Hospital

Houston County Community Hospital

Houston County Community Hospital in Lexington, TN publishes cash prices for 214 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Tennessee median for 137 of 212 procedures and above it for 74. By typical cash price it ranks #20 of 88 Tennessee hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

200 West Church St, Lexington, TN 38351 Collected Sep 29, 2026 Source price file (731) 968-1801

Acute care hospital Emergency department CCN 440008 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS CR	$203.25	$508.13	$15.96–$152.44	17% above	60%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS CR	$203.25	$508.13	$15.96–$152.44	—	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 LE-ANKLE LEFT 3VPLUS CR	$148.27	$370.67	—	4% above	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	4% above	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	4% above	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	4% above	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LE-ANKLE LEFT 3VPLUS CR	$148.27	$370.67	—	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LE-ANKLE RIGHT 3VPLUS CR	$148.27	$370.67	$15.33–$370.67	—	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER RIGHT EXT WO	$147.30	$368.25	—	79% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT-UPPER LEFT EXT WO	$147.30	$368.25	—	79% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER LEFT EXT WO	$147.30	$368.25	—	—	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT-UPPER RIGHT EXT WO	$147.30	$368.25	—	—	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US-BREAST RIGHT LIMITED	$140.34	$350.85	—	15% below	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US-BREAST RIGHT LIMITED	$140.34	$350.85	—	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$496.32	$1,240.81	$310.19–$1,240.81	71% below	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$496.32	$1,240.81	$310.19–$1,240.81	—	60%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$239.89	$599.73	—	78% below	60%
CT angiography (CTA) of the head CPT 70496 CTA-CEREBRAL PERFUSION	$442.12	$1,105.29	—	60% below	60%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$239.89	$599.73	—	—	60%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-CEREBRAL PERFUSION	$442.12	$1,105.29	—	—	60%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$239.89	$599.73	$599.73	77% below	60%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$239.89	$599.73	$599.73	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$239.89	$599.73	$116.19–$599.73	79% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$239.89	$599.73	$116.19–$599.73	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA-ANGIO HEART WITH CONTRAST AND 3D	$239.89	$599.73	—	75% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA-ANGIO HEART WITH CONTRAST AND 3D	$239.89	$599.73	—	—	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO CONTRAST WITH CALCIUM SCORE	$239.89	$599.73	—	137% above	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO CONTRAST WITH CALCIUM SCORE	$239.89	$599.73	—	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$310.82	$777.06	$101.11–$777.06	79% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$310.82	$777.06	$101.11–$777.06	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$496.32	$1,240.81	$189.22–$1,074.32	74% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$496.32	$1,240.81	$189.22–$1,074.32	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$496.32	$1,240.81	$305.38–$544.34	77% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$496.32	$1,240.81	$305.38–$544.34	—	60%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$239.89	$599.73	—	75% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$239.89	$599.73	—	—	60%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$147.30	$368.25	—	81% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$147.30	$368.25	—	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$147.30	$368.25	$91.14–$368.25	79% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$147.30	$368.25	$91.14–$368.25	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$147.30	$368.25	$5.21–$368.25	79% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$147.30	$368.25	$5.21–$368.25	—	60%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$239.89	$599.73	—	78% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$239.89	$599.73	—	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$147.30	$368.25	$73.74–$368.25	83% below	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$147.30	$368.25	$73.74–$368.25	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$147.30	$368.25	$5.21–$368.25	83% below	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$147.30	$368.25	$5.21–$368.25	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$239.89	$599.73	$159.30–$599.73	74% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$239.89	$599.73	$159.30–$599.73	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$233.12	$582.79	$209.71	79% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$233.12	$582.79	$209.71	—	60%
Chest CT scan without and with contrast CPT 71270 CT-CHEST WWO	$239.89	$599.73	$116.19	75% below	60%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST WWO	$239.89	$599.73	$116.19	—	60%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V CR	$161.02	$402.56	$14.38–$402.56	21% above	60%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V CR	$161.02	$402.56	$14.38–$402.56	—	60%
Chest X-ray, single view CPT 71045 CH-CHEST 1V CR	$126.52	$316.30	$9.98–$316.30	5% above	60%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V CR	$126.52	$316.30	$9.98–$316.30	—	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 UE-CLAVICLE RIGHT CR	$148.27	$370.67	$15.04–$30.38	23% above	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 UE-CLAVICLE RIGHT CR	$148.27	$370.67	$15.04–$30.38	23% above	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 UE-CLAVICLE LEFT CR	$148.27	$370.67	—	23% above	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 UE-CLAVICLE RIGHT CR	$148.27	$370.67	$15.04–$30.38	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 UE-CLAVICLE LEFT CR	$148.27	$370.67	—	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 UE-CLAVICLE RIGHT CR	$148.27	$370.67	$15.04–$30.38	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$327.44	$818.60	$44.55–$466.00	20% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$327.44	$818.60	$44.55–$466.00	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST WO	$147.30	$368.25	$95.16–$368.25	79% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST WO	$147.30	$368.25	$95.16–$368.25	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST W	$239.89	$599.73	$75.33–$391.13	75% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST W	$239.89	$599.73	$75.33–$391.13	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BILATERAL	$233.12	$582.79	—	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BILATERAL	$233.12	$582.79	—	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US-EXT BILATERAL VEINS DPLX WC	$233.12	$582.79	$212.15–$298.19	—	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US-EXT BILATERAL VEINS DPLX WC	$233.12	$582.79	$212.15–$298.19	—	60%
