Hospital Clarksville, TN-KY

Jennie Stuart Medical Center

Jennie Stuart Medical Center in Hopkinsville, KY publishes cash prices for 284 common procedures listed here, from its own machine-readable price file updated Feb 12, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 254 of 277 procedures and above it for 23. By typical cash price it ranks #3 of 74 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

320W 18th St, Hopkinsville KY 42240 Collected Sep 29, 2026 Source price file (270) 887-0100

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 180051 · CMS hospital register NPI 1235139312

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$98.82	$318.75	$74.79–$303.61	68% below	69%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$98.82	$318.75	$90.84–$303.61	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$127.41	$411.00	$109.49–$391.48	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$127.41	$411.00	$117.14–$391.48	—	69%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$127.46	$411.15	$117.18–$391.62	67% below	69%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$127.46	$411.15	$117.18–$391.62	—	69%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WHOLE BODY	$584.91	$1,886.78	$341.31–$1,797.16	56% below	69%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WHOLE BODY	$584.91	$1,886.78	$537.73–$1,797.16	—	69%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$164.41	$530.34	$90.33–$505.15	—	69%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$164.41	$530.34	$90.33–$505.15	57% below	69%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$164.41	$530.34	$151.15–$505.15	—	69%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$164.41	$530.34	$151.15–$505.15	—	69%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$112.73	$363.62	$74.79–$346.35	—	69%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$112.73	$363.62	$74.79–$346.35	63% below	69%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$112.73	$363.62	$103.63–$346.35	—	69%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$112.73	$363.62	$103.63–$346.35	—	69%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,429.42	$4,611.02	$151.21–$4,392.00	7% above	69%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,429.42	$4,611.02	$1,314.14–$4,392.00	—	69%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CARDIAC STRUC/MORPH AND CTA COR ART W CAL SCORE	$1,069.38	$3,449.60	$303.35–$3,285.74	11% below	69%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CARDIAC STRUC/MORPH AND CTA COR ART W CAL SCORE	$1,069.38	$3,449.60	$983.14–$3,285.74	—	69%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CALCIUM SCORING	$57.95	$186.92	$53.27–$530.00	15% below	69%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CALCIUM SCORING	$57.95	$186.92	$53.27–$178.04	—	69%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$1,416.28	$4,568.64	$205.32–$4,351.63	18% below	69%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$1,416.28	$4,568.64	$1,302.06–$4,351.63	—	69%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$1,991.16	$6,423.08	$303.35–$6,117.98	2% below	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$1,991.16	$6,423.08	$1,830.58–$6,117.98	—	69%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,268.11	$7,316.47	$303.35–$6,968.94	11% below	69%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,268.11	$7,316.47	$2,085.19–$6,968.94	—	69%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,064.69	$3,434.48	$151.21–$3,271.34	14% below	69%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,064.69	$3,434.48	$978.83–$3,271.34	—	69%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$845.61	$2,727.75	$90.33–$2,598.18	25% below	69%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$845.61	$2,727.75	$777.41–$2,598.18	—	69%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$812.48	$2,620.90	$90.33–$2,496.41	22% below	69%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$812.48	$2,620.90	$746.96–$2,496.41	—	69%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$697.39	$2,249.64	$90.33–$2,142.78	34% below	69%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$697.39	$2,249.64	$641.15–$2,142.78	—	69%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$779.88	$2,515.74	$151.21–$2,396.24	31% below	69%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$779.88	$2,515.74	$716.99–$2,396.24	—	69%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,050.51	$3,388.72	$151.21–$3,227.76	26% below	69%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,050.51	$3,388.72	$965.79–$3,227.76	—	69%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$825.05	$2,661.43	$90.33–$2,535.01	36% below	69%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$825.05	$2,661.43	$758.51–$2,535.01	—	69%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$844.51	$2,724.22	$90.33–$2,594.82	33% below	69%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$844.51	$2,724.22	$776.40–$2,594.82	—	69%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$1,025.84	$3,309.14	$151.21–$3,151.96	16% below	69%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$1,025.84	$3,309.14	$943.10–$3,151.96	—	69%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$415.20	$1,339.33	$205.32–$1,275.71	—	69%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$415.20	$1,339.33	$381.71–$1,275.71	—	69%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$74.15	$239.18	$68.17–$227.82	67% below	69%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$74.15	$239.18	$68.17–$227.82	—	69%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$74.15	$239.18	$68.17–$227.82	60% below	69%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$74.15	$239.18	$68.17–$227.82	—	69%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL COMPLETE	$232.31	$749.38	$90.33–$713.78	62% below	69%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL COMPLETE	$232.31	$749.38	$213.57–$713.78	—	69%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$198.15	$639.17	$90.33–$608.81	34% below	69%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$198.15	$639.17	$182.16–$608.81	—	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$163.46	$527.28	$74.79–$502.23	22% below	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$163.46	$527.28	$150.27–$502.23	—	69%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANCY DETAILED SINGLE/FIRST GEST	$609.42	$1,965.86	$205.32–$1,872.48	42% above	69%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANCY DETAILED SINGLE/FIRST GEST	$609.42	$1,965.86	$560.27–$1,872.48	—	69%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$697.39	$2,249.64	$90.33–$2,142.78	33% below	69%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$697.39	$2,249.64	$641.15–$2,142.78	—	69%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAG W/CONTRAST	$971.69	$3,134.48	$151.21–$2,985.59	21% below	69%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAG W/CONTRAST	$971.69	$3,134.48	$893.33–$2,985.59	—	69%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$184.65	$595.64	$127.69–$567.35	—	69%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$184.65	$595.64	$169.76–$567.35	—	69%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$147.36	$475.33	$101.42–$452.75	32% below	69%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$147.36	$475.33	$135.47–$452.75	—	69%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$729.98	$2,354.75	$205.32–$2,242.90	—	69%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$729.98	$2,354.75	$671.10–$2,242.90	—	69%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$616.98	$1,990.24	$205.32–$1,895.70	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$616.98	$1,990.24	$567.22–$1,895.70	—	69%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D/MMODE/SPEC AND COLOR FLOW	$534.66	$1,724.70	$465.73–$1,642.78	63% below	69%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE	$534.66	$1,724.70	$465.73–$1,642.78	63% below	69%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE	$534.66	$1,724.70	$491.54–$1,642.78	—	69%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D/MMODE/SPEC AND COLOR FLOW	$534.66	$1,724.70	$491.54–$1,642.78	—	69%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$505.15	$1,629.49	$341.31–$1,552.09	52% below	69%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$505.15	$1,629.49	$464.40–$1,552.09	—	69%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,545.70	$4,986.11	$864.17–$4,749.27	49% below	69%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,761.92	$5,683.61	$864.17–$5,413.64	42% below	69%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,545.70	$4,986.11	$1,421.04–$4,749.27	—	69%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,761.92	$5,683.61	$1,619.83–$5,413.64	—	69%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$94.96	$306.31	$74.79–$291.76	70% below	69%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$94.96	$306.31	$87.30–$291.76	—	69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$139.50	$450.00	$90.33–$428.63	74% below	69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$139.50	$450.00	$128.25–$428.63	—	69%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE