below	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V RT	$142.80	$238.00	$76.52–$214.20	39% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LOWER BACK	$177.60	$296.00	$95.16–$266.40	64% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$256.50	$427.50	$103.49–$384.75	48% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$287.25	$478.75	$103.49–$430.88	41% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORIS	$293.10	$488.50	$103.49–$439.65	40% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PORT US SPLEEN	$298.80	$498.00	$103.49–$448.20	39% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$304.80	$508.00	$103.49–$457.20	38% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PORT US LIVER	$322.50	$537.50	$103.49–$483.75	34% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$326.91	$544.85	$103.49–$490.37	33% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PORT US PANCREAS	$328.65	$547.75	$103.49–$492.98	33% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PORT US ABDOMEN II LIMIT SINGLE ORGA	$334.50	$557.50	$103.49–$501.75	32% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SACRUM	$436.05	$726.75	$103.49–$654.08	11% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (E) US SPLEEN	$472.50	$787.50	$103.49–$708.75	4% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (E) US LIVER	$495.45	$825.75	$103.49–$743.18	1% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (E) US ABDOMEN SINGLE ORGAN	$507.75	$846.25	$103.49–$761.63	3% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (E) US PANCREAS	$513.90	$856.50	$103.49–$770.85	5% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN II LIMITED	$686.51	$1,144.19	$103.49–$1,029.77	40% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING WO CONTRAST	$224.40	$374.00	$103.49–$336.60	11% below	40%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST SCREENING	$708.60	$1,181.00	$379.69–$1,181.00	81% below	40%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI EXT LOW JOINT BILAT WO CONTRAST	$1,282.80	$2,138.00	$235.25–$1,924.20	—	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIND FOOT - WO CONTRAST LT	$576.90	$961.50	$235.25–$865.35	62% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIND FOOT - WO CONTRAST RT	$576.90	$961.50	$235.25–$865.35	62% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOW JOINT WO CONTRAST RT	$1,666.67	$2,777.78	$235.25–$2,500.00	10% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOW JOINT WO CONTRAST LT	$1,666.67	$2,777.78	$235.25–$2,500.00	10% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIND FOOT - W WO CONTRAST RT	$708.60	$1,181.00	$347.57–$1,062.90	72% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOW ANY-JNT WWO CONTRAST RT	$708.60	$1,181.00	$347.57–$1,062.90	72% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOW ANY-JNT WWO CONTRAST LT	$850.20	$1,417.00	$347.57–$1,275.30	66% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIND FOOT - W WO CONTRAST LT	$850.20	$1,417.00	$347.57–$1,275.30	66% below	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$210.00	$350.00	—	89% below	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$576.90	$961.50	$235.25–$865.35	69% below	40%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WITHOUT	$997.65	$1,662.75	$235.25–$1,496.48	46% below	40%
MRI of the abdomen without contrast CPT 74181 MRI KIDNEY WITHOUT CONTRAST	$997.65	$1,662.75	$235.25–$1,496.48	46% below	40%
MRI of the abdomen without contrast CPT 74181 MRCP WITHOUT	$997.65	$1,662.75	$235.25–$1,496.48	46% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ & W/O CONTRAST	$305.40	$509.00	—	86% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH AND WITHOUT CONTRAST	$807.60	$1,346.00	$347.57–$1,211.40	62% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI KIDNEY WITH AND WITHOUT CONTRAST	$850.20	$1,417.00	$347.57–$1,275.30	60% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W/AND W/O	$850.20	$1,417.00	$347.57–$1,275.30	60% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$220.80	$368.00	—	85% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY W/O CONTRAST	$360.75	$601.25	$193.30–$541.13	75% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$658.20	$1,097.00	$235.25–$987.30	55% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI IACS WO CONTRAST	$997.65	$1,662.75	$235.25–$1,496.48	31% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W/ AND W/O CONTRAST	$850.20	$1,417.00	$347.57–$1,275.30	65% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI IACS WITH AND WITHOUT CONTRAST	$850.20	$1,417.00	$347.57–$1,275.30	65% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST	$2,119.80	$3,533.00	$347.57–$3,179.70	13% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO DYE	$201.60	$336.00	—	89% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST	$739.20	$1,232.00	$235.25–$1,108.80	58% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WWO CONTRAST	$1,282.80	$2,138.00	$347.57–$1,924.20	46% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO DYE	$202.20	$337.00	—	89% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CONTRAST	$829.65	$1,382.75	$235.25–$1,244.48	53% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL WWO CONTRAST	$850.20	$1,417.00	$347.57–$1,275.30	64% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONTRAST	$217.20	$362.00	—	88% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO CONTRAST	$660.00	$1,100.00	$235.25–$990.00	63% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTRAST	$850.20	$1,417.00	$347.57–$1,275.30	62% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO DYE	$216.00	$360.00	—	88% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$576.90	$961.50	$235.25–$865.35	68% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI EXT UP JOINT BILAT WO CONTRAST	$1,282.80	$2,138.00	$235.25–$1,924.20	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER JOINT WO DYE	$199.20	$332.00	—	87% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UP JOINT WO CONTRAST LT	$1,103.40	$1,839.00	$235.25–$1,655.10	29% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UP JOINT WO CONTRAST RT	$2,095.07	$3,491.78	$235.25–$3,142.60	35% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS THALLIUM	$1,618.80	$2,698.00	$867.41–$2,428.20	37% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF S AND R	$3,298.80	$5,498.00	$1,270.57–$4,948.20	29% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US GYN PELVIC LTD	$167.55	$279.25	$89.78–$251.33	55% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 (E) US GYN PELVIC LTD	$376.50	$627.50	$103.49–$564.75	2% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PORT US GYN PELVIC COMP NON-OBSTETRI	$394.35	$657.25	$103.49–$591.53	18% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US GYN PELVIC COMP NON-OBSTETRICAL	$476.40	$794.00	$103.49–$714.60	1% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 (E) US GYN PELVIC COMP	$573.60	$956.00	$103.49–$860.40	19% above	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS COMPLETE	$128.40	$214.00	—	76% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB MATURITY COMP GREATER THAN 14 WEEK	$295.80	$493.00	$103.49–$443.70	45% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PORT US OB MATURITY COMP	$394.35	$657.25	$103.49–$591.53	27% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 (E) US OB MATURITY COMP	$573.60	$956.00	$103.49–$860.40	6% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANT < 14 WEEKS	$128.40	$214.00	—	75% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS GEST SINGLE FETUS	$128.40	$214.00	—	75% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB PREGNANT LESS THAN 14 WEEKS	$147.00	$245.00	$78.77–$220.50	71% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$167.55	$279.25	$89.78–$251.33	37% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PORTABLE	$177.60	$296.00	$95.16–$266.40	33% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 (E) US OB LIMITED	$376.50	$627.50	$103.49–$564.75	43% above	40%
Screening mammogram, both breasts both sides CPT 77067 MM MAMMOGRAM, SCREENING BILATERAL	$61.20	$102.00	—	—	40%
Screening mammogram, both breasts both sides CPT 77067 MM MAMMO SCREEN BILAT	$75.60	$126.00	$40.51–$126.00	—	40%
Screening mammogram, both breasts CPT 77067 MM DIGITAL MAMMO EMPLOYEE	$77.55	$129.25	$41.55–$129.25	72% below	40%
Screening mammogram, both breasts CPT 77067 MM DIGITAL MAMMO SCREENING	$389.03	$648.38	$208.45–$648.38	38% above	40%
Screening mammogram, both breasts one side CPT 77067 MM 3D MAMMO UNILATERAL RIGHT SCREENING	$46.65	$77.75	$25.00–$77.75	83% below	40%
Screening mammogram, both breasts one side CPT 77067 MM 3D MAMMO UNILATERAL LEFT SCREENING	$46.65	$77.75	$25.00–$77.75	83% below	40%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILAT AP/LAT 2V	$96.30	$160.50	$51.60–$144.45	—	40%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL 2+ VIEWS	$308.70	$514.50	$85.69–$463.05	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY EXAM OF SHOULDER 2 VIEWS	$34.20	$57.00	—	84% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 PORT SHOULDER AP/LAT 2V RT	$96.00	$160.00	$51.44–$144.00	56% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 PORT SHOULDER AP/LAT 2V LT	$96.30	$160.50	$51.60–$144.45	56% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 4V LT	$96.30	$160.50	$51.60–$144.45	56% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 2V RT	$126.00	$210.00	$67.52–$189.00	42% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 4V RT	$126.00	$210.00	$67.52–$189.00	42% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 3V RT	$149.40	$249.00	$80.05–$224.10	31% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 3V LT	$168.00	$280.00	$85.69–$252.00	23% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER AP/LAT 2V LT	$178.65	$297.75	$85.69–$267.98	18% below	40%