Elbow X-ray, 2 views one side CPT 73070 UE-ELBOW LEFT 2V CR	$148.27	$370.67	—	22% above	60%
Elbow X-ray, 2 views one side CPT 73070 UE-ELBOW RIGHT 2V CR	$148.27	$370.67	$15.04–$79.11	22% above	60%
Elbow X-ray, 2 views one side CPT 73070 UE-ELBOW RIGHT 2V CR	$148.27	$370.67	$15.04–$79.11	22% above	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 UE-ELBOW RIGHT 2V CR	$148.27	$370.67	$15.04–$79.11	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 UE-ELBOW RIGHT 2V CR	$148.27	$370.67	$15.04–$79.11	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 UE-ELBOW LEFT 2V CR	$148.27	$370.67	—	—	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 UE-ELBOW RIGHT 3V CR	$148.27	$370.67	$16.30–$240.94	3% above	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 UE-ELBOW RIGHT 3V CR	$148.27	$370.67	$16.30–$240.94	3% above	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 UE-ELBOW LEFT 3V CR	$148.27	$370.67	—	3% above	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 UE-ELBOW LEFT 3V CR	$148.27	$370.67	—	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 UE-ELBOW RIGHT 3V CR	$148.27	$370.67	$16.30–$240.94	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 UE-ELBOW RIGHT 3V CR	$148.27	$370.67	$16.30–$240.94	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$147.30	$368.25	$131.19	77% below	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$147.30	$368.25	$131.19	—	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V CR	$247.11	$617.78	—	53% above	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V CR	$247.11	$617.78	—	—	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	13% above	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	13% above	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UE-FOREARM RIGHT 2V CR	$148.27	$370.67	—	13% above	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	13% above	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UE-FOREARM RIGHT 2V CR	$148.27	$370.67	—	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UE-FOREARM LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
Hand X-ray, 2 views one side CPT 73120 UE-HAND RIGHT 2V CR	$247.11	$617.78	—	84% above	60%
Hand X-ray, 2 views one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	84% above	60%
Hand X-ray, 2 views one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	84% above	60%
Hand X-ray, 2 views one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	84% above	60%
Hand X-ray, 2 views inpatient one side CPT 73120 UE-HAND RIGHT 2V CR	$247.11	$617.78	—	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 UE-HAND LEFT 2V CR	$247.11	$617.78	$14.21–$617.78	—	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 LE-CALCANEUS RIGHT 2PLS CR	$148.27	$370.67	$229.79	10% above	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 LE-CALCANEUS LEFT 2PLS CR	$148.27	$370.67	—	10% above	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 LE-CALCANEUS RIGHT 2PLS CR	$148.27	$370.67	$229.79	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 LE-CALCANEUS LEFT 2PLS CR	$148.27	$370.67	—	—	60%
Knee X-ray, 3 views one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	22% above	60%
Knee X-ray, 3 views one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	22% above	60%
Knee X-ray, 3 views one side CPT 73562 LE-KNEE LEFT 3V CR	$176.39	$440.97	—	22% above	60%
Knee X-ray, 3 views one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	22% above	60%
Knee X-ray, 3 views inpatient one side CPT 73562 LE-KNEE LEFT 3V CR	$176.39	$440.97	—	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 LE-KNEE RIGHT 3V CR	$176.39	$440.97	$16.30–$242.53	—	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 LE-KNEE RIGHT 4V PLUS CR	$247.11	$617.78	$180.11	61% above	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 LE-KNEE LEFT 4V PLUS CR	$247.11	$617.78	—	61% above	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 LE-KNEE RIGHT 4V PLUS CR	$247.11	$617.78	$180.11	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 LE-KNEE LEFT 4V PLUS CR	$247.11	$617.78	—	—	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER RIGHT EXT WO	$147.30	$368.25	$93.90–$184.13	79% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT-LOWER LEFT EXT WO	$147.30	$368.25	—	79% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER RIGHT EXT WO	$147.30	$368.25	$93.90–$184.13	—	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT-LOWER LEFT EXT WO	$147.30	$368.25	—	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$327.44	$818.60	$40.08–$818.60	22% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$327.44	$818.60	$40.08–$818.60	—	60%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXT LEFT LTD JNT UNI	$273.12	$682.81	—	31% above	60%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US-EXT RIGHT LTD JNT UNI	$273.12	$682.81	$452.00	31% above	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US-EXT RIGHT LTD JNT UNI	$273.12	$682.81	$452.00	—	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US-EXT LEFT LTD JNT UNI	$273.12	$682.81	—	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LOW DOSE CHEST WO	$147.30	$368.25	$92.95–$95.16	23% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LOW DOSE CHEST WO	$147.30	$368.25	$92.95–$95.16	—	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LE-TIB LEFT FIB 2V CR	$148.27	$370.67	—	17% above	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	17% above	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	17% above	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	17% above	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LE-TIB LEFT FIB 2V CR	$148.27	$370.67	—	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LE-TIB RIGHT FIB 2V CR	$148.27	$370.67	$29.83–$164.67	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW CR	$247.11	$617.78	$68.87–$110.00	17% above	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW CR	$247.11	$617.78	$68.87–$110.00	—	60%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$239.89	$599.73	$155.96–$599.28	73% below	60%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$239.89	$599.73	$155.96–$599.28	—	60%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$147.30	$368.25	$94.85–$133.73	80% below	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$147.30	$368.25	$94.85–$133.73	—	60%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS CR	$148.27	$370.67	—	20% above	60%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS CR	$148.27	$370.67	—	—	60%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$147.30	$368.25	$5.21–$203.44	79% below	60%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$147.30	$368.25	$5.21–$203.44	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$253.04	$632.59	$23.73	32% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$253.04	$632.59	$23.73	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$327.44	$818.60	$73.74–$449.67	14% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$327.44	$818.60	$73.74–$449.67	