LUNG CT SCREENING	$363.26	$1,171.80	$90.33–$1,116.14	31% below	69%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE LUNG CT SCREENING	$363.26	$1,171.80	$333.96–$1,116.14	—	69%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$679.21	$2,191.00	$205.32–$2,086.93	55% below	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$679.21	$2,191.00	$624.44–$2,086.93	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$927.21	$2,991.00	$303.35–$2,848.93	56% below	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$927.21	$2,991.00	$852.44–$2,848.93	—	69%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$952.71	$3,073.23	$205.32–$2,927.25	38% below	69%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$952.71	$3,073.23	$875.87–$2,927.25	—	69%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,419.43	$4,578.80	$303.35–$4,361.31	28% below	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,419.43	$4,578.80	$1,304.96–$4,361.31	—	69%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,053.69	$3,399.00	$205.32–$3,237.55	26% below	69%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,053.69	$3,399.00	$968.72–$3,237.55	—	69%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$1,814.11	$5,851.94	$303.35–$5,573.97	7% below	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$1,814.11	$5,851.94	$1,667.80–$5,573.97	—	69%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,230.76	$3,970.18	$205.32–$3,781.60	17% below	69%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,230.76	$3,970.18	$1,131.50–$3,781.60	—	69%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$424.63	$1,369.77	$303.35–$1,304.71	81% below	69%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$424.63	$1,369.77	$390.38–$1,304.71	—	69%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,038.46	$3,349.86	$205.32–$3,190.74	36% below	69%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,038.46	$3,349.86	$954.71–$3,190.74	—	69%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,765.20	$5,694.19	$303.35–$5,423.72	19% below	69%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,765.20	$5,694.19	$1,622.84–$5,423.72	—	69%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,054.72	$3,402.31	$205.32–$3,240.70	29% below	69%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,054.72	$3,402.31	$969.66–$3,240.70	—	69%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,383.09	$4,461.56	$303.35–$4,249.64	32% below	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,383.09	$4,461.56	$1,271.54–$4,249.64	—	69%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,024.39	$3,304.48	$205.32–$3,147.52	32% below	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,024.39	$3,304.48	$941.78–$3,147.52	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$674.60	$2,176.10	$205.32–$2,072.74	55% below	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$674.60	$2,176.10	$620.19–$2,072.74	—	69%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$1,443.45	$4,656.26	$1,108.87–$4,435.09	53% below	69%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$1,443.45	$4,656.26	$1,327.03–$4,435.09	—	69%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$2,648.07	$8,542.15	$1,238.93–$8,136.40	12% below	69%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$2,648.07	$8,542.15	$2,434.51–$8,136.40	—	69%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED	$139.50	$450.00	$90.33–$428.63	60% below	69%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED	$139.50	$450.00	$128.25–$428.63	—	69%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB	$321.67	$1,037.63	$90.33–$988.34	45% below	69%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB	$321.67	$1,037.63	$295.72–$988.34	—	69%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$562.85	$1,815.64	$90.33–$1,729.40	32% above	69%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$562.85	$1,815.64	$517.46–$1,729.40	—	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB ULTRASOUND < 14 WEEKS	$139.50	$450.00	$90.33–$428.63	67% below	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$139.50	$450.00	$90.33–$428.63	67% below	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$139.50	$450.00	$128.25–$428.63	—	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB ULTRASOUND < 14 WEEKS	$139.50	$450.00	$128.25–$428.63	—	69%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$282.02	$909.74	$90.33–$866.53	22% below	69%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$282.02	$909.74	$259.28–$866.53	—	69%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$162.30	$523.53	$103.31–$498.66	—	69%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$162.30	$523.53	$149.21–$498.66	—	69%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$91.46	$295.01	$74.79–$281.00	70% below	69%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$91.46	$295.01	$84.08–$281.00	—	69%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,333.00	$4,299.98	$864.17–$4,095.73	50% below	69%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,333.00	$4,299.98	$1,225.49–$4,095.73	—	69%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$127.46	$411.15	$117.18–$391.62	70% below	69%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$127.46	$411.15	$117.18–$391.62	—	69%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$168.39	$543.18	$90.33–$517.38	68% below	69%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$168.39	$543.18	$154.81–$517.38	—	69%
Transvaginal ultrasound during pregnancy CPT 76817 HC OB US TRANSVAGINAL	$139.50	$450.00	$90.33–$428.63	67% below	69%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL	$139.50	$450.00	$90.33–$428.63	67% below	69%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL	$139.50	$450.00	$128.25–$428.63	—	69%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OB US TRANSVAGINAL	$139.50	$450.00	$128.25–$428.63	—	69%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$500.84	$1,615.59	$90.33–$1,538.85	27% below	69%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$500.84	$1,615.59	$460.44–$1,538.85	—	69%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$375.26	$1,210.49	$90.33–$1,152.99	29% below	69%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$375.26	$1,210.49	$344.99–$1,152.99	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$240.22	$774.89	$90.33–$738.08	54% below	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$240.22	$774.89	$220.84–$738.08	—	69%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$255.99	$825.77	$151.21–$786.55	40% below	69%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$255.99	$825.77	$235.34–$786.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$374.23	$1,207.18	$90.33–$1,149.84	27% below	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$374.23	$1,207.18	$344.05–$1,149.84	—	69%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$86.75	$279.83	$74.79–$266.54	70% below	69%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$86.75	$279.83	$79.75–$266.54	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$87.50	$282.24	$74.79–$268.83	57% below	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$87.50	$282.24	$80.44–$268.83	—	69%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$71.82	$231.66	$66.02–$220.66	67% below	69%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$71.82	$231.66	$66.02–$220.66	—	69%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$86.75	$279.83	$74.79–$266.54	63% below	69%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$86.75	$279.83	$79.75–$266.54	—	69%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+ VIEWS	$73.10	$235.78	$67.20–$224.58	64% below	69%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+ VIEWS	$73.10	$235.78	$67.20–$224.58	—	69%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$73.10	$235.78	$67.20–$224.58	71% below	69%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$73.10	$235.78	$67.20–$224.58	—	69%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$86.75	$279.83	$74.79–$266.54	72% below	69%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$86.75	$279.83	$79.75–$266.54	—	69%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$73.10	$235.78	$67.20–$224.58	76% below	69%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$73.10	$235.78	$67.20–$224.58	—	69%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$92.35	$297.89	$74.79–$283.74	62% below	69%
