Hospital

Casey County Hospital

Casey County Hospital in Liberty, KY publishes cash prices for 291 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 235 of 291 procedures and above it for 54. By typical cash price it ranks #14 of 80 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

187 Wolford Ave, Liberty, KY 42539 Collected Sep 29, 2026 Source price file (606) 787-6275

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 181309 · CMS hospital register NPI 1407829567

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Casey County Hospital in Liberty, KY:

Sep 16, 2025 Corrective action plan requested
Dec 19, 2025 Case closed
Jun 3, 2026 Warning notice

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

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 Kentucky	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W&W/O CONT	$855.40	$1,222.00	$500.00–$1,234.22	49% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W&W/O CONT	$855.40	$1,222.00	$500.00–$1,234.22	—	30%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$171.20	$214.00	$130.54–$216.14	40% below	20%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$171.20	$214.00	$130.54–$216.14	—	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RT	$139.20	$174.00	$106.14–$175.74	56% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CPC ANKLE 3 VIEWS LT	$139.20	$174.00	$106.14–$175.74	56% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LT	$139.20	$174.00	$106.14–$175.74	56% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CPC ANKLE 3 VIEWS RT	$139.20	$174.00	$106.14–$175.74	56% below	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS RT	$139.20	$174.00	$106.14–$175.74	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CPC ANKLE 3 VIEWS RT	$139.20	$174.00	$106.14–$175.74	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CPC ANKLE 3 VIEWS LT	$139.20	$174.00	$106.14–$175.74	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS LT	$139.20	$174.00	$106.14–$175.74	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI 2 EXTREMITIES	$130.78	$163.48	$73.00–$165.11	67% below	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI 2 EXTREMITIES	$130.78	$163.48	$73.00–$165.11	—	20%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EX W/O C LT	$880.60	$1,258.00	$500.00–$1,270.58	16% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EX W/O C RT	$880.60	$1,258.00	$500.00–$1,270.58	16% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EX W/O C LT	$880.60	$1,258.00	$500.00–$1,270.58	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EX W/O C RT	$880.60	$1,258.00	$500.00–$1,270.58	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$232.00	$290.00	$175.00–$292.90	42% below	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$232.00	$290.00	$175.00–$292.90	—	20%
Breast ultrasound, complete, one breast one side CPT 76641 PF U/S BREAST RT	$100.80	$126.00	$73.00–$127.26	76% below	20%
Breast ultrasound, complete, one breast one side CPT 76641 PF U/S BREAST LT	$100.80	$126.00	$73.00–$127.26	76% below	20%
Breast ultrasound, complete, one breast one side CPT 76641 U/S BREAST LT	$160.00	$200.00	$73.00–$350.00	61% below	20%
Breast ultrasound, complete, one breast one side CPT 76641 U/S BREAST RT	$160.00	$200.00	$73.00–$350.00	61% below	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 PF U/S BREAST RT	$100.80	$126.00	$73.00–$127.26	—	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 PF U/S BREAST LT	$100.80	$126.00	$73.00–$127.26	—	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S BREAST LT	$160.00	$200.00	$73.00–$350.00	—	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S BREAST RT	$160.00	$200.00	$73.00–$350.00	—	20%
CT angiography (CTA) of the head CPT 70496 CTA BRAIN	$676.94	$846.18	$500.00–$854.64	52% below	20%
CT angiography (CTA) of the head inpatient CPT 70496 CTA BRAIN	$676.94	$846.18	$500.00–$854.64	—	20%
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$407.20	$509.00	$310.49–$514.09	69% below	20%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$407.20	$509.00	$310.49–$514.09	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$677.20	$846.50	$500.00–$854.97	52% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$677.20	$846.50	$500.00–$854.97	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O C	$387.70	$484.62	$295.62–$500.00	82% below	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O C	$387.70	$484.62	$295.62–$500.00	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CON	$599.62	$749.52	$457.21–$757.02	77% below	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CON	$599.62	$749.52	$457.21–$757.02	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W&W/OC	$668.48	$835.60	$500.00–$843.96	78% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W&W/OC	$668.48	$835.60	$500.00–$843.96	—	20%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST	$802.90	$1,147.00	$500.00–$1,158.47	49% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST	$802.90	$1,147.00	$500.00–$1,158.47	—	30%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST	$747.20	$934.00	$500.00–$943.34	38% below	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONTRAST	$747.20	$934.00	$500.00–$943.34	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O	$730.80	$1,044.00	$500.00–$1,054.44	35% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS W/O	$730.80	$1,044.00	$500.00–$1,054.44	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONT	$690.40	$863.00	$500.00–$871.63	39% below	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONT	$690.40	$863.00	$500.00–$871.63	—	20%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTRAST	$729.40	$1,042.00	$500.00–$1,052.42	49% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONTRAST	$729.40	$1,042.00	$500.00–$1,052.42	—	30%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W&W/O CONT	$830.20	$1,186.00	$500.00–$1,197.86	48% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W&W/O CONT	$830.20	$1,186.00	$500.00–$1,197.86	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	43% below	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	45% below	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$754.60	$1,078.00	$500.00–$1,088.78	46% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$754.60	$1,078.00	$500.00–$1,088.78	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 U/S CAROTID ART	$849.80	$1,214.00	$73.00–$1,226.14	1% below	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 U/S CAROTID ART	$849.80	$1,214.00	$73.00–$1,226.14	—	30%
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT	$817.60	$1,168.00	$500.00–$1,179.68	50% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W&W/O CONT	$817.60	$1,168.00	$500.00–$1,179.68	—	30%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$178.40	$223.00	$136.03–$225.23	29% below	20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$178.40	$223.00	$136.03–$225.23	—	20%
Chest X-ray, single view CPT 71045 CPC CHEST PA OR AP	$154.40	$193.00	$117.73–$194.93	17% below	20%
Chest X-ray, single view CPT 71045 CHEST PA OR AP	$154.40	$193.00	$117.73–$194.93	17% below	20%
Chest X-ray, single view inpatient CPT 71045 CHEST PA OR AP	$154.40	$193.00	$117.73–$194.93	—	20%
Chest X-ray, single view inpatient CPT 71045 CPC CHEST PA OR AP	$154.40	$193.00	$117.73–$194.93	—	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$157.60	$197.00	$120.17–$198.97	38% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CPC CLAVICLE LT	$157.60	$197.00	$120.17–$198.97	38% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$157.60	$197.00	$120.17–$198.97	38% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CPC CLAVICLE RT	$157.60	$197.00	$120.17–$198.97	38% below	20%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$157.60	$197.00	$120.17–$198.97	—	20%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$157.60	$197.00	$120.17–$198.97	—	20%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CPC CLAVICLE LT	$157.60	$197.00	$120.17–$198.97	—	20%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CPC CLAVICLE RT	$157.60	$197.00	$120.17–$198.97	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S RENAL	$478.40	$598.00	$73.00–$603.98	18% below	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 U/S RENAL	$478.40	$598.00	$73.00–$603.98	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONT	$747.20	$934.00	$500.00–$943.34	30% below	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONT	$747.20	$934.00	$500.00–$943.34	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$719.20	$899.00	$500.00–$907.99	46% below	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST	$719.20	$899.00	$500.00–$907.99	—	20%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG U/L DIG	$171.88	$214.85	$68.00–$217.00	23% below	20%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG U/R DIG	$171.88	$214.85	$68.00–$217.00	23% below	20%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG U/L DIG	$171.88	$214.85	$68.00–$217.00	—	20%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG U/R DIG	$171.88	$214.85	$68.00–$217.00	—	20%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	50% below	20%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	50% below	20%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	—	20%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	—	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CPC ELBOW 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	53% below	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	53% below	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	53% below	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CPC ELBOW 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	53% below	20%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CPC ELBOW 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	—	20%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CPC ELBOW 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	—	20%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	—	20%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTR	$431.20	$539.00	$328.79–$544.39	59% below	20%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTR	$431.20	$539.00	$328.79–$544.39	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VIEWS	$195.20	$244.00	$148.84–$246.44	46% below	20%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VIEWS	$195.20	$244.00	$148.84–$246.44	—	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP/LAT LT	$120.00	$150.00	$91.50–$175.00	58% below	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CPC FOREARM AP/LAT RT	$120.00	$150.00	$91.50–$175.00	58% below	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CPC FOREARM AP/LAT LT	$120.00	$150.00	$91.50–$175.00	58% below	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP/LAT RT	$120.00	$150.00	$91.50–$175.00	58% below	20%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM AP/LAT LT	$120.00	$150.00	$91.50–$175.00	—	20%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CPC FOREARM AP/LAT LT	$120.00	$150.00	$91.50–$175.00	—	20%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM AP/LAT RT	$120.00	$150.00	$91.50–$175.00	—	20%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CPC FOREARM AP/LAT RT	$120.00	$150.00	$91.50–$175.00	—	20%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	46% below	20%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	46% below	20%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	—	20%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	—	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS/HEEL LT	$120.80	$151.00	$92.11–$175.00	52% below	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS/HEEL RT	$120.80	$151.00	$92.11–$175.00	52% below	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS/HEEL LT	$120.80	$151.00	$92.11–$175.00	—	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS/HEEL RT	$120.80	$151.00	$92.11–$175.00	—	20%