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$327.44	$818.60	$68.18	14% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG>14 WKS	$327.44	$818.60	—	14% above	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$327.44	$818.60	$68.18	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG>14 WKS	$327.44	$818.60	—	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14 WKS	$327.44	$818.60	$23.80–$277.95	33% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14 WKS	$327.44	$818.60	$23.80–$277.95	—	60%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS LEFT UNILAT CR	$152.96	$382.39	$67.40–$116.43	8% above	60%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS LEFT UNILAT CR	$152.96	$382.39	$67.40–$116.43	8% above	60%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS RIGHT UNILAT CR	$152.96	$382.39	—	8% above	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS RIGHT UNILAT CR	$152.96	$382.39	—	—	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS LEFT UNILAT CR	$152.96	$382.39	$67.40–$116.43	—	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS LEFT UNILAT CR	$152.96	$382.39	$67.40–$116.43	—	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CH-RIB RIGHT UNI PA CXR CR	$224.11	$560.28	—	40% above	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CH-RIB LEFT UNI PA CXR CR	$224.11	$560.28	$72.34	40% above	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CH-RIB LEFT UNI PA CXR CR	$224.11	$560.28	$72.34	—	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CH-RIB RIGHT UNI PA CXR CR	$224.11	$560.28	—	—	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	8% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	8% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 UE-SHLDR LEFT 2VW PLUS CR	$148.27	$370.67	—	8% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	8% above	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 UE-SHLDR LEFT 2VW PLUS CR	$148.27	$370.67	—	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 UE-SHLDR RIGHT 2VW PLUS CR	$148.27	$370.67	$13.86–$318.81	—	60%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED CR	$247.11	$617.78	$17.71	103% above	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED CR	$247.11	$617.78	$17.71	—	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 LE-FEMUR RIGHT 2V CR	$148.27	$370.67	$49.21–$59.50	43% above	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 LE-FEMUR LEFT 2V CR	$148.27	$370.67	—	43% above	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 LE-FEMUR RIGHT 2V CR	$148.27	$370.67	$49.21–$59.50	43% above	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 LE-FEMUR RIGHT 2V CR	$148.27	$370.67	$49.21–$59.50	—	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 LE-FEMUR RIGHT 2V CR	$148.27	$370.67	$49.21–$59.50	—	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 LE-FEMUR LEFT 2V CR	$148.27	$370.67	—	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$147.30	$368.25	$84.00–$368.25	80% below	60%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$147.30	$368.25	$84.00–$368.25	—	60%
Toe X-ray, 2 or more views one side CPT 73660 LE-TOE LEFT S 2VPLUS CR	$148.27	$370.67	—	23% above	60%
Toe X-ray, 2 or more views one side CPT 73660 LE-TOE RIGHT S 2VPLUS CR	$148.27	$370.67	$43.42–$108.06	23% above	60%
Toe X-ray, 2 or more views one side CPT 73660 LE-TOE RIGHT S 2VPLUS CR	$148.27	$370.67	$43.42–$108.06	23% above	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LE-TOE RIGHT S 2VPLUS CR	$148.27	$370.67	$43.42–$108.06	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LE-TOE LEFT S 2VPLUS CR	$148.27	$370.67	—	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LE-TOE RIGHT S 2VPLUS CR	$148.27	$370.67	$43.42–$108.06	—	60%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$100.08	$250.21	$84.88–$125.11	64% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$100.08	$250.21	$84.88–$125.11	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$98.88	$247.20	$41.51	56% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$98.88	$247.20	$41.51	—	60%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$327.44	$818.60	$73.74–$818.60	13% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$327.44	$818.60	$73.74–$818.60	—	60%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$327.44	$818.60	$43.30–$409.30	22% above	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$327.44	$818.60	$43.30–$409.30	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$327.44	$818.60	$32.06–$409.30	26% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$327.44	$818.60	$32.06–$409.30	—	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 UE-HUMERUS RIGHT CR	$148.27	$370.67	$16.30–$114.74	29% above	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 UE-HUMERUS LEFT CR	$148.27	$370.67	—	29% above	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 UE-HUMERUS RIGHT CR	$148.27	$370.67	$16.30–$114.74	29% above	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 UE-HUMERUS RIGHT CR	$148.27	$370.67	$16.30–$114.74	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 UE-HUMERUS LEFT CR	$148.27	$370.67	—	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 UE-HUMERUS RIGHT CR	$148.27	$370.67	$16.30–$114.74	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-EXT RIGHT VEINS DPX LTD	$110.47	$276.18	—	70% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	70% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	70% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	70% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US-EXT RIGHT VEINS DPX LTD	$110.47	$276.18	—	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US-EXT LEFT VEINS DPX LTD	$110.47	$276.18	$73.01–$276.18	—	60%
Wrist X-ray, 2 views one side CPT 73100 UE-WRIST LEFT 2V CR	$148.27	$370.67	$11.37–$105.75	27% above	60%
Wrist X-ray, 2 views one side CPT 73100 UE-WRIST RIGHT 2V CR	$148.27	$370.67	—	27% above	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 UE-WRIST LEFT 2V CR	$148.27	$370.67	$11.37–$105.75	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 UE-WRIST RIGHT 2V CR	$148.27	$370.67	—	—	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	9% above	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	9% above	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	9% above	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 UE-WRIST LEFT 3V PLUS CR	$148.27	$370.67	—	9% above	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 UE-WRIST RIGHT 3V PLUS CR	$148.27	$370.67	$15.33–$141.89	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 UE-WRIST LEFT 3V PLUS CR	$148.27	$370.67	—	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 LE-HIP LEFT PV UN2OR3V CR	$178.19	$445.48	$6.30–$360.41	26% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 LE-HIP RIGHT PV UN2OR3V CR	$178.19	$445.48	—	26% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 LE-HIP LEFT PV UN2OR3V CR	$178.19	$445.48	$6.30–$360.41	26% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 LE-HIP LEFT PV UN2OR3V CR	$178.19	$445.48	$6.30–$360.41	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 LE-HIP RIGHT PV UN2OR3V CR	$178.19	$445.48	—	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 LE-HIP LEFT PV UN2OR3V CR	$178.19	$445.48	$6.30–$360.41	—	60%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW CR	$163.60	$409.00	$13.33–$141.89	19% above	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW CR	$163.60	$409.00	$13.33–$141.89	—	60%
