PAM Specialty Hospital of Rocky Mount
PAM Specialty Hospital of Rocky Mount in Rocky Mount, NC publishes cash prices for 247 common procedures listed here, from its own machine-readable price file updated Aug 6, 2026. Select a procedure to compare it with other hospitals nearby.
1051 Noell Lane, Rocky Mount, NC 27804 Collected Sep 29, 2026 Source price file Check a bill from this hospital
The price file shows no self-pay discount
For 300 of the 300 prices listed here, the cash price in PAM Specialty Hospital of Rocky Mount's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/O & W/Contrast | $7,128.55 | $7,128.55 | $4,989.99–$6,772.12 | — |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 RAD Ankle 3 Views Bilat | $983.67 | $983.67 | $688.57–$934.49 | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RAD Ankle 3 Views Lt | $952.57 | $952.57 | $666.80–$904.94 | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RAD Ankle 3 Views Rt | $952.57 | $952.57 | $666.80–$904.94 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extrm Art Stdies 1-2lvls | $482.03 | $482.03 | $337.42–$457.93 | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremities w/o dye | $4,142.05 | $4,142.05 | $2,899.44–$3,934.95 | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrm W/O Dye Lt | $8,200.44 | $8,200.44 | $5,740.31–$7,790.42 | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrm W/O Dye Rt | $8,200.44 | $8,200.44 | $5,740.31–$7,790.42 | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US Ultrasound Breast Complete | $511.47 | $511.47 | $358.03–$485.90 | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd&pelv W/O&w/Contra | $6,691.29 | $6,691.29 | $4,683.90–$6,356.73 | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Spiral Angiography Head | $3,671.00 | $3,671.00 | $2,569.70–$3,487.45 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest w/Contras | $5,498.28 | $5,498.28 | $3,848.80–$5,223.37 | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis W/O Contrast | $7,459.56 | $7,459.56 | $5,221.69–$7,086.58 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis w/Contrast | $6,526.44 | $6,526.44 | $4,568.51–$6,200.12 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelv 1/> Regns w/wo c | $2,552.04 | $2,552.04 | $1,786.43–$2,424.44 | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast | $4,244.40 | $4,244.40 | $2,971.08–$4,032.18 | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $3,851.28 | $3,851.28 | $2,695.90–$3,658.72 | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o contrast | $4,142.05 | $4,142.05 | $2,899.44–$3,934.95 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Dye | $4,244.40 | $4,244.40 | $2,971.08–$4,032.18 | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast | $4,301.51 | $4,301.51 | $3,011.06–$4,086.43 | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O & W/Dye | $4,266.00 | $4,266.00 | $2,986.20–$4,052.70 | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Dye | $4,376.16 | $4,376.16 | $3,063.31–$4,157.35 | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-Spine W/O Dye | $3,166.56 | $3,166.56 | $2,216.59–$3,008.23 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Dye | $4,058.64 | $4,058.64 | $2,841.05–$3,855.71 | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Scan/Carotid | $1,753.50 | $1,753.50 | $1,227.45–$1,665.83 | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest W/O & W/Dye | $7,128.55 | $7,128.55 | $4,989.99–$6,772.12 | — |
| Chest X-ray, 2 views inpatient CPT 71046 RAD Chest 2 Views | $380.00 | $380.00 | $266.00–$361.00 | — |
| Chest X-ray, single view inpatient CPT 71045 RAD Chest 1 View | $656.54 | $656.54 | $459.58–$623.71 | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 RAD Clavicle Comp Bilat | $380.00 | $380.00 | $266.00–$361.00 | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD Clavicle 2 Views | $398.72 | $398.72 | $279.10–$378.78 | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD Clavicle Comp R | $797.04 | $797.04 | $557.93–$757.19 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Exam Abdo Back Wall Comp | $1,196.22 | $1,196.22 | $837.35–$1,136.41 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal Ultrasound Complete | $1,415.51 | $1,415.51 | $990.86–$1,344.73 | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Axial | $501.26 | $501.26 | $350.88–$476.20 | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Dye | $3,154.68 | $3,154.68 | $2,208.28–$2,996.95 | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/ Dye | $3,655.80 | $3,655.80 | $2,559.06–$3,473.01 | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Duplex LRXTR Vein Bi/LTD | $481.85 | $481.85 | $337.30–$457.76 | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Doppler Upper Extrem bilat | $2,360.03 | $2,360.03 | $1,652.02–$2,242.03 | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic 2d | $3,778.52 | $3,778.52 | $2,644.96–$3,589.59 | — |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 RAD Elbow 2 Vw Bilat | $711.72 | $711.72 | $498.20–$676.13 | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 RAD Elbow 2 Views Lt | $711.72 | $711.72 | $498.20–$676.13 | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 RAD Elbow 2 Views Rt | $854.06 | $854.06 | $597.84–$811.36 | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 RAD Elbow 3 Views Lt | $441.00 | $441.00 | $308.70–$418.95 | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 RAD Facial Bones 3 Views | $482.40 | $482.40 | $337.68–$458.28 | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RAD Forearm 2 Views Rt | $412.10 | $412.10 | $288.47–$391.50 | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RAD Forearm 2 Views Lt | $412.10 | $412.10 | $288.47–$391.50 | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 RAD Hand 2+ Views Lt | $389.70 | $389.70 | $272.79–$370.22 | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 RAD Hand 2+ Views Rt | $389.70 | $389.70 | $272.79–$370.22 | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 RAD Knee 3 Views Lt | $398.68 | $398.68 | $279.08–$378.75 | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Lo Extrm Wo Cont Bilat | $2,164.32 | $2,164.32 | $1,515.02–$2,056.10 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $1,137.05 | $1,137.05 | $795.94–$1,080.20 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Exam Abdomen Limited | $1,660.19 | $1,660.19 | $1,162.13–$1,577.18 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Xtr Non Vasc Lmtd | $920.16 | $920.16 | $644.11–$874.15 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extrem LimitED Lt | $920.16 | $920.16 | $644.11–$874.15 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extrem LimitED Rt | $920.16 | $920.16 | $644.11–$874.15 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RAD Tib Fib Ap&lat | $722.52 | $722.52 | $505.76–$686.39 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RAD Tibia/Fibula 2 Vw Bil | $722.52 | $722.52 | $505.76–$686.39 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RAD Tibia/Fibula Lt | $236.40 | $236.40 | $165.48–$224.58 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RAD Tibia/Fibula Rt | $722.52 | $722.52 | $505.76–$686.39 | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Angiography Head w/o Contr | $3,785.04 | $3,785.04 | $2,649.53–$3,595.79 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extr W/O&w/Dye R | $1,746.94 | $1,746.94 | $1,222.86–$1,659.59 | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Dye | $7,324.00 | $7,324.00 | $5,126.80–$6,957.80 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Stem W/O & W/Dye | $14,049.72 | $14,049.72 | $9,834.80–$13,347.23 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Spine W/O Dye | $3,174.12 | $3,174.12 | $2,221.88–$3,015.41 | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine W/O & W/Dye | $3,911.76 | $3,911.76 | $2,738.23–$3,716.17 | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine W/O Dye | $2,897.64 | $2,897.64 | $2,028.35–$2,752.76 | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Neck Spine W/O & W/Dye | $11,377.15 | $11,377.15 | $7,964.01–$10,808.29 | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Dye | $5,180.76 | $5,180.76 | $3,626.53–$4,921.72 | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tiss W/ | $2,058.48 | $2,058.48 | $1,440.94–$1,955.56 | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O Dye | $3,162.24 | $3,162.24 | $2,213.57–$3,004.13 | — |
| Neck soft tissue X-ray inpatient CPT 70360 RAD Neck Soft Tissue | $242.75 | $242.75 | $169.93–$230.61 | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Tumor Image Pet/CT Skul-T | $14,848.00 | $14,848.00 | $10,393.60–$14,105.60 | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Dye | $4,093.20 | $4,093.20 | $2,865.24–$3,888.54 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam Pelvic Limited | $1,287.36 | $1,287.36 | $901.15–$1,222.99 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam Pelvic Complete | $1,313.45 | $1,313.45 | $919.42–$1,247.78 | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RAD Ribs Unilat 2 Vws Rt | $983.67 | $983.67 | $688.57–$934.49 | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 RAD Shoulder bilat comp 2vw | $694.44 | $694.44 | $486.11–$659.72 | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD Shoulder Complete | $983.67 | $983.67 | $688.57–$934.49 | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RAD Shoulder 2 Views Lt | $694.44 | $694.44 | $486.11–$659.72 | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RAD Shoulder 2 Views Rt | $833.33 | $833.33 | $583.33–$791.66 | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 RAD Sinuses Paranasal | $380.00 | $380.00 | $266.00–$361.00 | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 RAD Exam of Skull <4 views | $797.00 | $797.00 | $557.90–$757.15 | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RAD Cine/Vid Throat/Esoph MBSS | $854.45 | $854.45 | $598.12–$811.73 | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD Exam Femur 2 View Bil | $920.16 | $920.16 | $644.11–$874.15 | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD Femur Ap&lat | $920.16 | $920.16 | $644.11–$874.15 | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 RAD Exam Femur 2 View Lt | $920.16 | $920.16 | $644.11–$874.15 | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 RAD Exam Femur 2 View Rt | $920.16 | $920.16 | $644.11–$874.15 | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine W/O Dye | $4,376.16 | $4,376.16 | $3,063.31–$4,157.35 | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 RAD Toes 2+ Views | $398.68 | $398.68 | $279.08–$378.75 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Exam Abdom Complete | $1,423.02 | $1,423.02 | $996.11–$1,351.87 | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Exam Scrotum | $996.84 | $996.84 | $697.79–$947.00 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Exam of Head and Neck | $1,814.41 | $1,814.41 | $1,270.09–$1,723.69 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay W/O Kub | $823.85 | $823.85 | $576.70–$782.66 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay Single Cont | $2,136.45 | $2,136.45 | $1,495.52–$2,029.63 | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RAD HumerUS 2+ Views Lt | $429.65 | $429.65 | $300.76–$408.17 | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RAD HumerUS 2+ Views Rt | $780.19 | $780.19 | $546.13–$741.18 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplx Scan Ext Veins Unil | $857.95 | $857.95 | $600.57–$815.05 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd RT | $1,923.48 | $1,923.48 | $1,346.44–$1,827.31 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd Lt | $2,308.19 | $2,308.19 | $1,615.73–$2,192.78 | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 RAD Wrist 2 Views Rt | $780.19 | $780.19 | $546.13–$741.18 | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 RAD Wrist 2 Views Lt | $780.19 | $780.19 | $546.13–$741.18 | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 RAD Wrist Comp 3>vw Bilat | $722.52 | $722.52 | $505.76–$686.39 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RAD Wrist 3+ Views Lt | $474.35 | $474.35 | $332.05–$450.63 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RAD Wrist 3+ Views Rt | $722.52 | $722.52 | $505.76–$686.39 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Rt | $819.72 | $819.72 | $573.80–$778.73 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Lt | $819.72 | $819.72 | $573.80–$778.73 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD Abdomen 1 Vw | $738.00 | $738.00 | $516.60–$701.10 | — |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 RAD Ankle 2 Views Bilat | $819.72 | $819.72 | $573.80–$778.73 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Rt | $753.84 | $753.84 | $527.69–$716.15 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Lt | $904.61 | $904.61 | $633.23–$859.38 | — |
| X-ray of the foot, 2 views inpatient CPT 73620 RAD Foot 2 Views Bilater | $983.67 | $983.67 | $688.57–$934.49 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Lt | $195.48 | $195.48 | $136.84–$185.71 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Rt | $398.68 | $398.68 | $279.08–$378.75 | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RAD Foot 3 Views Lt | $856.44 | $856.44 | $599.51–$813.62 | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RAD Foot 3 Views Rt | $1,027.74 | $1,027.74 | $719.42–$976.35 | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 RAD Hand 3>vw Bilat | $797.04 | $797.04 | $557.93–$757.19 | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 RAD Hand 3 Views Lt | $797.04 | $797.04 | $557.93–$757.19 | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 RAD Knee 1-2 Views Bilat | $234.58 | $234.58 | $164.21–$222.85 | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD Knee/Patella 2 View | $650.16 | $650.16 | $455.11–$617.65 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Rt | $650.16 | $650.16 | $455.11–$617.65 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Lt | $650.16 | $650.16 | $455.11–$617.65 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD Exam L-S Spine 2/3 Vws | $800.93 | $800.93 | $560.65–$760.88 | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD Exam Thorac Spine 2vws | $722.52 | $722.52 | $505.76–$686.39 | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD Exam Neck Spine 2-3 Vw | $575.42 | $575.42 | $402.79–$546.65 | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD Exam of Pelvis | $1,083.47 | $1,083.47 | $758.43–$1,029.30 | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RAD Exam Sacrum Tailbone | $828.36 | $828.36 | $579.85–$786.94 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ACTH blood test inpatient CPT 82024 ACTH Adrenocorticotropic Hor | $526.55 | $526.55 | $368.59–$500.22 | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (ALT) (SGPT) | $82.08 | $82.08 | $57.46–$77.98 | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (AST) (SGOT) | $91.80 | $91.80 | $64.26–$87.21 | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $439.35 | $439.35 | $307.55–$417.38 | — |
| Albumin blood test inpatient CPT 82040 Serum Albumin | $101.09 | $101.09 | $70.76–$96.04 | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $1,192.33 | $1,192.33 | $834.63–$1,132.71 | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $75.80 | $75.80 | $53.06–$72.01 | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum | $477.36 | $477.36 | $334.15–$453.49 | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $571.96 | $571.96 | $400.37–$543.36 | — |
| Amylase blood test inpatient CPT 82150 Amylase | $159.41 | $159.41 | $111.59–$151.44 | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody | $200.00 | $200.00 | $140.00–$190.00 | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Antinuclear Antibodies | $772.43 | $772.43 | $540.70–$733.81 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP | $265.20 | $265.20 | $185.64–$251.94 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B type BNP | $661.92 | $661.92 | $463.34–$628.82 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture | $86.20 | $86.20 | $60.34–$81.89 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture | $86.20 | $86.20 | $60.34–$81.89 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Pericardial Fluid Culture | $342.27 | $342.27 | $239.59–$325.16 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Pleural Fluid Culture | $342.37 | $342.37 | $239.66–$325.25 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Vitreous/Aqueous Fluid Cult | $343.27 | $343.27 | $240.29–$326.11 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ascitic/Peritoneal Culture | $343.27 | $343.27 | $240.29–$326.11 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic culture | $343.27 | $343.27 | $240.29–$326.11 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Joint Fluid Culture | $343.27 | $343.27 | $240.29–$326.11 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Culture | $343.27 | $343.27 | $240.29–$326.11 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP with Total Calcium | $133.06 | $133.06 | $93.14–$126.41 | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $70.85 | $70.85 | $49.60–$67.31 | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Tissue Exam By Path | $1,671.86 | $1,671.86 | $1,170.30–$1,588.27 | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria | $309.46 | $309.46 | $216.62–$293.99 | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood Quant | $110.16 | $110.16 | $77.11–$104.65 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin BHCG | $145.10 | $145.10 | $101.57–$137.85 | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic ABO | $56.98 | $56.98 | $39.89–$54.13 | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen | $109.09 | $109.09 | $76.36–$103.64 | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $322.70 | $322.70 | $225.89–$306.57 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-Reactive Protein | $343.06 | $343.06 | $240.14–$325.91 | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium AmpProbe Cdiff | $504.15 | $504.15 | $352.91–$478.94 | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 ImmunoTumor CA 19-9 | $345.60 | $345.60 | $241.92–$328.32 | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 ImmunoTumor CA 125 | $392.05 | $392.05 | $274.44–$372.45 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-Cov-2 Cov10-19 | $188.80 | $188.80 | $132.16–$179.36 | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $90.72 | $90.72 | $63.50–$86.18 | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (CEA) | $375.84 | $375.84 | $263.09–$357.05 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach DNA Amp Probe | $407.16 | $407.16 | $285.01–$386.80 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $239.76 | $239.76 | $167.83–$227.77 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete CBC W/Auto Diff | $147.79 | $147.79 | $103.45–$140.40 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o differential | $140.31 | $140.31 | $98.22–$133.29 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel CMP | $122.33 | $122.33 | $85.63–$116.21 | — |
