Hospital Hammond, LA

Lallie Kemp Regional Medical Center

Lallie Kemp Regional Medical Center in Independence, LA publishes cash prices for 411 common procedures listed here, from its own machine-readable price file updated Feb 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 249 of 410 procedures and below it for 152. By typical cash price it ranks #35 of 63 Louisiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

52579 Hwy 51 S,Independence,LA,70443 Collected Sep 22, 2026 Source price file Check a bill from this hospital (985) 878-1333

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 191321 · CMS hospital register NPI 1083661409

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Lallie Kemp Regional Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,046.08	$1,743.46	$275.91	6% above	40%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$198.92	$331.53	$18.67	14% above	40%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$86.05	$143.42	$16.92	24% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	27% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	27% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$231.16	$385.26	$98.17	41% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$240.40	$400.67	$98.17	46% above	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$685.27	$1,142.12	$161.09	9% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$658.91	$1,098.19	—	5% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$658.91	$1,098.19	—	5% above	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$200.52	$334.20	$38.57	6% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$684.72	$1,141.20	$138.91	25% above	40%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$219.48	$365.80	$61.33	31% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$211.04	$351.73	—	26% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$211.04	$351.73	—	26% above	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$219.48	$365.80	$47.01	31% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$211.04	$351.73	—	26% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$211.04	$351.73	—	26% above	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$442.67	$737.78	$409.04	50% below	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$460.37	$767.29	$409.04	48% below	40%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$1,100.92	$1,834.86	$346.30	67% above	40%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,144.95	$1,908.25	$346.30	73% above	40%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$1,077.95	$1,796.59	$346.30	63% above	40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$1,121.07	$1,868.45	$346.30	70% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$1,148.78	$1,914.64	$393.51	42% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,194.74	$1,991.23	$393.51	47% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$273.65	$456.08	$475.77	42% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$284.59	$474.32	$475.77	40% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$123.92	$206.53	$53.10	51% above	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$128.87	$214.79	$53.10	57% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$1,127.29	$1,878.81	$118.32	2% above	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,172.38	$1,953.96	$118.32	6% above	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$1,367.86	$2,279.77	$225.58	24% above	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,422.58	$2,370.96	$225.58	29% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$1,417.28	$2,362.13	$298.11	at median	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$1,473.97	$2,456.62	$298.11	4% above	40%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$832.12	$1,386.87	$222.93	at median	40%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$810.80	$1,351.33	$184.65	9% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$572.38	$953.96	$153.77	8% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$595.27	$992.12	$153.77	5% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$729.52	$1,215.86	$153.77	11% above	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$758.69	$1,264.49	$153.77	16% above	40%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$687.64	$1,146.07	$184.65	4% below	40%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$970.16	$1,616.93	$230.32	8% above	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,008.97	$1,681.61	$230.32	13% above	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$1,053.66	$1,756.10	$192.66	41% above	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,095.80	$1,826.34	$192.66	46% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$872.35	$1,453.92	$192.66	24% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$907.25	$1,512.08	$192.66	29% above	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$791.06	$1,318.44	$222.93	1% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$582.12	$970.20	$205.69	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$559.73	$932.88	$205.69	20% above	40%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$1,064.23	$1,773.72	$288.33	3% above	40%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$82.74	$137.90	$16.84	34% below	40%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$86.05	$143.42	$16.84	32% below	40%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$82.74	$137.90	$9.23	20% below	40%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$86.05	$143.42	$9.23	17% below	40%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$86.05	$143.42	$16.62	25% below	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$86.05	$143.42	—	25% below	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$86.05	$143.42	—	25% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$288.47	$480.78	$64.57	5% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$300.01	$500.01	$64.57	9% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$161.70	$269.50	$70.08	11% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$80.18	$133.64	$20.22	1% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$414.29	$690.49	$124.46	56% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$778.87	$1,298.11	$192.66	16% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$810.02	$1,350.03	$192.66	21% above	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$904.49	$1,507.48	$230.32	7% above	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$940.67	$1,567.78	$230.32	12% above	40%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$157.49	$262.48	$103.38	—	40%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$151.43	$252.38	$103.38	3% above	40%