X-ray of the ankle, 2 views one side CPT 73600 LE-ANKLE RIGHT 2V CR	$148.27	$370.67	$9.85–$67.79	16% above	60%
X-ray of the ankle, 2 views one side CPT 73600 LE-ANKLE RIGHT 2V CR	$148.27	$370.67	—	16% above	60%
X-ray of the ankle, 2 views one side CPT 73600 LE-ANKLE LEFT 2V CR	$148.27	$370.67	—	16% above	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 LE-ANKLE RIGHT 2V CR	$148.27	$370.67	—	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 LE-ANKLE RIGHT 2V CR	$148.27	$370.67	$9.85–$67.79	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 LE-ANKLE LEFT 2V CR	$148.27	$370.67	—	—	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 UE-FINGER LEFT S 2VPLS CR	$148.27	$370.67	$30.38–$129.73	23% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 UE-FINGER LEFT S 2VPLS CR	$148.27	$370.67	$30.38–$129.73	23% above	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 UE-FINGER RIGHT S 2VPLS CR	$148.27	$370.67	—	23% above	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 UE-FINGER LEFT S 2VPLS CR	$148.27	$370.67	$30.38–$129.73	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 UE-FINGER LEFT S 2VPLS CR	$148.27	$370.67	$30.38–$129.73	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 UE-FINGER RIGHT S 2VPLS CR	$148.27	$370.67	—	—	60%
X-ray of the foot, 2 views one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	17% above	60%
X-ray of the foot, 2 views one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	17% above	60%
X-ray of the foot, 2 views one side CPT 73620 LE-FOOT RIGHT 2V CR	$148.27	$370.67	—	17% above	60%
X-ray of the foot, 2 views one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	17% above	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 LE-FOOT RIGHT 2V CR	$148.27	$370.67	—	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 LE-FOOT LEFT 2V CR	$148.27	$370.67	$43.42–$370.67	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	5% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 LE-FOOT LEFT 3V PLUS CR	$148.27	$370.67	—	5% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	5% above	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	5% above	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LE-FOOT RIGHT 3V PLUS CR	$148.27	$370.67	$12.26–$370.67	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LE-FOOT LEFT 3V PLUS CR	$148.27	$370.67	—	—	60%
X-ray of the hand, 3 or more views one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	4% above	60%
X-ray of the hand, 3 or more views one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	4% above	60%
X-ray of the hand, 3 or more views one side CPT 73130 UE-HAND LEFT 3V CR	$148.27	$370.67	—	4% above	60%
X-ray of the hand, 3 or more views one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	4% above	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 UE-HAND LEFT 3V CR	$148.27	$370.67	—	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 UE-HAND RIGHT 3V CR	$148.27	$370.67	$30.38–$333.56	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 LE-KNEE LEFT 1 TO 2V CR	$161.45	$403.63	—	15% above	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 LE-KNEE RIGHT 1 TO 2V CR	$161.45	$403.63	$15.04–$403.63	15% above	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 LE-KNEE RIGHT 1 TO 2V CR	$161.45	$403.63	$15.04–$403.63	15% above	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LE-KNEE RIGHT 1 TO 2V CR	$161.45	$403.63	$15.04–$403.63	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LE-KNEE RIGHT 1 TO 2V CR	$161.45	$403.63	$15.04–$403.63	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LE-KNEE LEFT 1 TO 2V CR	$161.45	$403.63	—	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V CR	$181.45	$453.63	$19.13–$453.63	3% above	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V CR	$181.45	$453.63	$19.13–$453.63	—	60%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS CR	$250.55	$626.37	—	11% above	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS CR	$250.55	$626.37	—	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW CR	$177.68	$444.19	$14.86–$444.19	31% above	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW CR	$177.68	$444.19	$14.86–$444.19	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES CR	$148.27	$370.67	$43.42	23% above	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES CR	$148.27	$370.67	$43.42	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW CR	$169.52	$423.80	$17.15–$423.80	20% above	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW CR	$169.52	$423.80	$17.15–$423.80	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS CR	$161.45	$403.63	$93.33	22% above	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS CR	$161.45	$403.63	$93.33	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V CR	$172.10	$430.24	$58.42–$108.61	19% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V CR	$172.10	$430.24	$58.42–$108.61	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ACTH blood test CPT 82024 ACTH	$77.24	$193.10	—	31% below	60%
ACTH blood test inpatient CPT 82024 ACTH	$77.24	$193.10	—	—	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$10.60	$26.50	$13.25	65% below	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$10.60	$26.50	$13.25	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$10.36	$25.90	$12.95	66% below	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$10.36	$25.90	$12.95	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$95.26	$238.15	$157.36	44% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$95.26	$238.15	$157.36	—	60%
Albumin blood test CPT 82040 ALBUMIN SERUM	$9.90	$24.75	—	44% below	60%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$9.90	$24.75	—	—	60%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASEALKALINE	$10.36	$25.90	$5.08	59% below	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASEALKALINE	$10.36	$25.90	$5.08	—	60%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$29.14	$72.85	$14.28	40% below	60%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$29.14	$72.85	$14.28	—	60%
Amylase blood test CPT 82150 AMYLASE	$12.96	$32.40	$6.37–$29.67	64% below	60%
