SelfPayRates
Hospital Evansville, IN

The Women's Hospital

Listed in its price file as “Deaconess Hospital, Inc”.

The Women's Hospital in Newburgh, IN publishes cash prices for 275 common procedures listed here, from its own machine-readable price file updated Feb 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 182 of 270 procedures and below it for 87. By typical cash price it ranks #72 of 89 Indiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

4199 Gateway Blvd, Newburgh, IN 47630-8940 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs IndianaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST $1,880.01 $3,186.45 $65.51–$2,708.48 48% above 41%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST $1,880.01 $3,186.45 $1,593.23–$2,708.48 — 41%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS $305.29 $517.44 $39.20–$439.82 13% above 41%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS $305.29 $517.44 $258.72–$439.82 — 41%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS $266.56 $451.79 $17.51–$384.02 36% above 41%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS $266.56 $451.79 $225.90–$384.02 — 41%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST $353.41 $599.00 $48.47–$599.88 25% below 41%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST $353.41 $599.00 $299.50–$509.15 — 41%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL $359.07 $608.58 $39.20–$517.29 18% below 41%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL $359.07 $608.58 $304.29–$517.29 — 41%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL $295.71 $501.19 $32.40–$426.01 9% below 41%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL $295.71 $501.19 $250.60–$426.01 — 41%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST $3,039.86 $5,152.29 $137.12–$4,379.45 61% above 41%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST $3,039.86 $5,152.29 $2,576.15–$4,379.45 — 41%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W&W/O CONTRAST $2,028.55 $3,438.22 $65.51–$2,922.49 59% above 41%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W&W/O CONTRAST $2,028.55 $3,438.22 $1,719.11–$2,922.49 — 41%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W&W/O CONTRAST $1,900.34 $3,220.91 $65.51–$2,737.77 56% above 41%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W&W/O CONTRAST $1,900.34 $3,220.91 $1,610.46–$2,737.77 — 41%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST $2,071.93 $3,511.73 $65.51–$2,984.97 65% above 41%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST $2,071.93 $3,511.73 $1,755.87–$2,984.97 — 41%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CORONARY ARTERIES W CALCIUM SCORING $1,566.69 $2,655.39 $65.51–$2,257.08 88% above 41%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CORONARY ARTERIES W CALCIUM SCORING $1,566.69 $2,655.39 $1,327.70–$2,257.08 — 41%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST $1,736.10 $2,942.54 $87.37–$2,501.16 66% above 41%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST $1,736.10 $2,942.54 $1,471.27–$2,501.16 — 41%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST $2,116.84 $3,587.86 $137.12–$3,049.68 40% above 41%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST $2,116.84 $3,587.86 $1,793.93–$3,049.68 — 41%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS $2,086.89 $3,537.10 $137.12–$3,006.54 22% above 41%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS $2,086.89 $3,537.10 $1,768.55–$3,006.54 — 41%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST $1,636.02 $2,772.91 $65.51–$2,356.97 54% above 41%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST $1,636.02 $2,772.91 $1,386.46–$2,356.97 — 41%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST $1,067.89 $1,809.97 $39.20–$1,538.47 26% above 41%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST $1,067.89 $1,809.97 $904.99–$1,538.47 — 41%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $1,204.28 $2,041.15 $39.20–$1,734.98 45% above 41%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST $1,204.28 $2,041.15 $1,020.58–$1,734.98 — 41%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST $1,124.80 $1,906.44 $39.20–$1,620.47 43% above 41%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST $1,124.80 $1,906.44 $953.22–$1,620.47 — 41%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST $1,484.43 $2,515.97 $65.51–$2,138.57 42% above 41%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST $1,484.43 $2,515.97 $1,257.99–$2,138.57 — 41%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $1,393.53 $2,361.90 $39.20–$2,007.62 57% above 41%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST $1,393.53 $2,361.90 $1,180.95–$2,007.62 — 41%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $1,268.94 $2,150.73 $39.20–$1,828.12 52% above 41%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST $1,268.94 $2,150.73 $1,075.37–$1,828.12 — 41%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST $1,206.47 $2,044.86 $65.51–$1,738.13 26% above 41%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST $1,206.47 $2,044.86 $1,022.43–$1,738.13 — 41%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT $823.98 $1,396.56 $87.37–$1,187.08 — 41%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT $823.98 $1,396.56 $698.28–$1,187.08 — 41%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST $1,987.48 $3,368.60 $65.51–$2,863.31 87% above 41%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST $1,987.48 $3,368.60 $1,684.30–$2,863.31 — 41%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS $305.29 $517.44 $32.40–$439.82 47% above 41%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS $305.29 $517.44 $258.72–$439.82 — 41%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW $186.42 $315.96 $32.40–$296.68 15% above 41%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW $186.42 $315.96 $157.98–$268.57 — 41%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE $265.93 $450.72 $14.53–$383.11 39% above 41%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE $265.93 $450.72 $225.36–$383.11 — 41%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL COMPLETE $591.67 $1,002.83 $39.20–$852.41 15% above 41%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL COMPLETE $591.67 $1,002.83 $501.42–$852.41 — 41%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL $351.46 $595.68 $26.92–$506.33 21% above 41%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL $351.46 $595.68 $297.84–$506.33 — 41%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR $197.71 $335.09 $11.56–$296.68 36% above 41%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR $197.71 $335.09 $167.55–$284.83 — 41%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANCY DETAILED SINGLE/FIRST GEST $491.55 $833.13 $62.59–$800.02 11% below 41%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANCY DETAILED SINGLE/FIRST GEST $983.84 $1,667.52 $833.76–$1,417.39 — 41%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAG W/O CONTRAST $1,581.32 $2,680.19 $39.20–$2,278.16 90% above 41%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAG W/O CONTRAST $1,581.32 $2,680.19 $1,340.10–$2,278.16 — 41%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAG W/CONTRAST $1,463.00 $2,479.65 $65.51–$2,107.70 60% above 41%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAG W/CONTRAST $1,463.00 $2,479.65 $1,239.83–$2,107.70 — 41%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $320.71 $543.57 $44.10–$462.03 — 41%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $320.71 $543.57 $271.79–$462.03 — 41%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $320.71 $543.57 $35.91–$462.03 44% above 41%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $320.71 $543.57 $271.79–$462.03 — 41%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT $868.62 $1,472.23 $87.37–$1,251.40 — 41%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT $868.62 $1,472.23 $736.12–$1,251.40 — 41%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT $946.96 $1,605.01 $87.37–$1,364.26 — 41%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT $946.96 $1,605.01 $802.51–$1,364.26 — 41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE $1,378.22 $2,335.95 $196.70–$1,985.56 17% below 41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE $1,378.22 $2,335.95 $196.70–$1,985.56 17% below 41%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE PEDIATRIC $1,537.95 $2,606.68 $196.70–$2,215.68 7% below 41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE $1,378.22 $2,335.95 $1,167.98–$1,985.56 — 41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE $1,378.22 $2,335.95 $1,167.98–$1,985.56 — 41%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE PEDIATRIC $1,537.95 $2,606.68 $1,303.34–$2,215.68 — 41%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS $223.08 $378.10 $14.28–$321.39 34% above 41%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS $223.08 $378.10 $189.05–$321.39 — 41%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST $1,413.75 $2,396.17 $39.20–$2,036.74 74% above 41%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST $1,413.75 $2,396.17 $1,198.09–$2,036.74 — 41%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS $256.72 $435.11 $13.79–$369.84 