| Cortisol blood test, total inpatient CPT 82533 Total Cortisol | $867.03 | $867.03 | $606.92–$823.68 | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) Creatine Kinase | $121.82 | $121.82 | $85.27–$115.73 | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $73.87 | $73.87 | $51.71–$70.18 | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Antibody | $842.41 | $842.41 | $589.69–$800.29 | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP -D-dimer Quantitative | $222.91 | $222.91 | $156.04–$211.76 | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone-Sulphat | $467.00 | $467.00 | $326.90–$443.65 | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Profile, Urine | $1,117.00 | $1,117.00 | $781.90–$1,061.15 | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $145.15 | $145.15 | $101.61–$137.89 | — |
| Estradiol blood test inpatient CPT 82670 Estradiol | $279.40 | $279.40 | $195.58–$265.43 | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin (Fsh) | $314.28 | $314.28 | $220.00–$298.57 | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $434.51 | $434.51 | $304.16–$412.78 | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $303.26 | $303.26 | $212.28–$288.10 | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Folic Acid Serum | $147.00 | $147.00 | $102.90–$139.65 | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free (FT-3) | $536.55 | $536.55 | $375.59–$509.72 | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine (T4) | $195.70 | $195.70 | $136.99–$185.92 | — |
| Free testosterone test inpatient CPT 84402 Free Testosterone | $786.24 | $786.24 | $550.37–$746.93 | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $119.23 | $119.23 | $83.46–$113.27 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Test | $71.82 | $71.82 | $50.27–$68.23 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae DNA Amp Prob | $45.36 | $45.36 | $31.75–$43.09 | — |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool IA | $358.40 | $358.40 | $250.88–$340.48 | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Quant&Revrse Trnscrpj | $311.65 | $311.65 | $218.16–$296.07 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 Ab | $363.96 | $363.96 | $254.77–$345.76 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated HGBA1C | $587.10 | $587.10 | $410.97–$557.75 | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $200.65 | $200.65 | $140.46–$190.62 | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody Total | $435.20 | $435.20 | $304.64–$413.44 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody | $327.89 | $327.89 | $229.52–$311.50 | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface AG IA | $438.60 | $438.60 | $307.02–$416.67 | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C AB Test | $731.16 | $731.16 | $511.81–$694.60 | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj | $489.24 | $489.24 | $342.47–$464.78 | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine | $584.50 | $584.50 | $409.15–$555.28 | — |
| Insulin blood test inpatient CPT 83525 Insulin | $226.80 | $226.80 | $158.76–$215.46 | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $142.26 | $142.26 | $99.58–$135.15 | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC Iron Binding Capacity | $117.90 | $117.90 | $82.53–$112.01 | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $145.12 | $145.12 | $101.58–$137.86 | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin (Lh) | $307.80 | $307.80 | $215.46–$292.41 | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $257.28 | $257.28 | $180.10–$244.42 | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (LD) (LDH) Enzyme | $110.16 | $110.16 | $77.11–$104.65 | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $461.39 | $461.39 | $322.97–$438.32 | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $286.42 | $286.42 | $200.49–$272.10 | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody | $965.53 | $965.53 | $675.87–$917.25 | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $182.57 | $182.57 | $127.80–$173.44 | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Antibody Rubeola | $128.80 | $128.80 | $90.16–$122.36 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free | $146.45 | $146.45 | $102.52–$139.13 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total | $257.90 | $257.90 | $180.53–$245.01 | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (PTH) | $1,327.29 | $1,327.29 | $929.10–$1,260.93 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Thromboplastin Time Partia | $83.28 | $83.28 | $58.30–$79.12 | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $110.03 | $110.03 | $77.02–$104.53 | — |