Diagnostic mammogram, both breasts one side CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$157.49	$262.48	—	7% above	40%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$125.99	$209.99	$80.84	3% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$121.15	$201.91	—	1% below	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$121.15	$201.91	—	1% below	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$560.23	$933.72	$249.21	23% above	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$582.64	$971.07	$249.21	28% above	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$568.42	$947.37	$195.89	36% above	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$591.16	$985.26	$195.89	42% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$718.86	$1,198.10	$230.64	at median	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$747.61	$1,246.02	$230.64	4% above	40%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$75.61	$126.02	$16.62	33% below	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$75.61	$126.02	—	33% below	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$75.61	$126.02	—	33% below	40%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$86.05	$143.42	$18.91	34% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	37% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	37% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$693.08	$1,155.14	$153.77	14% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$720.81	$1,201.35	$153.77	19% above	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$86.05	$143.42	$25.70	42% below	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$86.05	$143.42	$16.62	24% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$82.74	$137.90	—	27% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$86.05	$143.42	—	24% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$661.95	$1,103.25	$262.92	16% above	40%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$75.61	$126.02	$15.70	28% below	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$72.70	$121.17	—	31% below	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$72.70	$121.17	—	31% below	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$86.05	$143.42	$15.10	21% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$86.05	$143.42	—	21% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$2,547.61	$4,246.02	$655.12	84% above	40%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$75.61	$126.02	$18.91	44% below	40%
Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS	$145.40	$242.34	$18.91	8% above	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$72.70	$121.17	—	46% below	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$72.70	$121.17	—	46% below	40%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$86.05	$143.42	$20.43	41% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$82.74	$137.90	—	43% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$82.74	$137.90	—	43% below	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$757.12	$1,261.86	$161.09	27% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$728.00	$1,213.33	—	22% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,456.00	$2,426.66	—	144% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$261.14	$435.24	$46.36	4% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$271.59	$452.65	$46.36	9% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$122.86	$204.77	$9.22	29% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$118.13	$196.89	—	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$118.13	$196.89	—	32% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$160.32	$267.20	$87.54	8% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$166.73	$277.89	$87.54	13% above	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$86.05	$143.42	$16.62	25% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$82.74	$137.90	—	28% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$82.74	$137.90	—	28% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$392.62	$654.36	$364.96	53% below	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$392.62	$654.36	$357.26	55% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$377.51	$629.19	—	56% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$377.51	$629.19	—	56% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$741.26	$1,235.43	$792.70	40% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$741.26	$1,235.43	—	40% below	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$392.62	$654.36	$359.57	56% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$712.75	$1,187.91	$795.79	43% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$377.51	$629.19	$364.96	62% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$392.62	$654.36	$364.96	60% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$712.75	$1,187.91	$810.82	45% below	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$741.26	$1,235.43	$810.82	43% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$377.51	$629.19	$404.98	63% below	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$392.62	$654.36	$404.98	62% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$712.75	$1,187.91	$810.82	48% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$741.26	$1,235.43	$810.82	46% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$377.51	$629.19	$404.98	57% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$392.62	$654.36	$404.98	55% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$712.75	$1,187.91	$810.82	47% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$741.26	$1,235.43	$810.82	45% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$377.51	$629.19	$364.96	60% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$392.62	$654.36	$364.96	58% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$712.75	$1,187.91	$795.79	30% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$741.26	$1,235.43	$795.79	28% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$392.62	$654.36	$359.57	52% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$392.62	$654.36	$357.26	51% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$377.51	$629.19	—	53% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$392.62	$654.36	—	51% below	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$148.31	$247.18	$29.44	26% below	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$786.59	$1,310.98	$184.65	15% above	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$818.05	$1,363.42	$184.65	20% above	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$757.12	$1,261.86	$153.77	14% above	40%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$82.74	$137.90	$13.57	27% below	40%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$86.05	$143.42	$13.57	25% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,085.54	$1,809.24	$486.88	7% below	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA	$101.72	$169.54	$14.44	67% above	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$2,519.53	$4,199.21	$2,006.60	29% above	40%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$654.36	$1,090.60	$192.66	at median	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$177.64	$296.06	$54.42	16% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$184.74	$307.90	$54.42	21% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$266.45	$444.08	$50.17	3% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$277.10	$461.84	$50.17	1% above	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$334.01	$556.69	$68.93	44% above	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$347.38	$578.96	$68.93	50% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$329.99	$549.99	$68.93	58% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$343.19	$571.99	$68.93	64% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$120.37	$200.62	$46.36	21% below	40%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$86.05	$143.42	$18.91	35% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$72.70	$121.17	—	48% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$72.70	$121.17	—	48% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$75.61	$126.02	$21.96	46% below	40%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$130.27	$217.11	$85.41	—	40%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$125.26	$208.76	$85.41	5% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$86.05	$143.42	$18.91	33% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$82.74	$137.90	—	35% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$82.74	$137.90	—	35% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$86.05	$143.42	$25.70	44% below	40%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$75.61	$126.02	$20.43	36% below	40%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$2,279.64	$3,799.40	$597.69	71% above	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$800.62	$1,334.37	$181.94	35% above	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$225.79	$376.31	$42.62	5% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$109.88	