38% above 41%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS $256.72 $435.11 $217.56–$369.84 — 41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER $1,272.07 $2,156.04 $147.05–$1,832.63 3% below 41%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER $1,272.07 $2,156.04 $1,078.02–$1,832.63 — 41%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS $214.51 $363.57 $13.54–$358.96 25% above 41%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS $214.51 $363.57 $181.79–$309.03 — 41%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS $257.94 $437.17 $19.24–$371.59 13% above 41%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS $257.94 $437.17 $218.59–$371.59 — 41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED $461.80 $782.71 $39.20–$665.30 1% above 41%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED $461.80 $782.71 $391.36–$665.30 — 41%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC $295.71 $501.19 $7.60–$426.01 2% below 41%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC $295.71 $501.19 $250.60–$426.01 — 41%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE LUNG CT SCREENING $345.03 $584.78 $39.80–$1,341.00 79% above 41%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE LUNG CT SCREENING $345.03 $584.78 $292.39–$497.06 — 41%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS $235.86 $399.75 $13.29–$339.79 19% above 41%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS $235.86 $399.75 $199.88–$339.79 — 41%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST $1,779.20 $3,015.59 $87.37–$2,563.25 65% above 41%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST $1,779.20 $3,015.59 $1,507.80–$2,563.25 — 41%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $2,140.10 $3,627.28 $87.37–$3,083.19 108% above 41%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $2,140.10 $3,627.28 $1,813.64–$3,083.19 — 41%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $2,347.22 $3,978.33 $87.37–$3,381.58 120% above 41%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $2,347.22 $3,978.33 $1,989.17–$3,381.58 — 41%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST $2,887.28 $4,893.68 $137.12–$4,159.63 83% above 41%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST $2,887.28 $4,893.68 $2,446.84–$4,159.63 — 41%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST $2,724.88 $4,618.43 $87.37–$3,925.67 163% above 41%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST $2,724.88 $4,618.43 $2,309.22–$3,925.67 — 41%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST $3,680.13 $6,237.50 $137.12–$5,301.88 167% above 41%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST $3,680.13 $6,237.50 $3,118.75–$5,301.88 — 41%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST $2,876.07 $4,874.68 $87.37–$4,143.48 178% above 41%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST $2,876.07 $4,874.68 $2,437.34–$4,143.48 — 41%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST $3,281.71 $5,562.21 $137.12–$4,727.88 124% above 41%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST $3,281.71 $5,562.21 $2,781.11–$4,727.88 — 41%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST $2,373.68 $4,023.18 $87.37–$3,419.70 132% above 41%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST $2,373.68 $4,023.18 $2,011.59–$3,419.70 — 41%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST $2,928.90 $4,964.23 $137.12–$4,219.60 100% above 41%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST $2,928.90 $4,964.23 $2,482.12–$4,219.60 — 41%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST $2,373.68 $4,023.18 $87.37–$3,419.70 128% above 41%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST $2,373.68 $4,023.18 $2,011.59–$3,419.70 — 41%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONTRAST $2,839.26 $4,812.29 $137.12–$4,090.45 95% above 41%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONTRAST $2,839.26 $4,812.29 $2,406.15–$4,090.45 — 41%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $2,683.22 $4,547.83 $87.37–$3,865.66 149% above 41%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $2,683.22 $4,547.83 $2,273.92–$3,865.66 — 41%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST $1,505.48 $2,551.66 $65.51–$2,168.91 54% above 41%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W/CONTRAST $1,505.48 $2,551.66 $1,275.83–$2,168.91 — 41%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT $3,160.79 $5,357.26 $280.83–$4,636.04 16% below 41%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT $3,160.79 $5,357.26 $2,678.63–$4,553.67 — 41%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST $1,689.52 $2,863.59 $39.20–$2,434.05 103% above 41%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST $1,689.52 $2,863.59 $1,431.80–$2,434.05 — 41%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED $731.27 $1,239.44 $24.19–$1,053.52 120% above 41%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED $438.58 $743.34 $371.67–$631.84 — 41%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB $731.27 $1,239.44 $39.20–$1,053.52 58% above 41%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB $438.58 $743.34 $371.67–$631.84 — 41%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $825.67 $1,399.43 $39.20–$1,189.52 50% above 41%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $453.86 $769.25 $384.63–$653.86 — 41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST $825.67 $1,399.43 $39.20–$1,189.52 63% above 41%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST $428.01 $725.43 $362.72–$616.62 — 41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED $212.84 $360.73 $39.20–$358.96 45% below 41%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED $212.84 $360.73 $180.37–$306.62 — 41%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS $262.63 $445.12 $15.28–$378.35 28% above 41%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS $262.63 $445.12 $222.56–$378.35 — 41%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS $310.88 $526.91 $18.74–$447.87 28% above 41%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS $310.88 $526.91 $263.46–$447.87 — 41%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $439.33 $744.62 $69.28–$632.93 — 41%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $439.33 $744.62 $372.31–$632.93 — 41%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS $276.00 $467.79 $14.78–$397.62 32% above 41%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS $276.00 $467.79 $233.90–$397.62 — 41%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL < 4 VIEWS $215.53 $365.30 $17.51–$358.96 7% below 41%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL < 4 VIEWS $215.53 $365.30 $182.65–$310.51 — 41%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY $243.17 $412.15 $45.99–$599.88 34% below 41%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY $243.17 $412.15 $206.08–$350.33 — 41%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS $99.27 $168.25 $15.77–$296.68 50% below 41%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS $99.27 $168.25 $84.13–$143.01 — 41%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2+ VIEWS $197.86 $335.34 $16.76–$296.68 34% above 41%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2+ VIEWS $197.86 $335.34 $167.67–$285.04 — 41%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL $360.97 $611.81 $39.20–$520.04 11% below 41%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL $602.39 $1,021.00 $510.50–$867.85 — 41%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL $369.26 $625.85 $39.20–$531.97 at median 41%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL $369.26 $625.85 $312.93–$531.97 — 41%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE $643.28 $1,090.30 $39.20–$926.76 23% above 41%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE $643.28 $1,090.30 $545.15–$926.76 — 41%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM $470.02 $796.63 $29.15–$677.14 10% above 41%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM $470.02 $796.63 $398.32–$677.14 — 41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK $582.44 $987.17 $39.20–$839.09 37% above 41%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK $582.44 $987.17 $493.59–$839.09 — 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST $223.43 $378.69 $56.64–$599.88 57% below 41%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST $223.43 $378.69 $189.35–$321.89 — 41%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2+ VIEWS $256.72 $435.11 $14.28–$369.84 33% above 41%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2+ VIEWS $256.72 $435.11 $217.56–$369.84 — 41%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED $630.23 $1,068.17 $39.20–$907.94 3% below 41%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED $630.23 $1,068.17 $534.09–$907.94 — 41%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS $115.84 $196.33 $20.48–$296.68 55% below 41%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS $115.84 $196.33 $98.17–$166.88 — 41%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS $99.27 $168.25 $20.73–$296.68 63% below 41%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS $99.27 $168.25 $84.13–$143.01 — 