Sleep study in a lab (polysomnography) CPT 95810 REDUCED POLYSMNOGRAPHY	$1,401.60	$2,336.00	$751.02–$2,102.40	45% below	40%
Sleep study in a lab (polysomnography) CPT 95810 FULL COMPLEX POLYSMNOGRAPHY	$1,636.65	$2,727.75	$876.97–$2,454.98	36% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGRAM	$143.67	$239.45	$76.98–$215.51	62% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW W VIDEO	$177.60	$296.00	$95.16–$266.40	53% below	40%
Transvaginal pelvic ultrasound CPT 76830 PORT US ENDOVAGINAL NON-OBSTETRICAL	$177.60	$296.00	$95.16–$266.40	64% below	40%
Transvaginal pelvic ultrasound CPT 76830 (E) US ENDOVAGINAL	$322.50	$537.50	$103.49–$483.75	34% below	40%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL NON-OBSTETRICAL	$727.65	$1,212.75	$103.49–$1,091.48	49% above	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$346.50	$577.50	$103.49–$519.75	10% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 (E) US OB TRANSVAGINAL	$376.50	$627.50	$103.49–$564.75	2% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABD/BACK WALL - COMPLETE	$114.60	$191.00	—	84% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$196.20	$327.00	—	73% below	40%
Ultrasound of the abdomen, complete CPT 76700 PORTALBE US ABDOMEN	$346.50	$577.50	$103.49–$519.75	53% below	40%
Ultrasound of the abdomen, complete CPT 76700 (E) US ABDOMEN	$519.75	$866.25	$103.49–$779.63	29% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN	$722.40	$1,204.00	$103.49–$1,083.60	1% below	40%
Ultrasound of the abdomen, complete CPT 76700 PORT US ABD COMPLETE	$864.11	$1,440.19	$103.49–$1,296.17	18% above	40%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR SPLEEN	$88.80	$148.00	—	85% below	40%
Ultrasound of the scrotum and testicles CPT 76870 PORT US TESTICULAR SCAN	$334.50	$557.50	$103.49–$501.75	44% below	40%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR SCAN	$487.80	$813.00	$103.49–$731.70	19% below	40%
Ultrasound of the scrotum and testicles CPT 76870 (E) US TESTICULAR SCAN	$507.75	$846.25	$103.49–$761.63	15% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$88.80	$148.00	—	85% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK	$177.60	$296.00	$95.16–$266.40	71% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PORT US THYROID	$293.10	$488.50	$103.49–$439.65	52% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 (E) US THYROID	$466.05	$776.75	$103.49–$699.08	24% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$658.35	$1,097.25	$103.49–$987.53	8% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY UPR GI TRACT W/OR W/O DELAYED FILM	$147.60	$246.00	—	69% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI W SMALL BOWEL	$360.75	$601.25	$173.25–$541.13	25% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES	$470.70	$784.50	$173.25–$706.05	2% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 (E) US EXTREMITY VASCULAR	$442.05	$736.75	$103.49–$663.08	26% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXTREMITY UNILATERAL VENOUS	$708.60	$1,181.00	$103.49–$1,062.90	18% above	40%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILAT 3V	$96.30	$160.50	$51.60–$144.45	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY EXAM OF WRIST 3 VIEWS	$38.66	$64.43	—	84% below	40%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST W/NAVICULAR VIEW	$60.00	$100.00	$32.15–$90.00	74% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST1V LT	$80.37	$133.95	$43.06–$120.56	66% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 4V RT	$96.30	$160.50	$51.60–$144.45	59% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 PORT WRIST 3V RT	$96.30	$160.50	$51.60–$144.45	59% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 4V LT	$96.30	$160.50	$51.60–$144.45	59% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 PORT WRIST 3V LT	$96.30	$160.50	$51.60–$144.45	59% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V RT	$127.80	$213.00	$68.48–$191.70	46% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V LT	$127.80	$213.00	$68.48–$191.70	46% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XRAY EXAM OF PELVIS OR HIPS INFANT/CHILD	$38.40	$64.00	—	81% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XRAY EXAM OF HIP DURING SURGERY	$43.20	$72.00	—	79% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS /HIPS PEDS 2V	$96.30	$160.50	$51.60–$144.45	53% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PORT HIP OPERATIVE	$126.00	$210.00	$67.52–$189.00	39% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OR HIP OPERATIVE	$385.80	$643.00	$85.69–$578.70	88% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY EXAM HIP UNILATERAL 2 VIEWS	$40.20	$67.00	—	80% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PORT HIP AP/LAT 2V RT	$96.30	$160.50	$51.60–$144.45	53% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PORT HIP AP/LAT 2V LT	$96.30	$160.50	$51.60–$144.45	53% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP/LAT 2V RT	$385.80	$643.00	$85.69–$578.70	88% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP AP/LAT 2V LT	$385.80	$643.00	$85.69–$578.70	88% above	40%
X-ray of the abdomen, 1 view CPT 74018 XRAY EXAM OF ABDOMEN	$39.60	$66.00	—	82% below	40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$71.40	$119.00	$38.26–$107.10	68% below	40%
X-ray of the abdomen, 1 view CPT 74018 PORT ABDOMEN SINGLE AP	$94.71	$157.85	$50.75–$142.07	58% below	40%
X-ray of the abdomen, 1 view CPT 74018 OR ABDOMEN	$96.30	$160.50	$51.60–$144.45	57% below	40%
X-ray of the ankle, 2 views CPT 73600 XRAY EXAM ANKLE 2 VIEWS	$24.60	$41.00	—	89% below	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2V LT	$96.00	$160.00	$51.44–$144.00	55% below	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2V RT	$96.00	$160.00	$51.44–$144.00	55% below	40%
X-ray of the ankle, 2 views one side CPT 73600 OR ANKLE 2V LT	$96.30	$160.50	$51.60–$144.45	55% below	40%
X-ray of the ankle, 2 views one side CPT 73600 OR ANKLE 2V RT	$96.30	$160.50	$51.60–$144.45	55% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 XRAY EXAM OF FINGER 2 VIEWS	$27.60	$46.00	—	86% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 PORT FINGER 2V	$96.30	$160.50	$51.60–$144.45	51% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2V RT	$70.35	$117.25	$37.70–$105.53	64% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 OR FINGER 2V LT	$89.55	$149.25	$47.98–$134.33	55% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 OR FINGER 2V RT	$93.15	$155.25	$49.91–$139.73	53% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 3V LT	$240.60	$401.00	$85.69–$360.90	22% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 3V RT	$240.60	$401.00	$85.69–$360.90	22% above	40%
X-ray of the foot, 2 views CPT 73620 XRAY EXAM OF FOOT 2 VIEWS	$27.60	$46.00	—	85% below	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2V RT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the foot, 2 views one side CPT 73620 OR FOOT 2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the foot, 2 views one side CPT 73620 OR FOOT 2V RT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILAT 3V	$115.50	$192.50	$61.89–$173.25	—	40%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 OR FOOT BILAT 3V	$191.25	$318.75	$85.69–$286.88	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY EXAM FOOT 3 VIEWS	$28.80	$48.00	—	88% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V LT	$93.60	$156.00	$50.15–$140.40	62% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V RT	$93.60	$156.00	$50.15–$140.40	62% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 PORT FOOT 3V RT	$96.30	$160.50	$51.60–$144.45	60% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 PORT FOOT 3V LT	$132.00	$220.00	$70.73–$198.00	46% below	40%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILAT 3V	$115.50	$192.50	$61.89–$173.25	—	40%
X-ray of the hand, 3 or more views CPT 73130 XRAY EXAM OF HAND	$40.20	$67.00	—	85% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V LT	$79.80	$133.00	$42.76–$119.70	70% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V RT	$79.80	$133.00	$42.76–$119.70	70% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 PORT HAND 3V RT	$96.30	$160.50	$51.60–$144.45	64% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 PORT HAND 3V LT	$96.30	$160.50	$51.60–$144.45	64% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY EXAM OF KNEE 1 OR 2 VIEWS	$34.20	$57.00	—	82% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 OR PATELLA 1-2V	$89.55	$149.25	$47.98–$134.33	52% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 PATELLA 1-2V	$226.92	$378.20	$85.69–$340.38	21% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 OR KNEE 2V RT	$95.70	$159.50	$51.28–$143.55	49% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP/LAT 1-2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PORT KNEE AP/LAT 1-2V RT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA 1-2V RT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP/LAT 1-2V RT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PORT KNEE AP LAT 1-2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 OR KNEE 2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA 1-2V LT	$96.30	$160.50	$51.60–$144.45	48% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PORT PATELLA 1-2V RT	$120.00	$200.00	$64.30–$180.00	36% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 PORT PATELLA 1-2V LT	$126.00	$210.00	$67.52–$189.00	33% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY EXAM L-SPINE 2-3 VIEWS	$40.20	$67.00	—	88% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR AP/LAT 2-3V	$162.60	$271.00	$87.13–$243.90	52% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PORT LUMBAR AP/LAT 2-3V	$177.60	$296.00	$95.16–$266.40	48% below	40%