$183.14	$19.58	3% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$105.66	$176.10	—	7% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$105.66	$176.10	—	7% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$948.14	$1,580.24	$192.66	29% above	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$986.07	$1,643.45	$192.66	35% above	40%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$86.05	$143.42	$13.56	20% below	40%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$86.05	$143.42	—	20% below	40%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$86.05	$143.42	—	20% below	40%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$182.06	$303.43	$50.17	6% below	40%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$189.34	$315.57	$50.17	3% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$163.21	$272.02	$48.63	4% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$169.74	$282.90	$48.63	at median	40%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$453.19	$755.32	$64.58	52% above	40%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$471.32	$785.53	$64.58	58% above	40%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$258.86	$431.43	$50.17	22% above	40%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$269.21	$448.69	$50.17	27% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$221.96	$369.94	$46.36	12% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$230.84	$384.74	$46.36	8% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$228.95	$381.59	$47.57	6% below	40%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$86.05	$143.42	$18.91	24% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$82.74	$137.90	—	27% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$86.05	$143.42	—	24% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$449.85	$749.75	$134.16	79% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$432.55	$720.91	—	72% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$432.55	$720.91	—	72% above	40%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$75.61	$126.02	$15.70	28% below	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$75.61	$126.02	—	28% below	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$75.61	$126.02	—	28% below	40%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$86.05	$143.42	$16.92	24% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	27% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	27% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$105.66	$176.10	$25.68	15% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$109.88	$183.14	$25.68	12% below	40%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$82.74	$137.90	$15.62	32% below	40%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$86.05	$143.42	$15.62	29% below	40%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$75.61	$126.02	$15.70	28% below	40%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$75.61	$126.02	—	28% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$86.05	$143.42	$13.56	16% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$82.74	$137.90	—	19% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$82.74	$137.90	—	19% below	40%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$75.61	$126.02	$15.70	29% below	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$72.70	$121.17	—	32% below	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$75.61	$126.02	—	29% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$86.05	$143.42	$16.92	28% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	31% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	31% below	40%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$86.05	$143.42	$16.92	28% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	31% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$82.74	$137.90	—	31% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$86.05	$143.42	$16.62	23% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$82.74	$137.90	—	26% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$82.74	$137.90	—	26% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$82.74	$137.90	$21.96	45% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$86.05	$143.42	$21.96	43% below	40%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$148.31	$247.18	$30.04	31% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$142.60	$237.67	$21.35	5% below	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$148.31	$247.18	$21.35	1% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$86.05	$143.42	$16.62	23% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$82.74	$137.90	$19.83	42% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$86.05	$143.42	$19.83	40% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$86.05	$143.42	$16.62	34% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$72.70	$121.17	$18.91	47% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$75.61	$126.02	$18.91	45% below	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$131.81	$219.69	$22.67–$38.62	23% above	40%
ACTH blood test CPT 82024 ASSAY OF ACTH	$137.09	$228.48	$22.67–$38.62	28% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$20.83	$34.72	$3.11–$5.30	8% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$19.54	$32.57	$3.03–$5.18	2% above	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$168.38	$280.63	$27.95–$47.63	44% above	40%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$18.79	$31.32	$2.91–$4.95	29% above	40%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$141.08	$235.13	$23.91–$40.75	47% above	40%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$146.72	$244.54	$23.91–$40.75	53% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$176.77	$294.61	$3.04–$5.18	825% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$183.83	$306.39	$3.04–$5.18	861% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$7.83	$13.05	$3.07–$5.22	25% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$89.13	$148.55	$3.07–$5.22	758% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$57.25	$95.41	$9.84–$16.77	9% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$59.54	$99.23	$9.84–$16.77	14% above	40%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$56.02	$93.37	$8.55–$14.57	13% above	40%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$58.26	$97.10	$8.55–$14.57	18% above	40%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$35.42	$59.04	$3.81–$6.48	59% above	40%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$36.22	$60.37	$3.81–$6.48	63% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$19.20	$32.00	$7.60–$12.95	57% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$44.11	$73.51	$7.60–$12.95	2% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$46.93	$78.21	$7.09–$12.09	9% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$47.05	$78.42	$7.09–$12.09	9% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$85.73	$142.88	$19.92–$39.26	37% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$134.85	$224.75	$19.92–$39.26	116% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$29.39	$48.98	$5.05–$8.62	1% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$30.56	$50.94	$5.05–$8.62	5% above	40%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$81.58	$135.97	$4.97–$8.46	145% above	40%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$84.85	$141.41	$4.97–$8.46	155% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$20.83	$34.72	$2.05–$4.90	26% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$713.93	$1,189.88	$2.05–$4.90	4235% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$104.27	$173.79	$35.07–$60.71	28% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$200.53	$334.22	$35.07–$60.71	146% above	40%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$36.00	$60.00	$6.06–$10.32	17% below	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$60.16	$100.27	$6.06–$10.32	39% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$10.27	$17.11	$1.26–$3.00	24% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$676.54	$1,127.56	$1.26–$3.00	8091% above	40%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$14.89	$24.81	$3.29–$3.93	6% above	40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$38.34	$63.90	$3.29–$3.93	174% above	40%