Amylase blood test inpatient CPT 82150 AMYLASE	$12.96	$32.40	$6.37–$29.67	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$25.90	$64.75	—	34% below	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$25.90	$64.75	—	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 FANA	$24.18	$60.45	$12.09	35% below	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 FANA	$24.18	$60.45	$12.09	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$78.52	$196.30	$29.48–$93.84	16% below	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$78.52	$196.30	$29.48–$93.84	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$17.24	$43.10	—	57% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC/ANAEROBIC (STERILE SITE)	$17.24	$43.10	—	57% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ANTIBODY SCREEN (LIFELINE)	$17.24	$43.10	$36.07–$43.10	57% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC/ANAEROBIC (NON STERILE)	$17.24	$43.10	—	57% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$24.74	$61.85	—	38% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC/ANAEROBIC (STERILE SITE)	$17.24	$43.10	—	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC/ANAEROBIC (NON STERILE)	$17.24	$43.10	—	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$17.24	$43.10	—	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ANTIBODY SCREEN (LIFELINE)	$17.24	$43.10	$36.07–$43.10	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$24.74	$61.85	—	—	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$16.92	$42.30	$1.15–$42.30	77% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$16.92	$42.30	$1.15–$42.30	—	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$10.04	$25.10	$12.55	64% below	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$10.04	$25.10	$12.55	—	60%
Blood culture for bacteria CPT 87040 CULTURE, POSITIVE BLOOD	$20.64	$51.60	$10.67–$51.60	65% below	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$20.64	$51.60	—	65% below	60%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$20.64	$51.60	—	—	60%
Blood culture for bacteria inpatient CPT 87040 CULTURE, POSITIVE BLOOD	$20.64	$51.60	$10.67–$51.60	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$12.00	$30.00	$12.41	27% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$12.00	$30.00	$12.41	—	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$7.86	$19.65	—	66% below	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$7.86	$19.65	—	—	60%
Blood lead test CPT 83655 LEAD PEDS CAPILLARY	$24.22	$60.55	$18.28–$30.28	34% below	60%
Blood lead test inpatient CPT 83655 LEAD PEDS CAPILLARY	$24.22	$60.55	$18.28–$30.28	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL	$15.04	$37.60	$9.40–$37.60	73% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL	$15.04	$37.60	$9.40–$37.60	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH TYPE	$10.99	$27.48	$7.57–$19.04	78% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH TYPE	$10.99	$27.48	$7.57–$19.04	—	60%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUAN	$8.13	$20.32	—	66% below	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUAN	$8.13	$20.32	—	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$10.36	$25.90	$5.08–$17.90	51% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$10.36	$25.90	$5.08–$17.90	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA TEST-INHOUSE RAPID	$102.62	$256.55	$41.68–$256.55	83% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA TEST-INHOUSE RAPID	$102.62	$256.55	$41.68–$256.55	—	60%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$10.32	$25.80	—	62% below	60%
Calcium blood test, total CPT 82310 PTH INTACT W/CALCIUM	$14.99	$37.47	—	45% below	60%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$10.32	$25.80	—	—	60%
Calcium blood test, total inpatient CPT 82310 PTH INTACT W/CALCIUM	$14.99	$37.47	—	—	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$37.92	$94.80	—	40% below	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$37.92	$94.80	—	—	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$25.76	$64.40	—	35% below	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$25.76	$64.40	—	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$70.18	$175.45	$88.57–$175.45	16% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHL SWAB OR URINE	$70.18	$175.45	—	16% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$70.18	$175.45	$88.57–$175.45	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHL SWAB OR URINE	$70.18	$175.45	—	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$26.78	$66.95	$12.52–$66.95	43% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$26.78	$66.95	$12.52–$66.95	—	60%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO-DIFF	$15.54	$38.85	$1.31–$64.88	65% below	60%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO-DIFF	$15.54	$38.85	$1.31–$64.88	—	60%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$12.94	$32.35	$4.79–$32.35	56% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$12.94	$32.35	$4.79–$32.35	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$21.12	$52.80	$1.78–$52.80	80% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$21.12	$52.80	$1.78–$52.80	—	60%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$32.60	$81.50	—	40% below	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$32.60	$81.50	—	—	60%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$13.02	$32.55	$4.82–$26.85	59% below	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$13.02	$32.55	$4.82–$26.85	—	60%
Creatinine blood test CPT 82565 CREATININE BLOOD	$10.24	$25.60	$5.02	54% below	60%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$10.24	$25.60	$5.02	—	60%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$20.36	$50.90	$23.16–$50.90	61% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$20.36	$50.90	$23.16–$50.90	—	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL COC	$60.00	$150.00	—	39% below	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL COC	$60.00	$150.00	—	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$37.16	$92.90	—	42% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$37.16	$92.90	—	—	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$27.26	$68.15	$13.36	40% below	60%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$27.26	$68.15	$13.36	—	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$19.44	$48.60	—	60% below	60%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$19.44	$48.60	—	—	60%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$29.40	$73.50	$14.41	40% below	60%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$29.40	$73.50	$14.41	—	60%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$33.88	$84.70	—	40% below	60%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$33.88	$84.70	—	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE	$18.04	$45.10	—	50% below	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4 FREE	$18.04	$45.10	—	—	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$14.40	$36.00	—	57% below	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$14.40	$36.00	—	—	60%
H. pylori antibody blood test CPT 86677 H PYLORI AB	$33.70	$84.25	—	30% below	60%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB	$33.70	$84.25	—	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT	$170.20	$425.50	—	7% above	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT	$170.20	$425.50	—	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 4TH GENERATION	$104.86	$262.14	$91.36	82% above	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 4TH GENERATION	$104.86	$262.14	$91.36	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$19.42	$48.55	$9.52–$48.55	55% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$19.42	$48.55	$9.52–$48.55	—	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$4.74	$11.85	$5.93	76% below	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN AND HEMATOCRIT	$5.37	$13.42	—	73% below	60%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$4.74	$11.85	$5.93	—	60%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN AND HEMATOCRIT	$5.37	$13.42	—	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$21.48	$53.70	—	56% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$21.48	$53.70	—	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2	$39.10	$97.75	—	10% above	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1/2	$39.10	$97.75	—	—	60%