X-ray of the lower back, 4 or more views CPT 72110 XRAY EXAM L-SPINE 4 VIEWS	$46.80	$78.00	—	90% below	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR COMPLETE W OBLIQUES 4V	$370.50	$617.50	$103.49–$555.75	19% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 PORT THORACIC 2V	$173.40	$289.00	$92.91–$260.10	35% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC 2V	$177.60	$296.00	$95.16–$266.40	33% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY EXAM OF NASAL BONE	$31.80	$53.00	—	86% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$96.30	$160.50	$51.60–$144.45	59% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 PORT NASAL BONES 3V	$131.85	$219.75	$70.65–$197.78	44% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY EXAM OF C- SPINE (NECK) 2/3 VIEWS	$39.60	$66.00	—	86% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE FLEX & EXT 2 OR 3 VIEWS	$96.30	$160.50	$51.60–$144.45	66% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3V	$96.30	$160.50	$51.60–$144.45	66% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PORT CERVICAL LTD 2-3V	$126.00	$210.00	$67.52–$189.00	56% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL LIMITED 2-3V	$157.80	$263.00	$84.55–$236.70	45% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY EXAM OF PELVIS 1 OR 2 VIEWS	$34.20	$57.00	—	84% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP/LAT HIP 1 OR 2 VIEWS	$69.00	$115.00	$36.97–$103.50	67% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEW	$70.80	$118.00	$37.94–$106.20	66% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PORTABLE PELVIS AP/LAT	$90.00	$150.00	$48.23–$135.00	57% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PORT PELVIS 1-2V	$177.60	$296.00	$95.16–$266.40	15% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 OR PELVIS 1-2V	$603.19	$1,005.31	$103.49–$904.78	189% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY EXAM OF TAILBONE	$31.80	$53.00	—	89% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2V	$96.30	$160.50	$51.60–$144.45	66% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 PORT SACRUM/COCCYX 2V	$126.00	$210.00	$67.52–$189.00	56% below	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HEALTH FAIR SGPT/ALT	$12.00	$20.00	$5.30–$18.00	62% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROSURE ALT (SGPT) (RL)	$12.45	$20.75	$5.30–$18.68	61% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT	$14.76	$24.60	$5.30–$22.14	54% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HEALTH FAIR SGOT/AST	$12.00	$20.00	$5.18–$18.00	62% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$37.80	$63.00	$5.18–$56.70	21% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ..CHRONIC HEPATITIS PROF B	$62.40	$104.00	$47.63–$93.60	78% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL (RL)	$83.40	$139.00	$47.63–$125.10	70% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST, FIRE ANTS, IGE (RL)	$7.65	$12.75	$5.22–$11.48	73% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELD/MAPLE IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIUM IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES D.F. IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITES D.P. IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST GREER LAB IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST H S LAB IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SILVER BIRCH IGE SILVER BIRCH IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RED SORREL, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR, IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS IGE (RL)	$9.30	$15.50	$5.22–$13.95	67% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK, IGE (RL)	$9.90	$16.50	$5.22–$14.85	65% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IGE (RL)	$9.90	$16.50	$5.22–$14.85	65% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT, IGE (RL)	$9.90	$16.50	$5.22–$14.85	65% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN, IGE (RL)	$9.90	$16.50	$5.22–$14.85	65% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, IGE (RL)	$9.90	$16.50	$5.22–$14.85	65% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE ALLERGAN (RL)	$10.35	$17.25	$5.22–$15.53	63% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WASP ALLERGEN (RL)	$10.35	$17.25	$5.22–$15.53	63% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET ALLERGAN (RL)	$10.35	$17.25	$5.22–$15.53	63% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FACED HORNET ALLERGAN (RL)	$10.35	$17.25	$5.22–$15.53	63% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET ALLERGAN (RL)	$10.35	$17.25	$5.22–$15.53	63% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IGE ALLERGEN (RL)	$10.80	$18.00	$5.22–$16.20	62% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE ALLERGAN IGE (RL)	$12.90	$21.50	$5.22–$19.35	54% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G, IGE (RL)	$12.90	$21.50	$5.22–$19.35	54% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGAN, IGE (RL)	$12.90	$21.50	$5.22–$19.35	54% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST, INSULIN ALLERGY PORK,HUMAN, BOVINE	$22.95	$38.25	$5.22–$34.43	19% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GRASS #2 ALLERGANS IGE (RL)	$33.90	$56.50	$5.22–$50.85	20% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN PANEL 6, (RL)	$49.67	$82.78	$5.22–$74.50	76% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE ALLERGEN (RL)	$106.97	$178.28	$5.22–$160.45	279% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH (RL)	$106.97	$178.28	$5.22–$160.45	279% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST, SHELLFISH & FISH (RL)	$115.50	$192.50	$5.22–$173.25	309% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CYCLIC CITRULLINATED PEPTIDE (RL)	$24.90	$41.50	$12.95–$37.35	74% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINE PEPTIDE (MAYO)	$57.87	$96.45	$12.95–$86.81	39% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO TITER (RL)	$15.54	$25.90	$12.09–$23.31	83% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA NO REFLEX(RL)	$40.16	$66.93	$12.09–$60.24	56% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 .ANA, HEP-2 (RL)	$43.50	$72.50	$12.09–$65.25	53% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (B-TYPE NATRIURETIC PEPTIDE) SCH	$40.92	$68.20	$39.26–$61.38	66% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP (RL)	$67.20	$112.00	$39.26–$100.80	44% below	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP)	$20.63	$34.38	$8.46–$30.94	82% below	40%
Basic metabolic panel (blood test) CPT 80048 BMP Q6hrs	$20.63	$34.38	$8.46–$30.94	82% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH GROSS & MICRO TC PP	$33.00	$55.00	—	59% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH EXAM LGE/MUL SM TECH	$92.40	$154.00	$52.00–$138.60	15% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LARGE OR MULTIPLE SMALL SPECIMENS	$151.20	$252.00	$52.00–$226.80	88% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 GROSS & MICRO, RB (RL)	$275.70	$459.50	$52.00–$413.55	242% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE LEVEL IV CONSULT (RL)	$295.05	$491.75	$52.00–$442.58	266% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL PATH, LEVEL IV WET TS (RL)	$295.05	$491.75	$52.00–$442.58	266% above	40%
Blood culture for bacteria CPT 87040 CULTURE, BLOOD #2	$21.52	$35.86	$10.32–$32.27	86% below	40%
Blood culture for bacteria CPT 87040 CULTURE, BLOOD #1	$21.52	$35.86	$10.32–$32.27	86% below	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD (SINGLE)	$21.52	$35.86	$10.32–$32.27	86% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPEC. COLLECTION FEE-BB	$12.45	$20.75	$6.67–$18.68	7% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPEC. COLLECTION FEE-LAB (VENOUS)	$18.72	$31.20	$9.09–$28.08	40% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL KIT COLLECTION FEE	$19.58	$32.63	$9.09–$29.37	46% above	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/CARDIAC REHAB	$4.50	$7.50	$3.93–$6.75	88% below	40%
Blood glucose (sugar) test CPT 82947 ACCU CHECK/ER	$5.41	$9.02	$3.93–$8.12	85% below	40%
Blood glucose (sugar) test CPT 82947 USED ONLY BY LAB - ACCU CHECK	$9.00	$15.00	$3.93–$13.50	76% below	40%
Blood glucose (sugar) test CPT 82947 HEALTH FAIR GLUCOSE	$10.42	$17.36	$3.93–$15.62	72% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$13.53	$22.55	$3.93–$20.30	64% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/MEDICAL	$14.68	$24.47	$3.93–$22.02	60% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/ICU	$15.45	$25.75	$3.93–$23.18	58% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/NEWBORN NURSERY	$18.82	$31.37	$3.93–$28.23	49% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR POST PRANDIAL	$21.00	$35.00	$3.93–$31.50	43% below	40%
Blood glucose (sugar) test CPT 82947 DAILY - GLUCOSE	$21.00	$35.00	$3.93–$31.50	43% below	40%