X-ray of the knee, 1 or 2 views CPT 73560 HC PB 3DAY 73560	$92.35	$297.89	$74.79–$283.74	62% below	69%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$92.35	$297.89	$84.90–$283.74	—	69%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC PB 3DAY 73560	$92.35	$297.89	$84.90–$283.74	—	69%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$87.80	$283.20	$80.71–$269.75	73% below	69%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$87.80	$283.20	$80.71–$269.75	—	69%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$187.64	$605.28	$90.33–$576.53	57% below	69%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$187.64	$605.28	$172.50–$576.53	—	69%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$85.17	$274.73	$78.30–$261.68	70% below	69%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$85.17	$274.73	$78.30–$261.68	—	69%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$71.82	$231.66	$66.02–$220.66	74% below	69%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$71.82	$231.66	$66.02–$220.66	—	69%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$71.82	$231.66	$66.02–$220.66	77% below	69%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$71.82	$231.66	$66.02–$220.66	—	69%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$71.82	$231.66	$66.02–$220.66	66% below	69%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$71.82	$231.66	$66.02–$220.66	—	69%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$71.82	$231.66	$66.02–$220.66	70% below	69%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$71.82	$231.66	$66.02–$220.66	—	69%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT B	$37.89	$122.20	$4.88–$116.40	40% below	69%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT B	$37.89	$122.20	$34.83–$116.40	—	69%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC ASPARTATE AMINOTRANSFERASE	$31.00	$100.00	$4.77–$95.25	51% below	69%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ASPARTATE AMINOTRANSFERASE	$31.00	$100.00	$28.50–$95.25	—	69%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL REF	$102.52	$330.68	$43.82–$314.97	59% below	69%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL REF	$102.52	$330.68	$94.24–$314.97	—	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGND001-IGE D PTERONYSSINUS REF	$36.88	$118.95	$4.80–$113.30	202% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN-IGE EPICOCCUM PURPURASCE REF	$66.65	$215.00	$4.80–$204.79	446% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW017-IGE KOCHIA REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW004-IGE RAGWEED FALSE REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN-IGE MARSH ELDER ROUGH REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W013-IGE COCKLEBUR REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN-IGE WORMWOOD/SAGEBRUSH REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENW023-IGE DOCKWEED REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW006-IGE MUGWORT REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W001-IGE RAGWEED SHORT/COMMO REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W009-IGE PLANTAIN ENGLISH REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW010-IGE LAMB'S QUARTER REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW012-IGE GOLDENROD REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNW015-IGE LENSCALE REF	$66.77	$215.37	$4.80–$205.14	447% above	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGND001-IGE D PTERONYSSINUS REF	$36.88	$118.95	$33.90–$113.30	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN-IGE EPICOCCUM PURPURASCE REF	$66.65	$215.00	$61.28–$204.79	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW006-IGE MUGWORT REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW015-IGE LENSCALE REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN-IGE MARSH ELDER ROUGH REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW012-IGE GOLDENROD REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENW023-IGE DOCKWEED REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW010-IGE LAMB'S QUARTER REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN-IGE WORMWOOD/SAGEBRUSH REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW004-IGE RAGWEED FALSE REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNW017-IGE KOCHIA REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W001-IGE RAGWEED SHORT/COMMO REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W009-IGE PLANTAIN ENGLISH REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W013-IGE COCKLEBUR REF	$66.77	$215.37	$61.38–$205.14	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE REF	$66.77	$215.37	$61.38–$205.14	—	69%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI CCP AB IGG/IGA REF	$73.60	$237.40	$11.91–$226.12	8% below	69%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI CCP AB IGG/IGA REF	$73.60	$237.40	$67.66–$226.12	—	69%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA W/REFLEX REF	$19.47	$62.79	$11.12–$59.81	75% below	69%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$19.47	$62.79	$11.12–$59.81	75% below	69%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$19.47	$62.79	$17.90–$59.81	—	69%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA W/REFLEX REF	$19.47	$62.79	$17.90–$59.81	—	69%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE REF	$111.99	$361.25	$36.12–$344.09	39% below	69%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE BNP	$111.99	$361.25	$36.12–$344.09	39% below	69%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE REF	$111.99	$361.25	$102.96–$344.09	—	69%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE BNP	$111.99	$361.25	$102.96–$344.09	—	69%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8	$69.93	$225.58	$7.78–$214.86	26% below	69%
Basic metabolic panel (blood test) CPT 80048 HC CHEM8 (ISTAT)	$69.93	$225.58	$7.78–$214.86	26% below	69%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8	$69.93	$225.58	$64.29–$214.86	—	69%
Basic metabolic panel (blood test) inpatient CPT 80048 HC CHEM8 (ISTAT)	$69.93	$225.58	$64.29–$214.86	—	69%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV	$81.27	$262.15	$45.38–$249.70	49% below	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV	$81.27	$262.15	$74.71–$249.70	—	69%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$83.07	$267.94	$9.49–$255.21	34% below	69%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$83.07	$267.94	$76.36–$255.21	—	69%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$7.66	$24.70	$7.04–$23.53	54% below	69%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$7.66	$24.70	$7.04–$23.53	54% below	69%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$7.66	$24.70	$7.04–$23.53	—	69%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$7.66	$24.70	$7.04–$23.53	—	69%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE B	$26.04	$84.00	$3.62–$80.01	38% below	69%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE B	$26.04	$84.00	$23.94–$80.01	—	69%
Blood lead test CPT 83655 HC LEAD REF	$59.21	$191.00	$11.14–$181.93	13% below	69%
Blood lead test inpatient CPT 83655 HC LEAD REF	$59.21	$191.00	$54.44–$181.93	—	69%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SERUM PREGNANCY	$38.13	$123.00	$6.92–$117.16	57% below	69%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SERUM PREGNANCY	$38.13	$123.00	$35.06–$117.16	—	69%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING	$54.01	$174.21	$2.99–$196.36	1% below	69%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPING	$54.01	$174.21	$49.65–$165.94	—	69%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN	$8.32	$26.81	$4.77–$25.54	85% below	69%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN	$8.32	$26.81	$7.64–$25.54	—	69%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM BY PCR	$72.71	$234.52	$34.29–$223.38	27% below	69%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM BY PCR	$72.71	$234.52	$66.84–$223.38	—	69%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 REF	$41.01	$132.28	$19.15–$126.00	68% below	69%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 REF	$41.01	$132.28	$37.70–$126.00	—	69%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 QUANT REF	$41.01	$132.28	$19.15–$126.00	69% below	69%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 QUANT REF	$41.01	$132.28	$37.70–$126.00	—	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$34.10	$110.00	$31.35–$104.78	69% below	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH DNA REF	$38.94	$125.60	$32.28–$119.63	65% below	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$34.10	$110.00	$31.35–$104.78	—	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH DNA REF	$38.94	$125.60	$35.80–$119.63	—	69%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL REF	$56.80	$183.21	$12.32–$174.51	52% below	69%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK	$56.80	$183.21	$12.32–$174.51	52% below	69%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK	$56.80	$183.21	$52.21–$174.51	—	69%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL REF	$56.80	$183.21	$52.21–$174.51	—	69%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF	$23.25	$75.00	$7.15–$71.44	61% below	69%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF	$23.25	$75.00	$21.38–$71.44	—	69%
Complete blood count (CBC), no differential CPT 85027 HC CBC W/O DIFF	$53.06	$171.14	$5.95–$163.01	8% below	69%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/O DIFF	$53.06	$171.14	$48.77–$163.01	—	69%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$75.02	$242.00	$9.72–$230.51	43% below	69%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$75.02	$242.00	$68.97–$230.51	—	69%
D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE	$96.72	$311.99	$9.37–$297.17	7% above	69%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE	$96.72	$311.99	$88.92–$297.17	—	69%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE REF	$43.15	$139.18	$20.45–$132.57	67% below	69%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE REF	$43.15	$139.18	$39.67–$132.57	—	69%