Blood lead test CPT 83655 ASSAY OF LEAD	$47.58	$79.30	$7.10–$12.11	69% above	40%
Blood lead test CPT 83655 LEAD LEVEL	$49.48	$82.47	$7.10–$12.11	76% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$59.27	$98.78	$4.41–$7.52	89% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$16.69	$27.82	$1.75–$2.99	63% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$17.36	$28.93	$1.75–$2.99	62% below	40%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$18.37	$30.61	$2.31–$3.95	15% above	40%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$19.10	$31.83	$2.31–$3.95	20% above	40%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$65.52	$109.20	$12.21	18% above	40%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$79.46	$132.44	$12.21	43% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$21.84	$36.40	$3.04–$5.18	6% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$22.72	$37.86	$3.04–$5.18	2% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$94.38	$157.30	$21.11–$37.27	38% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$71.02	$118.37	$12.21–$20.81	46% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$73.86	$123.10	$12.21–$20.81	51% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$71.02	$118.37	$12.21–$20.81	36% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$73.86	$123.10	$12.21–$20.81	42% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$49.32	$82.20	$21.55–$38.48	32% below	40%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$17.36	$28.93	$3.02–$5.16	8% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$58.66	$97.76	$11.13–$18.96	at median	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$67.34	$112.23	$11.13–$18.96	14% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$43.97	$73.29	$6.58–$12.88	17% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$45.73	$76.22	$6.58–$12.88	22% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$102.34	$170.57	$20.60–$35.09	75% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$106.43	$177.39	$20.60–$35.09	82% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$49.16	$81.94	$7.01–$13.39	at median	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$51.13	$85.22	$7.01–$13.39	4% above	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$34.22	$57.04	$4.56–$7.77	28% above	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$35.59	$59.32	$4.56–$7.77	33% above	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$30.05	$50.09	$3.80–$6.47	8% above	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$31.25	$52.09	$3.80–$6.47	12% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$130.35	$217.25	$6.20–$10.56	76% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$135.56	$225.94	$6.20–$10.56	83% above	40%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$54.26	$90.43	$9.57–$16.30	42% above	40%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$56.43	$94.05	$9.57–$16.30	47% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$27.08	$45.13	$3.82–$6.51	22% above	40%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$28.16	$46.94	$3.82–$6.51	27% above	40%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$20.03	$33.38	$3.01–$5.12	14% above	40%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$20.83	$34.72	$3.01–$5.12	19% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$52.56	$87.60	$8.45–$14.39	42% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$54.66	$91.10	$8.45–$14.39	48% above	40%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$72.12	$120.20	$5.97–$10.18	47% above	40%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$75.01	$125.01	$5.97–$10.18	53% above	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$56.92	$94.87	$13.05–$22.23	1% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$59.20	$98.66	$13.05–$22.23	3% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$133.37	$222.29	$33.52–$62.14	366% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$138.71	$231.18	$33.52–$62.14	385% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$74.07	$123.45	$4.05–$7.01	100% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$64.39	$107.32	$10.46–$18.14	26% above	40%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$95.17	$158.62	$16.40–$27.94	67% above	40%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$98.98	$164.96	$16.40–$27.94	73% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$59.28	$98.80	$10.91–$18.58	5% above	40%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$61.65	$102.75	$10.91–$18.58	10% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$144.59	$240.99	$11.52–$19.63	45% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$150.38	$250.63	$11.52–$19.63	51% above	40%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$47.96	$79.94	$7.99–$13.63	4% above	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$48.16	$80.26	$7.99–$13.63	5% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$32.33	$53.89	$4.99–$9.72	7% above	40%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$60.86	$101.43	$8.63–$14.70	54% above	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$60.95	$101.58	$8.63–$14.70	55% above	40%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$57.66	$96.10	$5.79–$13.86	34% above	40%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$59.96	$99.94	$5.79–$13.86	40% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$31.81	$53.02	$5.29–$9.02	9% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$33.08	$55.14	$5.29–$9.02	5% below	40%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$86.89	$144.82	$14.94–$25.47	42% above	40%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$90.37	$150.61	$14.94–$25.47	48% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$25.04	$41.74	$4.23–$7.20	1% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$26.05	$43.41	$4.23–$7.20	5% above	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$202.31	$337.19	$17.17–$45.69	5% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$18.37	$30.61	$3.98–$4.75	13% above	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$45.70	$76.17	$10.79–$12.87	2% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$99.05	$165.09	$20.60–$35.09	69% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$103.01	$171.69	$20.60–$35.09	76% above	40%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$51.50	$85.83	$6.82–$16.34	13% above	40%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$34.96	$58.26	$2.73–$6.53	43% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$290.38	$483.97	$49.93–$85.10	69% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$302.00	$503.33	$49.93–$85.10	75% above	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$39.85	$66.41	$6.20–$13.37	35% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$51.81	$86.35	$13.37–$24.08	8% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES	$90.23	$150.39	$20.06–$35.09	70% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$93.85	$156.41	$20.06–$35.09	77% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$38.32	$63.86	$5.70–$9.71	17% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$40.60	$67.67	$5.70–$9.71	24% above	40%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$8.34	$13.90	$1.99–$2.37	20% below	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$8.68	$14.46	$1.99–$2.37	17% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$49.16	$81.94	$7.07–$12.05	70% above	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$51.13	