41%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW $186.42 $315.96 $32.40–$296.68 17% below 41%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW $186.42 $315.96 $157.98–$268.57 — 41%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS $217.42 $368.50 $14.28–$313.23 36% above 41%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS $217.42 $368.50 $184.25–$313.23 — 41%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+ VIEWS $197.25 $334.32 $18.50–$296.68 26% above 41%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+ VIEWS $197.25 $334.32 $167.16–$284.17 — 41%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS $227.07 $384.86 $13.79–$327.13 38% above 41%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS $227.07 $384.86 $192.43–$327.13 — 41%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS $290.04 $491.59 $16.27–$417.85 45% above 41%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS $290.04 $491.59 $245.80–$417.85 — 41%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND COMPLETE 3+ VIEWS $235.47 $399.09 $17.01–$339.23 17% above 41%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND COMPLETE 3+ VIEWS $235.47 $399.09 $199.55–$339.23 — 41%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS $225.67 $382.48 $15.03–$325.11 8% above 41%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS $225.67 $382.48 $191.24–$325.11 — 41%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS $294.05 $498.38 $17.01–$423.62 17% above 41%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS $294.05 $498.38 $249.19–$423.62 — 41%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS $262.05 $444.15 $17.01–$377.53 5% above 41%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS $262.05 $444.15 $222.08–$377.53 — 41%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS $238.19 $403.71 $13.79–$358.96 21% above 41%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS $238.19 $403.71 $201.86–$343.15 — 41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS $216.07 $366.22 $14.28–$311.29 1% below 41%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS $216.07 $366.22 $183.11–$311.29 — 41%

Lab tests

ProcedureCash price List priceInsurers payvs IndianaOff list
ACTH blood test CPT 82024 HC ACTH B $332.12 $562.91 $15.45–$478.47 27% above 41%
ACTH blood test inpatient CPT 82024 HC ACTH B $332.12 $562.91 $281.46–$478.47 — 41%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT B $123.52 $209.35 $2.12–$177.95 341% above 41%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT B $123.52 $209.35 $104.68–$177.95 — 41%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT B $117.82 $199.68 $2.07–$169.73 306% above 41%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT B $117.82 $199.68 $99.84–$169.73 — 41%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE $578.77 $980.96 $19.05–$833.82 82% above 41%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE $578.77 $980.96 $490.48–$833.82 — 41%
Albumin blood test CPT 82040 HC ALBUMIN B $72.37 $122.65 $1.98–$104.25 213% above 41%
Albumin blood test inpatient CPT 82040 HC ALBUMIN B $72.37 $122.65 $61.33–$104.25 — 41%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD $110.77 $187.74 $16.30–$159.58 46% below 41%
Aldosterone blood test CPT 82088 HC ALDOSTERONE 24 HR URINE $125.04 $211.93 $16.30–$180.14 40% below 41%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD $110.77 $187.74 $93.87–$159.58 — 41%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 24 HR URINE $125.04 $211.93 $105.97–$180.14 — 41%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE $87.96 $149.07 $2.07–$126.71 171% above 41%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE $87.96 $149.07 $74.54–$126.71 — 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F014 AGN-IGE SOYBEAN REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD SESAME SEED REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F020-IGE ALMOND REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F004 AGN-IGE WHEAT REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF040-IGE TUNA REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF041-IGE SALMON REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F003 AGN-IGE CODFISH REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF053-IGE SCALLOP REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F018-IGE BRAZIL NUT REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F024 AGN-IGE SHRIMP REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F013-IGE PEANUT REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F001 AGN-IGE EGG WHITE REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F002 AGN-IGE MILK COW REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F202-IGE CASHEW NUT REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF $7.67 $13.00 $2.09–$12.79 60% below 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF053-IGE SCALLOP REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD SESAME SEED REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F001 AGN-IGE EGG WHITE REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F002 AGN-IGE MILK COW REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF040-IGE TUNA REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F013-IGE PEANUT REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F202-IGE CASHEW NUT REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F003 AGN-IGE CODFISH REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F014 AGN-IGE SOYBEAN REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F018-IGE BRAZIL NUT REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F020-IGE ALMOND REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F004 AGN-IGE WHEAT REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF041-IGE SALMON REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF $7.67 $13.00 $6.50–$11.05 — 41%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F024 AGN-IGE SHRIMP REF $7.67 $13.00 $6.50–$11.05 — 41%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER $156.81 $265.77 $6.71–$225.90 53% above 41%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL $196.89 $333.70 $6.71–$283.65 92% above 41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER $156.81 $265.77 $132.89–$225.90 — 41%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL $196.89 $333.70 $166.85–$283.65 — 41%
Ammonia blood test CPT 82140 HC AMMONIA B $140.35 $237.87 $5.83–$202.19 17% above 41%
Ammonia blood test inpatient CPT 82140 HC AMMONIA B $140.35 $237.87 $118.94–$202.19 — 41%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID $13.10 $22.20 $2.59–$18.87 74% below 41%
Amylase blood test CPT 82150 HC AMYLASE B $169.10 $286.61 $2.59–$243.62 234% above 41%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID $13.10 $22.20 $11.10–$18.87 — 41%
Amylase blood test inpatient CPT 82150 HC AMYLASE B $169.10 $286.61 $143.31–$243.62 — 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB ANA IGG $9.82 $16.63 $3.82–$29.62 84% below 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN $115.54 $195.82 $4.84–$166.45 93% above 41%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA WITH REFLEX $115.54 $195.82 $4.84–$166.45 93% above 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB ANA IGG $9.82 $16.63 $8.32–$14.14 — 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA WITH REFLEX $115.54 $195.82 $97.91–$166.45 — 41%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN $115.54 $195.82 $97.91–$166.45 — 41%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE BNP $308.55 $522.96 $15.70–$444.52 81% above 41%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE BNP $308.55 $522.96 $261.48–$444.52 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR $70.85 $120.08 $3.45–$102.07 24% below 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL TRACT $136.87 $231.97 $3.45–$197.17 47% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY TRACT $159.64 $270.56 $3.45–$229.98 71% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EYE $247.38 $419.28 $3.45–$356.39 165% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE IV CATH TIP $247.38 $419.28 $3.45–$356.39 165% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF $247.38 $419.28 $3.45–$356.39 165% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC $247.38 $419.28 $3.45–$356.39 165% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BODY FLUID $248.61 $421.36 $3.45–$358.16 166% above 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR $70.85 $120.08 $60.04–$102.07 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL TRACT $136.87 $231.97 $115.99–$197.17 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY TRACT $159.64 $270.56 $135.28–$229.98 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC $247.38 $419.28 $209.64–$356.39 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF $247.38 $419.28 $209.64–$356.39 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE IV CATH TIP $247.38 $419.28 $209.64–$356.39 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EYE $247.38 $419.28 $209.64–$356.39 — 41%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BODY FLUID $248.61 $421.36 $210.68–$358.16 — 41%
Basic metabolic panel (blood test) CPT 80048 HC CHEM8 (ISTAT) $279.69 $474.05 $3.38–$402.94 245% above 41%