Knee X-ray, 3 views one side CPT 73562 PF KNEE 3V RT	$41.60	$52.00	$31.72–$52.52	87% below	20%
Knee X-ray, 3 views one side CPT 73562 PF KNEE 3V LT	$41.60	$52.00	$31.72–$52.52	87% below	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$208.00	$260.00	$158.60–$262.60	35% below	20%
Knee X-ray, 3 views one side CPT 73562 CPC KNEE 3 VIEWS LT	$208.00	$260.00	$158.60–$262.60	35% below	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$208.00	$260.00	$158.60–$262.60	35% below	20%
Knee X-ray, 3 views one side CPT 73562 CPC KNEE 3 VIEWS RT	$208.00	$260.00	$158.60–$262.60	35% below	20%
Knee X-ray, 3 views inpatient one side CPT 73562 PF KNEE 3V LT	$41.60	$52.00	$31.72–$52.52	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 PF KNEE 3V RT	$41.60	$52.00	$31.72–$52.52	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$208.00	$260.00	$158.60–$262.60	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 CPC KNEE 3 VIEWS LT	$208.00	$260.00	$158.60–$262.60	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 CPC KNEE 3 VIEWS RT	$208.00	$260.00	$158.60–$262.60	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$208.00	$260.00	$158.60–$262.60	—	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS RT	$245.60	$307.00	$175.00–$310.07	33% below	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS LT	$245.60	$307.00	$175.00–$310.07	33% below	20%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS RT	$245.60	$307.00	$175.00–$310.07	—	20%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS LT	$245.60	$307.00	$175.00–$310.07	—	20%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EX W/O C LT	$920.50	$1,315.00	$500.00–$1,328.15	7% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EX W/O C RT	$920.50	$1,315.00	$500.00–$1,328.15	7% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EX W/O C LT	$920.50	$1,315.00	$500.00–$1,328.15	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EX W/O C RT	$920.50	$1,315.00	$500.00–$1,328.15	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S RUQ	$112.00	$140.00	$73.00–$350.00	80% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S SPLEEN	$420.80	$526.00	$175.00–$531.26	23% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S PANCREAS	$424.00	$530.00	$175.00–$535.30	23% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S GALLBLADDER	$528.80	$661.00	$175.00–$667.61	3% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S HEPATIC	$551.20	$689.00	$175.00–$695.89	1% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S RUQ	$112.00	$140.00	$73.00–$350.00	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S SPLEEN	$420.80	$526.00	$175.00–$531.26	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S PANCREAS	$424.00	$530.00	$175.00–$535.30	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S GALLBLADDER	$528.80	$661.00	$175.00–$667.61	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S HEPATIC	$551.20	$689.00	$175.00–$695.89	—	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 U/S AXILLARY RT	$54.40	$68.00	$41.48–$350.00	79% below	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 U/S AXILLARY LT	$54.40	$68.00	$41.48–$350.00	79% below	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 U/S EXTREMITY LIMITE	$54.40	$68.00	$41.48–$175.00	79% below	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 U/S EXTREMITY LIMITE	$54.40	$68.00	$41.48–$175.00	—	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 U/S AXILLARY RT	$54.40	$68.00	$41.48–$350.00	—	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 U/S AXILLARY LT	$54.40	$68.00	$41.48–$350.00	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW/DOSE	$331.68	$414.60	$252.91–$500.00	26% below	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW/DOSE	$331.68	$414.60	$252.91–$500.00	—	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA RT	$120.00	$150.00	$91.50–$175.00	60% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CPC TIBIA/FIBULA LT	$120.00	$150.00	$91.50–$175.00	60% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CPC TIBIA/FIBULA RT	$120.00	$150.00	$91.50–$175.00	60% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA LT	$120.00	$150.00	$91.50–$175.00	60% below	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CPC TIBIA/FIBULA RT	$120.00	$150.00	$91.50–$175.00	—	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA RT	$120.00	$150.00	$91.50–$175.00	—	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CPC TIBIA/FIBULA LT	$120.00	$150.00	$91.50–$175.00	—	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA LT	$120.00	$150.00	$91.50–$175.00	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 VIEWS	$177.60	$222.00	$135.42–$224.22	60% below	20%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 VIEWS	$177.60	$222.00	$135.42–$224.22	—	20%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$646.40	$808.00	$492.88–$816.08	50% below	20%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$646.40	$808.00	$492.88–$816.08	—	20%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$747.20	$934.00	$500.00–$943.34	36% below	20%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$747.20	$934.00	$500.00–$943.34	—	20%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK	$195.20	$244.00	$148.84–$246.44	22% below	20%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK	$195.20	$244.00	$148.84–$246.44	—	20%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONT	$747.20	$934.00	$500.00–$943.34	30% below	20%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONT	$747.20	$934.00	$500.00–$943.34	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIC LIMITED	$400.00	$500.00	$73.00–$505.00	3% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 U/S PELVIC LIMITED	$400.00	$500.00	$73.00–$505.00	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/S PELVIC	$555.20	$694.00	$175.00–$700.94	22% below	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U/S PELVIC	$555.20	$694.00	$175.00–$700.94	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S OB PELVIC LIMIT	$90.36	$112.95	$68.90–$175.00	82% below	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S OB PELVIC LIMIT	$90.36	$112.95	$68.90–$175.00	—	20%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEW UNI RT	$106.40	$133.00	$81.13–$175.00	63% below	20%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEW UNI LT	$106.40	$133.00	$81.13–$175.00	63% below	20%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEW UNI LT	$106.40	$133.00	$81.13–$175.00	—	20%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEW UNI RT	$106.40	$133.00	$81.13–$175.00	—	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIB W/CXR PA 3VIEW L	$208.00	$260.00	$158.60–$262.60	40% below	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIB W/CXR PA 3VIEW R	$208.00	$260.00	$158.60–$262.60	40% below	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIB W/CXR PA 3VIEW L	$208.00	$260.00	$158.60–$262.60	—	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIB W/CXR PA 3VIEW R	$208.00	$260.00	$158.60–$262.60	—	20%
Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN U/L DIG	$183.14	$228.93	$73.00–$231.22	19% above	20%
Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN U/R DIG	$183.14	$228.93	$73.00–$231.22	19% above	20%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN U/L DIG	$183.14	$228.93	$73.00–$231.22	—	20%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN U/R DIG	$183.14	$228.93	$73.00–$231.22	—	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CPC SHOULDER 2 VIEWS LT	$202.40	$253.00	$154.33–$255.53	32% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS LT	$202.40	$253.00	$154.33–$255.53	32% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS RT	$202.40	$253.00	$154.33–$255.53	32% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CPC SHOULDER 2 VIEWS RT	$202.40	$253.00	$154.33–$255.53	32% below	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS RT	$202.40	$253.00	$154.33–$255.53	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS LT	$202.40	$253.00	$154.33–$255.53	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CPC SHOULDER 2 VIEWS RT	$202.40	$253.00	$154.33–$255.53	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CPC SHOULDER 2 VIEWS LT	$202.40	$253.00	$154.33–$255.53	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3VIEWS	$195.20	$244.00	$148.84–$246.44	48% below	20%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3VIEWS	$195.20	$244.00	$148.84–$246.44	—	20%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS 4VIEWS	$90.40	$113.00	$68.93–$175.00	66% below	20%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS 4VIEWS	$90.40	$113.00	$68.93–$175.00	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MOD BARIUM SWALLOW	$122.08	$152.60	$93.09–$175.00	72% below	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MOD BARIUM SWALLOW	$122.08	$152.60	$93.09–$175.00	—	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEW LT	$120.00	$150.00	$91.50–$175.00	59% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEW RT	$120.00	$150.00	$91.50–$175.00	59% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CPC FEMUR 2 VIEW RT	$120.00	$150.00	$91.50–$175.00	59% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CPC FEMUR 2 VIEW LT	$120.00	$150.00	$91.50–$175.00	59% below	20%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CPC FEMUR 2 VIEW LT	$120.00	$150.00	$91.50–$175.00	—	20%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEW RT	$120.00	$150.00	$91.50–$175.00	—	20%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CPC FEMUR 2 VIEW RT	$120.00	$150.00	$91.50–$175.00	—	20%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEW LT	$120.00	$150.00	$91.50–$175.00	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	39% below	20%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONT	$747.20	$934.00	$500.00–$943.34	—	20%