Estradiol blood test CPT 82670 HC ESTRADIOL REF	$69.75	$225.00	$25.70–$214.31	51% below	69%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL REF	$69.75	$225.00	$64.13–$214.31	—	69%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL REF	$88.35	$284.99	$18.06–$271.45	56% below	69%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL REF	$88.35	$284.99	$81.22–$271.45	—	69%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$64.16	$206.95	$12.54–$197.12	42% below	69%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$64.16	$206.95	$58.98–$197.12	—	69%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM REF	$64.16	$206.95	$13.52–$197.12	41% below	69%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$64.16	$206.95	$13.52–$197.12	41% below	69%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM REF	$64.16	$206.95	$58.98–$197.12	—	69%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$64.16	$206.95	$58.98–$197.12	—	69%
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$39.99	$128.98	$15.58–$122.85	73% below	69%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$39.99	$128.98	$36.76–$122.85	—	69%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$39.99	$128.98	$8.30–$122.85	49% below	69%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$39.99	$128.98	$36.76–$122.85	—	69%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA	$33.14	$106.89	$4.37–$101.81	38% below	69%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$33.14	$106.89	$4.37–$101.81	38% below	69%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$33.14	$106.89	$30.46–$101.81	—	69%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA	$33.14	$106.89	$30.46–$101.81	—	69%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 360	$51.55	$166.29	$11.84–$158.39	66% below	69%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 360	$51.55	$166.29	$47.39–$158.39	—	69%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHEA DNA PROBE REF	$57.35	$185.00	$32.28–$176.21	47% below	69%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHEA DNA PROBE REF	$57.35	$185.00	$52.73–$176.21	—	69%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG REF	$49.97	$161.19	$13.23–$153.53	68% below	69%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG REF	$49.97	$161.19	$45.94–$153.53	—	69%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$105.66	$340.83	$78.29–$324.64	59% below	69%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$105.66	$340.83	$97.14–$324.64	—	69%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1/2 RAPID SCREEN	$48.39	$156.09	$12.61–$148.68	25% below	69%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1/2 RAPID SCREEN	$48.39	$156.09	$44.49–$148.68	—	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$48.39	$156.09	$22.15–$148.68	40% below	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2 REF	$48.39	$156.09	$22.15–$148.68	40% below	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2 REF	$48.39	$156.09	$44.49–$148.68	—	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$48.39	$156.09	$44.49–$148.68	—	69%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$106.73	$344.27	$8.93–$327.92	51% above	69%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$106.73	$344.27	$98.12–$327.92	—	69%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBO	$17.91	$57.75	$9.88–$55.01	81% below	69%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBO	$17.91	$57.75	$16.46–$55.01	—	69%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS HBSAG REF	$16.74	$54.00	$9.50–$51.44	78% below	69%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$18.94	$61.07	$9.50–$58.17	75% below	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS HBSAG REF	$16.74	$54.00	$15.39–$51.44	—	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$18.94	$61.07	$17.40–$58.17	—	69%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$26.85	$86.60	$13.13–$82.49	75% below	69%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB RFX TO QNT PCR REF	$26.97	$87.00	$13.13–$82.87	74% below	69%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$26.85	$86.60	$24.68–$82.49	—	69%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB RFX TO QNT PCR REF	$26.97	$87.00	$24.80–$82.87	—	69%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT REF	$182.28	$588.00	$39.41–$560.07	37% below	69%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT REF	$182.28	$588.00	$167.58–$560.07	—	69%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$47.12	$152.00	$12.13–$144.78	26% below	69%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$47.12	$152.00	$43.32–$144.78	—	69%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE2 G SPEC IGG	$47.35	$152.72	$17.80–$145.47	32% below	69%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$57.04	$184.00	$17.80–$175.26	18% below	69%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE2 G SPEC IGG	$47.35	$152.72	$43.53–$145.47	—	69%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$57.04	$184.00	$52.44–$175.26	—	69%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVE	$49.26	$158.90	$11.91–$151.35	42% below	69%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVE	$49.26	$158.90	$45.29–$151.35	—	69%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE REF	$31.03	$100.07	$16.49–$95.32	78% below	69%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE REF	$31.03	$100.07	$28.52–$95.32	—	69%
Insulin blood test CPT 83525 HC INSULIN TOTAL REF	$22.62	$72.94	$10.52–$69.48	73% below	69%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL REF	$22.62	$72.94	$20.79–$69.48	—	69%
Iron blood test (serum iron) CPT 83540 HC IRON B	$43.09	$139.00	$5.95–$132.40	40% below	69%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON B	$43.09	$139.00	$39.62–$132.40	—	69%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$88.85	$286.59	$7.99–$272.98	4% below	69%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$88.85	$286.59	$81.68–$272.98	—	69%
LH (luteinizing hormone) test CPT 83002 HC LUTEIENIZING HORMONE S REF	$38.40	$123.87	$17.04–$117.99	74% below	69%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEIENIZING HORMONE S REF	$38.40	$123.87	$35.30–$117.99	—	69%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE B	$90.00	$290.30	$6.34–$276.51	22% above	69%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE B	$90.00	$290.30	$82.74–$276.51	—	69%
Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE	$76.74	$247.53	$7.52–$235.77	24% below	69%
Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE	$76.74	$247.53	$70.55–$235.77	—	69%
Lyme disease antibody test CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$57.04	$184.00	$15.67–$175.26	at median	69%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$57.04	$184.00	$52.44–$175.26	—	69%
Magnesium blood test CPT 83735 HC MAGNESIUM REF	$43.09	$139.00	$6.16–$132.40	21% below	69%
Magnesium blood test CPT 83735 HC MAGNESIUM B	$43.15	$139.18	$6.16–$132.57	21% below	69%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM REF	$43.09	$139.00	$39.62–$132.40	—	69%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM B	$43.15	$139.18	$39.67–$132.57	—	69%
Measles (rubeola) antibody test CPT 86765 HC MEASLES ATB IGG	$24.49	$79.00	$11.85–$75.25	57% below	69%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG\IGM REF	$24.49	$79.00	$11.85–$75.25	57% below	69%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES ATB IGG	$24.49	$79.00	$22.52–$75.25	—	69%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGG\IGM REF	$24.49	$79.00	$22.52–$75.25	—	69%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO	$25.11	$81.00	$4.77–$77.15	55% below	69%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO	$25.11	$81.00	$23.09–$77.15	—	69%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE REF	$17.45	$56.28	$16.04–$53.61	79% below	69%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE REF	$17.45	$56.28	$16.04–$53.61	—	69%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$101.98	$328.96	$16.92–$313.33	20% below	69%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$101.98	$328.96	$16.92–$313.33	20% below	69%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$101.98	$328.96	$93.75–$313.33	—	69%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$101.98	$328.96	$93.75–$313.33	—	69%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE REF	$148.49	$479.00	$37.98–$456.25	30% below	69%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE REF	$148.49	$479.00	$136.52–$456.25	—	69%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PARTIAL THROMB TIME APTT REF	$32.86	$106.00	$5.53–$100.97	63% below	69%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT B	$33.10	$106.76	$5.53–$101.69	63% below	69%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PARTIAL THROMB TIME APTT REF	$32.86	$106.00	$30.21–$100.97	—	69%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT B	$33.10	$106.76	$30.43–$101.69	—	69%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC CELL-FREE DNA PRENATAL SCREEN REF	$418.76	$1,350.82	$384.98–$1,286.66	67% below	69%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC CELL-FREE DNA PRENATAL SCREEN REF	$418.76	$1,350.82	$384.98–$1,286.66	—	69%