Insulin blood test CPT 83525 INSULIN TOTAL	$22.86	$57.15	$57.15	45% below	60%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$22.86	$57.15	$57.15	—	60%
Iron blood test (serum iron) CPT 83540 IRON	$12.94	$32.35	$6.34–$6.35	56% below	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$12.94	$32.35	$6.34–$6.35	—	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$17.48	$43.70	$8.57	60% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$17.48	$43.70	$8.57	—	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$17.36	$43.40	$8.51–$21.70	75% below	60%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$17.36	$43.40	$8.51–$21.70	—	60%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$37.04	$92.60	—	45% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$37.04	$92.60	—	—	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$23.14	$57.85	$17.89–$57.85	40% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID ISTAT	$23.14	$57.85	—	40% below	60%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$23.14	$57.85	$17.89–$57.85	—	60%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID ISTAT	$23.14	$57.85	—	—	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE(LDH)	$12.08	$30.20	$4.47–$29.75	51% below	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE(LDH)	$12.08	$30.20	$4.47–$29.75	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$13.78	$34.45	$1.40–$34.45	67% below	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$13.78	$34.45	$1.40–$34.45	—	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$16.34	$40.85	$8.01–$20.43	82% below	60%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$16.34	$40.85	$8.01–$20.43	—	60%
Lyme disease antibody test CPT 86618 LYME DISEASE W/REFLEX TO IMMUNOASSAY	$20.00	$50.00	—	52% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$34.06	$85.15	—	18% below	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE W/REFLEX TO IMMUNOASSAY	$20.00	$50.00	—	—	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$34.06	$85.15	—	—	60%
Magnesium blood test CPT 83735 MAGNESIUM	$13.40	$33.50	$1.13–$30.10	35% below	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$13.40	$33.50	$1.13–$30.10	—	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$25.76	$64.40	—	35% below	60%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$25.76	$64.40	—	—	60%
Mumps immunity blood test CPT 86735 MUMPS AB	$26.10	$65.25	—	31% below	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$26.10	$65.25	—	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$36.78	$91.95	—	40% below	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$36.78	$91.95	—	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$82.56	$206.40	$40.45–$103.20	32% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$82.56	$206.40	$40.45–$103.20	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$12.02	$30.05	$6.20–$30.05	58% below	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$12.02	$30.05	$6.20–$30.05	—	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$9.48	$23.70	$3.51–$4.65	70% below	60%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$9.48	$23.70	$3.51–$4.65	—	60%
Potassium blood test CPT 84132 POTASSIUM	$9.52	$23.80	—	64% below	60%
Potassium blood test inpatient CPT 84132 POTASSIUM	$9.52	$23.80	—	—	60%
Progesterone blood test CPT 84144 PROGESTERONE	$41.72	$104.30	—	35% below	60%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$41.72	$104.30	—	—	60%
Prolactin blood test CPT 84146 PROLACTIN	$38.76	$96.90	$17.81–$48.45	54% below	60%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$38.76	$96.90	$17.81–$48.45	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.58	$21.45	$4.06–$21.45	58% below	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$8.58	$21.45	$4.06–$21.45	—	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$11.34	$28.35	$5.67	63% below	60%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$11.34	$28.35	$5.67	—	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$28.78	$71.95	—	7% below	60%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$28.78	$71.95	—	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$5.40	$13.50	$2.00–$13.50	75% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$5.40	$13.50	$2.00–$13.50	—	60%
Sodium blood test CPT 84295 SODIUM	$9.62	$24.05	—	65% below	60%
Sodium blood test inpatient CPT 84295 SODIUM	$9.62	$24.05	—	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES	$31.84	$79.60	$56.92	at median	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECES	$31.84	$79.60	$56.92	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE	$8.54	$21.35	$19.33	67% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE	$8.54	$21.35	$19.33	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$51.62	$129.05	—	34% below	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$51.62	$129.05	—	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE	$32.67	$81.68	—	20% below	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE	$32.67	$81.68	—	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$33.60	$84.00	$15.45–$152.15	34% below	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$33.60	$84.00	$15.45–$152.15	—	60%
Total cholesterol blood test CPT 82465 CHOLESTEROL PLEURAL FLUID	$8.70	$21.75	—	65% below	60%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PLEURAL FLUID	$8.70	$21.75	—	—	60%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4TOTAL	$13.74	$34.35	$34.35	49% below	60%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4TOTAL	$13.74	$34.35	$34.35	—	60%
Total triiodothyronine (T3) blood test CPT 84480 T3TOTAL	$28.36	$70.90	$13.90–$70.90	42% below	60%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3TOTAL	$28.36	$70.90	$13.90–$70.90	—	60%
Transferrin blood test CPT 84466 TRANSFERRIN	$25.52	$63.80	—	51% below	60%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$25.52	$63.80	—	—	60%
Trichomonas test (NAAT) CPT 87661 VAGINITIS & STI PCR	$160.00	$400.00	—	141% above	60%
Trichomonas test (NAAT) inpatient CPT 87661 VAGINITIS & STI PCR	$160.00	$400.00	—	—	60%
Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY	$30.02	$75.04	—	46% below	60%
Troponin test, quantitative CPT 84484 TROPONIN I	$30.02	$75.04	$1.06–$75.04	46% below	60%
Troponin test, quantitative CPT 84484 TROPONIN hs - ISTAT	$30.02	$75.04	—	46% below	60%