Toe X-ray, 2 or more views CPT 73660 TOE MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	37% below	20%
Toe X-ray, 2 or more views CPT 73660 CPC TOE MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	37% below	20%
Toe X-ray, 2 or more views inpatient CPT 73660 CPC TOE MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	—	20%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	—	20%
Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL	$329.60	$412.00	$175.00–$416.12	45% below	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 U/S TRANSVAGINAL	$329.60	$412.00	$175.00–$416.12	—	20%
Ultrasound of the abdomen, complete CPT 76700 U/S ABD SURVEY	$639.20	$799.00	$175.00–$806.99	24% below	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 U/S ABD SURVEY	$639.20	$799.00	$175.00–$806.99	—	20%
Ultrasound of the scrotum and testicles CPT 76870 U/S SCROTUM	$425.60	$532.00	$73.00–$537.32	26% below	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 U/S SCROTUM	$425.60	$532.00	$73.00–$537.32	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S THYROID	$555.20	$694.00	$175.00–$700.94	2% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U/S THYROID	$555.20	$694.00	$175.00–$700.94	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/AC	$436.00	$545.00	$175.00–$550.45	10% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/AC	$436.00	$545.00	$175.00–$550.45	—	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RT	$150.40	$188.00	$114.68–$189.88	44% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LT	$150.40	$188.00	$114.68–$189.88	44% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CPC HUMERUS 2 VIEWS RT	$150.40	$188.00	$114.68–$189.88	44% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CPC HUMERUS 2 VIEWS LT	$150.40	$188.00	$114.68–$189.88	44% below	20%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CPC HUMERUS 2 VIEWS LT	$150.40	$188.00	$114.68–$189.88	—	20%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RT	$150.40	$188.00	$114.68–$189.88	—	20%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CPC HUMERUS 2 VIEWS RT	$150.40	$188.00	$114.68–$189.88	—	20%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LT	$150.40	$188.00	$114.68–$189.88	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S VENOUS DOPP LT	$494.40	$618.00	$73.00–$624.18	16% below	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S VENOUS DOPP RT	$494.40	$618.00	$73.00–$624.18	16% below	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S VENOUS DOPP RT	$494.40	$618.00	$73.00–$624.18	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S VENOUS DOPP LT	$494.40	$618.00	$73.00–$624.18	—	20%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	41% below	20%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	41% below	20%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	—	20%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	—	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$136.00	$170.00	$103.70–$175.00	56% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CPC WRIST MIN 3 VIEWS LT	$136.00	$170.00	$103.70–$175.00	56% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CPC WRIST MIN 3 VIEWS RT	$136.00	$170.00	$103.70–$175.00	56% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$136.00	$170.00	$103.70–$175.00	56% below	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS LT	$136.00	$170.00	$103.70–$175.00	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CPC WRIST MIN 3 VIEWS LT	$136.00	$170.00	$103.70–$175.00	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CPC WRIST MIN 3 VIEWS RT	$136.00	$170.00	$103.70–$175.00	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS RT	$136.00	$170.00	$103.70–$175.00	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CPC HIP 2 VIEWS RT	$188.80	$236.00	$143.96–$238.36	20% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CPC HIP 2 VIEWS LT	$188.80	$236.00	$143.96–$238.36	20% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS RT	$188.80	$236.00	$143.96–$238.36	20% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS LT	$188.80	$236.00	$143.96–$238.36	20% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS RT	$188.80	$236.00	$143.96–$238.36	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS LT	$188.80	$236.00	$143.96–$238.36	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CPC HIP 2 VIEWS LT	$188.80	$236.00	$143.96–$238.36	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CPC HIP 2 VIEWS RT	$188.80	$236.00	$143.96–$238.36	—	20%
X-ray of the abdomen, 1 view CPT 74018 CPC ABDOMEN 1 VIEW	$120.80	$151.00	$92.11–$175.00	51% below	20%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$120.80	$151.00	$92.11–$175.00	51% below	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 CPC ABDOMEN 1 VIEW	$120.80	$151.00	$92.11–$175.00	—	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$120.80	$151.00	$92.11–$175.00	—	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	48% below	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	48% below	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$120.80	$151.00	$92.11–$175.00	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$120.80	$151.00	$92.11–$175.00	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEW	$120.00	$150.00	$91.50–$175.00	47% below	20%
X-ray of the finger(s), 2 or more views CPT 73140 CPC FINGER(S) MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	47% below	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEW	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CPC FINGER(S) MIN 2 VIEWS	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT	$120.00	$150.00	$91.50–$175.00	46% below	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$120.00	$150.00	$91.50–$175.00	46% below	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CPC FOOT 3 VIEWS LT	$171.20	$214.00	$130.54–$216.14	44% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RT	$171.20	$214.00	$130.54–$216.14	44% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT	$171.20	$214.00	$130.54–$216.14	44% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CPC FOOT 3 VIEWS RT	$171.20	$214.00	$130.54–$216.14	44% below	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CPC FOOT 3 VIEWS LT	$171.20	$214.00	$130.54–$216.14	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CPC FOOT 3 VIEWS RT	$171.20	$214.00	$130.54–$216.14	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS LT	$171.20	$214.00	$130.54–$216.14	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS RT	$171.20	$214.00	$130.54–$216.14	—	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	49% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 CPC HAND 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	49% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 CPC HAND 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	49% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	49% below	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CPC HAND 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CPC HAND 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LT	$154.40	$193.00	$117.73–$194.93	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$154.40	$193.00	$117.73–$194.93	—	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS RT	$120.00	$150.00	$91.50–$175.00	50% below	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LT	$120.00	$150.00	$91.50–$175.00	50% below	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS RT	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS LT	$120.00	$150.00	$91.50–$175.00	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR 2 OR 3 VIEWS	$190.40	$238.00	$145.18–$240.38	43% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR 2 OR 3 VIEWS	$190.40	$238.00	$145.18–$240.38	—	20%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR 4 VIEWS	$207.20	$259.00	$157.99–$261.59	57% below	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR 4 VIEWS	$207.20	$259.00	$157.99–$261.59	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC 2VIEWS	$132.00	$165.00	$100.65–$175.00	56% below	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC 2VIEWS	$132.00	$165.00	$100.65–$175.00	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE	$195.20	$244.00	$148.84–$246.44	34% below	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE	$195.20	$244.00	$148.84–$246.44	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 OR 3 VIEWS	$159.20	$199.00	$121.39–$200.99	50% below	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2 OR 3 VIEWS	$159.20	$199.00	$121.39–$200.99	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS	$120.80	$151.00	$92.11–$175.00	54% below	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS	$120.80	$151.00	$92.11–$175.00	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX	$195.20	$244.00	$148.84–$246.44	32% below	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX	$195.20	$244.00	$148.84–$246.44	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ACTH blood test CPT 82024 ACTH	$294.40	$368.00	$31.62–$371.68	59% above	20%
ACTH blood test inpatient CPT 82024 ACTH	$294.40	$368.00	$31.62–$371.68	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$28.80	$36.00	$4.33–$36.36	51% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$28.80	$36.00	$4.33–$36.36	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$28.80	$36.00	$4.24–$36.36	54% below	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$28.80	$36.00	$4.24–$36.36	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS A,B,C PROF	$163.20	$204.00	$38.99–$206.04	29% below	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS A,B,C PROF	$163.20	$204.00	$38.99–$206.04	—	20%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$23.20	$29.00	$4.05–$29.29	60% below	20%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$23.20	$29.00	$4.05–$29.29	—	20%