$85.22	$7.07–$12.05	77% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$39.24	$65.40	$6.30–$10.74	37% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$40.81	$68.02	$6.30–$10.74	42% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$39.74	$66.24	$6.06–$10.33	8% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$41.33	$68.89	$6.06–$10.33	13% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$22.27	$37.11	$8.37–$14.27	52% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$57.29	$95.48	$8.37–$14.27	23% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$55.34	$92.23	$25.14–$42.84	53% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$152.03	$253.39	$25.14–$42.84	30% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$44.82	$74.70	$7.74–$13.19	72% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$46.80	$78.00	$7.74–$13.19	79% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$66.07	$110.12	$11.36–$19.35	49% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$68.71	$114.52	$11.36–$19.35	55% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$44.19	$73.65	$7.60–$12.95	2% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$45.96	$76.60	$7.60–$12.95	6% above	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$57.25	$95.41	$9.90–$17.92	at median	40%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$59.87	$99.79	$9.90–$17.92	5% above	40%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$39.03	$65.05	$6.71–$11.43	18% above	40%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$40.59	$67.65	$6.71–$11.43	23% above	40%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$26.05	$43.41	$3.15–$6.47	21% above	40%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$26.72	$44.53	$3.15–$6.47	24% above	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$32.18	$53.64	$5.13–$8.74	at median	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$32.56	$54.26	$5.13–$8.74	1% above	40%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$105.01	$175.01	$5.09–$8.68	92% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$109.21	$182.01	$5.09–$8.68	100% above	40%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$65.94	$109.90	$10.87–$18.52	22% above	40%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$68.58	$114.30	$10.87–$18.52	27% above	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$36.45	$60.75	$6.27–$11.57	30% above	40%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$37.91	$63.18	$6.27–$11.57	36% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$20.96	$34.94	$3.54–$6.04	1% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$21.22	$35.36	$3.54–$6.04	2% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$23.50	$39.16	$4.04–$6.89	6% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$24.44	$40.73	$4.04–$6.89	2% below	40%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$47.58	$79.30	$4.80–$8.17	7% below	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$49.48	$82.47	$4.80–$8.17	3% below	40%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$66.52	$110.86	$10.00–$17.03	31% above	40%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$69.17	$115.29	$10.00–$17.03	37% above	40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$24.31	$40.51	$3.93–$6.70	10% above	40%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$46.74	$77.90	$3.93–$6.70	111% above	40%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$43.93	$73.21	$7.56–$12.88	42% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$45.73	$76.22	$7.56–$12.88	48% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$23.14	$38.56	$4.34–$5.18	at median	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$100.36	$167.26	$4.34–$5.18	335% above	40%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$46.88	$78.14	$7.66–$13.05	54% above	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$48.87	$81.45	$7.66–$13.05	61% above	40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$88.48	$147.47	$19.58–$24.10	9% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$65.28	$108.80	$10.79–$18.39	34% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$62.77	$104.62	$10.79–$18.39	41% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$64.39	$107.32	$10.79–$18.39	45% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING	$37.95	$63.25	$15.42–$25.86	12% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$39.47	$65.78	$15.42–$25.86	9% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$51.88	$86.47	$11.53–$19.13	79% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$129.11	$215.18	$24.22–$41.28	41% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$134.27	$223.79	$24.22–$41.28	47% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$24.58	$40.96	$3.52–$6.01	18% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$25.56	$42.60	$3.52–$6.01	23% above	40%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$17.36	$28.93	$2.78–$4.74	6% above	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$33.38	$55.64	$2.78–$4.74	104% above	40%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$16.69	$27.82	$2.70–$4.76	1% below	40%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$17.36	$28.93	$2.70–$4.76	3% above	40%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$71.20	$118.67	$12.24–$20.86	28% above	40%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$74.05	$123.42	$12.24–$20.86	33% above	40%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$66.14	$110.24	$11.37–$19.38	2% above	40%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$68.79	$114.65	$11.37–$19.38	6% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$14.46	$24.10	$3.29–$4.29	at median	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$15.04	$25.06	$3.29–$4.29	4% above	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$42.58	$70.97	$14.00–$15.19	89% above	40%
Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS	$81.89	$136.48	$14.00–$15.19	263% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$59.39	$98.99	$10.06–$15.19	142% above	40%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$83.34	$138.90	$12.91–$21.99	39% above	40%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$18.37	$30.61	$1.75–$2.99	13% below	40%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$19.10	$31.83	$1.75–$2.99	10% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$26.72	$44.53	$3.33–$5.67	15% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$27.79	$46.31	$3.33–$5.67	20% above	40%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$48.16	$80.26	$8.45–$14.39	44% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$51.10	$85.17	$8.45–$14.39	53% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$9.74	$16.23	$1.58–$2.70	47% below	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$35.90	$59.83	$10.10	37% above	40%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$17.06	$28.44	$2.82–$4.81	at median	40%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$30.29	$50.49	$5.13–$8.90	at median	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$31.51	$52.51	$5.13–$8.90	4% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS	$23.50	$39.16	$2.72–$4.12	74% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$24.44	$40.73	$2.72–$4.12	81% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$61.65	$102.75	$13.33–$15.92	153% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$45.00	$75.00	$7.97–$13.24	68% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$47.00	$78.33	$7.97–$13.24	75% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$14.51	$24.18	$2.50–$4.27	13% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$15.15	$25.25	$2.50–$4.27	18% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$166.28	$277.14	$36.37–$61.98	41% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$172.94	$288.23	$36.37–$61.98	47% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$88.12	$146.86	$15.15–$25.81	48% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$91.64	$152.73	$15.15–$25.81	54% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$56.43	$94.05	$8.54–$14.55	50% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$37.74	$62.90	$9.86–$16.80	6% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$39.25	$65.42	$9.86–$16.80	3% below	40%