Troponin test, quantitative CPT 84484 TROPONIN - ISTAT	$30.02	$75.04	—	46% below	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$30.02	$75.04	$1.06–$75.04	—	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN - ISTAT	$30.02	$75.04	—	—	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN hs - ISTAT	$30.02	$75.04	—	—	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY	$30.02	$75.04	—	—	60%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$9.04	$22.60	$3.34–$20.68	68% below	60%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$9.04	$22.60	$3.34–$20.68	—	60%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W-SCOPE	$6.34	$15.85	—	79% below	60%
Urinalysis with microscope exam, automated CPT 81001 UA COMP CULT IF NEEDED COM CLINIC	$11.96	$29.90	$1.75–$29.90	61% below	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE	$11.96	$29.90	—	61% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W-SCOPE	$6.34	$15.85	—	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE	$11.96	$29.90	—	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA COMP CULT IF NEEDED COM CLINIC	$11.96	$29.90	$1.75–$29.90	—	60%
Urinalysis without microscope exam, automated CPT 81003 UA DIP W/ REFLEX TO UR MICRO/C&S IF IND	$9.05	$22.63	$0.92–$22.63	16% below	60%
Urinalysis without microscope exam, automated CPT 81003 UA DIP W/ REFLEX TO UR MICRO	$9.05	$22.63	—	16% below	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIP W/ REFLEX TO UR MICRO	$9.05	$22.63	—	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIP W/ REFLEX TO UR MICRO/C&S IF IND	$9.05	$22.63	$0.92–$22.63	—	60%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$16.14	$40.35	$8.35–$40.35	60% below	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$16.14	$40.35	$8.35–$40.35	—	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN/CREATININE RATIO	$80.00	$200.00	—	284% above	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE TIMED	$80.00	$200.00	$5.66–$100.00	284% above	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RANDOM	$80.00	$200.00	—	284% above	60%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE TIMED	$80.00	$200.00	$5.66–$100.00	—	60%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE RANDOM	$80.00	$200.00	—	—	60%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN/CREATININE RATIO	$80.00	$200.00	—	—	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$17.22	$43.05	—	57% below	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL CLINIC COM	$17.22	$43.05	$6.37–$43.05	57% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$17.22	$43.05	—	—	60%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL CLINIC COM	$17.22	$43.05	$6.37–$43.05	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$30.16	$75.40	$14.78	40% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$30.16	$75.40	$14.78	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$59.20	$148.00	$29.01–$180.35	20% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$59.20	$148.00	$29.01–$180.35	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$28.90	$72.25	$15.56–$72.25	55% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$28.90	$72.25	$15.56–$72.25	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Incision and drainage of a simple or single skin abscess CPT 10060 PF DRAINAGE OF SKIN ABSCESS SIMPLE	$140.11	$350.28	—	36% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	10% above	60%
Incision and drainage of a simple or single skin abscess one side CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	10% above	60%
Incision and drainage of a simple or single skin abscess one side CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	10% above	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF DRAINAGE OF SKIN ABSCESS SIMPLE	$140.11	$350.28	—	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	—	60%
Incision and drainage of a simple or single skin abscess inpatient one side CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	—	60%
Incision and drainage of a simple or single skin abscess inpatient one side CPT 10060 DRAINAGE OF SKIN ABSCESS	$241.17	$602.93	$20.57–$602.93	—	60%
Nail removal (partial or complete), one nail CPT 11730 PF REMOVAL OF NAIL PLATE	$128.42	$321.06	—	14% below	60%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$241.17	$602.93	—	61% above	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 PF REMOVAL OF NAIL PLATE	$128.42	$321.06	—	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$241.17	$602.93	—	—	60%
Removal of a foreign object under the skin, simple CPT 10120 PF REMOVE FOREIGN BODY	$167.71	$419.28	—	44% below	60%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$464.90	$1,162.26	—	54% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PF REMOVE FOREIGN BODY	$167.71	$419.28	—	—	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$464.90	$1,162.26	—	—	60%
Short arm splint (forearm and hand) CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	3% below	60%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	3% below	60%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	3% below	60%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	—	60%
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	—	60%
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLICATION FOREARM SPLINT	$149.73	$374.33	$44.98–$208.67	—	60%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$325.61	$814.02	—	103% above	60%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$325.61	$814.02	—	—	60%
Short leg splint (calf to foot) CPT 29515 PF APPLICATION LOWER LEG SPLINT	$79.63	$199.08	—	50% below	60%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	17% above	60%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	17% above	60%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	17% above	60%
Short leg splint (calf to foot) inpatient CPT 29515 PF APPLICATION LOWER LEG SPLINT	$79.63	$199.08	—	—	60%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	—	60%
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	—	60%
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION LOWER LEG SPLINT	$188.15	$470.37	$64.29–$206.55	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF RPR S/N/AX/GEN/TRNK 2.5CM/<	$103.91	$259.77	—	52% below	60%
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/<	$241.17	$602.93	$57.54–$602.93	11% above	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$241.17	$602.93	$57.54–$602.93	11% above	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$241.17	$602.93	$57.54–$602.93	11% above	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PF RPR S/N/AX/GEN/TRNK 2.5CM/<	$103.91	$259.77	—	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$241.17	$602.93	$57.54–$602.93	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient one side CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$241.17	$602.93	$57.54–$602.93	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient one side CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$241.17	$602.93	$57.54–$602.93	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PF RPR S/N/AX/GEN/TRNK2.6-7.5CM	$125.88	$314.70	—	46% below	60%