Aldosterone blood test CPT 82088 ALDOSTERONE	$349.60	$437.00	$33.36–$441.37	179% above	20%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$349.60	$437.00	$33.36–$441.37	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALIN	$28.80	$36.00	$4.24–$36.36	50% below	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE, ALKALIN	$28.80	$36.00	$4.24–$36.36	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LEMON	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MAPLE BOX ELDER	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LIMA BEAN	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WILLOW	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE APRICOT	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE VANILLA	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SYCAMORE	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SWEET PEPPER	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BARLEY	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE AMERICAN HICKORY	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BINGCHERRY	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WALNUT POLLEN	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CATFISH	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE OAK, WHITE	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CEDAR	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE COTTONWOOD	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WHITE BEAN	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRANBERRY	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE NUTMEG	$7.74	$9.68	$4.27–$9.78	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BLUEBERRY	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CRAB	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE LOBSTER	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MILK	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE OYSTER	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE RASPBERRY	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE STRAWBERRY	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYS ATRA IGE	$10.44	$13.05	$4.27–$13.18	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BANANA	$10.47	$13.09	$4.27–$13.22	13% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALMOND	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PISTACHIO NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PECAN NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE HAZEL NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MACCADAMIA NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CASHEW NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE BRAZIL NUT	$35.86	$44.83	$4.27–$45.28	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 VENISON IGE	$39.56	$49.45	$4.27–$49.94	228% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL LAMB-PANEL	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE API M5	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PORK-PANEL	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE API M3	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL BEEF-PANEL	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE API M10	$46.24	$57.80	$4.27–$58.38	284% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BINGCHERRY	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WHITE BEAN	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BARLEY	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CRANBERRY	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WILLOW	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE VANILLA	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SWEET PEPPER	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SYCAMORE	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE APRICOT	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE COTTONWOOD	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CEDAR	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE NUTMEG	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CATFISH	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE OAK, WHITE	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MAPLE BOX ELDER	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WALNUT POLLEN	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE AMERICAN HICKORY	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LIMA BEAN	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LEMON	$7.74	$9.68	$4.27–$9.78	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYS ATRA IGE	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MILK	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CRAB	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE OYSTER	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BLUEBERRY	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RASPBERRY	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE STRAWBERRY	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE LOBSTER	$10.44	$13.05	$4.27–$13.18	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BANANA	$10.47	$13.09	$4.27–$13.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE HAZEL NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE BRAZIL NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PISTACHIO NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALMOND	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MACCADAMIA NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CASHEW NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE PECAN NUT	$35.86	$44.83	$4.27–$45.28	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENISON IGE	$39.56	$49.45	$4.27–$49.94	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE API M5	$46.24	$57.80	$4.27–$58.38	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL BEEF-PANEL	$46.24	$57.80	$4.27–$58.38	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE API M3	$46.24	$57.80	$4.27–$58.38	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PORK-PANEL	$46.24	$57.80	$4.27–$58.38	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE API M10	$46.24	$57.80	$4.27–$58.38	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL LAMB-PANEL	$46.24	$57.80	$4.27–$58.38	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP (TUMOR MARKER)	$33.54	$41.93	$13.73–$42.35	63% below	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP (TUMOR MARKER)	$33.54	$41.93	$13.73–$42.35	—	20%
Ammonia blood test CPT 82140 AMMONIA, BLOOD	$86.40	$108.00	$11.93–$109.08	12% below	20%
Ammonia blood test inpatient CPT 82140 AMMONIA, BLOOD	$86.40	$108.00	$11.93–$109.08	—	20%
Amylase blood test CPT 82150 AMYLASE, SERUM	$30.40	$38.00	$5.30–$38.38	57% below	20%
Amylase blood test inpatient CPT 82150 AMYLASE, SERUM	$30.40	$38.00	$5.30–$38.38	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP	$25.90	$32.38	$10.60–$32.70	65% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP	$25.90	$32.38	$10.60–$32.70	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$76.80	$96.00	$9.89–$96.96	11% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$76.80	$96.00	$9.89–$96.96	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$121.77	$152.21	$27.79–$153.73	31% below	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$121.77	$152.21	$27.79–$153.73	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, GENITAL	$44.00	$55.00	$7.05–$55.55	57% below	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, MISC	$63.20	$79.00	$7.05–$79.79	39% below	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, RESPIRATORY	$119.20	$149.00	$7.05–$150.49	16% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND	$119.20	$149.00	$7.05–$150.49	16% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT-NOSE	$119.20	$149.00	$7.05–$150.49	16% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, EYE	$119.20	$149.00	$7.05–$150.49	16% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BODY FLUIDS	$119.20	$149.00	$7.05–$150.49	16% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, GENITAL	$44.00	$55.00	$7.05–$55.55	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, MISC	$63.20	$79.00	$7.05–$79.79	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THROAT-NOSE	$119.20	$149.00	$7.05–$150.49	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BODY FLUIDS	$119.20	$149.00	$7.05–$150.49	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, EYE	$119.20	$149.00	$7.05–$150.49	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, RESPIRATORY	$119.20	$149.00	$7.05–$150.49	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND	$119.20	$149.00	$7.05–$150.49	—	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF	$67.20	$84.00	$6.92–$84.84	23% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF	$67.20	$84.00	$6.92–$84.84	—	20%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$35.20	$44.00	$4.10–$44.44	31% below	20%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$35.20	$44.00	$4.10–$44.44	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EX PATHOLIGIS	$129.68	$162.10	$21.92–$163.72	8% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EX PATHOLIGIS	$129.68	$162.10	$21.92–$163.72	—	20%
Blood culture for bacteria CPT 87040 CULTURE, BLOOD	$119.20	$149.00	$8.45–$150.49	5% above	20%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD	$119.20	$149.00	$8.45–$150.49	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$19.20	$24.00	$1.80–$24.24	21% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$19.20	$24.00	$1.80–$24.24	21% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$19.20	$24.00	$1.80–$24.24	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$19.20	$24.00	$1.80–$24.24	—	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$28.00	$35.00	$3.22–$35.35	16% below	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$28.00	$35.00	$3.22–$35.35	—	20%
Blood lead test CPT 83655 LEAD, BLOOD	$68.00	$85.00	$9.91–$85.85	14% above	20%
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$68.00	$85.00	$9.91–$85.85	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG SCREEN, SERUM	$63.20	$79.00	$6.16–$79.79	26% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG SCREEN, SERUM	$63.20	$79.00	$6.16–$79.79	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING	$14.40	$18.00	$2.44–$18.18	74% below	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUPING	$14.40	$18.00	$2.44–$18.18	—	20%
Blood urea nitrogen (BUN) test CPT 84520 URR	$18.40	$23.00	$3.23–$23.23	60% below	20%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$28.80	$36.00	$3.23–$36.36	37% below	20%