Basic metabolic panel (blood test) CPT 80048 HC QUICK CHEM $293.58 $497.59 $3.38–$422.95 262% above 41%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8 $293.60 $497.62 $3.38–$422.98 262% above 41%
Basic metabolic panel (blood test) inpatient CPT 80048 HC CHEM8 (ISTAT) $279.69 $474.05 $237.03–$402.94 — 41%
Basic metabolic panel (blood test) inpatient CPT 80048 HC QUICK CHEM $293.58 $497.59 $248.80–$422.95 — 41%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8 $293.60 $497.62 $248.81–$422.98 — 41%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN CORD BLOOD $82.21 $139.33 $2.01–$118.43 145% above 41%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL $106.97 $181.29 $2.01–$154.10 218% above 41%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN CORD BLOOD $82.21 $139.33 $69.67–$118.43 — 41%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL $106.97 $181.29 $90.65–$154.10 — 41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CYTOLOGY WITH BLOCK $354.18 $600.29 $19.32–$510.25 37% above 41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV $413.14 $700.23 $19.32–$595.20 59% above 41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL 4 ADD SAMPLES $413.14 $700.23 $19.32–$595.20 59% above 41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CYTOLOGY WITH BLOCK $354.18 $600.29 $300.15–$510.25 — 41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL 4 ADD SAMPLES $413.14 $700.23 $350.12–$595.20 — 41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV $413.14 $700.23 $350.12–$595.20 — 41%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD $273.64 $463.79 $4.13–$394.22 110% above 41%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD $273.64 $463.79 $231.90–$394.22 — 41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $24.08 $40.81 $3.53–$34.69 43% above 41%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE $24.08 $40.81 $3.53–$34.69 43% above 41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE $24.08 $40.81 $20.41–$34.69 — 41%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $25.09 $42.52 $21.26–$36.14 — 41%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BY DEVICE $45.90 $77.78 $1.57–$66.11 71% above 41%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE B $85.27 $144.51 $1.57–$122.83 217% above 41%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BY DEVICE $45.90 $77.78 $38.89–$66.11 — 41%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE B $85.27 $144.51 $72.26–$122.83 — 41%
Blood lead test CPT 83655 HC LEAD PEDIATRIC $64.85 $109.91 $4.84–$93.42 9% below 41%
Blood lead test inpatient CPT 83655 HC LEAD PEDIATRIC $64.85 $109.91 $54.96–$93.42 — 41%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SERUM PREGNANCY $173.43 $293.94 $3.01–$249.85 126% above 41%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SERUM PREGNANCY $173.43 $293.94 $146.97–$249.85 — 41%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ARC ABO TYPE $63.54 $107.69 $2.99–$278.96 23% above 41%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING $63.55 $107.70 $2.99–$278.96 23% above 41%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ARC ABO TYPE $63.54 $107.69 $53.85–$91.54 — 41%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPING $63.55 $107.70 $53.85–$91.55 — 41%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN B $86.65 $146.86 $1.58–$124.83 261% above 41%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN B $86.65 $146.86 $73.43–$124.83 — 41%
C-peptide blood test CPT 84681 HC C PEPTIDE $249.07 $422.15 $8.32–$358.83 88% above 41%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE $249.07 $422.15 $211.08–$358.83 — 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN IBD $55.46 $94.00 $2.07–$79.90 21% below 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN $97.41 $165.10 $2.07–$140.34 39% above 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN IBD $55.46 $94.00 $47.00–$79.90 — 41%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN $97.41 $165.10 $82.55–$140.34 — 41%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM BY PCR $205.01 $347.47 $14.91–$295.35 51% above 41%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM BY PCR $205.01 $347.47 $173.74–$295.35 — 41%
CA 19-9 blood test (tumor marker) CPT 86301 HC CARBOHYDRATE ANTIGEN 19 9 $184.11 $312.04 $8.32–$265.23 26% above 41%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CARBOHYDRATE ANTIGEN 19 9 $184.11 $312.04 $156.02–$265.23 — 41%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 ANTIGEN $214.86 $364.16 $8.32–$309.54 31% above 41%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 ANTIGEN $214.86 $364.16 $182.08–$309.54 — 41%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB $294.21 $498.66 $20.52–$423.86 178% above 41%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB $294.21 $498.66 $249.33–$423.86 — 41%
Calcium blood test, total CPT 82310 HC CALCIUM URINE RANDOM $95.64 $162.10 $2.06–$137.79 252% above 41%
Calcium blood test, total CPT 82310 HC CALCIUM B $95.69 $162.18 $2.06–$137.85 252% above 41%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM URINE RANDOM $95.64 $162.10 $81.05–$137.79 — 41%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B $95.69 $162.18 $81.09–$137.85 — 41%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN $255.80 $433.55 $7.58–$368.52 102% above 41%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN $255.80 $433.55 $216.78–$368.52 — 41%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM $81.58 $138.26 $5.15–$117.52 20% below 41%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG $81.58 $138.26 $5.15–$117.52 20% below 41%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB IGG IGM $81.58 $138.26 $5.15–$117.52 20% below 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB IGG IGM $81.58 $138.26 $69.13–$117.52 — 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM $81.58 $138.26 $69.13–$117.52 — 41%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG $81.58 $138.26 $69.13–$117.52 — 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA $74.99 $127.09 $14.04–$108.03 26% below 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS $114.36 $193.82 $14.04–$164.75 12% above 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA $74.99 $127.09 $63.55–$108.03 — 41%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS $114.36 $193.82 $96.91–$164.75 — 41%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK $231.70 $392.71 $5.36–$333.80 110% above 41%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK $231.70 $392.71 $196.36–$333.80 — 41%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF $101.44 $171.92 $3.11–$146.13 152% above 41%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF $101.44 $171.92 $85.96–$146.13 — 41%
Complete blood count (CBC), no differential CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC $28.45 $48.21 $2.59–$40.98 6% below 41%
Complete blood count (CBC), no differential CPT 85027 HC WHOLE BLOOD SCREEN $29.87 $50.62 $2.59–$43.03 2% below 41%
Complete blood count (CBC), no differential CPT 85027 HC CBC W MANUAL DIFF $108.78 $184.36 $2.59–$156.71 258% above 41%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC $28.45 $48.21 $24.11–$40.98 — 41%
Complete blood count (CBC), no differential inpatient CPT 85027 HC WHOLE BLOOD SCREEN $29.87 $50.62 $25.31–$43.03 — 41%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MANUAL DIFF $108.78 $184.36 $92.18–$156.71 — 41%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE $407.61 $690.86 $4.22–$587.23 297% above 41%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE $407.61 $690.86 $345.43–$587.23 — 41%
Cortisol blood test, total CPT 82533 HC CORTISOL B $332.12 $562.91 $6.52–$478.47 248% above 41%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL B $332.12 $562.91 $281.46–$478.47 — 41%
Creatine kinase (CK) blood test, total CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE $126.45 $214.31 $2.60–$182.16 226% above 41%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE $126.45 $214.31 $107.16–$182.16 — 41%
Creatinine blood test CPT 82565 HC CREATININE B $99.57 $168.76 $2.05–$143.45 246% above 41%
Creatinine blood test CPT 82565 HC CREA FOR RADIOLOGY EVAL $99.57 $168.75 $2.05–$143.44 246% above 41%
Creatinine blood test CPT 82565 HC BODY FLUID CREATININE $111.70 $189.32 $2.05–$160.92 288% above 41%
Creatinine blood test inpatient CPT 82565 HC CREATININE B $99.57 $168.76 $84.38–$143.45 — 41%
Creatinine blood test inpatient CPT 82565 HC CREA FOR RADIOLOGY EVAL $99.57 $168.75 $84.38–$143.44 — 41%
Creatinine blood test inpatient CPT 82565 HC BODY FLUID CREATININE $111.70 $189.32 $94.66–$160.92 — 41%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG AND IGM $178.78 $303.01 $5.76–$257.56 129% above 41%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ABS IGG $178.79 $303.02 $5.76–$257.57 129% above 41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG AND IGM $178.78 $303.01 $151.51–$257.56 — 41%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ABS IGG $178.79 $303.02 $151.51–$257.57 — 41%