Progesterone blood test CPT 84144 HC PROGESTERONE REF	$44.18	$142.49	$19.19–$135.72	67% below	69%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE REF	$44.18	$142.49	$40.61–$135.72	—	69%
Prolactin blood test CPT 84146 HC PROLACTIN B	$36.26	$116.96	$17.83–$111.40	74% below	69%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN B	$36.26	$116.96	$33.33–$111.40	—	69%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POC	$28.43	$91.70	$3.95–$87.34	36% below	69%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$30.67	$98.91	$3.95–$94.21	31% below	69%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT INR PROTIME REF	$30.69	$99.00	$3.95–$94.30	31% below	69%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME REF	$193.28	$623.47	$3.95–$593.86	333% above	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POC	$28.43	$91.70	$26.13–$87.34	—	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$30.67	$98.91	$28.19–$94.21	—	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT INR PROTIME REF	$30.69	$99.00	$28.22–$94.30	—	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME REF	$193.28	$623.47	$177.69–$593.86	—	69%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPTIC READ OBS PR DATE	$94.24	$304.00	$11.59–$289.56	130% above	69%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPTIC READ OBS PR DATE DCP	$94.24	$304.00	$11.59–$289.56	130% above	69%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPTIC READ OBS PR DATE DCP	$94.24	$304.00	$86.64–$289.56	—	69%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPTIC READ OBS PR DATE	$94.24	$304.00	$86.64–$289.56	—	69%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AND B ANTIGEN	$20.15	$65.00	$15.23–$61.91	56% below	69%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A&B REFLUX TO CULT	$20.15	$65.00	$15.23–$61.91	56% below	69%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A&B REFLUX TO CULT	$20.15	$65.00	$18.53–$61.91	—	69%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AND B ANTIGEN	$20.15	$65.00	$18.53–$61.91	—	69%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$12.40	$40.00	$11.40–$38.10	79% below	69%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$12.40	$40.00	$11.40–$38.10	—	69%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$34.22	$110.38	$5.22–$105.14	29% below	69%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$41.54	$134.00	$5.22–$127.64	13% below	69%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$34.22	$110.38	$31.46–$105.14	—	69%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$41.54	$134.00	$38.19–$127.64	—	69%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG\IGM REF	$23.68	$76.38	$13.24–$72.75	76% below	69%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG REF	$23.68	$76.38	$13.24–$72.75	76% below	69%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$23.68	$76.38	$13.24–$72.75	76% below	69%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$23.68	$76.38	$21.77–$72.75	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG\IGM REF	$23.68	$76.38	$21.77–$72.75	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG REF	$23.68	$76.38	$21.77–$72.75	—	69%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGREN	$46.30	$149.33	$2.48–$142.24	19% above	69%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGREN	$46.30	$149.33	$42.56–$142.24	—	69%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS	$206.73	$666.85	$11.33–$635.17	82% above	69%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS	$206.73	$666.85	$190.05–$635.17	—	69%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS REF	$12.11	$39.06	$8.19–$37.20	85% below	69%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS REF	$12.11	$39.06	$11.13–$37.20	—	69%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECAL BY IMMUNOASSAY	$21.70	$70.00	$14.65–$66.68	46% below	69%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECAL BY IMMUNOASSAY	$21.70	$70.00	$19.95–$66.68	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUALITATIVE	$25.11	$81.00	$3.93–$77.15	39% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUANT REF	$33.10	$106.76	$3.93–$101.69	20% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUALITATIVE	$25.11	$81.00	$23.09–$77.15	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUANT REF	$33.10	$106.76	$30.43–$101.69	—	69%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD REF	$43.11	$139.06	$39.63–$132.45	70% below	69%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD	$43.11	$139.06	$39.63–$132.45	70% below	69%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD REF	$43.11	$139.06	$39.63–$132.45	—	69%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD	$43.11	$139.06	$39.63–$132.45	—	69%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$49.15	$158.52	$23.75–$150.99	57% below	69%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL REF	$71.92	$232.00	$23.75–$220.98	38% below	69%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$49.15	$158.52	$45.18–$150.99	—	69%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL REF	$71.92	$232.00	$66.12–$220.98	—	69%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB LIVER KIDNEY REF	$133.00	$429.02	$13.39–$408.64	44% above	69%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE REF	$133.00	$429.02	$13.39–$408.64	44% above	69%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE REF	$133.00	$429.02	$122.27–$408.64	—	69%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB LIVER KIDNEY REF	$133.00	$429.02	$122.27–$408.64	—	69%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REF	$85.68	$276.38	$15.46–$263.25	12% below	69%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$85.68	$276.38	$15.46–$263.25	12% below	69%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH RFX ON ABNORMAL TO FREE T4	$85.68	$276.38	$15.46–$263.25	12% below	69%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH RFX ON ABNORMAL TO FREE T4	$85.68	$276.38	$78.77–$263.25	—	69%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$85.68	$276.38	$78.77–$263.25	—	69%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REF	$85.68	$276.38	$78.77–$263.25	—	69%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$54.09	$174.47	$32.28–$166.18	25% below	69%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$54.09	$174.47	$49.72–$166.18	—	69%
Uric acid blood test CPT 84550 HC URIC ACID	$33.14	$106.89	$4.16–$101.81	41% below	69%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$33.14	$106.89	$30.46–$101.81	—	69%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE	$24.20	$78.04	$2.92–$74.33	52% below	69%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO	$24.20	$78.04	$2.92–$74.33	52% below	69%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE	$24.20	$78.04	$22.24–$74.33	—	69%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO	$24.20	$78.04	$22.24–$74.33	—	69%
Urinalysis with microscope exam, manual CPT 81000 HC UA NONAUTO WITH MICRO 81000	$4.96	$16.00	$3.70–$15.24	76% below	69%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC UA NONAUTO WITH MICRO 81000	$4.96	$16.00	$4.56–$15.24	—	69%
Urinalysis without microscope exam, automated CPT 81003 HC UA AUTO W/O MICRO	$12.40	$40.00	$2.07–$38.10	54% below	69%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UA AUTO W/O MICRO	$12.40	$40.00	$11.40–$38.10	—	69%
Urinalysis without microscope exam, manual CPT 81002 HC UA NONAUTO WITHOUT MICRO 81002	$15.50	$50.00	$3.20–$47.63	12% below	69%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC UA NONAUTO WITHOUT MICRO 81002	$15.50	$50.00	$14.25–$47.63	—	69%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$18.91	$61.00	$7.42–$58.10	79% below	69%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$18.91	$61.00	$17.39–$58.10	—	69%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST	$15.50	$50.00	$7.92–$47.63	70% below	69%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY POC	$15.50	$50.00	$7.92–$47.63	70% below	69%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST	$15.50	$50.00	$14.25–$47.63	—	69%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY POC	$15.50	$50.00	$14.25–$47.63	—	69%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12	$117.23	$378.16	$13.87–$360.20	33% above	69%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12	$117.23	$378.16	$107.78–$360.20	—	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY REF	$56.80	$183.21	$27.23–$174.51	52% below	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$56.80	$183.21	$27.23–$174.51	52% below	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D3 REF	$56.80	$183.21	$27.23–$174.51	52% below	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$56.80	$183.21	$52.21–$174.51	—	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D3 REF	$56.80	$183.21	$52.21–$174.51	—	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY REF	$56.80	$183.21	$52.21–$174.51	—	69%
Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD REF	$58.90	$190.00	$10.48–$180.98	50% below	69%
Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD REF	$58.90	$190.00	$54.15–$180.98	—	69%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$31.31	$101.00	$13.85–$96.20	80% below	69%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$31.31	$101.00	$28.79–$96.20	—	69%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$174.97	$564.40	$160.85–$537.59	68% below	69%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$174.97	$564.40	$160.85–$537.59	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC	$1,301.29	$4,197.69	$1,196.34–$3,998.30	40% below	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC	$1,301.29	$4,197.69	$1,196.34–$3,998.30	—	69%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX	$146.28	$471.85	$134.48–$449.44	43% below	69%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX	$146.28	$471.85	$134.48–$449.44	—	69%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED RX METATARSAL FX	$146.28	$471.85	$134.48–$449.44	46% below	69%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED RX METATARSAL FX	$146.28	$471.85	$134.48–$449.44	—	69%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$403.62	$1,302.00	$371.07–$1,240.16	57% below	69%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$403.62	$1,302.00	$371.07–$1,240.16	—	69%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$308.69	$995.75	$283.79–$1,326.47	4% below	69%
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$308.69	$995.75	$283.79–$948.45	—	69%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC CERVIX W/ADJ VAG W/BX & CURRETAG	$123.19	$397.36	$113.25–$463.40	59% below	69%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC CERVIX W/ADJ VAG W/BX & CURRETAG	$123.19	$397.36	$113.25–$378.49	—	69%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC URO CYSTOURETHROSCOPY	$131.99	$425.75	$121.34–$1,016.81	86% below	69%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC OR CYSTOURETHROSCOPY	$403.54	$1,301.72	$370.99–$1,239.89	57% below	69%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC URO CYSTOURETHROSCOPY	$131.99	$425.75	$121.34–$405.53	—	69%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC OR CYSTOURETHROSCOPY	$403.54	$1,301.72	$370.99–$1,239.89	—	69%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALG LESION 1	$76.88	$248.00	$70.68–$302.70	26% below	69%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT PREMALG LESION 1	$76.88	$248.00	$70.68–$236.22	—	69%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$211.27	$681.50	$194.23–$775.78	35% below	69%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$211.27	$681.50	$194.23–$649.13	—	69%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$37.95	$122.39	$34.88–$116.58	61% below	69%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$37.95	$122.39	$34.88–$116.58	—	69%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$76.86	$247.92	$50.45–$236.14	26% below	69%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$76.86	$247.92	$70.66–$236.14	—	69%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$76.52	$246.82	$70.34–$306.46	64% below	69%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$76.52	$246.82	$70.34–$235.10	—	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROSALPINGOGRAM	$37.42	$120.69	$34.40–$342.86	88% below	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROSALPINGOGRAM	$37.42	$120.69	$34.40–$114.96	—	69%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD	$43.40	$140.00	$39.90–$158.95	93% below	69%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD	$43.40	$140.00	$39.90–$133.35	—	69%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE	$118.27	$381.50	$108.73–$363.38	60% below	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE	$118.27	$381.50	$108.73–$363.38	—	69%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON SHEATH	$113.73	$366.86	$104.56–$463.31	73% below	69%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON SHEATH	$113.73	$366.86	$104.56–$349.43	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$174.97	$564.40	$160.85–$537.59	58% below	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$184.03	$593.62	$169.18–$565.42	56% below	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$174.97	$564.40	$160.85–$537.59	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$184.03	$593.62	$169.18–$565.42	—	69%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG IMPLANT DEVICE	$49.05	$158.22	$45.09–$196.36	64% below	69%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG IMPLANT DEVICE	$49.05	$158.22	$45.09–$150.70	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$174.97	$564.40	$160.85–$537.59	42% below	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$174.97	$564.40	$160.85–$537.59	—	69%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$174.97	$564.40	$160.85–$537.59	42% below	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$174.97	$564.40	$160.85–$537.59	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$171.12	$552.00	$157.32–$608.64	40% below	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$171.12	$552.00	$157.32–$525.78	—	69%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$241.16	$777.92	$221.71–$932.51	—	69%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$241.16	$777.92	$221.71–$740.97	—	69%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK ARM LEG	$270.17	$871.50	$248.38–$1,071.83	11% below	69%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK ARM LEG	$270.17	$871.50	$248.38–$830.10	—	69%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIGN <0.5 CM FACE FACIAL	$270.17	$871.50	$248.38–$1,071.83	19% below	69%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIGN <0.5 CM FACE FACIAL	$270.17	$871.50	$248.38–$830.10	—	69%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$118.27	$381.50	$108.73–$363.38	52% below	69%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$118.27	$381.50	$108.73–$363.38	—	69%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$562.27	$1,813.75	$516.92–$1,727.60	50% below	69%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$562.27	$1,813.75	$516.92–$1,727.60	50% below	69%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$562.27	$1,813.75	$516.92–$1,727.60	—	69%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$562.27	$1,813.75	$516.92–$1,727.60	—	69%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL & MATRIX	$235.56	$759.84	$216.55–$723.75	48% below	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL & MATRIX	$235.56	$759.84	$216.55–$723.75	—	69%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$148.18	$478.00	$136.23–$608.64	50% below	69%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$148.18	$478.00	$136.23–$455.30	—	69%
Short arm cast (elbow to hand) CPT 29075 HC SHORT ARM CAST APPLIC	$166.58	$537.35	$153.14–$511.83	4% above	69%
Short arm cast (elbow to hand) inpatient CPT 29075 HC SHORT ARM CAST APPLIC	$166.58	$537.35	$153.14–$511.83	—	69%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM	$125.38	$404.45	$109.49–$385.24	28% below	69%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM	$125.38	$404.45	$115.27–$385.24	—	69%
Short leg cast (below the knee) CPT 29405 HC SHORT LEG CAST APPLIC	$166.58	$537.35	$153.14–$511.83	9% below	69%
Short leg cast (below the knee) inpatient CPT 29405 HC SHORT LEG CAST APPLIC	$166.58	$537.35	$153.14–$511.83	—	69%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG	$97.74	$315.28	$89.85–$300.30	48% below	69%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG	$97.74	$315.28	$89.85–$300.30	—	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$118.27	$381.50	$108.73–$363.38	56% below	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$118.27	$381.50	$108.73–$363.38	—	69%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$195.30	$630.00	$179.55–$608.64	17% below	69%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$195.30	$630.00	$179.55–$600.08	—	69%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$76.88	$247.98	$70.67–$302.70	45% below	69%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$76.88	$247.98	$70.67–$236.20	—	69%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$428.95	$1,383.69	$394.35–$1,317.96	43% below	69%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$428.95	$1,383.69	$394.35–$1,317.96	—	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$118.27	$381.50	$108.73–$363.38	58% below	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$118.27	$381.50	$108.73–$363.38	—	69%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$118.27	$381.50	$108.73–$363.38	57% below	69%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$118.27	$381.50	$108.73–$363.38	—	69%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LESION	$118.27	$381.50	$108.73–$363.38	42% below	69%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LESION	$118.27	$381.50	$108.73–$363.38	—	69%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGE GUIDANCE	$978.22	$3,155.54	$525.15–$3,005.65	17% below	69%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMAGE GUIDANCE	$978.22	$3,155.54	$899.33–$3,005.65	—	69%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJX TRIGGER POINT 1/2 MUSCL	$113.73	$366.86	$104.56–$463.31	79% below	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJX TRIGGER POINT 1/2 MUSCL	$113.73	$366.86	$104.56–$349.43	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,301.29	$4,197.69	$1,196.34–$3,998.30	36% below	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,301.29	$4,197.69	$1,196.34–$3,998.30	—	69%