Blood urea nitrogen (BUN) test CPT 84520 KT/V	$52.80	$66.00	$3.23–$66.66	16% above	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 URR	$18.40	$23.00	$3.23–$23.23	—	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$28.80	$36.00	$3.23–$36.36	—	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 KT/V	$52.80	$66.00	$3.23–$66.66	—	20%
C-peptide blood test CPT 84681 C-PEPTIDE	$109.60	$137.00	$17.03–$138.37	21% below	20%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$109.60	$137.00	$17.03–$138.37	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-QUANTITATIVE	$54.40	$68.00	$4.24–$68.68	14% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-QUANTITATIVE	$54.40	$68.00	$4.24–$68.68	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF MOLECULAR	$77.98	$97.48	$28.72–$98.45	22% below	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF MOLECULAR	$77.98	$97.48	$28.72–$98.45	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$67.20	$84.00	$17.03–$84.84	48% below	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$67.20	$84.00	$17.03–$84.84	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID ABBOTT	$80.00	$100.00	$30.80–$101.00	6% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 AMP PRB	$80.00	$100.00	$30.80–$101.00	6% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 AMP PRB	$80.00	$100.00	$30.80–$101.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID ABBOTT	$80.00	$100.00	$30.80–$101.00	—	20%
Calcium blood test, total CPT 82310 CALCIUM	$35.20	$44.00	$4.22–$44.44	23% below	20%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$35.20	$44.00	$4.22–$44.44	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$133.60	$167.00	$15.53–$168.67	6% above	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$133.60	$167.00	$15.53–$168.67	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$84.80	$106.00	$10.55–$107.06	13% below	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$84.80	$106.00	$10.55–$107.06	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLICATIO	$93.60	$117.00	$28.72–$118.17	6% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLICATIO	$93.60	$117.00	$28.72–$118.17	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE	$30.19	$37.74	$10.96–$38.12	74% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$82.40	$103.00	$10.96–$104.03	29% below	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE	$30.19	$37.74	$10.96–$38.12	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$82.40	$103.00	$10.96–$104.03	—	20%
Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF	$38.40	$48.00	$6.37–$48.48	30% below	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO DIFF	$38.40	$48.00	$6.37–$48.48	—	20%
Complete blood count (CBC), no differential CPT 85027 CBC	$33.60	$42.00	$5.30–$42.42	41% below	20%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$33.60	$42.00	$5.30–$42.42	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PROF	$70.40	$88.00	$8.65–$88.88	43% below	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PROF	$70.40	$88.00	$8.65–$88.88	—	20%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA-SER.	$110.40	$138.00	$13.34–$139.38	38% above	20%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA-SER.	$110.40	$138.00	$13.34–$139.38	—	20%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$53.60	$67.00	$5.33–$67.67	22% below	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$53.60	$67.00	$5.33–$67.67	—	20%
Creatinine blood test CPT 82565 CREATININE SERUM	$58.40	$73.00	$4.19–$73.73	43% above	20%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$58.40	$73.00	$4.19–$73.73	—	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$36.80	$46.00	$8.33–$46.46	58% below	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$36.80	$46.00	$8.33–$46.46	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$128.00	$160.00	$18.20–$161.60	1% above	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$128.00	$160.00	$18.20–$161.60	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL URINE	$21.66	$27.08	$16.52–$47.89	54% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG CONF/OXYCODONE	$84.94	$106.17	$47.89–$107.23	82% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL PRESUMPTIVE, URINE IA	$120.00	$150.00	$47.89–$151.50	157% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD URINE	$124.28	$155.35	$47.89–$156.90	166% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE URINE	$124.28	$155.35	$47.89–$156.90	166% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL, URINE	$140.00	$175.00	$47.89–$176.75	200% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD	$160.00	$200.00	$47.89–$202.00	242% above	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL URINE	$21.66	$27.08	$16.52–$47.89	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG CONF/OXYCODONE	$84.94	$106.17	$47.89–$107.23	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL PRESUMPTIVE, URINE IA	$120.00	$150.00	$47.89–$151.50	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE URINE	$124.28	$155.35	$47.89–$156.90	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD URINE	$124.28	$155.35	$47.89–$156.90	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL, URINE	$140.00	$175.00	$47.89–$176.75	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD	$160.00	$200.00	$47.89–$202.00	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$70.40	$88.00	$5.74–$88.88	1% above	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$70.40	$88.00	$5.74–$88.88	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM	$16.00	$20.00	$12.20–$20.20	73% below	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV PANEL AB VCA	$37.74	$47.18	$14.85–$47.65	36% below	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM	$16.00	$20.00	$12.20–$20.20	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV PANEL AB VCA	$37.74	$47.18	$14.85–$47.65	—	20%
Estradiol blood test CPT 82670 ESTRADIOL	$162.40	$203.00	$22.87–$205.03	20% above	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$162.40	$203.00	$22.87–$205.03	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (RIA)	$136.00	$170.00	$15.21–$171.70	13% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (RIA)	$136.00	$170.00	$15.21–$171.70	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTION STOOL	$176.00	$220.00	$16.07–$222.20	15% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTION STOOL	$176.00	$220.00	$16.07–$222.20	—	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$110.40	$138.00	$11.15–$139.38	4% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$110.40	$138.00	$11.15–$139.38	—	20%
Fibrinogen blood test CPT 85384 FIBRIN ACTIVITY	$19.44	$24.30	$6.95–$24.54	77% below	20%
Fibrinogen blood test inpatient CPT 85384 FIBRIN ACTIVITY	$19.44	$24.30	$6.95–$24.54	—	20%
Folate (folic acid) blood test CPT 82746 FOLATE	$109.60	$137.00	$12.04–$138.37	4% above	20%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$109.60	$137.00	$12.04–$138.37	—	20%
Free T3 thyroid hormone test CPT 84481 T3, FREE	$176.80	$221.00	$13.87–$223.21	29% above	20%
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$176.80	$221.00	$13.87–$223.21	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$33.60	$42.00	$7.38–$42.42	53% below	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$33.60	$42.00	$7.38–$42.42	—	20%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$191.20	$239.00	$20.84–$241.39	152% above	20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$191.20	$239.00	$20.84–$241.39	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$48.00	$60.00	$5.89–$60.60	11% below	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$48.00	$60.00	$5.89–$60.60	—	20%
Glucose tolerance test, 3 samples CPT 82951 2 HR GTT 50G	$64.00	$80.00	$10.54–$80.80	55% below	20%
Glucose tolerance test, 3 samples CPT 82951 2 HR GTT 75G	$64.00	$80.00	$10.54–$80.80	55% below	20%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. 1HR.	$96.80	$121.00	$10.54–$122.21	31% below	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 2 HR GTT 50G	$64.00	$80.00	$10.54–$80.80	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 2 HR GTT 75G	$64.00	$80.00	$10.54–$80.80	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. 1HR.	$96.80	$121.00	$10.54–$122.21	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFICATION	$103.20	$129.00	$28.72–$130.29	at median	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFICATION	$103.20	$129.00	$28.72–$130.29	—	20%
H. pylori antibody blood test CPT 86677 HPYLORI QUALITATIVE	$52.80	$66.00	$11.88–$66.66	31% below	20%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY	$52.80	$66.00	$11.88–$66.66	31% below	20%
H. pylori antibody blood test inpatient CPT 86677 HPYLORI QUALITATIVE	$52.80	$66.00	$11.88–$66.66	—	20%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY	$52.80	$66.00	$11.88–$66.66	—	20%
H. pylori stool antigen test CPT 87338 H PYLORI AG, STOOL	$200.00	$250.00	$11.77–$252.50	34% above	20%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG, STOOL	$200.00	$250.00	$11.77–$252.50	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 ANTIBODY SEROLOGY	$37.60	$47.00	$19.72–$47.47	47% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 ANTIBODY SEROLOGY	$37.60	$47.00	$19.72–$47.47	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED, HEMOGLOBIN	$41.60	$52.00	$7.94–$52.52	41% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN, GLYCATED	$41.60	$52.00	$7.94–$52.52	41% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED, HEMOGLOBIN	$41.60	$52.00	$7.94–$52.52	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN, GLYCATED	$41.60	$52.00	$7.94–$52.52	—	20%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.00	$30.00	$1.94–$30.30	11% below	20%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.00	$30.00	$1.94–$30.30	—	20%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB	$19.69	$24.61	$9.86–$24.86	73% below	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB	$19.69	$24.61	$9.86–$24.86	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B S ANTIBODY	$40.00	$50.00	$8.79–$50.50	56% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B S ANTIBODY	$40.00	$50.00	$8.79–$50.50	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S ANTIGEN	$38.40	$48.00	$8.46–$48.48	44% below	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B S ANTIGEN	$38.40	$48.00	$8.46–$48.48	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 HCV REFLEX CHARGE	$84.98	$106.22	$11.68–$107.28	1% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$134.40	$168.00	$11.68–$169.68	56% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV REFLEX CHARGE	$84.98	$106.22	$11.68–$107.28	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$134.40	$168.00	$11.68–$169.68	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA NAA QUANT	$84.98	$106.22	$35.06–$107.28	66% below	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA NAA QUANT	$84.98	$106.22	$35.06–$107.28	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG-PANEL 2	$26.38	$32.98	$10.80–$33.31	56% below	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG-PANEL 2	$26.38	$32.98	$10.80–$33.31	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG-PANEL 2	$38.70	$48.38	$15.84–$48.86	36% below	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG-PANEL 2	$38.70	$48.38	$15.84–$48.86	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-CARDIAC	$68.00	$85.00	$10.60–$85.85	2% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-CARDIAC	$68.00	$85.00	$10.60–$85.85	—	20%