Total IgE blood test CPT 82785 ASSAY OF IGE	$55.95	$93.25	$9.66–$16.46	45% above	40%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$56.20	$93.67	$9.66–$16.46	46% above	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$15.39	$25.65	$2.55–$4.35	3% above	40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$16.01	$26.68	$2.55–$4.35	7% above	40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$18.56	$30.93	$2.84–$6.80	21% below	40%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$44.03	$73.38	$3.77–$9.02	1% below	40%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$45.87	$76.45	$3.77–$9.02	3% above	40%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$43.38	$72.30	$7.49–$12.76	8% above	40%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$43.58	$72.64	$7.49–$12.76	9% above	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$73.12	$121.86	$20.11–$35.09	40% above	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$19.63	$32.72	$3.38–$5.74	18% below	40%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$20.42	$34.03	$3.38–$5.74	14% below	40%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$71.42	$119.04	$5.78–$12.47	88% above	40%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$137.35	$228.92	$5.78–$12.47	261% above	40%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$18.37	$30.61	$2.65–$4.52	10% above	40%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$19.10	$31.83	$2.65–$4.52	15% above	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$25.18	$41.97	$2.66–$3.17	6% above	40%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$48.43	$80.72	$2.66–$3.17	105% above	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$11.68	$19.47	$2.66–$4.01	59% above	40%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$7.66	$12.76	$1.88–$2.25	12% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$7.96	$13.27	$1.88–$2.25	8% below	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$10.85	$18.08	$2.14–$3.24	57% above	40%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$31.24	$52.07	$4.74–$8.07	15% below	40%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$32.49	$54.15	$4.74–$8.07	12% below	40%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$23.37	$38.95	$3.40–$5.78	20% above	40%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$24.31	$40.51	$3.40–$5.78	25% above	40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$21.58	$35.96	$5.30–$8.01	8% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$64.28	$107.14	$8.85–$15.08	61% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$66.86	$111.43	$8.85–$15.08	68% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$101.02	$168.37	$17.37–$29.60	31% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$105.06	$175.10	$17.37–$29.60	36% above	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL	$137.74	$229.56	$22.59–$38.50	35% above	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$143.24	$238.74	$22.59–$38.50	40% above	40%
Zinc blood test CPT 84630 ZINC LEVEL	$42.28	$70.47	$6.68–$11.39	26% above	40%
Zinc blood test CPT 84630 ASSAY OF ZINC	$42.58	$70.96	$6.68–$11.39	27% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$23.48	$39.14	$12.62–$15.05	54% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$54.23	$90.39	$12.62–$15.05	7% above	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Appendectomy, open surgery CPT 44950 REMOVAL OF APPENDIX	$1,321.21	$2,202.01	$942.71–$1,450.94	23% below	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$218.76	$364.60	$360.84–$447.85	20% above	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$196.66	$327.76	$312.12	1% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$670.09	$1,116.82	$367.73	15% above	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$401.26	$668.76	$155.00–$360.84	20% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$558.56	$930.94	$219.78–$483.29	64% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$2,397.41	$3,995.68	$268.14–$483.29	102% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$196.66	$327.76	$412.12	21% below	40%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$233.24	$388.73	$483.29–$795.41	72% below	40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,158.17	$1,930.29	$483.29–$795.41	40% above	40%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$406.48	$677.47	$483.29–$703.18	52% below	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,194.43	$1,990.72	$483.29–$703.18	41% above	40%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$361.48	$602.47	$483.29–$595.12	53% below	40%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$1,078.60	$1,797.66	$483.29–$595.12	40% above	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$1,732.19	$2,886.98	$360.84–$386.00	20% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$351.43	$585.72	$185.37–$360.84	37% above	40%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$466.26	$777.10	$372.42–$483.29	76% below	40%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$1,855.99	$3,093.31	$372.42–$483.29	6% below	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$423.51	$705.85	$483.29	79% below	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$443.18	$738.64	$483.29	78% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$443.18	$738.64	$231.77–$360.84	30% below	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$787.99	$1,313.32	$231.77–$360.84	24% above	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$2,153.42	$3,589.04	$260.34–$483.29	9% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$60.40	$100.66	$70.64	38% below	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$880.87	$1,468.12	$199.09–$552.64	76% above	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$97.22	$162.03	$14.82	39% above	40%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$71.20	$118.66	$54.69	16% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$156.50	$260.84	$131.63	at median	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$848.59	$1,414.32	$385.60–$552.64	74% below	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$472.94	$788.23	$360.84–$396.99	62% above	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$474.25	$790.42	$776.94–$1,045.08	92% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$852.40	$1,420.66	$622.76–$776.94	79% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$717.08	$1,195.13	$193.58–$360.84	43% above	40%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$821.40	$1,369.00	$552.64–$1,056.79	72% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$1,710.50	$2,850.84	$552.64–$1,134.91	52% below	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$1,528.60	$2,547.66	$1,296.20	43% below	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$1,252.60	$2,087.66	$552.64–$651.88	27% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$292.99	$488.32	$175.25–$483.29	137% above	40%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$1,917.22	$3,195.36	$682.67–$2,653.18	32% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$617.80	$1,029.66	$329.03–$552.64	68% below	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$227.51	$379.18	$109.77–$360.84	39% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$218.76	$364.60	$111.79–$360.84	9% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$227.51	$379.18	$111.79–$360.84	13% above	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$227.51	$379.18	$360.84	13% above	