Vein ablation, radiofrequency, first vein CPT 36475 HC ABLATION RF SAPH FEM 1ST VEIN	$1,223.92	$3,948.11	$1,125.21–$4,940.13	62% below	69%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ABLATION RF SAPH FEM 1ST VEIN	$1,223.92	$3,948.11	$1,125.21–$3,760.57	—	69%
Wart removal, up to 14 warts CPT 17110 HC LESION DESTRUCTION UP TO 14	$96.10	$310.00	$88.35–$302.70	15% below	69%
Wart removal, up to 14 warts inpatient CPT 17110 HC LESION DESTRUCTION UP TO 14	$96.10	$310.00	$88.35–$295.28	—	69%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM	$152.21	$491.00	$139.94–$608.64	68% below	69%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM	$152.21	$491.00	$139.94–$467.68	—	69%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$356.86	$1,151.14	$328.07–$1,096.46	40% below	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$356.86	$1,151.14	$328.07–$1,096.46	—	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$132.06	$426.00	$121.41–$405.77	8% below	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$132.06	$426.00	$121.41–$405.77	8% below	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$132.06	$426.00	$121.41–$405.77	—	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$132.06	$426.00	$121.41–$405.77	—	69%
Chemotherapy IV infusion, first hour CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$374.79	$1,209.00	$281.74–$1,151.57	23% below	69%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$374.79	$1,209.00	$344.57–$1,151.57	—	69%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING TEST	$92.07	$297.00	$84.65–$282.89	25% above	69%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE HEARING TEST	$92.07	$297.00	$84.65–$282.89	—	69%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$794.45	$2,562.71	$700.00–$2,440.98	54% below	69%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$794.45	$2,562.71	$730.37–$2,440.98	—	69%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY	$296.67	$957.00	$264.50–$911.54	51% below	69%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY	$296.67	$957.00	$272.75–$911.54	—	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$61.88	$199.61	$50.45–$190.13	64% below	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$61.88	$199.61	$56.89–$190.13	—	69%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT 99281	$72.23	$233.00	$66.41–$700.00	51% below	69%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT 99281	$72.23	$233.00	$66.41–$221.93	—	69%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT 99282	$127.62	$411.66	$117.32–$700.00	54% below	69%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT 99282	$127.62	$411.66	$117.32–$392.11	—	69%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT 99283	$208.31	$671.95	$191.51–$700.00	47% below	69%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT 99283	$208.31	$671.95	$191.51–$640.03	—	69%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT 99284	$383.29	$1,236.39	$352.37–$1,177.66	58% below	69%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT 99284	$383.29	$1,236.39	$352.37–$1,177.66	—	69%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT 99285	$570.51	$1,840.33	$520.77–$1,752.91	51% below	69%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT 99285	$570.51	$1,840.33	$524.49–$1,752.91	—	69%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$372.13	$1,200.41	$264.50–$1,143.39	52% below	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$372.13	$1,200.41	$342.12–$1,143.39	—	69%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$223.65	$721.43	$178.96–$687.16	21% below	69%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$223.65	$721.43	$205.61–$687.16	—	69%
IV infusion of a medicine, first hour CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$215.47	$695.06	$178.96–$662.04	33% below	69%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$215.47	$695.06	$198.09–$662.04	—	69%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$54.82	$176.82	$50.39–$168.42	38% below	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$54.82	$176.82	$50.39–$168.42	—	69%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NCS 7 OR 8 STUDIES	$120.53	$388.78	$110.80–$488.76	77% below	69%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NCS 7 OR 8 STUDIES	$120.53	$388.78	$110.80–$370.31	—	69%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$41.83	$134.91	$27.68–$128.50	50% below	69%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$41.83	$134.91	$27.68–$128.50	50% below	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$41.83	$134.91	$38.45–$128.50	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$41.83	$134.91	$38.45–$128.50	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$29.76	$96.00	$27.36–$91.44	4% above	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$29.76	$96.00	$27.36–$91.44	—	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 75 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 105 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 120 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 90 MIN LOW COMPLEX	$148.22	$478.10	$86.85–$455.39	16% below	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 75 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 120 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 105 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 90 MIN LOW COMPLEX	$148.22	$478.10	$136.26–$455.39	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 90 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 120 MIN HIGH COMPLX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 75 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 105 MIN HIGH COMPLX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$139.49	$449.95	$84.76–$428.58	32% below	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 75 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 120 MIN HIGH COMPLX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 105 MIN HIGH COMPLX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 90 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$139.49	$449.95	$128.24–$428.58	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 120 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 90 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 105 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 75 MIN LOW COMPLX	$120.64	$389.15	$84.76–$370.67	31% below	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 90 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 75 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 105 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 120 MIN LOW COMPLX	$120.64	$389.15	$110.91–$370.67	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 120 MIN MOD COMPLX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 105 MIN MOD COMPLX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 75 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 90 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$130.07	$419.57	$84.76–$399.64	33% below	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 75 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 90 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 105 MIN MOD COMPLX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 120 MIN MOD COMPLX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$130.07	$419.57	$119.58–$399.64	—	69%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$58.90	$190.00	$23.51–$180.98	24% below	69%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY 15 MIN	$58.90	$190.00	$23.51–$180.98	24% below	69%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY 15 MIN	$58.90	$190.00	$54.15–$180.98	—	69%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$58.90	$190.00	$54.15–$180.98	—	69%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$49.60	$160.00	$24.89–$152.40	45% below	69%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$49.60	$160.00	$24.89–$152.40	45% below	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$49.60	$160.00	$45.60–$152.40	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$49.60	$160.00	$45.60–$152.40	—	69%
Preventive checkup, new patient aged 18–39 CPT 99385 HC WELL EXAM NEW AGE 18-39	$69.44	$224.00	$50.00–$213.36	40% below	69%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC WELL EXAM NEW AGE 18-39	$69.44	$224.00	$63.84–$213.36	—	69%
Preventive checkup, new patient aged 40–64 CPT 99386 HC WELL EXAM NEW AGE 40-64	$74.09	$239.00	$50.00–$227.65	47% below	69%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC WELL EXAM NEW AGE 40-64	$74.09	$239.00	$68.12–$227.65	—	69%