D-dimer blood test (blood clot marker) CPT 85379 HC DIMER QUANTITATIVE $180.93 $306.66 $4.07–$260.66 48% above 41%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DIMER QUANTITATIVE $180.93 $306.66 $153.33–$260.66 — 41%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE $327.97 $555.87 $8.89–$472.49 114% above 41%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE $327.97 $555.87 $277.94–$472.49 — 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AIT DRUG SCREEN URINE $25.15 $42.62 $9.80–$152.24 78% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE 9 URINE $26.17 $44.35 $10.20–$152.24 77% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 PANEL $102.69 $174.04 $24.86–$152.24 9% below 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AIT DRUG SCREEN BLOOD $137.42 $232.90 $24.86–$197.97 22% above 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PANEL 10 $144.11 $244.24 $24.86–$207.60 28% above 41%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 MEDICAL $262.53 $444.95 $24.86–$378.21 132% above 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AIT DRUG SCREEN URINE $25.15 $42.62 $21.31–$36.23 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE 9 URINE $26.17 $44.35 $22.18–$37.70 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 PANEL $102.69 $174.04 $87.02–$147.93 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AIT DRUG SCREEN BLOOD $137.42 $232.90 $116.45–$197.97 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PANEL 10 $144.11 $244.24 $122.12–$207.60 — 41%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7 MEDICAL $262.53 $444.95 $222.48–$378.21 — 41%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES NA K CL C02 $146.68 $248.61 $2.80–$211.32 128% above 41%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES NA K CL C02 $146.68 $248.61 $124.31–$211.32 — 41%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGM $127.29 $215.74 $7.26–$183.38 49% above 41%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGG $127.29 $215.74 $7.26–$183.38 49% above 41%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS PANEL $636.43 $1,078.69 $7.26–$916.89 647% above 41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGG $127.29 $215.74 $107.87–$183.38 — 41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGM $127.29 $215.74 $107.87–$183.38 — 41%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS PANEL $636.43 $1,078.69 $539.35–$916.89 — 41%
Estradiol blood test CPT 82670 HC ESTRADIOL B $280.30 $475.07 $11.18–$403.81 112% above 41%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL B $280.30 $475.07 $237.54–$403.81 — 41%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH FOLLICLE STIM HORMONE $26.33 $44.62 $7.43–$45.52 79% below 41%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH FOLLICLE STIM HORMONE $26.33 $44.62 $22.31–$37.93 — 41%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL $60.80 $103.05 $7.85–$87.59 66% below 41%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL $60.80 $103.05 $51.53–$87.59 — 41%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN $189.00 $320.33 $5.45–$272.28 142% above 41%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN $189.00 $320.33 $160.17–$272.28 — 41%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN B $126.02 $213.58 $3.89–$181.54 99% above 41%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN B $126.02 $213.58 $106.79–$181.54 — 41%
Folate (folic acid) blood test CPT 82746 HC FOLATE $79.68 $135.05 $5.88–$114.79 4% above 41%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE $79.68 $135.05 $67.53–$114.79 — 41%
Free T3 thyroid hormone test CPT 84481 HC FREE T3 $253.12 $429.01 $6.78–$364.66 69% above 41%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3 $253.12 $429.01 $214.51–$364.66 — 41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 CONSULT $15.70 $26.61 $3.61–$22.62 81% below 41%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 $154.95 $262.62 $3.61–$223.23 91% above 41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 CONSULT $15.70 $26.61 $13.31–$22.62 — 41%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 $154.95 $262.62 $131.31–$223.23 — 41%
Free testosterone test CPT 84402 HC TESTOS FREE FE CHILD $271.04 $459.38 $10.19–$390.47 224% above 41%
Free testosterone test inpatient CPT 84402 HC TESTOS FREE FE CHILD $271.04 $459.38 $229.69–$390.47 — 41%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE $130.50 $221.18 $2.88–$188.00 284% above 41%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE $130.50 $221.18 $110.59–$188.00 — 41%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA $66.32 $112.40 $1.90–$95.54 60% above 41%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA $66.32 $112.40 $56.20–$95.54 — 41%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 0 $260.81 $442.04 $5.15–$375.73 253% above 41%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 0 $260.81 $442.04 $221.02–$375.73 — 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE BY TMA $74.99 $127.09 $14.04–$108.03 24% below 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE $114.36 $193.82 $14.04–$164.75 15% above 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE BY TMA $74.99 $127.09 $63.55–$108.03 — 41%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE $114.36 $193.82 $96.91–$164.75 — 41%
H. pylori antibody blood test CPT 86677 HC H PYLORI AB IGA $89.14 $151.08 $6.74–$128.42 11% below 41%
H. pylori antibody blood test CPT 86677 HC H PYLORI AB IGG $89.14 $151.08 $6.74–$128.42 11% below 41%
H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI AB IGA $89.14 $151.08 $75.54–$128.42 — 41%
H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI AB IGG $89.14 $151.08 $75.54–$128.42 — 41%
H. pylori stool antigen test CPT 87338 HC H PILORI ANTIGEN $107.76 $182.64 $5.75–$155.24 13% below 41%
H. pylori stool antigen test inpatient CPT 87338 HC H PILORI ANTIGEN $107.76 $182.64 $91.32–$155.24 — 41%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC VIRAL LOAD HIV $316.71 $536.79 $34.04–$456.27 15% below 41%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT & REVERSE TRANSCRP $347.70 $589.32 $34.04–$500.92 7% below 41%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC VIRAL LOAD HIV $316.71 $536.79 $268.40–$456.27 — 41%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT & REVERSE TRANSCRP $347.70 $589.32 $294.66–$500.92 — 41%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1/2 RAPID SCREEN $201.04 $340.73 $5.48–$289.62 184% above 41%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1/2 RAPID SCREEN $201.04 $340.73 $170.37–$289.62 — 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2 $195.00 $330.50 $9.63–$280.93 228% above 41%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2 $195.00 $330.50 $165.25–$280.93 — 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HGB A1C $9.49 $16.07 $3.70–$23.79 86% below 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN $160.06 $271.28 $3.88–$230.59 138% above 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HGB A1C $9.49 $16.07 $8.04–$13.66 — 41%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN $160.06 $271.28 $135.64–$230.59 — 41%
Hemoglobin blood test CPT 85018 HC HGB CORD BLOOD $36.51 $61.88 $0.95–$52.60 95% above 41%
Hemoglobin blood test CPT 85018 HC HGB $56.84 $96.33 $0.95–$81.88 204% above 41%
Hemoglobin blood test inpatient CPT 85018 HC HGB CORD BLOOD $36.51 $61.88 $30.94–$52.60 — 41%
Hemoglobin blood test inpatient CPT 85018 HC HGB $56.84 $96.33 $48.17–$81.88 — 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBO $221.41 $375.26 $4.30–$318.97 239% above 41%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBO $221.41 $375.26 $187.63–$318.97 — 41%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN $122.73 $208.01 $4.13–$176.81 101% above 41%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN $122.73 $208.01 $104.01–$176.81 — 41%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY $221.36 $375.18 $5.71–$318.90 117% above 41%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY $221.36 $375.18 $187.59–$318.90 — 41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C VIRUS RNA QUANT $91.44 $154.98 $17.14–$131.73 59% below 41%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT BY PCR $427.84 $725.15 $17.14–$616.38 94% above 41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C VIRUS RNA QUANT $91.44 $154.98 $77.49–$131.73 — 41%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT BY PCR $427.84 $725.15 $362.58–$616.38 — 41%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE1 G SPEC IGG $75.37 $127.73 $5.28–$108.57 47% above 41%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE1 G SPEC IGG $75.37 $127.73 $63.87–$108.57 — 41%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE2 G SPEC IGG $75.37 $127.73 $7.74–$108.57 4% above 41%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE2 G SPEC IGG $75.37 $127.73 $63.87–$108.57 — 41%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVE $174.31 $295.44 $5.18–$251.12 136% above 41%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVE $174.31 $295.44 $147.72–$251.12 — 41%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE B $179.29 $303.87 $7.17–$258.29 39% above 41%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE B $179.29 $303.87 $151.94–$258.29 — 41%
Insulin blood test CPT 83525 HC INSULIN RANDOM $150.40 $254.90 $4.57–$216.67 97% above 41%
Insulin blood test inpatient CPT 83525 HC INSULIN RANDOM $150.40 $254.90 $127.45–$216.67 — 41%