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$1,004.20	$1,673.66	$682.67–$745.41	67% below	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$880.00	$1,466.66	$682.67	71% below	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$957.50	$1,595.83	$682.67	69% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$408.37	$680.61	$89.90	88% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$424.70	$707.83	$89.90	95% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$408.37	$680.61	—	88% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$424.70	$707.83	—	95% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$263.80	$439.67	$107.00	2% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$274.36	$457.26	$107.00	6% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$986.86	$1,644.77	$146.98	1039% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$424.70	$707.83	$87.86	71% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$274.36	$457.26	$80.56	6% above	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$274.36	$457.26	—	6% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$1,211.20	$2,018.66	$776.94–$839.00	74% below	40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$981.55	$1,635.91	$483.04–$483.29	114% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$227.51	$379.18	$205.55–$360.84	29% below	40%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST	$426.73	$711.22	$438.92–$552.64	90% below	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$426.73	$711.22	$552.64	90% below	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$500.34	$833.90	$552.64	88% below	40%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$801.50	$1,335.83	$682.67	82% below	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$389.82	$649.70	$730.86	24% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$443.18	$738.64	$127.97–$360.84	17% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$496.43	$827.38	$127.97–$360.84	32% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$496.43	$827.38	$147.64–$360.84	31% above	40%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$132.46	$220.77	$103.32	7% below	40%
Nail removal (partial or complete), one nail one side CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$132.46	$220.77	—	7% below	40%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$414.87	$691.45	$159.11	61% above	40%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$17,806.01	$29,676.68	$829.40	71% above	40%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$422.80	$704.66	$527.39	21% below	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$439.71	$732.85	$527.39	17% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$477.34	$795.56	$189.92–$360.84	19% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$496.43	$827.38	$189.92–$360.84	24% above	40%
Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$496.43	$827.38	$360.84	24% above	40%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$443.18	$738.64	$248.39–$483.29	42% below	40%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$682.74	$1,137.90	$248.39–$483.29	10% below	40%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$881.63	$1,469.38	$487.88–$552.64	38% below	40%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$1,875.03	$3,125.05	$487.88–$552.64	33% above	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$218.76	$364.60	$155.80–$360.84	13% below	40%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$227.51	$379.18	$155.80–$360.84	10% below	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$361.48	$602.47	$483.29–$595.12	44% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$361.48	$602.47	$483.29–$595.12	42% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$4,204.33	$7,007.22	$552.64–$943.74	16% above	40%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$276.34	$460.57	$124.47	58% above	40%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$141.19	$235.32	$96.32	15% above	40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$146.84	$244.73	$96.32	20% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$141.19	$235.32	—	15% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$146.84	$244.73	—	20% above	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$265.72	$442.86	$128.24	27% above	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$130.57	$217.61	$97.62	15% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$218.76	$364.60	$171.08–$360.84	12% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$227.51	$379.18	$171.08–$360.84	16% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$561.09	$935.15	$154.73	109% above	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$477.34	$795.56	$178.60	at median	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$132.46	$220.77	$81.94	1% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$421.48	$702.46	$231.17–$360.84	2% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$218.76	$364.60	$182.04–$360.84	17% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$227.51	$379.18	$182.04–$360.84	21% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$292.99	$488.32	$180.82–$483.29	60% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$304.71	$507.85	$180.82–$483.29	66% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$281.71	$469.51	$123.11	65% above	40%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$813.94	$1,356.57	$360.84–$1,242.96	27% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$301.19	$501.98	$82.34	106% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,385.96	$2,309.93	$483.29–$828.68	47% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,332.65	$2,221.09	$483.29	42% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$1,332.65	$2,221.09	$483.29	42% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$376.48	$627.47	$259.58–$483.29	54% below	40%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$361.48	$602.47	$483.29–$515.43	52% below	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$961.60	$1,602.66	$483.29–$515.43	28% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$828.37	$1,380.61	$327.64–$483.29	at median	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$996.77	$1,661.29	$281.08–$483.29	51% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$361.48	$602.47	$360.84–$452.99	54% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$822.63	$1,371.05	$360.84–$452.99	4% above	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$512.41	$854.02	$483.29–$633.30	58% below	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$283.48	$472.47	$101.98	110% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$416.76	$694.60	$99.74–$483.29	6% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$433.43	$722.38	$99.74–$483.29	11% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$416.76	$694.60	$483.29	6% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$416.76	$694.60	$483.29	6% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$415.82	$693.04	$64.00	13% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$432.46	$720.76	$64.00	9% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$163.97	$273.28	$1,170.00–$4,387.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$170.53	$284.21	$1,170.00–$4,387.