| Potassium blood test inpatient CPT 84132 Serum Potassium | $108.80 | $108.80 | $76.16–$103.36 | — |
| Progesterone blood test inpatient CPT 84144 Progesterone | $208.60 | $208.60 | $146.02–$198.17 | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $290.30 | $290.30 | $203.21–$275.79 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time PT/INR | $83.26 | $83.26 | $58.28–$79.10 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs | $189.00 | $189.00 | $132.30–$179.55 | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay w/Optic Swab | $165.50 | $165.50 | $115.85–$157.23 | — |
| Renin blood test inpatient CPT 84244 Renin | $418.70 | $418.70 | $293.09–$397.77 | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh(D) | $920.67 | $920.67 | $644.47–$874.64 | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant | $775.02 | $775.02 | $542.51–$736.27 | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Antibody Rubella | $143.90 | $143.90 | $100.73–$136.71 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED Rate Automated (ESR) | $36.80 | $36.80 | $25.76–$34.96 | — |
| Sodium blood test inpatient CPT 84295 Serum Sodium | $132.19 | $132.19 | $92.53–$125.58 | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears | $222.48 | $222.48 | $155.74–$211.36 | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces | $120.70 | $120.70 | $84.49–$114.67 | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum FTA ABS | $193.50 | $193.50 | $135.45–$183.83 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test NonTrep Qual RPR | $87.90 | $87.90 | $61.53–$83.51 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test Cell - Quantiferon | $167.65 | $167.65 | $117.36–$159.27 | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Total Testosterone | $48.40 | $48.40 | $33.88–$45.98 | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody Each | $231.12 | $231.12 | $161.78–$219.56 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone | $379.73 | $379.73 | $265.81–$360.74 | — |
| Total IgE blood test inpatient CPT 82785 Gammaglobulin IgE | $188.65 | $188.65 | $132.06–$179.22 | — |
| Total cholesterol blood test inpatient CPT 82465 Bld/Serum Cholesterol | $110.16 | $110.16 | $77.11–$104.65 | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) | $138.70 | $138.70 | $97.09–$131.77 | — |
| Transferrin blood test inpatient CPT 84466 Transferrin | $246.24 | $246.24 | $172.37–$233.93 | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $132.09 | $132.09 | $92.46–$125.49 | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin Quant | $282.27 | $282.27 | $197.59–$268.16 | — |
| Uric acid blood test inpatient CPT 84550 Blood/Uric Acid | $110.16 | $110.16 | $77.11–$104.65 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope UA | $50.60 | $50.60 | $35.42–$48.07 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Body Fluid/Urine Specific Grav | $51.00 | $51.00 | $35.70–$48.45 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope UA | $34.29 | $34.29 | $24.00–$32.58 | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count | $343.34 | $343.34 | $240.34–$326.17 | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 | $379.73 | $379.73 | $265.81–$360.74 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $991.67 | $991.67 | $694.17–$942.09 | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy | $767.24 | $767.24 | $537.07–$728.88 | — |
| Zinc blood test inpatient CPT 84630 Zinc | $138.67 | $138.67 | $97.07–$131.74 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W/Lesion Removal | $4,759.56 | $4,759.56 | $3,331.69–$4,521.58 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and Biopsy | $2,706.48 | $2,706.48 | $1,894.54–$2,571.16 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy | $2,706.48 | $2,706.48 | $1,894.54–$2,571.16 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Terminated | $2,706.48 | $2,706.48 | $1,894.54–$2,571.16 | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove ImpactED Ear Wax Uni | $195.48 | $195.48 | $136.84–$185.71 | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy | $1,694.52 | $1,694.52 | $1,186.16–$1,609.79 | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of