Insulin blood test CPT 83525 INSULIN, SERUM	$91.20	$114.00	$9.35–$115.14	9% above	20%
Insulin blood test inpatient CPT 83525 INSULIN, SERUM	$91.20	$114.00	$9.35–$115.14	—	20%
Iron blood test (serum iron) CPT 83540 IRON, SERUM	$28.00	$35.00	$5.30–$35.35	61% below	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM	$28.00	$35.00	$5.30–$35.35	—	20%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$84.80	$106.00	$7.16–$107.06	6% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$84.80	$106.00	$7.16–$107.06	—	20%
Kidney function blood test panel CPT 80069 RENAL PANEL	$114.40	$143.00	$7.11–$144.43	29% above	20%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$114.40	$143.00	$7.11–$144.43	—	20%
LH (luteinizing hormone) test CPT 83002 LH (RIA)	$206.40	$258.00	$15.16–$260.58	49% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH (RIA)	$206.40	$258.00	$15.16–$260.58	—	20%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$110.40	$138.00	$8.74–$139.38	61% above	20%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$110.40	$138.00	$8.74–$139.38	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD BODY FLUID	$16.80	$21.00	$4.94–$21.21	64% below	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL	$91.20	$114.00	$4.94–$115.14	97% above	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD BODY FLUID	$16.80	$21.00	$4.94–$21.21	—	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL	$91.20	$114.00	$4.94–$115.14	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$38.40	$48.00	$5.64–$48.48	42% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$38.40	$48.00	$5.64–$48.48	—	20%
Liver function blood test panel CPT 80076 LIVER FUNCTION TESTS	$85.60	$107.00	$6.68–$108.07	9% below	20%
Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION TESTS	$85.60	$107.00	$6.68–$108.07	—	20%
Lyme disease antibody test CPT 86618 LYME TOTAL	$37.84	$47.30	$13.94–$47.77	26% below	20%
Lyme disease antibody test CPT 86618 LYME IGM	$37.84	$47.30	$13.94–$47.77	26% below	20%
Lyme disease antibody test inpatient CPT 86618 LYME IGM	$37.84	$47.30	$13.94–$47.77	—	20%
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL	$37.84	$47.30	$13.94–$47.77	—	20%
Magnesium blood test CPT 83735 MAGNESIUM	$48.00	$60.00	$5.48–$60.60	3% below	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$48.00	$60.00	$5.48–$60.60	—	20%
Measles (rubeola) antibody test CPT 86765 MEASLES	$25.76	$32.20	$10.55–$32.52	53% below	20%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES	$25.76	$32.20	$10.55–$32.52	—	20%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES IQG	$85.60	$107.00	$10.68–$108.07	21% above	20%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODIES IQG	$85.60	$107.00	$10.68–$108.07	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, FREE	$51.20	$64.00	$15.05–$64.64	57% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$168.00	$210.00	$15.05–$212.10	40% above	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, FREE	$51.20	$64.00	$15.05–$64.64	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$168.00	$210.00	$15.05–$212.10	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT	$154.40	$193.00	$33.79–$194.93	19% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$340.80	$426.00	$33.79–$430.26	79% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT	$154.40	$193.00	$33.79–$194.93	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH	$340.80	$426.00	$33.79–$430.26	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T	$35.20	$44.00	$4.91–$44.44	57% below	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P T T	$35.20	$44.00	$4.91–$44.44	—	20%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, INORG	$44.00	$55.00	$3.88–$55.55	16% below	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, INORG	$44.00	$55.00	$3.88–$55.55	—	20%
Potassium blood test CPT 84132 POTASSIUM, SERUM	$28.00	$35.00	$3.76–$35.35	40% below	20%
Potassium blood test CPT 84132 POTASSIUM	$36.00	$45.00	$3.76–$45.45	22% below	20%
Potassium blood test inpatient CPT 84132 POTASSIUM, SERUM	$28.00	$35.00	$3.76–$35.35	—	20%
Potassium blood test inpatient CPT 84132 POTASSIUM	$36.00	$45.00	$3.76–$45.45	—	20%
Progesterone blood test CPT 84144 PROGESTERONE	$126.40	$158.00	$17.08–$159.58	2% above	20%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$126.40	$158.00	$17.08–$159.58	—	20%
Prolactin blood test CPT 84146 PROLACTIN	$160.00	$200.00	$15.86–$202.00	22% above	20%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$160.00	$200.00	$15.86–$202.00	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$23.20	$29.00	$3.22–$29.29	44% below	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$23.20	$29.00	$3.22–$29.29	—	20%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU TEST	$49.60	$62.00	$9.82–$62.62	9% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU TEST	$49.60	$62.00	$9.82–$62.62	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$19.58	$24.48	$9.82–$24.72	61% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$19.58	$24.48	$9.82–$24.72	—	20%
Renin blood test CPT 84244 RENIN	$148.80	$186.00	$18.01–$187.86	5% above	20%
Renin blood test inpatient CPT 84244 RENIN	$148.80	$186.00	$18.01–$187.86	—	20%
Rh blood typing CPT 86901 RH(D) TYPING	$14.40	$18.00	$2.44–$18.18	67% below	20%
Rh blood typing inpatient CPT 86901 RH(D) TYPING	$14.40	$18.00	$2.44–$18.18	—	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$30.40	$38.00	$4.64–$38.38	33% below	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$30.40	$38.00	$4.64–$38.38	—	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$28.78	$35.98	$11.78–$36.34	69% below	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$28.78	$35.98	$11.78–$36.34	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTO	$20.00	$25.00	$2.21–$25.25	47% below	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTO	$20.00	$25.00	$2.21–$25.25	—	20%
Sodium blood test CPT 84295 SODIUM, SERUM	$28.00	$35.00	$3.94–$35.35	46% below	20%
Sodium blood test inpatient CPT 84295 SODIUM, SERUM	$28.00	$35.00	$3.94–$35.35	—	20%
Stool ova and parasites exam CPT 87177 OVA&PARASITE LONE TE	$19.78	$24.73	$7.28–$24.98	70% below	20%
Stool ova and parasites exam CPT 87177 STOOL/O & P	$56.00	$70.00	$7.28–$70.70	15% below	20%
Stool ova and parasites exam inpatient CPT 87177 OVA&PARASITE LONE TE	$19.78	$24.73	$7.28–$24.98	—	20%
Stool ova and parasites exam inpatient CPT 87177 STOOL/O & P	$56.00	$70.00	$7.28–$70.70	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, SCREEN	$23.20	$29.00	$2.66–$29.29	at median	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD, SCREEN	$23.20	$29.00	$2.66–$29.29	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS	$32.68	$40.85	$10.84–$41.26	21% below	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS	$32.68	$40.85	$10.84–$41.26	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR/ART	$38.40	$48.00	$3.49–$48.48	7% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/RPR/ART	$38.40	$48.00	$3.49–$48.48	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$123.96	$154.95	$50.74–$156.50	8% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$123.96	$154.95	$50.74–$156.50	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM	$214.40	$268.00	$21.13–$270.68	99% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM	$214.40	$268.00	$21.13–$270.68	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER/KIDNEY AB	$80.00	$100.00	$11.91–$101.00	12% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO	$84.94	$106.17	$11.91–$107.23	7% below	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER/KIDNEY AB	$80.00	$100.00	$11.91–$101.00	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO	$84.94	$106.17	$11.91–$107.23	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$67.20	$84.00	$13.76–$84.84	21% below	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$67.20	$84.00	$13.76–$84.84	—	20%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE	$12.40	$15.50	$9.46–$15.66	88% below	20%
Total IgE blood test CPT 82785 ALPHA GAL TOT IGE-PN	$46.24	$57.80	$13.48–$58.38	53% below	20%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE	$12.40	$15.50	$9.46–$15.66	—	20%
Total IgE blood test inpatient CPT 82785 ALPHA GAL TOT IGE-PN	$46.24	$57.80	$13.48–$58.38	—	20%
Total cholesterol blood test CPT 82465 CHOLESTEROL, SERUM	$28.00	$35.00	$3.56–$35.35	40% below	20%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, SERUM	$28.00	$35.00	$3.56–$35.35	—	20%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE, TOTAL	$27.20	$34.00	$5.62–$34.34	64% below	20%
Total thyroxine (T4) blood test CPT 84436 T-4	$30.40	$38.00	$5.62–$38.38	60% below	20%
Total thyroxine (T4) blood test CPT 84436 T4/THYROXINE, TOTAL	$30.40	$38.00	$5.62–$38.38	60% below	20%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE, TOTAL	$27.20	$34.00	$5.62–$34.34	—	20%
Total thyroxine (T4) blood test inpatient CPT 84436 T4/THYROXINE, TOTAL	$30.40	$38.00	$5.62–$38.38	—	20%
Total thyroxine (T4) blood test inpatient CPT 84436 T-4	$30.40	$38.00	$5.62–$38.38	—	20%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHY TT3, TOTAL	$56.80	$71.00	$11.60–$71.71	39% below	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHY TT3, TOTAL	$56.80	$71.00	$11.60–$71.71	—	20%
Transferrin blood test CPT 84466 TRANSFERRIN	$25.52	$31.90	$10.45–$32.22	73% below	20%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$25.52	$31.90	$10.45–$32.22	—	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS	$103.20	$129.00	$28.72–$130.29	61% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS	$103.20	$129.00	$28.72–$130.29	—	20%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$28.80	$36.00	$4.70–$36.36	42% below	20%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$28.80	$36.00	$4.70–$36.36	—	20%