Blood glucose (sugar) test CPT 82947 CSF, GLUCOSE	$21.15	$35.25	$3.93–$31.73	43% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/STEPDOWN	$24.00	$40.00	$3.93–$36.00	35% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/OB	$24.15	$40.25	$3.93–$36.23	35% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/SURGICAL	$24.15	$40.25	$3.93–$36.23	35% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/PEDI	$24.15	$40.25	$3.93–$36.23	35% below	40%
Blood glucose (sugar) test CPT 82947 ACCU-CHECK/OP SURGERY	$27.73	$46.21	$3.93–$41.59	25% below	40%
Blood glucose (sugar) test CPT 82947 BODY FLUID GLUCOSE	$36.00	$60.00	$3.93–$54.00	3% below	40%
Blood lead test CPT 83655 LEAD CAPILLARY, INFANT/CHILD (RL)	$25.53	$42.55	$10.00–$38.30	62% below	40%
Blood lead test CPT 83655 LEAD, URINE (RL)	$28.65	$47.75	$10.00–$42.98	58% below	40%
Blood lead test CPT 83655 LEAD (VENOUS BLOOD) (RL)	$35.74	$59.57	$10.00–$53.61	47% below	40%
Blood lead test CPT 83655 LEAD, SERUM	$37.50	$62.50	$10.00–$56.25	45% below	40%
Blood lead test CPT 83655 LEAD/CREATININE RATIO URINE (RL)	$39.15	$65.25	$10.00–$58.73	42% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST SERUM	$49.20	$82.00	$7.52–$73.80	50% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING	$108.00	$180.00	$3.75–$162.00	95% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REFER TO CRP HIGH SENSITIVITY 85012	$28.43	$47.38	$5.18–$42.64	68% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF TOXIN B	$25.95	$43.25	$13.90–$38.93	71% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF BY PCR	$66.60	$111.00	$35.69–$99.90	25% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (RL)	$39.75	$66.25	$20.81–$59.63	59% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125, CA-125 (RL)	$39.75	$66.25	$20.81–$59.63	74% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 PCR (RL)	$87.75	$146.25	$51.31–$131.63	3% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 PCR (DSL)	$102.41	$170.69	$51.31–$153.62	21% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 PCR (QUEST)	$103.50	$172.50	$51.31–$155.25	22% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA TRACH MISC AMP RNA (RL)	$36.15	$60.25	$24.67–$54.23	57% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ANMED CHLAMYDIA AND GC AMPLIFIED DNA	$72.32	$120.53	$24.67–$108.48	14% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA TRACHOMATIS AMPLIFIED DNA	$139.20	$232.00	$24.67–$208.80	66% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HEALTH FAIR LIPID PANEL	$15.78	$26.30	$13.39–$23.67	79% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$20.50	$34.16	$13.39–$30.74	73% below	40%
Complete blood count (CBC) with differential CPT 85025 .CP CBC W/AUTO DIFF	$9.32	$15.54	$7.77–$13.99	85% below	40%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$25.45	$42.41	$7.77–$38.17	59% below	40%
Complete blood count (CBC) with differential CPT 85025 DAILY - CBC	$32.25	$53.75	$7.77–$48.38	48% below	40%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF. (ER PATIENT)	$45.00	$75.00	$7.77–$67.50	27% below	40%
Complete blood count (CBC), no differential CPT 85027 HEALTH FAIR CBC W/O DIFF	$13.45	$22.41	$6.47–$20.17	76% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC W/O AUTO DIFF	$17.46	$29.10	$6.47–$26.19	69% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 HEALTH FAIR CMP	$31.30	$52.16	$10.56–$46.94	79% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL (CMP)	$40.64	$67.74	$10.56–$60.97	72% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (RL)	$42.90	$71.50	$22.23–$64.35	56% below	40%
Estradiol blood test CPT 82670 ESTRADIOL (RL)	$53.40	$89.00	$27.94–$80.10	55% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, URINE (RL)	$32.85	$54.75	$18.58–$49.28	74% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH, SERUM (RL)	$35.40	$59.00	$18.58–$53.10	72% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL (RL)	$191.70	$319.50	$19.63–$287.55	29% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (RL)	$29.99	$49.98	$13.63–$44.98	68% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$29.99	$49.98	$13.63–$44.98	68% below	40%
Folate (folic acid) blood test CPT 82746 FOLATE (RL)	$49.64	$82.73	$14.70–$74.46	43% below	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE (RL)	$32.25	$53.75	$16.94–$48.38	71% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$19.13	$31.88	$9.02–$28.69	75% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS SERUM (RL)	$141.30	$235.50	$9.02–$211.95	86% above	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE (MAYO)	$47.40	$79.00	$25.47–$71.10	70% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL (GHP)	$147.15	$245.25	$78.85–$245.25	41% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR CHALLENGE	$20.40	$34.00	$4.75–$30.60	67% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR CHALLENGE	$20.40	$34.00	$4.75–$30.60	67% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1HR	$36.60	$61.00	$4.75–$54.90	41% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR	$36.60	$61.00	$12.87–$54.90	56% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR	$60.30	$100.50	$12.87–$90.45	27% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 4HR	$70.35	$117.25	$12.87–$105.53	15% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 5HR	$80.40	$134.00	$12.87–$120.60	3% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 6HR	$90.45	$150.75	$12.87–$135.68	9% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GON MISC AMP RNA (RL)	$36.17	$60.28	$21.42–$54.25	56% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .N. GONORRHOEA AMPLIFIED DNA (RL)	$111.60	$186.00	$21.42–$167.40	36% above	40%
H. pylori antibody blood test CPT 86677 .H. PYLORI, IGA (RL)	$31.65	$52.75	$16.85–$47.48	75% below	40%
H. pylori antibody blood test CPT 86677 H. PYLORI AB	$37.19	$61.99	$16.85–$55.79	71% below	40%
H. pylori antibody blood test CPT 86677 .H. PYLORI, IGM (RL)	$42.75	$71.25	$16.85–$64.13	66% below	40%
H. pylori stool antigen test CPT 87338 H. PYLORI, FECES AG, EIA (RL)	$154.35	$257.25	$14.38–$231.53	16% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV PCR, QUANT, PLASMA (RL)	$204.24	$340.40	$56.50–$306.36	40% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV PCR (RL)	$204.24	$340.40	$56.50–$306.36	40% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 VIRAL LOAD HIV 1 (RL)	$331.05	$551.75	$56.50–$496.58	3% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 AB EVALUATION, PANEL (MAYO)	$11.13	$18.55	$13.71–$16.70	90% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 pAG AND AB SCREEN	$97.20	$162.00	$24.08–$145.80	13% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HUNTINGTON DISEASE ANALYSIS (RL)	$375.00	$625.00	$24.08–$562.50	235% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, HIGH RISK W/GENOTYPING (PATHGROUP)	$58.50	$97.50	$18.25–$87.75	50% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEALTH FAIR GLYCOHEMOGLOBIN	$15.59	$25.98	$9.71–$23.38	71% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$20.24	$33.74	$9.71–$30.37	62% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEALTH FAIR HEP B SURF ANTIBODY (RL)	$19.78	$32.96	$10.74–$29.66	74% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (RL)	$25.69	$42.81	$10.74–$38.53	67% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG (HBsAG) (RL)	$24.75	$41.25	$10.33–$37.13	62% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C SCREEN (HCV)	$23.69	$39.48	$10.00–$35.53	80% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C, IMMUNOBLOT (MAYO)	$80.55	$134.25	$10.00–$120.83	33% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QUANT PCR (RL)	$167.40	$279.00	$42.84–$251.10	39% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I AB IGG (RL)	$25.50	$42.50	$13.19–$38.25	62% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE II AB IGG (RL)	$37.20	$62.00	$19.35–$55.80	42% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$36.44	$60.74	$12.95–$54.67	59% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,SERUM (RL)	$32.25	$53.75	$17.92–$48.38	78% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, URINE (RL)	$75.15	$125.25	$17.92–$112.73	49% below	40%
Insulin blood test CPT 83525 INSULIN (RL)	$16.97	$28.28	$11.43–$25.45	77% below	40%
Insulin blood test CPT 83525 INSULIN, TOTAL SERUM (MAYO)	$18.15	$30.25	$11.43–$27.23	75% below	40%
Iron blood test (serum iron) CPT 83540 IRON	$15.45	$25.75	$6.47–$23.18	70% below	40%
Iron blood test (serum iron) CPT 83540 IRON (LIVER TISSUE)	$127.95	$213.25	$6.47–$191.93	152% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$32.39	$53.98	$8.68–$48.58	63% below	40%
LH (luteinizing hormone) test CPT 83002 LH, SERUM (RL)	$35.40	$59.00	$18.52–$53.10	50% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$28.94	$48.23	$6.89–$43.41	67% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, BODY FLUID (NEGMC)	$30.60	$51.00	$6.89–$45.90	65% below	40%
Liver function blood test panel CPT 80076 HEPATIC PANEL (LIVER)	$32.41	$54.02	$8.17–$48.62	70% below	40%
Lyme disease antibody test CPT 86618 .LYME DISEASE AB, SERUM, IGM (RL)	$40.87	$68.12	$17.03–$61.31	59% below	40%
Lyme disease antibody test CPT 86618 .LYME DISEASE AB, SERUM, IGG (RL)	$40.87	$68.12	$17.03–$61.31	59% below	40%
Magnesium blood test CPT 83735 MAGNESIUM, 24HR URINE (MAYO)	$12.15	$20.25	$6.70–$18.23	73% below	40%
Magnesium blood test CPT 83735 MAGNESIUM	$18.23	$30.38	$6.70–$27.34	59% below	40%
Magnesium blood test CPT 83735 MAGNESIUM Q6hrs	$18.23	$30.38	$6.70–$27.34	59% below	40%
Magnesium blood test CPT 83735 MAGNESIUM, 24HR (RL)	$25.35	$42.25	$6.70–$38.03	44% below	40%