Iron blood test (serum iron) CPT 83540 HC IRON B $114.53 $194.11 $2.59–$164.99 139% above 41%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON B $114.53 $194.11 $97.06–$164.99 — 41%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON AND IRON BIND CAP $69.64 $118.02 $3.50–$100.32 56% above 41%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON AND IRON BIND CAP $69.64 $118.02 $59.01–$100.32 — 41%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE $217.26 $368.23 $3.47–$313.00 106% above 41%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE $217.26 $368.23 $184.12–$313.00 — 41%
LH (luteinizing hormone) test CPT 83002 HC LH LUTEINIZING HORMONE $26.33 $44.62 $7.41–$45.37 81% below 41%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH LUTEINIZING HORMONE $26.33 $44.62 $22.31–$37.93 — 41%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE ISTAT $197.54 $334.81 $4.63–$284.59 119% above 41%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID $197.54 $334.81 $4.63–$284.59 119% above 41%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE ISTAT $197.54 $334.81 $167.41–$284.59 — 41%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID $197.54 $334.81 $167.41–$284.59 — 41%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID $87.91 $149.00 $2.42–$126.65 107% above 41%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B $87.91 $149.00 $2.42–$126.65 107% above 41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID $87.91 $149.00 $74.50–$126.65 — 41%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B $87.91 $149.00 $74.50–$126.65 — 41%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE B $170.36 $288.74 $2.76–$245.43 91% above 41%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE B $170.36 $288.74 $144.37–$245.43 — 41%
Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE $281.48 $477.07 $3.27–$405.51 166% above 41%
Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE $281.48 $477.07 $238.54–$405.51 — 41%
Lyme disease antibody test CPT 86618 HC LYME MODIFIED 2 TIER TESTING 1ST TIER $49.07 $83.16 $6.81–$70.69 62% below 41%
Lyme disease antibody test CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS CHRONIC $49.07 $83.16 $6.81–$70.69 62% below 41%
Lyme disease antibody test CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS ACUTE $49.07 $83.16 $6.81–$70.69 62% below 41%
Lyme disease antibody test CPT 86618 HC BORRELIA AB CSF $49.83 $84.45 $6.81–$71.78 61% below 41%
Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS CHRONIC $49.07 $83.16 $41.58–$70.69 — 41%
Lyme disease antibody test inpatient CPT 86618 HC LYME MODIFIED 2 TIER TESTING 1ST TIER $49.07 $83.16 $41.58–$70.69 — 41%
Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS ACUTE $49.07 $83.16 $41.58–$70.69 — 41%
Lyme disease antibody test inpatient CPT 86618 HC BORRELIA AB CSF $49.83 $84.45 $42.23–$71.78 — 41%
Magnesium blood test CPT 83735 HC MAGNESIUM B $122.21 $207.13 $2.68–$176.06 165% above 41%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM B $122.21 $207.13 $103.57–$176.06 — 41%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO $121.22 $205.45 $2.07–$174.63 46% above 41%
Mono test (heterophile antibody, Monospot) CPT 86308 HC EPSTEIN BARR HETEROPHILE ANTB $127.29 $215.74 $2.07–$183.38 54% above 41%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO $121.22 $205.45 $102.73–$174.63 — 41%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC EPSTEIN BARR HETEROPHILE ANTB $127.29 $215.74 $107.87–$183.38 — 41%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTO PAP THIN LAYER C/V MANUAL DIAG $108.66 $184.16 $8.10–$156.54 55% above 41%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTO PAP THIN LAYER C/V MANUAL DIAG $108.66 $184.16 $92.08–$156.54 — 41%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT SURGERY USE ONLY $352.86 $598.06 $16.51–$508.35 80% above 41%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH WITH CALCIUM $352.86 $598.06 $16.51–$508.35 80% above 41%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT SURGERY USE ONLY $352.86 $598.06 $299.03–$508.35 — 41%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH WITH CALCIUM $352.86 $598.06 $299.03–$508.35 — 41%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL $122.21 $207.12 $2.40–$176.05 142% above 41%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT B $122.21 $207.13 $2.40–$176.06 142% above 41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT B $122.21 $207.13 $103.57–$176.06 — 41%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL $122.21 $207.12 $103.56–$176.05 — 41%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS B $94.25 $159.74 $1.90–$135.78 216% above 41%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS B $94.25 $159.74 $79.87–$135.78 — 41%
Potassium blood test CPT 84132 HC POTASSIUM B $78.81 $133.56 $1.90–$113.53 177% above 41%
Potassium blood test inpatient CPT 84132 HC POTASSIUM B $78.81 $133.56 $66.78–$113.53 — 41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC CELL-FREE DNA PRENATAL SCREEN $1,010.66 $1,712.98 $303.62–$1,859.67 19% above 41%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC CELL-FREE DNA PRENATAL SCREEN $1,010.66 $1,712.98 $856.49–$1,456.03 — 41%
Progesterone blood test CPT 84144 HC PROGESTERONE $218.86 $370.94 $8.34–$315.30 59% above 41%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE $218.86 $370.94 $185.47–$315.30 — 41%
Prolactin blood test CPT 84146 HC PROLACTIN B $265.94 $450.73 $7.75–$383.12 165% above 41%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN B $265.94 $450.73 $225.37–$383.12 — 41%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME $71.26 $120.77 $1.72–$102.65 169% above 41%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME NON CLIA $71.27 $120.78 $1.72–$102.66 169% above 41%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $71.27 $120.78 $1.72–$102.66 169% above 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME $71.26 $120.77 $60.39–$102.65 — 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME NON CLIA $71.27 $120.78 $60.39–$102.66 — 41%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $71.27 $120.78 $60.39–$102.66 — 41%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AND B ANTIGEN $100.58 $170.47 $6.62–$144.90 86% above 41%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AND B ANTIGEN $100.58 $170.47 $85.24–$144.90 — 41%
Renin blood test CPT 84244 HC RENIN $477.59 $809.46 $8.80–$688.04 330% above 41%
Renin blood test inpatient CPT 84244 HC RENIN $477.59 $809.46 $404.73–$688.04 — 41%
Rh blood typing CPT 86901 HC RH TYPING $46.25 $78.38 $2.99–$87.59 19% above 41%
Rh blood typing CPT 86901 HC ARC RH TYPE $46.26 $78.39 $2.99–$87.59 19% above 41%
Rh blood typing inpatient CPT 86901 HC RH TYPING $46.25 $78.38 $39.19–$66.62 — 41%
Rh blood typing inpatient CPT 86901 HC ARC RH TYPE $46.26 $78.39 $39.20–$66.63 — 41%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR $91.18 $154.53 $2.27–$131.35 78% above 41%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR $91.18 $154.53 $77.27–$131.35 — 41%
Rubella antibody test (immunity check) CPT 86762 HC TORCH PANEL RUBELLA ANTIBODY IGM $63.09 $106.93 $5.76–$90.89 8% below 41%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA $153.65 $260.42 $5.76–$221.36 125% above 41%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM $153.65 $260.42 $5.76–$221.36 125% above 41%
Rubella antibody test (immunity check) inpatient CPT 86762 HC TORCH PANEL RUBELLA ANTIBODY IGM $63.09 $106.93 $53.47–$90.89 — 41%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM $153.65 $260.42 $130.21–$221.36 — 41%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA $153.65 $260.42 $130.21–$221.36 — 41%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGREN $94.89 $160.82 $1.08–$136.70 144% above 41%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGREN $94.89 $160.82 $80.41–$136.70 — 41%
Sodium blood test CPT 84295 HC SODIUM B $87.03 $147.50 $1.92–$125.38 137% above 41%