Hemorrhoid(S) | $1,736.64 | $1,736.64 | $1,215.65–$1,649.81 | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc Smpl/1 | $585.36 | $585.36 | $409.75–$556.09 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro, Asp, and/or Inj w/o US | $743.04 | $743.04 | $520.13–$705.89 | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate | $541.08 | $541.08 | $378.76–$514.03 | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Ins/Rplc Pacemkr; Atr+vnt | $38,895.12 | $38,895.12 | $27,226.58–$36,950.36 | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Img | $1,782.00 | $1,782.00 | $1,247.40–$1,692.90 | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail & Nail | $1,170.72 | $1,170.72 | $819.50–$1,112.18 | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 UE cast application | $935.28 | $935.28 | $654.70–$888.52 | — |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast | $759.24 | $759.24 | $531.47–$721.28 | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/Ax/Gen/Trnk 2.5cm/< | $307.80 | $307.80 | $215.46–$292.41 | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags | $843.64 | $843.64 | $590.55–$801.46 | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap Diagnostic | $1,300.32 | $1,300.32 | $910.22–$1,235.30 | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/Ax/Gen/Trnk2.6-7.5cm | $307.80 | $307.80 | $215.46–$292.41 | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl BX Skin Single Les | $541.08 | $541.08 | $378.76–$514.03 | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis asp w/Imaging | $982.80 | $982.80 | $687.96–$933.66 | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph EGD Dilation | $3,721.68 | $3,721.68 | $2,605.18–$3,535.60 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD Biopsy Single/Multi | $2,898.72 | $2,898.72 | $2,029.10–$2,753.78 | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr Gi Scope W/Submuc Inj | $2,462.40 | $2,462.40 | $1,723.68–$2,339.28 | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD Remove Lesion Snare | $3,721.68 | $3,721.68 | $2,605.18–$3,535.60 | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Guide Wire Insertion | $2,462.40 | $2,462.40 | $1,723.68–$2,339.28 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD Diagnostic Brush Wash | $2,462.40 | $2,462.40 | $1,723.68–$2,339.28 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tis <=20 Sq | $1,008.72 | $1,008.72 | $706.10–$958.28 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Fee | $925.35 | $925.35 | $647.75–$879.08 | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1hr | $1,101.60 | $1,101.60 | $771.12–$1,046.52 | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Init 30-74 Min | $4,466.63 | $4,466.63 | $3,126.64–$4,243.30 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O Interpre and Repo-(RT) | $181.31 | $181.31 | $126.92–$172.24 | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular re-ED 15 min | $220.32 | $220.32 | $154.22–$209.30 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval- High Complexity | $879.12 | $879.12 | $615.38–$835.16 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Low Complexity | $120.35 | $120.35 | $84.25–$114.33 | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval -Moderate Complexity | $423.50 | $423.50 | $296.45–$402.33 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 15 min | $238.68 | $238.68 | $167.08–$226.75 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ther procedure exercise 15 min | $220.32 | $220.32 | $154.22–$209.30 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic proc/exer 15 min | $220.32 | $220.32 | $154.22–$209.30 | — |
| Speech and language evaluation inpatient CPT 92523 Eval of speech/language comp | $628.56 | $628.56 | $439.99–$597.13 | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/auditory tx individual | $329.40 | $329.40 | $230.58–$312.93 | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT W/Graphical Records | $524.12 | $524.12 | $366.88–$497.91 | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ Pre/Post Brochodilator | $841.16 | $841.16 | $588.81–$799.10 | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 15 min | $336.09 | $336.09 | $235.26–$319.29 | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities 15 min | $392.59 | $392.59 | $274.81–$372.96 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC QUAD 2022-23 240MCG | $136.29 | $136.29 | $95.40–$129.48 | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13 .5 mL | $3,052.35 | $3,052.35 | $2,136.65–$2,899.73 | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 25 mcg | $1,653.59 | $1,653.59 | $1,157.51–$1,570.91 | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.