Magnesium blood test CPT 83735 MAGNESIUM, FECES, QT (RL)	$26.10	$43.50	$6.70–$39.15	42% below	40%
Magnesium blood test CPT 83735 MAGNESIUM, RBC (RL)	$26.55	$44.25	$6.70–$39.83	41% below	40%
Magnesium blood test CPT 83735 MAGNESIUM/CREAT RATIO, RANDOM URINE (RL)	$49.80	$83.00	$6.70–$74.70	11% above	40%
Magnesium blood test CPT 83735 LAXATIVE ASSAY, STOOL (RL)	$167.70	$279.50	$6.70–$251.55	273% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB, IGG (RL)	$23.40	$39.00	$12.88–$35.10	71% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB, IGM (RL)	$23.40	$39.00	$12.88–$35.10	71% below	40%
Measles (rubeola) antibody test CPT 86765 RUBELLA IMMUNE STATUS (RL)	$31.13	$51.88	$12.88–$46.69	61% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST QL	$27.72	$46.20	$5.18–$41.58	57% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE, AB	$38.25	$63.75	$5.18–$57.38	40% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE (RL)	$34.20	$57.00	$18.39–$51.30	59% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HEALTH FAIR PSA	$33.53	$55.89	$18.39–$50.30	67% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 .PSA TOTAL (RL)	$35.40	$59.00	$18.39–$53.10	65% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE (MAYO)	$63.45	$105.75	$18.39–$95.18	37% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRA (MAYO)	$67.20	$112.00	$18.39–$100.80	33% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP (PATHGROUP)	$17.40	$29.00	$23.21–$34.28	63% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP THIN PREP (PATHGROUP)	$51.56	$85.94	$26.61–$77.35	10% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ANMED PAP THIN PREP	$70.50	$117.50	$20.26–$105.75	41% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH C-TERMINAL (RL)	$44.40	$74.00	$41.28–$66.60	73% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT (RL)	$44.92	$74.86	$41.28–$67.37	72% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$19.42	$32.37	$6.01–$29.13	60% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 DAILY - PTT	$24.90	$41.50	$6.01–$37.35	49% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAG INTERPRETATION (RL)	$37.35	$62.25	$6.01–$56.03	24% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, INHIBIN ASSAY (RL)	$54.00	$90.00	$6.01–$81.00	10% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 .PTT 1 HR (RL)	$66.90	$111.50	$6.01–$100.35	36% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 .FETAL CHROM ANEUPLOIDY (RL)	$546.48	$910.80	$641.86–$819.72	44% below	40%
Progesterone blood test CPT 84144 PROGESTERONE (RL)	$39.75	$66.25	$20.86–$59.63	59% below	40%
Prolactin blood test CPT 84146 PROLACTIN (RL)	$37.20	$62.00	$19.38–$55.80	70% below	40%
Prolactin blood test CPT 84146 PROLACTIN, TOTAL S (RL)	$50.85	$84.75	$19.38–$76.28	59% below	40%
Prolactin blood test CPT 84146 PROLACTIN, UNPRECIPITATE, S (RL)	$50.85	$84.75	$19.38–$76.28	59% below	40%
Prolactin blood test CPT 84146 MACROPROLACTIN, S (RL)	$163.92	$273.20	$19.38–$245.88	33% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR	$19.42	$32.37	$4.29–$29.13	50% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 DAILY - PROTIME	$24.90	$41.50	$4.29–$37.35	36% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (MAYO)	$54.00	$90.00	$4.29–$81.00	38% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL URINE SCREEN ONLY	$15.00	$25.00	$11.47–$22.50	79% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN (GROUP A STREP)	$19.09	$31.82	$15.08–$28.64	74% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, SERUM (RL)	$27.72	$46.20	$5.67–$41.58	63% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG (MAYO)	$12.60	$21.00	$14.39–$18.90	82% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM (RL)	$42.45	$70.75	$14.39–$63.68	39% below	40%
Stool ova and parasites exam CPT 87177 O&P DIRECT SMEARS, CONC&ID (RL)	$21.00	$35.00	$8.90–$31.50	74% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 .zzOCCULT BLOOD	$7.63	$12.71	$4.04–$11.44	84% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD (IFOBT)	$29.80	$49.67	$15.92–$44.70	17% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR SCREEN W/ REFLEX	$7.13	$11.88	$4.27–$10.69	83% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR reflexed from Syphylis IgG (RL)	$8.01	$13.35	$4.27–$12.02	81% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF, QL	$16.80	$28.00	$4.27–$25.20	60% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .zzzRPR Do not order for Syphilis test	$19.80	$33.00	$4.27–$29.70	53% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF ONLY	$54.90	$91.50	$4.27–$82.35	29% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB (AFB) BLOOD (RL)	$185.70	$309.50	$61.98–$278.55	12% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (RL)	$81.60	$136.00	$25.81–$122.40	38% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL, LIVER/KIDNEY (RL)	$21.90	$36.50	$14.55–$32.85	76% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 .THYROID MICROSOMAL - OBSOLETE	$25.05	$41.75	$14.55–$37.58	73% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB (RL)	$27.90	$46.50	$14.55–$41.85	70% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HEALTH FAIR TSH	$15.29	$25.49	$16.80–$22.94	85% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$19.86	$33.10	$16.80–$29.79	80% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA	$29.95	$49.91	$16.80–$44.92	70% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE	$31.05	$51.75	$16.80–$46.58	69% below	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS, RNA, MALE (MAYO)	$87.99	$146.65	$21.42–$131.99	4% below	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS, RNA, PCR (RL)	$122.55	$204.25	$21.42–$183.83	34% above	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$11.13	$18.55	$4.52–$16.70	80% below	40%
Urinalysis with microscope exam, automated CPT 81001 URINE W/ MICRO	$14.85	$24.75	$3.17–$22.28	77% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO	$11.13	$18.55	$2.25–$16.70	69% below	40%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTIX NONAUTO	$17.55	$29.25	$3.21–$26.33	52% below	40%
Urinalysis without microscope exam, manual CPT 81002 URINE HEMOGLOBIN, QL DIPSTICK	$28.95	$48.25	$3.21–$43.43	21% below	40%
Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE	$31.58	$52.64	$7.96–$47.38	60% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (RL)	$49.64	$82.73	$15.08–$74.46	39% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 ASSAY	$55.77	$92.95	$15.08–$83.66	31% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST TSH	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST 0TP	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST AMYLASE	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST URINE CULTURE	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST CBC	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 ..ZZ TEST Neisseria Genorrhoeae	$71.50	$119.17	$15.08–$107.25	12% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 PERNICIOUS ANEMIA CASCADE (RL)	$86.25	$143.75	$15.08–$129.38	6% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HEALTH FAIR VITAMIN D	$24.79	$41.32	$29.60–$38.34	77% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$32.20	$53.66	$29.60–$48.29	70% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .VITAMIN D 25-OH (RL)	$56.55	$94.25	$29.60–$84.83	47% below	40%
Zinc blood test CPT 84630 ZINC, SERUM (RL)	$21.51	$35.85	$11.39–$32.27	67% below	40%
Zinc blood test CPT 84630 ZINC, RBC (RL)	$41.10	$68.50	$11.39–$61.65	36% below	40%
Zinc blood test CPT 84630 ZINC, URINE (RL)	$41.25	$68.75	$11.39–$61.88	36% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$40.66	$67.76	$8.07–$60.98	66% below	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY	$4,200.00	$7,000.00	$2,250.50–$7,000.00	—	40%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$15,600.00	$26,000.00	$8,359.00–$26,000.00	234% above	40%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$15,900.00	$26,500.00	$8,519.75–$26,500.00	41% above	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$17,100.00	$28,500.00	$9,162.75–$28,500.00	51% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DIS FIBULA W/O MANIP	$248.40	$414.00	$133.10–$372.60	58% below	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX W/O MANIP EACH	$248.40	$414.00	$133.10–$372.60	69% below	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX W/O MAN, EACH	$378.75	$631.25	—	53% below	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS	$7,155.00	$11,925.00	$3,833.89–$11,925.00	8% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$796.05	$1,326.75	$426.55–$1,194.08	46% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE, ARRHYTHMIA EXT	$894.00	$1,490.00	$479.04–$1,341.00	40% below	40%
Cataract surgery with lens implant CPT 66984 CATARACT EXTRACTION WITH MONOFOCAL LENS	$3,032.78	$5,054.63	$1,625.06–$5,054.63	71% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, CLAMP OR OTHER DEVICE W LO	$1,075.79	$1,792.99	$576.45–$1,792.99	29% below	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX DISTAL RADIAL FX W/O MAN	$248.40	$414.00	$133.10–$372.60	60% below	40%
Complex cataract surgery with lens implant CPT 66982 CATARACT COMPLEX	$2,426.22	$4,043.70	$1,300.05–$4,043.70	77% below	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGAT/LAVAGE	$104.25	$173.75	$55.86–$156.38	1% above	40%