Preventive checkup, new patient aged 65 or older CPT 99387 HC WELL EXAM NEW AGE > 65	$78.74	$254.00	$50.00–$245.14	44% below	69%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC WELL EXAM NEW AGE > 65	$78.74	$254.00	$72.39–$241.94	—	69%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC WELL EXAM EST AGE 18-39	$62.00	$200.00	$57.00–$190.50	48% below	69%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC WELL EXAM EST AGE 18-39	$62.00	$200.00	$57.00–$190.50	—	69%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC WELL EXAM EST AGE 40-64	$66.65	$215.00	$61.28–$204.79	45% below	69%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC WELL EXAM EST AGE 40-64	$66.65	$215.00	$61.28–$204.79	—	69%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC WELL EXAM EST AGE > 65	$71.30	$230.00	$65.55–$219.08	46% below	69%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC WELL EXAM EST AGE > 65	$71.30	$230.00	$65.55–$219.08	—	69%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN	$17.98	$57.98	$16.52–$55.23	44% below	69%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN	$17.98	$57.98	$16.52–$55.23	—	69%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$237.75	$766.91	$194.50–$730.48	25% below	69%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$237.75	$766.91	$194.50–$730.48	25% below	69%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$237.75	$766.91	$194.50–$730.48	25% below	69%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$237.75	$766.91	$194.50–$730.48	25% below	69%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$237.75	$766.91	$194.50–$730.48	25% below	69%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$237.75	$766.91	$218.57–$730.48	—	69%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$237.75	$766.91	$218.57–$730.48	—	69%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$237.75	$766.91	$218.57–$730.48	—	69%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$237.75	$766.91	$218.57–$730.48	—	69%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$237.75	$766.91	$218.57–$730.48	—	69%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$104.20	$336.11	$65.34–$320.14	39% below	69%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$104.20	$336.11	$65.34–$320.14	39% below	69%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$104.20	$336.11	$65.34–$320.14	39% below	69%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$104.20	$336.11	$65.34–$320.14	39% below	69%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$104.20	$336.11	$95.79–$320.14	—	69%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$104.20	$336.11	$95.79–$320.14	—	69%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$104.20	$336.11	$95.79–$320.14	—	69%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$104.20	$336.11	$95.79–$320.14	—	69%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$268.15	$865.00	$132.90–$823.91	8% above	69%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$268.15	$865.00	$246.53–$823.91	—	69%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$169.44	$546.57	$155.77–$520.61	61% below	69%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$169.44	$546.57	$155.77–$520.61	—	69%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$49.60	$160.00	$29.55–$152.40	35% below	69%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$49.60	$160.00	$29.55–$152.40	35% below	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$49.60	$160.00	$45.60–$152.40	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$49.60	$160.00	$45.60–$152.40	—	69%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$101.33	$326.86	$93.16–$311.33	35% below	69%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$101.33	$326.86	$93.16–$311.33	—	69%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$19.35	$62.40	$17.78–$166.87	64% below	69%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$19.35	$62.40	$17.78–$59.44	—	69%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$699.05	$2,255.00	$186.56–$2,147.89	170% above	69%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$699.05	$2,255.00	$642.68–$2,147.89	—	69%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLU VACCINE NO PRES	$11.16	$36.00	$10.26–$39.47	67% below	69%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$17.67	$57.00	$16.25–$54.29	47% below	69%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLU VACCINE NO PRES	$11.16	$36.00	$10.26–$34.29	—	69%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$18.91	$61.00	$17.39–$58.10	—	69%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HUMAN PAPILLOMA VIRUS NONAVALENT HPV 3 DOSE IM	$158.10	$510.00	$145.35–$485.78	64% below	69%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$1,197.84	$3,864.00	$307.82–$3,680.46	169% above	69%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HUMAN PAPILLOMA VIRUS NONAVALENT HPV 3 DOSE IM	$158.10	$510.00	$145.35–$485.78	—	69%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$1,197.84	$3,864.00	$1,101.24–$3,680.46	—	69%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEP B VACCINE ADULT 3 DOSE SCHEDULE	$40.92	$132.00	$37.62–$125.73	77% below	69%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$262.57	$847.00	$64.75–$806.77	50% above	69%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEP B VACCINE ADULT 3 DOSE SCHEDULE	$40.92	$132.00	$37.62–$125.73	—	69%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$262.57	$847.00	$241.40–$806.77	—	69%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC VACCINE INFLUENZA HIGH DOSE 65+	$34.34	$110.76	$31.57–$166.87	74% below	69%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC VACCINE INFLUENZA HIGH DOSE 65+	$34.34	$110.76	$31.57–$105.50	—	69%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$164.61	$531.00	$102.14–$505.78	15% below	69%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$164.61	$531.00	$151.34–$505.78	—	69%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL VACC IM	$89.90	$290.00	$82.65–$276.23	55% below	69%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$606.67	$1,957.00	$168.39–$1,864.04	201% above	69%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL VACC IM	$89.90	$290.00	$82.65–$276.23	—	69%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$606.67	$1,957.00	$557.75–$1,864.04	—	69%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$863.04	$2,784.00	$239.51–$2,651.76	3% below	69%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$863.04	$2,784.00	$793.44–$2,651.76	—	69%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$999.44	$3,224.00	$287.87–$3,070.86	27% above	69%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,030.75	$3,325.00	$947.63–$3,167.06	—	69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$426.56	$1,376.00	$122.79–$1,310.64	47% above	69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$426.56	$1,376.00	$392.16–$1,310.64	—	69%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$2,024.92	$6,532.00	$530.15–$6,221.73	31% above	69%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$2,024.92	$6,532.00	$1,861.62–$6,221.73	—	69%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$186.56	$601.80	$171.51–$573.21	37% below	69%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR	$1,117.24	$3,604.00	$315.95–$3,432.81	276% above	69%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$186.56	$601.80	$171.51–$573.21	—	69%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR	$1,117.24	$3,604.00	$1,027.14–$3,432.81	—	69%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$1,115.38	$3,598.00	$299.88–$3,427.10	210% above	69%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$1,115.38	$3,598.00	$1,025.43–$3,427.10	—	69%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$732.22	$2,362.00	$288.58–$2,249.81	1% above	69%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$732.22	$2,362.00	$673.17–$2,249.81	—	69%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$784.61	$2,531.00	$211.94–$2,410.78	120% above	69%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$784.61	$2,531.00	$721.34–$2,410.78	—	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACC NO PRSRV >/= 7 IM	$22.94	$74.00	$19.77–$70.49	65% below	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$70.99	$229.00	$19.77–$218.12	7% above	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACC NO PRSRV >/= 7 IM	$22.94	$74.00	$21.09–$70.49	—	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$70.99	$229.00	$65.27–$218.12	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE = > 7 IM	$30.38	$98.00	$27.93–$93.35	69% below	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$82.46	$266.00	$41.04–$253.37	15% below	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$176.39	$569.00	$41.04–$541.97	81% above	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$176.39	$569.00	$41.04–$541.97	81% above	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE = > 7 IM	$30.38	$98.00	$27.93–$93.35	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$82.46	$266.00	$75.81–$253.37	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$176.39	$569.00	$162.17–$541.97	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$176.39	$569.00	$162.17–$541.97	—	69%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE	$41.54	$134.00	$38.19–$127.64	41% below	69%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE	$41.54	$134.00	$38.19–$127.64	—	69%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL	$10.54	$34.00	$9.69–$32.39	74% below	69%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL	$10.54	$34.00	$9.69–$32.39	—	69%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/100109/610482973_jennie-stuart-medical-center_standardcharges.csv