Sodium blood test inpatient CPT 84295 HC SODIUM B $87.03 $147.50 $73.75–$125.38 — 41%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN $45.75 $77.54 $1.75–$65.91 25% above 41%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES $45.75 $77.54 $1.75–$65.91 25% above 41%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES $45.75 $77.54 $38.77–$65.91 — 41%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN $45.75 $77.54 $38.77–$65.91 — 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS ANTIB $95.28 $161.48 $5.30–$137.26 31% above 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB MHA TP $108.48 $183.86 $5.30–$156.28 49% above 41%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA ABS $117.31 $198.83 $5.30–$169.01 61% above 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS ANTIB $95.28 $161.48 $80.74–$137.26 — 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB MHA TP $108.48 $183.86 $91.93–$156.28 — 41%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA ABS $117.31 $198.83 $99.42–$169.01 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF $99.50 $168.63 $1.71–$143.34 143% above 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUALITATIVE $101.66 $172.29 $1.71–$146.45 148% above 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR REVERSE WITH REFLEX TO TITER $126.25 $213.97 $1.71–$181.87 208% above 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN W RFLX TITER OR TP-PA $126.25 $213.97 $1.71–$181.87 208% above 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF $99.50 $168.63 $84.32–$143.34 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUALITATIVE $101.66 $172.29 $86.15–$146.45 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR REVERSE WITH REFLEX TO TITER $126.25 $213.97 $106.99–$181.87 — 41%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN W RFLX TITER OR TP-PA $126.25 $213.97 $106.99–$181.87 — 41%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD $80.91 $137.12 $24.79–$151.85 51% below 41%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD $80.91 $137.12 $68.56–$116.55 — 41%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOS TOTAL FE CHILD $279.69 $474.05 $10.32–$402.94 142% above 41%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOS TOTAL FE CHILD $279.69 $474.05 $237.03–$402.94 — 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME ABS IGG $50.14 $84.97 $5.82–$72.22 46% below 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI THYROID ANTIBODIES MI $167.68 $284.19 $5.82–$241.56 81% above 41%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE AB TPO $167.68 $284.19 $5.82–$241.56 81% above 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME ABS IGG $50.14 $84.97 $42.49–$72.22 — 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI THYROID ANTIBODIES MI $167.68 $284.19 $142.10–$241.56 — 41%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE AB TPO $167.68 $284.19 $142.10–$241.56 — 41%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THIRD GENERATION $230.32 $390.37 $6.72–$331.81 182% above 41%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH THIRD GENERATION $230.32 $390.37 $195.19–$331.81 — 41%
Total thyroxine (T4) blood test CPT 84436 HC T4 B $141.99 $240.66 $2.75–$204.56 199% above 41%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 B $141.99 $240.66 $120.33–$204.56 — 41%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE $196.32 $332.73 $5.67–$282.82 62% above 41%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE $196.32 $332.73 $166.37–$282.82 — 41%
Transferrin blood test CPT 84466 HC TRANSFERRIN $221.41 $375.26 $5.10–$318.97 165% above 41%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN $221.41 $375.26 $187.63–$318.97 — 41%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS (TMA) $94.89 $160.82 $14.04–$136.70 1% below 41%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS (TMA) $94.89 $160.82 $80.41–$136.70 — 41%
Triglycerides blood test CPT 84478 HC BODY FLUID TRIGLYCERIDE $14.74 $24.98 $2.30–$21.23 59% below 41%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES $121.25 $205.50 $2.30–$174.68 237% above 41%
Triglycerides blood test inpatient CPT 84478 HC BODY FLUID TRIGLYCERIDE $14.74 $24.98 $12.49–$21.23 — 41%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES $121.25 $205.50 $102.75–$174.68 — 41%
Troponin test, quantitative CPT 84484 HC TROPONIN $247.22 $419.01 $4.99–$356.16 100% above 41%
Troponin test, quantitative CPT 84484 HC TROPONIN #1 $247.22 $419.01 $4.99–$356.16 100% above 41%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN #1 $247.22 $419.01 $209.51–$356.16 — 41%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN $247.22 $419.01 $209.51–$356.16 — 41%
Uric acid blood test CPT 84550 HC URIC ACID $105.83 $179.36 $1.81–$152.46 120% above 41%
Uric acid blood test inpatient CPT 84550 HC URIC ACID $105.83 $179.36 $89.68–$152.46 — 41%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE $75.16 $127.38 $1.27–$108.27 75% above 41%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO $75.16 $127.38 $1.27–$108.27 75% above 41%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE $75.16 $127.38 $63.69–$108.27 — 41%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO $75.16 $127.38 $63.69–$108.27 — 41%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE $9.79 $16.59 $0.90–$14.10 60% below 41%
Urinalysis without microscope exam, automated CPT 81003 HC LEUKOCYTES URINE $27.38 $46.40 $0.90–$39.44 12% above 41%
Urinalysis without microscope exam, automated CPT 81003 HC UROBILINOGEN $65.91 $111.71 $0.90–$94.95 169% above 41%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE $65.91 $111.71 $0.90–$94.95 169% above 41%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE $74.08 $125.55 $0.90–$106.72 202% above 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE $9.79 $16.59 $8.30–$14.10 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC LEUKOCYTES URINE $27.38 $46.40 $23.20–$39.44 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE $65.91 $111.71 $55.86–$94.95 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UROBILINOGEN $65.91 $111.71 $55.86–$94.95 — 41%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE $74.08 $125.55 $62.78–$106.72 — 41%
Urinalysis without microscope exam, manual CPT 81002 HC UA NONAUTO WITHOUT MICRO 81002 $45.02 $76.29 $1.39–$64.85 166% above 41%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC UA NONAUTO WITHOUT MICRO 81002 $75.16 $127.38 $63.69–$108.27 — 41%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE $117.10 $198.47 $3.23–$168.70 166% above 41%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE $117.10 $198.47 $99.24–$168.70 — 41%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE $25.75 $43.63 $2.31–$37.09 26% below 41%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE $136.90 $232.03 $2.31–$197.23 295% above 41%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE $25.75 $43.63 $21.82–$37.09 — 41%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE $136.90 $232.03 $116.02–$197.23 — 41%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE $100.21 $169.84 $3.44–$144.36 84% above 41%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST $100.21 $169.84 $3.44–$144.36 84% above 41%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST $100.21 $169.84 $84.92–$144.36 — 41%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE $100.21 $169.84 $84.92–$144.36 — 41%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12 $189.77 $321.63 $6.03–$273.39 150% above 41%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12 $189.77 $321.63 $160.82–$273.39 — 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY $292.07 $495.02 $11.84–$420.77 134% above 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 OH VITAMIN D $292.07 $495.03 $11.84–$420.78 134% above 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 OH VITAMIN D $292.07 $495.03 $247.52–$420.78 — 41%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY $292.07 $495.02 $247.51–$420.77 — 41%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DEHYROXY $250.42 $424.44 $15.40–$360.77 42% above 41%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DEHYROXY $250.42 $424.44 $212.22–$360.77 — 41%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE PREGNANCY $246.62 $418.00 $6.02–$355.30 212% above 41%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE PREGNANCY $246.62 $418.00 $209.00–$355.30 — 41%

Surgery and procedures

ProcedureCash price List priceInsurers payvs IndianaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC $658.99 $1,116.93 $256.89–$5,293.35 73% below 41%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC $658.99 $1,116.93 $558.47–$949.39 — 41%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL $1,014.76 $1,719.92 $232.05–$3,911.00 29% below 41%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL $1,014.76 $1,719.92 $859.96–$1,461.93 — 41%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK $149.09 $252.68 $58.12–$7,419.00 78% below 41%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK $149.09 $252.68 $126.34–$214.78 — 41%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE $401.88 $681.15 $71.38–$3,481.00 18% below 41%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE $401.88 $681.15 $340.58–$578.98 — 41%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING $1,084.93 $1,838.86 $323.20–$5,242.00 22% below 41%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING $1,084.93 $1,838.86 $919.43–$1,563.03 — 41%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM $228.25 $386.85 $45.54–$3,481.00 16% above 41%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM $228.25 $386.85 $193.43–$328.82 — 41%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG $241.49 $409.30 $56.18–$3,481.00 3% below 41%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG $241.49 $409.30 $204.65–$347.91 — 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM $299.58 $507.76 $71.38–$3,481.00 33% below 41%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM $299.58 $507.76 $253.88–$431.60 — 41%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15 $118.31 $200.51 $46.12–$3,481.00 58% below 41%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15 $118.31 $200.51 $100.26–$170.43 — 41%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC $682.73 $1,157.16 $246.57–$3,911.00 33% below 41%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC $682.73 $1,157.16 $578.58–$983.59 — 41%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG $658.99 $1,116.93 $256.89–$5,293.35 71% below 41%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG $658.99 $1,116.93 $558.47–$949.39 — 41%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs IndianaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS $681.64 $1,155.32 $154.78–$3,481.00 24% below 41%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS $681.64 $1,155.32 $577.66–$982.02 — 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS $39.22 $66.47 $15.29–$696.38 65% below 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB $39.22 $66.47 $15.29–$696.38 65% below 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI $39.22 $66.47 $15.29–$696.38 65% below 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI $39.22 $66.47 $33.24–$56.50 — 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS $39.22 $66.47 $33.24–$56.50 — 41%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB $39.22 $66.47 $33.24–$56.50 — 41%