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN	$87.00	$145.00	$46.62–$130.50	76% below	40%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED CERUMEN REQ INSTRUME	$106.50	$177.50	$57.07–$159.75	70% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ LUMB	$590.10	$983.50	$316.20–$885.15	73% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$8,505.00	$14,175.00	$4,557.26–$14,175.00	3% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$9,000.00	$15,000.00	$4,822.50–$15,000.00	9% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$2,100.00	$3,500.00	$887.32–$3,150.00	65% above	40%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$12,510.00	$20,850.00	$6,703.28–$20,850.00	24% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$13,200.00	$22,000.00	$7,073.00–$22,000.00	19% below	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$5,100.00	$8,500.00	$2,732.75–$8,500.00	76% below	40%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$7,155.00	$11,925.00	$3,833.89–$11,925.00	230% above	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOIDS	$829.05	$1,381.75	$444.23–$1,243.58	40% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$6,165.00	$10,275.00	$3,303.41–$10,275.00	122% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$184.50	$307.50	$98.86–$276.75	71% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION DRAINAGEOF ABSCESS SIMPLE/SINGL	$262.05	$436.75	$140.42–$393.08	59% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 DRANIAGE OF SKIN ABSCESS	$900.00	$1,500.00	$193.37–$1,350.00	40% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT	$74.55	$124.25	—	94% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 INJECTION OF HIP BILATERAL	$266.55	$444.25	$142.83–$399.83	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS,ASP,OR INJECT MAJOR JT	$87.60	$146.00	—	90% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT HIP	$258.75	$431.25	$138.65–$388.13	71% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP OR INJECT MAJOR JT	$378.75	$631.25	$202.95–$568.13	58% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS,ASP,OR INJECT INT JT	$70.80	$118.00	—	91% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT WRIST	$133.35	$222.25	$71.45–$287.29	82% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP OR INJECT INT JOINT	$286.95	$478.25	$153.76–$430.43	62% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,ASP,OR INJECT SM JT	$67.05	$111.75	—	86% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP OR INJECT SM JT	$286.95	$478.25	$153.76–$430.43	42% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS	$380.10	$633.50	$203.67–$570.15	23% below	40%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$7,800.00	$13,000.00	$4,179.50–$13,000.00	31% below	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$7,155.00	$11,925.00	$3,833.89–$11,925.00	18% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$7,155.00	$11,925.00	$3,833.89–$11,925.00	18% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$14,100.00	$23,500.00	$7,555.25–$23,500.00	32% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT LAC <2.6 CM BODY SCALP	$288.15	$480.25	—	40% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLS SCLP TRNK AXL EXTR < 2.5 CM	$363.30	$605.50	$194.67–$544.95	24% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$720.00	$1,200.00	$385.80–$1,080.00	51% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL - OB	$177.38	$295.63	$95.05–$866.48	89% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT EPIDURAL	$324.60	$541.00	$173.93–$866.48	80% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STERIOD	$404.85	$674.75	$216.93–$866.48	76% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STERIOD-RADIOLOGY	$590.10	$983.50	$316.20–$885.15	64% below	40%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 NERVE ROOT BLOCK LUMBAR BILAT	$792.00	$1,320.00	$424.38–$1,188.00	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NERVE ROOT BLOCK LUMBAR	$396.00	$660.00	$212.19–$866.48	75% below	40%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$8,700.00	$14,500.00	$4,661.75–$14,500.00	10% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$1,680.00	$2,800.00	$684.77–$2,520.00	183% above	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE PART OR COMPLETE	$262.05	$436.75	$140.42–$393.08	61% below	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$262.05	$436.75	$140.42–$393.08	61% below	40%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$450.00	$750.00	$193.38–$675.00	32% below	40%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS WITH IMAGING GUIDANCE	$396.25	$660.41	$212.32–$912.48	75% below	40%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMEN WITH AND WITHOUT	$619.62	$1,032.70	$332.01–$929.43	60% below	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,995.00	$3,325.00	$912.48–$2,992.50	27% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED-PERMANENT	$211.80	$353.00	—	77% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED PERMANENT	$482.55	$804.25	$258.57–$723.83	48% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX PART/CO	$482.55	$804.25	$258.57–$723.83	48% below	40%
Prostate biopsy CPT 55700 US PROSTATE BX	$2,632.35	$4,387.25	$1,410.50–$4,387.25	6% below	40%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LSESION	$8,250.00	$13,750.00	$4,420.63–$13,750.00	24% above	40%
Removal of a foreign object under the skin, simple CPT 10120 I & D REM FOREIGN BODY - SIMPLE	$191.85	$319.75	$102.80–$388.84	83% below	40%
Removal of a foreign object under the skin, simple CPT 10120 I & REM F.B. SIMPLE	$482.55	$804.25	$258.57–$723.83	57% below	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$900.00	$1,500.00	$388.84–$1,350.00	19% below	40%
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST	$273.90	$456.50	$146.76–$410.85	69% below	40%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$135.00	$225.00	$72.34–$202.50	65% below	40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$900.00	$1,500.00	$125.45–$1,350.00	134% above	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST (KNEE TO TOES)	$273.90	$456.50	$146.76–$410.85	19% below	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$585.00	$975.00	$258.47–$877.50	72% above	40%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT (CALF TO FOOT)	$311.40	$519.00	$153.57–$467.10	21% below	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$900.00	$1,500.00	$153.57–$1,350.00	129% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM LAC <2.5 CM, BODY,SCALP,HANDS,FEET	$83.85	$139.75	—	74% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM LAC <2.5 CM BODY,SCALP,HANDS,FEET	$435.60	$726.00	$193.38–$653.40	35% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$510.00	$850.00	$193.38–$765.00	58% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN SINGLE LESION	$274.50	$457.50	$147.09–$411.75	53% below	40%
Skin tag removal, up to 15 tags CPT 11200 EXCISION OF SKIN TAG	$126.00	$210.00	$67.52–$193.38	60% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS < W/15	$435.00	$725.00	$193.38–$652.50	37% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$629.70	$1,049.50	$337.41–$944.55	50% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM LAC 2.6-7.5 CM	$547.20	$912.00	$193.38–$820.80	37% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR/S/N/A/GEN/TRNK 2.6-7.5CM	$900.00	$1,500.00	$193.38–$1,350.00	126% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM LAC <2.5 CM FACE,CHIN,EARS	$104.40	$174.00	—	71% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM LAC <2.5 CM, FACE,CHIN,EARS	$435.60	$726.00	$193.38–$653.40	23% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN SINGLE LESION	$274.50	$457.50	$147.09–$411.75	51% below	40%
Thoracentesis with imaging guidance CPT 32555 PARACENTESIS WITH IMAGE GUIDANCE	$130.35	$217.25	—	91% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGE GUIDANCE	$130.35	$217.25	—	91% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS CHEST	$259.65	$432.75	$139.13–$601.71	82% below	40%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS WITH IMAGING GUIDANCE	$965.70	$1,609.50	$517.45–$1,448.55	32% below	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$7,800.00	$13,000.00	$4,179.50–$13,000.00	20% below	40%