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$361.34	$602.23	$180.96	27% above	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$375.79	$626.32	$180.96	32% above	40%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/>	$98.31	$163.85	$112.18	59% above	40%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/>	$137.22	$228.70	$83.30	122% above	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$838.66	$1,397.76	$309.70	2% above	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$872.20	$1,453.67	$309.70	6% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$557.33	$928.88	$119.83	82% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$125.06	$208.43	$16.82	65% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$240.49	$400.82	$16.82	217% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$135.19	$225.31	$20.35	9% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$140.59	$234.32	$20.35	14% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$186.22	$310.36	$33.85	13% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$193.66	$322.77	$33.85	17% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$278.59	$464.32	$76.06	6% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$289.73	$482.89	$76.06	10% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$425.11	$708.51	$118.75	2% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$442.11	$736.85	$118.75	6% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$630.07	$1,050.12	$186.15	20% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$655.27	$1,092.12	$186.15	25% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$507.85	$846.41	$76.05	50% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$528.16	$880.27	$76.05	56% above	40%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT	$96.14	$160.23	$56.27	53% above	40%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS	$149.22	$248.70	$186.99	117% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$115.51	$192.52	$60.09	19% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$120.13	$200.22	$60.09	16% below	40%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$120.13	$200.22	$73.27	37% below	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$207.98	$346.64	$73.27	10% above	40%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$92.65	$154.42	$54.52	5% below	40%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$96.36	$160.60	$54.52	1% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$52.23	$87.05	$17.78	1% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$54.32	$90.53	$17.78	3% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$91.09	$151.82	$28.25	135% above	40%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$79.97	$133.28	$39.22–$116.65	9% above	40%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$83.17	$138.61	$39.22–$116.65	14% above	40%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$133.16	$221.93	$58.83–$165.13	46% above	40%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$138.49	$230.81	$58.83–$165.13	52% above	40%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES	$138.53	$230.88	$58.83–$210.12	28% above	40%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$144.07	$240.12	$58.83–$210.12	33% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$46.30	$77.17	$34.06–$78.20	22% below	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES	$48.16	$80.26	$34.06–$78.20	19% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$24.47	$40.79	$17.08	20% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$134.66	$224.43	$65.42–$84.04	6% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$165.43	$275.72	$65.42–$84.04	53% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$165.43	$275.72	$65.42–$84.04	36% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$71.93	$119.88	$25.38	86% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$71.05	$118.42	$10.99–$27.28	87% above	40%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$128.00	$213.33	$84.41	15% below	40%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64	$130.55	$217.58	$99.58	7% below	40%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$133.81	$223.02	$107.91	2% below	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS)	$119.87	$199.79	$69.26	20% above	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS)	$122.87	$204.79	$76.61	4% above	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$125.95	$209.91	$84.42	3% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$202.11	$336.85	$58.83–$144.35	182% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$53.15	$88.58	$39.22–$62.97	6% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$55.27	$92.12	$39.22–$62.97	3% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$100.96	$168.27	$58.83–$98.92	53% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$105.00	$175.00	$58.83–$98.92	59% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$49.34	$82.23	$34.06–$46.19	5% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$51.31	$85.52	$34.06–$46.19	1% below	40%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$141.95	$236.59	$32.99–$59.62	71% above	40%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$163.97	$273.28	$22.83	30% above	40%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$170.53	$284.21	$22.83	35% above	40%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$383.36	$638.93	$37.36	86% above	40%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$398.69	$664.49	$37.36	93% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$58.42	$97.36	$8.79–$28.23	48% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$106.93	$178.22	$16.46	7% above	40%
Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM	$92.15	$153.58	$39.01	109% above	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older	$162.90	$271.50	$145.60	81% above	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2025-2026 Age Over 65 / High Risk 12-64	$181.05	$301.75	$145.60	101% above	40%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM	$192.47	$320.79	$145.60	113% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS	$21.00	$35.00	$20.81	30% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2024-2025 Formula PFS	$21.00	$35.00	$20.81	30% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE	$21.00	$35.00	$20.81	30% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$21.84	$36.40	$20.81	27% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$388.05	$646.75	$344.89	53% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND HEPATITIS B VACCINE	$152.10	$253.50	$151.14	64% above	40%
Hepatitis A vaccine, adult dose CPT 90632 Havrix	$94.80	$158.00	$94.60	8% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B	$73.80	$123.00	$168.72	47% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula	$42.00	$70.00	$77.26	35% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE	$42.00	$70.00	$77.26	35% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula	$42.00	$70.00	$77.26	35% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Cabenuva 600MG/900MG Kit	$42.00	$70.00	$77.26	35% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$43.68	$72.80	$77.26	32% below	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL CONJUGATE VACCINE; SEROGROUPS A; C; W; Y; QUADRIVALENT; TETANUS TOXOID CARRIER	$209.70	$349.50	$200.23	151% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE	$373.80	$623.00	$318.64	21% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$373.80	$623.00	$318.64	21% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$378.15	$630.25	$318.64	22% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$50.10	$83.50	$33.59	13% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER)	$50.10	$83.50	$33.59	13% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER)	$67.80	$113.00	$55.86	6% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel	$67.80	$113.00	$55.86	6% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$40.51	$67.51	$17.78	1% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$42.13	$70.21	$17.78	5% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$26.71	$44.52	$10.66	at median	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$27.78	$46.30	$10.66	4% above	40%

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

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

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.

Source file: https://www.lsuhospitals.org/lak/docs/726000749_Lallie-Kemp-Regional-Medical-Center_standardcharges.csv