Chemotherapy IV infusion, first hour CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR $751.73 $1,274.11 $83.23–$1,105.71 11% above 41%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR $751.73 $1,274.11 $637.06–$1,082.99 — 41%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY $769.81 $1,304.76 $111.91–$1,109.05 12% above 41%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY $769.81 $1,304.76 $652.38–$1,109.05 — 41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG $215.19 $364.72 $21.81–$310.01 6% above 41%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG $215.19 $364.72 $182.36–$310.01 — 41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT 99281 $149.51 $253.39 $31.66–$2,558.00 24% below 41%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT 99281 $149.51 $253.39 $126.70–$215.38 — 41%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT 99282 $249.16 $422.29 $58.31–$2,558.00 39% below 41%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT 99282 $249.16 $422.29 $211.15–$358.95 — 41%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT 99283 $448.45 $760.08 $101.73–$2,558.00 35% below 41%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT 99283 $448.45 $760.08 $380.04–$646.07 — 41%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT 99284 $647.80 $1,097.96 $157.92–$2,558.00 45% below 41%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT 99284 $647.80 $1,097.96 $548.98–$933.27 — 41%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT 99285 $1,050.38 $1,780.29 $229.01–$2,558.00 40% below 41%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT 99285 $1,050.38 $1,780.29 $890.15–$1,513.25 — 41%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM $787.08 $1,334.02 $111.91–$1,133.92 at median 41%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM $787.08 $1,334.02 $667.01–$1,133.92 — 41%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR $276.66 $468.91 $76.42–$699.80 30% below 41%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR $276.66 $468.91 $234.46–$398.57 — 41%
IV infusion of a medicine, first hour CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR $276.66 $468.91 $76.42–$699.80 31% below 41%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR $276.66 $468.91 $234.46–$398.57 — 41%
IV push of a medicine, first drug CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL $95.45 $161.77 $37.21–$699.80 52% below 41%
IV push of a medicine, first drug inpatient CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL $95.45 $161.77 $80.89–$137.50 — 41%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION $46.52 $78.84 $18.13–$229.99 56% below 41%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION $17.24 $29.22 $14.61–$24.84 — 41%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION $298.50 $505.92 $56.85–$520.56 17% above 41%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION $298.50 $505.92 $252.96–$430.03 — 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN $41.41 $70.18 $16.14–$59.65 21% above 41%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN $41.41 $70.18 $35.09–$59.65 — 41%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR $235.65 $399.39 $55.69–$509.99 11% below 41%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR $235.65 $399.39 $199.70–$339.48 — 41%

Vaccines

ProcedureCash price List priceInsurers payvs IndianaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $64.90 $110.00 $25.30–$93.50 11% above 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $67.18 $113.85 $26.19–$96.77 15% above 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY $64.90 $110.00 $55.00–$93.50 — 41%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $67.18 $113.85 $56.93–$96.77 — 41%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY $153.11 $259.50 $59.69–$220.58 15% below 41%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY $153.11 $259.50 $129.75–$220.58 — 41%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR $153.11 $259.50 $59.69–$220.58 35% below 41%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR $153.11 $259.50 $129.75–$220.58 — 41%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $14.16 $24.00 $5.52–$22.35 65% below 41%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLU VACCINE NO PRES $26.27 $44.51 $10.24–$37.83 34% below 41%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $14.16 $24.00 $12.00–$20.40 — 41%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLU VACCINE NO PRES $26.27 $44.51 $22.26–$37.83 — 41%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP (WRAPPER) $130.10 $220.50 $50.72–$187.43 24% below 41%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP (WRAPPER) $128.33 $217.50 $108.75–$184.88 — 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY $82.60 $140.00 $30.77–$119.00 8% above 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER) $82.60 $140.00 $30.77–$119.00 8% above 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY $82.60 $140.00 $70.00–$119.00 — 41%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER) $82.60 $140.00 $70.00–$119.00 — 41%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP $87.32 $148.00 $30.58–$125.80 35% above 41%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP $87.32 $148.00 $74.00–$125.80 — 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HIB VACC PRP-T IM $6.71 $11.36 $2.61–$12.05 86% below 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR $56.35 $95.50 $12.05–$81.18 15% above 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC HIB VACC PRP-T IM $6.71 $11.36 $5.68–$9.66 — 41%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR $56.35 $95.50 $47.75–$81.18 — 41%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $146.32 $248.00 $57.04–$210.80 44% below 41%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $146.32 $248.00 $124.00–$210.80 — 41%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL VACC IM $116.09 $196.76 $45.25–$167.25 64% below 41%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL VACC IM $116.09 $196.76 $98.38–$167.25 — 41%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD $41.53 $70.38 $16.19–$59.82 1% below 41%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD $41.53 $70.38 $35.19–$59.82 — 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP $310.34 $526.00 $120.98–$447.10 31% below 41%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP $310.34 $526.00 $263.00–$447.10 — 41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $327.75 $555.50 $127.77–$472.18 48% below 41%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $327.75 $555.50 $277.75–$472.18 — 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE $55.76 $94.50 $21.74–$133.47 71% below 41%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE $55.76 $94.50 $47.25–$80.33 — 41%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP $629.53 $1,067.00 $42.64–$906.95 394% above 41%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP $629.53 $1,067.00 $533.50–$906.95 — 41%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY $730.42 $1,238.00 $284.74–$1,052.30 36% below 41%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY $730.42 $1,238.00 $619.00–$1,052.30 — 41%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $412.71 $699.50 $160.89–$594.58 32% below 41%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR $412.71 $699.50 $349.75–$594.58 — 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $97.94 $166.00 $38.18–$141.10 14% below 41%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $97.94 $166.00 $83.00–$141.10 — 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER) $106.20 $180.00 $38.52–$153.00 13% below 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE = > 7 IM $149.55 $253.46 $38.52–$215.44 22% above 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER) $106.20 $180.00 $90.00–$153.00 — 41%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE = > 7 IM $149.55 $253.46 $126.73–$215.44 — 41%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE $60.55 $102.62 $23.60–$229.99 7% below 41%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE $60.55 $102.62 $51.31–$87.23 — 41%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL $39.72 $67.31 $13.52–$57.21 at median 41%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL $60.55 $102.62 $51.31–$87.23 — 41%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8113/350593390-1780535427_deaconess-hospital,-inc_standardcharges.csv