Total hip replacement CPT 27130 TOTAL HIP ARTHROSPLASTY	$28,800.00	$48,000.00	$15,432.00–$48,000.00	124% above	40%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$31,305.00	$52,175.00	$16,774.26–$52,175.00	103% above	40%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$3,900.00	$6,500.00	$2,089.75–$6,500.00	12% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT 1-2 MUSCLES	$380.10	$633.50	$203.67–$570.15	69% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST ADD LESION US IMAG	$1,500.00	$2,500.00	$803.75–$2,500.00	31% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$4,500.00	$7,500.00	$2,411.25–$7,500.00	106% above	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$300.00	$500.00	$160.75–$450.00	73% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN PARTIAL THICKNESS	$116.10	$193.50	—	90% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN, PARTIAL THICKNESS	$363.30	$605.50	$194.67–$544.95	68% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUB Q FIRST 20 SQ CM OR LESS	$714.00	$1,190.00	$382.59–$1,071.00	37% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$900.00	$1,500.00	$388.84–$1,350.00	20% below	40%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL	$15,900.00	$26,500.00	$8,519.75–$26,500.00	69% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION FEE	$307.20	$512.00	$164.61–$460.80	60% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR COMPONENT	$315.00	$525.00	$168.79–$472.50	59% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION	$467.55	$779.25	$250.53–$701.33	40% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$900.00	$1,500.00	$425.48–$1,350.00	16% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEBULIZER TX	$91.92	$153.20	$49.25–$197.95	48% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$97.55	$162.58	$52.27–$197.95	45% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBSEQUENT HAND HELD NEBULIZER	$121.80	$203.00	$65.26–$197.95	31% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUBQ INCENTIVE SPIROMETRY	$121.80	$203.00	$65.26–$197.95	31% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL HAND HELD NEBULIZER	$157.20	$262.00	$84.23–$235.80	11% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL MDI THERAPY	$157.20	$262.00	$84.23–$235.80	11% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIROMETRY	$190.80	$318.00	$102.24–$286.20	8% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS NEB 1ST 2 HOURS	$268.20	$447.00	$143.71–$402.30	51% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$289.35	$482.25	$155.04–$434.03	63% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SWING BED INCENTIVE SPIROMETRY	$463.20	$772.00	$197.95–$694.80	162% above	40%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO 1 HOUR	$135.00	$225.00	$72.34–$322.82	68% below	40%
Chemotherapy IV infusion, first hour CPT 96413 IV ADMIN - BIOLOGIC/CHEMO INITIAL HOUR	$462.00	$770.00	$247.56–$693.00	10% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HEARING SCREENING	$30.00	$50.00	$16.08–$152.27	92% below	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR	$417.90	$696.50	—	77% below	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR W/ PROCEDURE	$417.90	$696.50	—	77% below	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICIAL CARE 1ST HR	$549.45	$915.75	—	70% below	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICIAL CARE 1ST HR W PROC	$1,082.40	$1,804.00	$579.99–$1,623.60	41% below	40%
Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6 CRITICAL CARE ED	$1,138.95	$1,898.25	$610.29–$1,708.43	38% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEADS TRACING ONLY	$93.60	$156.00	$50.15–$140.40	51% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$93.60	$156.00	$50.15–$140.40	51% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1	$39.75	$66.25	—	85% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 W/ PROCEDURE	$39.75	$66.25	—	85% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB OBSERVATION TRIAGE PER HR.	$63.30	$105.50	$84.43–$396.55	75% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ED VISIT	$87.58	$145.96	$85.69–$396.55	66% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF SERVICE	$90.45	$150.75	—	65% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 WITH PROCEDURE	$106.80	$178.00	$85.69–$396.55	58% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SUTURE REMOVAL/WOUND RECHECK	$106.80	$178.00	$85.69–$396.55	58% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 W/ PROCEDURE	$77.70	$129.50	—	80% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2	$77.70	$129.50	—	80% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM/EXTENSIVE	$93.15	$155.25	$124.25–$396.55	76% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED SERVICE	$122.70	$204.50	—	68% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 WITH PROCEDURE	$158.92	$264.86	$154.11–$396.55	58% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ED VISIT	$285.00	$475.00	$154.11–$427.50	25% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 W/ PROCEDURE	$116.10	$193.50	—	82% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3	$116.10	$193.50	—	82% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE SERVICE	$161.85	$269.75	—	75% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 WITH PROCEDURE	$279.09	$465.15	$269.48–$418.64	56% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ED VISIT	$484.80	$808.00	$269.48–$727.20	24% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED SERVICE	$213.60	$356.00	—	74% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4	$220.50	$367.50	—	73% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 W/ PROCEDURE	$220.50	$367.50	—	73% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ED VISIT	$655.80	$1,093.00	$385.00–$983.70	19% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 WITH PROCEDURE	$690.00	$1,150.00	$385.00–$1,035.00	14% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPLETE CARE	$291.30	$485.50	—	75% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5	$325.35	$542.25	—	72% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 W/ PROCEDURE	$325.35	$542.25	—	72% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 WITH PROCEDURE	$662.97	$1,104.95	$385.00–$994.46	42% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ED VISIT	$769.80	$1,283.00	$385.00–$1,154.70	33% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM TREADMILL (ONLY)	$161.85	$269.75	$86.72–$303.07	81% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS	$639.60	$1,066.00	$303.07–$959.40	25% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS THALLIUM (SPECT)	$1,421.25	$2,368.75	$303.07–$2,131.88	67% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAPY HYDRATION INITIAL HOUR	$122.10	$203.50	$65.43–$205.05	58% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV THERAPY HYDRATION INIT HOUR	$122.40	$204.00	$65.59–$205.05	58% below	40%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INFUSION INITIAL HOUR	$182.40	$304.00	$97.74–$273.60	37% below	40%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INITIAL HOUR	$286.80	$478.00	$153.68–$430.20	2% below	40%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INFUSION UP TO ONE HOUR	$290.70	$484.50	$155.77–$436.05	at median	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR INJECTION OF ANTIBIOTIC	$51.60	$86.00	$27.65–$77.40	50% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION	$74.29	$123.82	$39.81–$111.44	28% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBCUTANEOUS INJECTION	$74.29	$123.82	$39.81–$111.44	28% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBIOTIC INJ	$90.60	$151.00	$48.55–$135.90	12% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION FEE SC IM	$90.60	$151.00	$48.55–$135.90	12% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM	$160.20	$267.00	$69.26–$240.30	55% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC INJECT	$235.89	$393.15	$69.26–$353.84	129% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 ADULT NEURO EX II	$15.00	$25.00	$8.04–$25.00	77% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 DO NOT USE	$18.00	$30.00	$9.65–$30.00	72% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 ADULT NEURO EX	$33.00	$55.00	$17.68–$55.00	49% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T NEUROMUSCULAR RE-ED	$34.92	$58.20	$18.71–$58.20	46% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T NEUROMUSCULAR RE-ED II	$36.00	$60.00	$19.29–$60.00	45% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T NEUROMUSCULAR RE-ED II	$36.00	$60.00	$19.29–$60.00	45% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T ADULT NEURO EX. I	$36.00	$60.00	$19.29–$60.00	45% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 PEDIATRIC EX II	$39.00	$65.00	$20.90–$65.00	40% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 PEDIATRIC EX	$39.00	$65.00	$20.90–$65.00	40% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T ADULT NEURO EX. II	$54.00	$90.00	$28.94–$90.00	17% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T ADULT NEURO EX. I	$54.24	$90.40	$29.06–$90.40	17% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T NEUROMUSCULARE RE-ED III	$60.00	$100.00	$32.15–$100.00	8% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T NEUROMUSCULARE RE-ED III	$60.00	$100.00	$32.15–$100.00	8% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T PED. EX I	$66.90	$111.50	$35.85–$111.50	3% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE ED	$72.00	$120.00	$38.58–$120.00	10% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T NEUROMUSCULARE RE-ED IV	$72.00	$120.00	$38.58–$120.00	10% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 P/T ADULT NEURO EX. III	$72.00	$120.00	$38.58–$120.00	10% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T NEUROMUSCULAR RE-ED IV	$72.00	$120.00	$38.58–$120.00	10% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T ADULT NEURO EX. II	$79.53	$132.55	$42.61–$132.55	22% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T NEUROMUSCULAR RE-ED	$90.00	$150.00	$48.23–$150.00	38% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 O/T PEDIATRIC EXERCISE	$96.18	$160.30	$51.54–$160.30	47% above	40%
New patient office visit, about 30 minutes CPT 99203 VISIT - NEW PATIENT - LEVEL 3	$228.60	$381.00	$122.49–$381.00	46% above	40%
New patient office visit, about 45 minutes CPT 99204 VISIT - NEW PATIENT - LEVEL 4	$233.40	$389.00	$125.06–$389.00	17% above	40%
New patient office visit, about 60 minutes CPT 99205 VISIT - NEW PATIENT - LEVEL 5	$336.60	$561.00	$180.36–$561.00	40% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT - NEW PATIENT - LEVEL 2	$201.07	$335.12	$107.74–$335.12	47% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERPY / INDV / 15 MIN	$24.90	$41.50	$13.34–$41.50	31% below	40%