Troponin test, quantitative CPT 84484 TROPONIN (QUANT)	$59.20	$74.00	$8.05–$74.74	49% below	20%
Troponin test, quantitative inpatient CPT 84484 TROPONIN (QUANT)	$59.20	$74.00	$8.05–$74.74	—	20%
Uric acid blood test CPT 84550 URIC ACID	$30.40	$38.00	$3.70–$38.38	46% below	20%
Uric acid blood test inpatient CPT 84550 URIC ACID	$30.40	$38.00	$3.70–$38.38	—	20%
Urinalysis with microscope exam, automated CPT 81001 UA/MICROCOPY	$23.20	$29.00	$2.59–$29.29	53% below	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA/MICROCOPY	$23.20	$29.00	$2.59–$29.29	—	20%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO NO MICRO	$12.00	$15.00	$1.84–$15.15	46% below	20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$36.00	$45.00	$1.84–$45.45	63% above	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO NO MICRO	$12.00	$15.00	$1.84–$15.15	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$36.00	$45.00	$1.84–$45.45	—	20%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, DIPSTICK	$10.40	$13.00	$2.09–$13.13	41% below	20%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$24.00	$30.00	$2.09–$30.30	35% above	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS, DIPSTICK	$10.40	$13.00	$2.09–$13.13	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$24.00	$30.00	$2.09–$30.30	—	20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE	$119.20	$149.00	$6.61–$150.49	39% above	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE	$119.20	$149.00	$6.61–$150.49	—	20%
Urine microalbumin (albumin) test CPT 82043 MICRO-ALBUMIN	$38.40	$48.00	$4.73–$48.48	32% below	20%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO-ALBUMIN	$38.40	$48.00	$4.73–$48.48	—	20%
Urine pregnancy test, read by color change CPT 81025 PREG. TEST URINE	$46.40	$58.00	$5.18–$58.58	10% below	20%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG. TEST URINE	$46.40	$58.00	$5.18–$58.58	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$110.40	$138.00	$12.34–$139.38	30% above	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$110.40	$138.00	$12.34–$139.38	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2, D3 (FRAC	$88.45	$110.56	$24.24–$111.67	20% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D	$264.80	$331.00	$24.24–$334.31	139% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2, D3 (FRAC	$88.45	$110.56	$24.24–$111.67	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$264.80	$331.00	$24.24–$334.31	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL	$26.20	$32.75	$19.98–$33.08	84% below	20%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL	$26.20	$32.75	$19.98–$33.08	—	20%
Zinc blood test CPT 84630 ZINC	$94.40	$118.00	$9.32–$119.18	17% below	20%
Zinc blood test inpatient CPT 84630 ZINC	$94.40	$118.00	$9.32–$119.18	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$63.20	$79.00	$12.32–$79.79	59% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$63.20	$79.00	$12.32–$79.79	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR ONE LESION	$96.00	$120.00	$50.00–$121.20	8% below	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR ONE LESION	$96.00	$120.00	$50.00–$121.20	—	20%
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN	$71.20	$89.00	$54.29–$89.89	36% below	20%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN	$71.20	$89.00	$54.29–$89.89	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$168.80	$211.00	$50.00–$213.11	39% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 SKIN ABCESS SINGLE	$172.80	$216.00	$73.00–$218.16	37% below	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SIMPLE	$168.80	$211.00	$50.00–$213.11	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SKIN ABCESS SINGLE	$172.80	$216.00	$73.00–$218.16	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON SHEATH INJ	$69.60	$87.00	$53.07–$87.87	78% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 REM INJECTION	$72.00	$90.00	$50.00–$90.90	78% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON SHEATH INJ	$69.60	$87.00	$53.07–$87.87	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 REM INJECTION	$72.00	$90.00	$50.00–$90.90	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 REM MAJOR JOINT	$120.00	$150.00	$50.00–$151.50	64% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 REM MAJOR JOINT	$120.00	$150.00	$50.00–$151.50	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMED JOINT INJ	$72.80	$91.00	$55.51–$91.91	65% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 REM INTERMED JOINT	$89.60	$112.00	$50.00–$113.12	57% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMED JOINT INJ	$72.80	$91.00	$55.51–$91.91	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 REM INTERMED JOINT	$89.60	$112.00	$50.00–$113.12	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT INJECT	$69.60	$87.00	$53.07–$87.87	67% below	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT INJECT	$69.60	$87.00	$53.07–$87.87	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REP 2.5-LESS	$240.80	$301.00	$50.00–$304.01	15% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY/BODY UP TO 2.5CM	$249.60	$312.00	$73.00–$315.12	12% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMED REP 2.5-LESS	$240.80	$301.00	$50.00–$304.01	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY/BODY UP TO 2.5CM	$249.60	$312.00	$73.00–$315.12	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ STEROID L/S	$440.00	$550.00	$73.00–$555.50	61% below	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ STEROID L/S	$440.00	$550.00	$73.00–$555.50	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LESION 0.5-LESS	$168.80	$211.00	$128.71–$391.00	45% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LESION, 0.5	$168.80	$211.00	$128.71–$391.00	45% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LESION, 0.5	$168.80	$211.00	$128.71–$391.00	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LESION 0.5-LESS	$168.80	$211.00	$128.71–$391.00	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC LESION 0.5-LESS	$132.00	$165.00	$100.65–$391.00	60% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC LESION 0.5-LESS	$132.00	$165.00	$100.65–$391.00	—	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$124.00	$155.00	$73.00–$156.55	49% below	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE	$124.00	$155.00	$73.00–$156.55	—	20%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE	$628.40	$785.50	$73.00–$793.36	44% below	20%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGE	$628.40	$785.50	$73.00–$793.36	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL	$204.80	$256.00	$50.00–$258.56	55% below	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC OF NAIL	$204.80	$256.00	$50.00–$258.56	—	20%
Removal of a foreign object under the skin, simple CPT 10120 REM FB SKIN	$170.96	$213.70	$73.00–$215.84	43% below	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FB SKIN	$170.96	$213.70	$73.00–$215.84	—	20%
Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT	$76.00	$95.00	$57.95–$95.95	57% below	20%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SPLINT	$76.00	$95.00	$57.95–$95.95	—	20%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT	$96.00	$120.00	$73.00–$121.20	48% below	20%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT	$96.00	$120.00	$73.00–$121.20	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUT/BODY UP TO 2.5CM	$102.40	$128.00	$73.00–$129.28	62% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REP 2.5-LESS	$175.20	$219.00	$50.00–$221.19	34% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUT/BODY UP TO 2.5CM	$102.40	$128.00	$73.00–$129.28	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REP 2.5-LESS	$175.20	$219.00	$50.00–$221.19	—	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES 0.5-LESS	$420.80	$526.00	$320.86–$531.26	95% above	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES 0.5-LESS	$420.80	$526.00	$320.86–$531.26	—	20%
Skin tag removal, up to 15 tags CPT 11200 EXC SKIN TAGS TO 15	$103.20	$129.00	$50.00–$130.29	28% below	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 EXC SKIN TAGS TO 15	$103.20	$129.00	$50.00–$130.29	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$118.40	$148.00	$90.28–$175.00	82% below	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$118.40	$148.00	$90.28–$175.00	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUT/BODY 2.5-7.5CM	$159.20	$199.00	$73.00–$200.99	43% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REP 2.6-7.5	$247.20	$309.00	$50.00–$312.09	12% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SUT/BODY 2.5-7.5CM	$159.20	$199.00	$73.00–$200.99	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REP 2.6-7.5	$247.20	$309.00	$50.00–$312.09	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REP 2.5-LESS	$194.40	$243.00	$50.00–$245.43	29% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REP 2.5-LESS	$194.40	$243.00	$50.00–$245.43	—	20%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG	$179.20	$224.00	$136.64–$226.24	80% below	20%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG	$179.20	$224.00	$136.64–$226.24	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ	$74.06	$92.58	$56.47–$93.51	84% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ.	$119.20	$149.00	$50.00–$150.49	74% below	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ	$74.06	$92.58	$56.47–$93.51	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ.	$119.20	$149.00	$50.00–$150.49	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 U/S GUIDED BREAST BX	$250.40	$313.00	$73.00–$350.00	88% below	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 U/S GUIDED BREAST BX	$250.40	$313.00	$73.00–$350.00	—	20%
Wart removal, up to 14 warts CPT 17110 DESTR OF BENIGN LESIONS UP TO 14 LESIONS	$106.40	$133.00	$50.00–$134.33	6% below	20%