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	$241.17	$602.93	$34.64–$186.00	4% above	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$241.17	$602.93	$34.64–$186.00	4% above	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$241.17	$602.93	$34.64–$186.00	4% above	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PF RPR S/N/AX/GEN/TRNK2.6-7.5CM	$125.88	$314.70	—	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$241.17	$602.93	$34.64–$186.00	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient one side CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$241.17	$602.93	$34.64–$186.00	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient one side CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$241.17	$602.93	$34.64–$186.00	—	60%
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 2.5CM/<	$241.17	$602.93	$92.32–$286.13	3% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 RPR F/E/E/N/L/M 2.5CM/<	$241.17	$602.93	$92.32–$286.13	3% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5CM/<	$241.17	$602.93	$92.32–$286.13	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 RPR F/E/E/N/L/M 2.5CM/<	$241.17	$602.93	$92.32–$286.13	—	60%
Thoracentesis with imaging guidance CPT 32555 PF ASPIRATE PLEURA W/ IMAGING	$351.73	$879.33	—	44% below	60%
Thoracentesis with imaging guidance inpatient CPT 32555 PF ASPIRATE PLEURA W/ IMAGING	$351.73	$879.33	—	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 PF INJ TRIGGER POINT 1/2 MUSCL	$59.06	$147.66	—	77% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$353.73	$884.33	—	40% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF INJ TRIGGER POINT 1/2 MUSCL	$59.06	$147.66	—	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$353.73	$884.33	—	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,546.03	$3,865.08	—	274% above	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$1,546.03	$3,865.08	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITAL	$113.30	$283.25	$12.53–$236.80	15% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT INITAL	$113.30	$283.25	$12.53–$236.80	—	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR LEVEL 6	$2,635.46	$6,588.65	—	117% above	60%
Critical care, first 30 to 74 minutes one side CPT 99291 PF CRITICAL CARE LT 74M LEVEL 6	$308.53	$771.33	—	75% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR LEVEL 6	$2,635.46	$6,588.65	—	—	60%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 PF CRITICAL CARE LT 74M LEVEL 6	$308.53	$771.33	—	—	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD WITH INTERPRETATION	$18.02	$45.06	—	83% below	60%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD WITH INTERPRETATION	$18.02	$45.06	—	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD HOSPITAL	$56.04	$140.09	$1.98–$140.09	48% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD HOSPITAL	$56.04	$140.09	$1.98–$140.09	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEVEL 1	$345.05	$862.63	$50.00–$330.00	152% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LEVEL 1	$345.05	$862.63	—	152% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LEVEL 1	$345.05	$862.63	—	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2	$373.68	$934.21	—	62% above	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LEVEL 2	$373.68	$934.21	$33.83–$652.17	62% above	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LEVEL 2	$373.68	$934.21	—	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEVEL 3	$616.56	$1,541.40	—	39% above	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEVEL 3	$616.56	$1,541.40	$74.42–$1,541.40	39% above	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LEVEL 3	$616.56	$1,541.40	—	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEVEL 4	$1,049.06	$2,622.64	$50.00–$2,622.64	50% above	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LEVEL 4	$1,049.06	$2,622.64	—	50% above	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LEVEL 4	$1,049.06	$2,622.64	—	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEVEL 5	$1,061.31	$2,653.28	$50.00–$2,653.28	7% above	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LEVEL 5	$1,061.31	$2,653.28	—	7% above	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LEVEL 5	$1,061.31	$2,653.28	—	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$214.76	$536.89	$80.53–$350.06	45% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$214.76	$536.89	$80.53–$350.06	—	60%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$214.76	$536.89	$81.88–$350.06	35% above	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$214.76	$536.89	$81.88–$350.06	—	60%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH MEDICATION	$214.76	$536.89	$76.80–$536.89	92% above	60%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH MEDICATION	$214.76	$536.89	$76.80–$536.89	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION CLINIC	$32.00	$80.00	—	43% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ OR IM DRUG ADMINISTRATION	$214.76	$536.89	$17.14–$536.89	284% above	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION CLINIC	$32.00	$80.00	—	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ OR IM DRUG ADMINISTRATION	$214.76	$536.89	$17.14–$536.89	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL - LOW COMPLEXITY	$93.06	$232.65	—	28% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL - LOW COMPLEXITY	$93.06	$232.65	—	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL - MODERATE COMPLEXITY	$93.06	$232.65	—	31% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL - MODERATE COMPLEXITY	$93.06	$232.65	—	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT FACILITY MNL THRPY - 15 MIN	$69.27	$173.17	—	49% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT FACILITY MNL THRPY - 15 MIN	$69.27	$173.17	—	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT FACILITY THER EXRCS - 15 MIN	$47.52	$118.79	—	1% above	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT FACILITY THER EXRCS - 15 MIN	$47.52	$118.79	—	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST LVL 3	$112.73	$281.82	—	74% above	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST LVL 3	$112.73	$281.82	—	—	60%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$151.67	$379.17	$62.94	3% below	60%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$151.67	$379.17	$62.94	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FACILITY THER ACTVT - 15 MIN	$59.79	$149.48	—	27% above	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT FACILITY THER ACTVT - 15 MIN	$59.79	$149.48	—	27% above	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT FACILITY THER ACTVT - 15 MIN	$59.79	$149.48	—	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FACILITY THER ACTVT - 15 MIN	$59.79	$149.48	—	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 1EA VAC	$56.80	$142.00	$24.14–$142.00	2% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 1EA VAC	$56.80	$142.00	$24.14–$142.00	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE IMMUNIZATION INJECTION 1ST	$23.20	$58.00	$4.47–$58.00	36% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE IMMUNIZATION INJECTION 1ST	$23.20	$58.00	$4.47–$58.00	—	60%

Source file: https://shamrock.health/downloads/862345211_Houston-County-Community-Hospital_standardcharges.csv