Occupational therapy evaluation, low complexity CPT 97165 O/T EVAL LOW COMPLEXITY	$60.60	$101.00	$32.47–$101.00	65% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 P/T EVAL HIGH COMPLEXITY	$145.52	$242.54	$77.98–$242.54	30% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 P/T EVAL LOW COMPLEXITY	$57.00	$95.00	$30.54–$95.00	67% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 P/T EVAL MOD COMPLEXITY	$93.60	$156.00	$50.15–$156.00	47% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T JOINT/SPINAL MOBILIZATON	$18.00	$30.00	$9.65–$30.00	82% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T MYOFASCIAL RELEASE I	$18.00	$30.00	$9.65–$30.00	82% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T MYOFASCIAL RELEASE II	$24.00	$40.00	$12.86–$40.00	75% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MYOFASCIAL RELEASE I	$24.00	$40.00	$12.86–$40.00	75% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TRACTION	$25.20	$42.00	$13.50–$42.00	74% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MYOFASCIAL RELEASE II	$36.00	$60.00	$19.29–$60.00	63% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T JOINT/SPINAL MOBILIZATION II	$39.00	$65.00	$20.90–$65.00	60% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T JOINT/SPINAL MOBILIZATION	$54.60	$91.00	$29.26–$91.00	44% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T MYOFASCIAL RELEASE	$54.60	$91.00	$29.26–$91.00	44% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MYOFASCIAL RELEASE	$54.60	$91.00	$29.26–$91.00	44% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T PHYSICAL PERFORMANCE TEST	$54.60	$91.00	$29.26–$91.00	44% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MYOFASCIAL RELEASE III	$57.00	$95.00	$30.54–$95.00	42% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T JOINT/SPINAL MOBILIZATION	$58.35	$97.25	$31.27–$97.25	40% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T MANUAL THERAPY	$68.25	$113.75	$36.57–$113.75	30% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MYOFASCIAL RELEASE IV	$72.00	$120.00	$38.58–$120.00	26% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T MANUAL THERAPY	$97.20	$162.00	$52.08–$162.00	at median	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ARM/HAND EXERCISE I	$12.00	$20.00	$6.43–$20.00	84% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE REVIEW	$18.00	$30.00	$9.65–$30.00	76% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ARM/HAND EXERCISE II	$24.00	$40.00	$12.86–$40.00	68% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T THERAPEUTIC EXERCISE I	$24.00	$40.00	$12.86–$40.00	68% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T EXERCISE REVIEW	$29.28	$48.80	$15.69–$48.80	61% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T ARM/HAND EX. I	$29.28	$48.80	$15.69–$48.80	61% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DO NOT USE	$30.00	$50.00	$16.08–$50.00	60% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T THERAPEUTIC EXERCISE	$35.00	$58.34	$18.76–$58.34	54% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T THERAPEUTIC EXERCISE II	$36.00	$60.00	$19.29–$60.00	53% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T THERAPEUTIC EXERCISE II	$36.00	$60.00	$19.29–$60.00	53% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T THERAPEUTIC EXERCISE	$36.46	$60.77	$19.54–$60.77	52% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T ARM/HAND EX. II	$54.24	$90.40	$29.06–$90.40	28% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T THERAPEUTIC EXERCISE III	$60.00	$100.00	$32.15–$100.00	21% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T THERAPEUTIC EXERCISE III	$60.00	$100.00	$32.15–$100.00	21% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE	$61.50	$102.50	$32.95–$102.50	19% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE IV	$72.00	$120.00	$38.58–$120.00	5% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T THERAPEUTIC EXERCISE IV	$72.00	$120.00	$38.58–$120.00	5% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T THERAPEUTIC EXERCISE IV	$72.00	$120.00	$38.58–$120.00	5% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T ARM HAND EX. III	$79.53	$132.55	$42.61–$132.55	5% above	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNCELING (3-10 MIN)	$22.20	$37.00	$11.90–$33.30	37% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$71.40	$119.00	$28.99–$107.10	103% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT - ESTABLISHED PATIENT - LEVEL 5	$246.60	$411.00	$132.14–$411.00	16% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT - ESTABLISHED PATIENT - LEVEL 3	$168.60	$281.00	$90.34–$281.00	12% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT - ESTABLISHED PATIENT - LEVEL 4	$183.00	$305.00	$98.06–$305.00	6% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM - PHYSICIAN PRESENT	$17.55	$29.25	$9.40–$29.25	86% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM	$69.00	$115.00	$36.97–$115.00	45% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT - ESTABLISHED PATIENT - LEVEL 2	$113.40	$189.00	$60.76–$189.00	10% below	40%
Speech and language evaluation CPT 92523 S/T EVAL SOUND & LANG. (EXPR & RECEP)	$513.94	$856.56	$275.38–$856.56	118% above	40%
Speech therapy session, individual CPT 92507 SPEECH ADULT ACTIVITIES I	$33.00	$55.00	$17.68–$55.00	77% below	40%
Speech therapy session, individual CPT 92507 PEDIATRIC SPEECH ACTIVITIES I	$39.00	$65.00	$20.90–$65.00	73% below	40%
Speech therapy session, individual CPT 92507 PEDIATRIC SPEECH ACTIVITIES II	$60.00	$100.00	$32.15–$100.00	58% below	40%
Speech therapy session, individual CPT 92507 DO NOT USE	$83.10	$138.50	$44.53–$138.50	42% below	40%
Speech therapy session, individual CPT 92507 S/T 15-MIN TX Speech/Lang/Voice/Aud Comp	$122.10	$203.50	$65.43–$203.50	15% below	40%
Speech therapy session, individual CPT 92507 S/T 30-MIN TX Speech/Lang/Voice/Aud Proc	$152.63	$254.38	$81.78–$254.38	7% above	40%
Speech therapy session, individual CPT 92507 S/T 45-MIN TX Speech/Lang/Voice/Aud Proc	$165.15	$275.25	$88.49–$275.25	15% above	40%
Speech therapy session, individual CPT 92507 S/T PEDIATRIC TREATMENT	$170.25	$283.75	$91.23–$283.75	19% above	40%
Speech therapy session, individual CPT 92507 S/T PEDIATRIC EVALUATION	$183.15	$305.25	$98.14–$305.25	28% above	40%
Speech therapy session, individual CPT 92507 S/T 60-MIN TX Speech/Lang/Aud Proces/Voi	$219.00	$365.00	$117.35–$365.00	53% above	40%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION(BASIC)	$131.55	$219.25	$70.49–$197.33	46% below	40%
Spirometry (breathing test) CPT 94010 PEAK FLOW TREATMENT	$211.80	$353.00	$113.49–$317.70	14% below	40%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION	$288.15	$480.25	$154.40–$432.23	35% below	40%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION W & WO BRONCHODILATOR	$386.25	$643.75	$206.97–$579.38	13% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 O/T THERAPEUTIC ACTIVITIES	$19.06	$31.77	$10.21–$31.77	74% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 P/T THERAPEUTIC ACTIVITIES	$26.64	$44.40	$14.27–$44.40	63% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES	$58.50	$97.50	$31.35–$97.50	19% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$67.65	$112.75	$36.25–$125.45	62% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$163.35	$272.25	$87.53–$245.03	9% below	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACCINE HI-DOSE (influenza) 0.5ML	$106.01	$176.69	$83.49–$176.69	51% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE (influenza) AFLURIA 0.5ML	$14.99	$24.99	$20.00–$24.99	69% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE (influenza) '23 0.5ML	$32.62	$54.36	$22.35–$54.36	32% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS A VACCINE 1ML (VAQTA)	$51.90	$86.50	$69.23–$86.50	63% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 1ML	$75.00	$125.00	$70.38–$125.00	47% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR-II (MEASLES, MUMPS, RUBELLA)	$49.80	$83.00	$66.42–$95.26	60% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE	$165.00	$275.00	$157.35–$275.00	43% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX (pneumococcal vaccine) INJ	$181.73	$302.88	$133.47–$302.88	51% below	40%
Rabies vaccine, one dose CPT 90675 RABIES (IMOVAX) VACCINE 1ML	$271.80	$453.00	$327.78–$407.70	65% below	40%
Rabies vaccine, one dose CPT 90675 RABIES (RABAVERT) VACCINE 1ML	$929.70	$1,549.50	$327.78–$1,394.55	18% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOX ADSORBED	$47.58	$79.30	$25.49–$79.30	66% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET & DIPTH TOX ADSORB ADLT	$51.60	$86.00	$27.65–$86.00	63% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA & TETANUS TOXOID (DPT)	$34.50	$57.50	$38.63–$57.50	72% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET TOX,DIPHT TOX & PERTUSSIS VACC 0.5ML	$43.80	$73.00	$38.63–$73.00	65% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$71.83	$119.72	$38.49–$107.75	56% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION	$83.40	$139.00	$44.69–$125.10	81% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ FOR ADMIN VACCINE	$87.60	$146.00	$46.94–$131.40	90% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION-CHILD/SENIOR	$87.60	$146.00	$46.94–$131.40	90% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS IG,IM	$90.60	$151.00	$48.55–$135.90	97% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION EA ADDITIONAL	$87.60	$146.00	$46.94–$146.00	125% above	40%

Source file: https://stephenscountyhospital.pg.quadax.revenuemasters.com/cdm-files/586001667_stephens-county-hospital_standardcharges.csv