Wart removal, up to 14 warts CPT 17110 DESTR OF BENIGN LESIONS UP TO 14	$106.40	$133.00	$73.00–$134.33	6% below	20%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR OF BENIGN LESIONS UP TO 14 LESIONS	$106.40	$133.00	$50.00–$134.33	—	20%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR OF BENIGN LESIONS UP TO 14	$106.40	$133.00	$73.00–$134.33	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN	$120.00	$150.00	$73.00–$151.50	75% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUB TISSUE	$252.80	$316.00	$50.00–$319.16	47% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN	$120.00	$150.00	$73.00–$151.50	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUB TISSUE	$252.80	$316.00	$50.00–$319.16	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN FEE	$276.80	$346.00	$73.00–$349.46	51% below	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN FEE	$276.80	$346.00	$73.00–$349.46	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INHALATIONS	$32.80	$41.00	$25.01–$63.00	75% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM IND W/NEB	$59.42	$74.28	$45.31–$75.02	55% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL DAILY	$59.42	$74.28	$45.31–$75.02	55% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INHAL INIT	$59.42	$74.28	$45.31–$75.02	55% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INHALATIONS	$32.80	$41.00	$25.01–$63.00	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM IND W/NEB	$59.42	$74.28	$45.31–$75.02	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INHAL INIT	$59.42	$74.28	$45.31–$75.02	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL DAILY	$59.42	$74.28	$45.31–$75.02	—	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN	$1,075.90	$1,537.00	$73.00–$1,552.37	41% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$84.00	$105.00	$63.00–$106.05	52% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE EKG	$104.80	$131.00	$63.00–$132.31	41% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$84.00	$105.00	$63.00–$106.05	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINE EKG	$104.80	$131.00	$63.00–$132.31	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERG. ROOM-LEVEL 1	$88.00	$110.00	$67.10–$150.00	50% below	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERG. ROOM-LEVEL 2	$131.20	$164.00	$100.04–$165.64	54% below	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE EXAM	$72.00	$90.00	$54.90–$90.90	85% below	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERG. ROOM-LEVEL 3	$191.20	$239.00	$145.79–$275.00	59% below	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE EXAM	$72.00	$90.00	$54.90–$90.90	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED EXAM	$106.40	$133.00	$73.00–$134.33	88% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERG. ROOM-LEVEL 4	$215.20	$269.00	$164.09–$400.00	76% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED EXAM	$106.40	$133.00	$73.00–$134.33	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 INTENSIVE EXAM	$168.80	$211.00	$73.00–$213.11	86% below	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERG. ROOM-LEVEL 5	$340.00	$425.00	$259.25–$429.25	71% below	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 INTENSIVE EXAM	$168.80	$211.00	$73.00–$213.11	—	20%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY MEDICAL PSYCHOTHERAPY	$240.00	$300.00	$73.00–$303.00	4% below	20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY MEDICAL PSYCHOTHERAPY	$240.00	$300.00	$73.00–$303.00	—	20%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT	$320.80	$401.00	$73.00–$405.01	44% above	20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT	$320.80	$401.00	$73.00–$405.01	—	20%
Group psychotherapy session CPT 90853 GROUP MEDICAL PSYCHOTHERAPY	$116.00	$145.00	$73.00–$146.45	19% below	20%
Group psychotherapy session inpatient CPT 90853 GROUP MEDICAL PSYCHOTHERAPY	$116.00	$145.00	$73.00–$146.45	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV-INITIAL 31MIN-1HR	$142.40	$178.00	$45.00–$179.78	50% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV-INTITAL 31MIN-1HR	$142.40	$178.00	$73.00–$179.78	50% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV-INITIAL 31MIN-1HR	$142.40	$178.00	$45.00–$179.78	—	20%
IV infusion of a medicine, first hour CPT 96365 IV-INITIAL TO 1 HOUR	$173.60	$217.00	$45.00–$219.17	43% below	20%
IV infusion of a medicine, first hour CPT 96365 IV-INTITAL TO 1 HOUR	$173.60	$217.00	$73.00–$219.17	43% below	20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV-INITIAL TO 1 HOUR	$173.60	$217.00	$45.00–$219.17	—	20%
IV push of a medicine, first drug CPT 96374 IV-PUSH SINGLE/INITI	$129.60	$162.00	$73.00–$163.62	25% below	20%
IV push of a medicine, first drug CPT 96374 IV-PUSH SINGLE/INITI	$129.60	$162.00	$45.00–$163.62	25% below	20%
IV push of a medicine, first drug inpatient CPT 96374 IV-PUSH SINGLE/INITI	$129.60	$162.00	$45.00–$163.62	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IV-SQ OR IM	$44.00	$55.00	$33.55–$55.55	50% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IV-SQ OR IM	$44.00	$55.00	$33.55–$55.55	50% below	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IV-SQ OR IM	$44.00	$55.00	$33.55–$55.55	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED	$87.20	$109.00	$63.00–$110.09	15% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED	$87.20	$109.00	$63.00–$110.09	—	20%
New patient office visit, about 30 minutes CPT 99203 NEW PT OFFICE 30MIN	$103.20	$129.00	$73.00–$130.29	16% below	20%
New patient office visit, about 45 minutes CPT 99204 NEW PT OFFICE 45MIN	$176.00	$220.00	$73.00–$222.20	5% below	20%
New patient office visit, about 60 minutes CPT 99205 NEW PT OFFICE 60MIN	$227.20	$284.00	$73.00–$286.84	3% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT OFFICE 20MIN	$67.20	$84.00	$51.24–$84.84	24% below	20%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION OT LOW	$174.40	$218.00	$63.00–$220.18	at median	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 EVALUATION OT LOW	$174.40	$218.00	$63.00–$220.18	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION PT HIGH	$174.40	$218.00	$63.00–$220.18	10% below	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVALUATION PT HIGH	$174.40	$218.00	$63.00–$220.18	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION PT LOW	$174.40	$218.00	$63.00–$220.18	5% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVALUATION PT LOW	$174.40	$218.00	$63.00–$220.18	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION PT MOD	$174.40	$218.00	$63.00–$220.18	3% below	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVALUATION PT MOD	$174.40	$218.00	$63.00–$220.18	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY E15M	$91.20	$114.00	$63.00–$115.14	38% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY E15M	$91.20	$114.00	$63.00–$115.14	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX 15M	$80.80	$101.00	$61.61–$102.01	1% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX 15M	$80.80	$101.00	$61.61–$102.01	—	20%
Psychiatric evaluation with medical services CPT 90792 NEW PATIENT EVAL PSY	$276.92	$346.15	$73.00–$349.61	11% above	20%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHOLOGICAL TESTING	$138.40	$173.00	$73.00–$174.73	36% below	20%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCHOLOGICAL TESTING	$138.40	$173.00	$73.00–$174.73	—	20%
Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS PSYTHPY 60 M	$160.00	$200.00	$73.00–$202.00	37% below	20%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS PSYTHPY 60 M	$160.00	$200.00	$73.00–$202.00	—	20%
Psychotherapy session, 30 minutes CPT 90832 IND PSYTHPY 30 M	$226.40	$283.00	$73.00–$285.83	86% above	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 IND PSYTHPY 30 M	$226.40	$283.00	$73.00–$285.83	—	20%
Psychotherapy session, 45 minutes CPT 90834 IND PSYTHPY 45 M	$336.00	$420.00	$73.00–$424.20	91% above	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 IND PSYTHPY 45 M	$336.00	$420.00	$73.00–$424.20	—	20%
Psychotherapy session, 60 minutes CPT 90837 IND PSYTHPY 60 M	$452.80	$566.00	$73.00–$571.66	130% above	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 IND PSYTHPY 60 M	$452.80	$566.00	$73.00–$571.66	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT OFFICE 40MIN	$193.60	$242.00	$73.00–$244.42	21% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LVL 3	$68.80	$86.00	$52.46–$86.86	21% below	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LVL 4	$105.60	$132.00	$73.00–$133.32	11% below	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT OFFICE 10MIN	$33.60	$42.00	$25.62–$42.42	43% below	20%
Speech therapy session, individual CPT 92507 SPEECH THERAPY TX	$184.00	$230.00	$63.00–$232.30	15% above	20%
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY TX	$184.00	$230.00	$63.00–$232.30	—	20%
Spirometry (breathing test) CPT 94010 PFT WITH FVL	$103.52	$129.40	$63.00–$130.69	55% below	20%
Spirometry (breathing test) inpatient CPT 94010 PFT WITH FVL	$103.52	$129.40	$63.00–$130.69	—	20%
Spirometry before and after a bronchodilator CPT 94060 PFT W/ FVL PRE/POST	$197.60	$247.00	$63.00–$249.47	57% below	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ FVL PRE/POST	$197.60	$247.00	$63.00–$249.47	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT 15M	$76.80	$96.00	$58.56–$96.96	4% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACT 15M	$76.80	$96.00	$58.56–$96.96	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 TET-DIP-PERTUSS TDAP 4-6 YRS	$112.47	$140.59	$73.00–$142.00	3% above	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 TET-DIP-PERTUSS TDAP 4-6 YRS	$112.47	$140.59	$73.00–$142.00	—	20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS B VACCINE	$138.57	$173.21	$73.00–$174.94	40% above	20%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS B VACCINE	$138.57	$173.21	$73.00–$174.94	—	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE	$254.40	$318.00	$73.00–$321.18	59% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE	$254.40	$318.00	$73.00–$321.18	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA INJ.	$64.00	$80.00	$48.80–$80.80	75% below	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA INJ.	$64.00	$80.00	$48.80–$80.80	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIP-PERTUSS TDAP 7YRS & OLDER	$112.47	$140.59	$73.00–$142.00	5% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIP-PERTUSS TDAP 7YRS & OLDER	$112.47	$140.59	$73.00–$142.00	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM VACCINE, INITIAL	$44.00	$55.00	$33.55–$55.55	38% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM VACCINE, INITIAL	$44.00	$55.00	$33.55–$55.55	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM VACCINE, EA ADDL	$25.60	$32.00	$19.52–$32.32	32% below	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADM VACCINE, EA ADDL	$25.60	$32.00	$19.52–$32.32	—	20%

Source file: https://www.caseycountyhospital.com/Content/Uploads/caseycountyhospital.com/files/061705652_Casey-County-Hospital_standardcharges(1).csv