Hospital Louisville/Jefferson County, KY-IN

UofL Health - Jewish Hospital and Mary & Elizabeth Hospital

Listed in its price file as “UofL Health-Louisville Inc.”.

UofL Health - Jewish Hospital and Mary & Elizabeth Hospital in Louisville, KY publishes cash prices for 299 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 186 of 299 procedures and above it for 108. By typical cash price it ranks #36 of 80 Kentucky hospitals and #11 of 19 hospitals in the Louisville, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

200 Abraham Flexner Way, Louisville, KY 40202 Collected Sep 27, 2026 Source price file (502) 587-4011

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 180040 · CMS hospital register NPI 1639711294

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WWO CONT	$853.20	$1,896.00	$318.53–$1,896.00	49% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WWO CONT	$853.20	$1,896.00	$674.03–$1,896.00	—	55%
Abdominal X-ray, 2 views CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC	$126.45	$281.00	$47.21–$281.00	55% below	55%
Abdominal X-ray, 2 views inpatient CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC	$126.45	$281.00	$99.90–$281.00	—	55%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS RT	$466.65	$1,037.00	$174.22–$1,037.00	47% above	55%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS LT	$466.65	$1,037.00	$174.22–$1,037.00	47% above	55%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS RT	$466.65	$1,037.00	$368.65–$1,037.00	—	55%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS LT	$466.65	$1,037.00	$368.65–$1,037.00	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL EXTREMITY STDY-2 LEVELS	$312.75	$695.00	$116.76–$695.00	21% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UPR/L XTREMITY ART 2 LVLS	$312.75	$695.00	$116.76–$695.00	21% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UPR/L XTREMITY ART 2 LVLS	$312.75	$695.00	$247.07–$695.00	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL EXTREMITY STDY-2 LEVELS	$312.75	$695.00	$247.07–$695.00	—	55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO RT	$142.28	$316.18	$53.12–$316.18	86% below	55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO LT	$858.15	$1,907.00	$320.38–$1,907.00	18% below	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO RT	$142.28	$316.18	$112.40–$316.18	—	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO LT	$858.15	$1,907.00	$677.94–$1,907.00	—	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGOGRAM	$410.40	$912.00	$153.22–$912.00	2% above	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM	$410.40	$912.00	$153.22–$912.00	2% above	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGOGRAM	$410.40	$912.00	$324.22–$912.00	—	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM	$410.40	$912.00	$324.22–$912.00	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAG WHOLE BODY	$1,111.05	$2,469.00	$414.79–$2,469.00	17% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAG WHOLE BODY	$1,111.05	$2,469.00	$877.73–$2,469.00	—	55%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$404.10	$898.00	$150.86–$898.00	3% below	55%
Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST W/DOPPLER	$404.10	$898.00	$150.86–$898.00	3% below	55%
Breast ultrasound, complete, one breast one side CPT 76641 USN BREAST UNILAT COMPLET	$404.10	$898.00	$150.86–$898.00	3% below	55%
Breast ultrasound, complete, one breast one side CPT 76641 US EXAM BREAST COMPLETE LT	$404.10	$898.00	$150.86–$898.00	3% below	55%
Breast ultrasound, complete, one breast one side CPT 76641 US EXAM BREAST COMPLETE RT	$404.10	$898.00	$150.86–$898.00	3% below	55%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$404.10	$898.00	$319.24–$898.00	—	55%
Breast ultrasound, complete, one breast inpatient CPT 76641 US EXAM BREAST W/DOPPLER	$404.10	$898.00	$319.24–$898.00	—	55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USN BREAST UNILAT COMPLET	$404.10	$898.00	$319.24–$898.00	—	55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US EXAM BREAST COMPLETE LT	$404.10	$898.00	$319.24–$898.00	—	55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US EXAM BREAST COMPLETE RT	$404.10	$898.00	$319.24–$898.00	—	55%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USN BREAST UNILAT LIMITED	$304.20	$676.00	$113.57–$676.00	3% above	55%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USN BREAST UNILAT LIMITED	$304.20	$676.00	$240.32–$676.00	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELVIS	$1,476.90	$3,282.00	$551.38–$3,282.00	37% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELVIS	$1,476.90	$3,282.00	$1,166.75–$3,282.00	—	55%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD W/WO	$1,196.10	$2,658.00	$446.54–$2,658.00	16% below	55%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD W/WO	$1,196.10	$2,658.00	$944.92–$2,658.00	—	55%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK W/WO	$1,168.20	$2,596.00	$436.13–$2,596.00	12% below	55%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK W/WO	$1,168.20	$2,596.00	$922.88–$2,596.00	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,150.65	$2,557.00	$429.58–$2,557.00	19% below	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,150.65	$2,557.00	$909.01–$2,557.00	—	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY 3D	$747.45	$1,661.00	$279.05–$1,661.00	45% below	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY 3D	$747.45	$1,661.00	$590.49–$1,661.00	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONT CAL SCORE	$44.55	$99.00	$16.63–$99.00	65% below	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CAL SCORING	$257.85	$573.00	$96.26–$573.00	103% above	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONT CAL SCORE	$44.55	$99.00	$35.19–$99.00	—	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CAL SCORING	$257.85	$573.00	$203.70–$573.00	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONT	$965.70	$2,146.00	$360.53–$2,146.00	54% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONT	$965.70	$2,146.00	$762.90–$2,146.00	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONT	$1,732.50	$3,850.00	$646.80–$3,850.00	34% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W CONT	$1,732.50	$3,850.00	$1,368.68–$3,850.00	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WWO CONTRAST	$1,990.80	$4,424.00	$743.23–$4,424.00	34% below	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS WWO CONTRAST	$1,990.80	$4,424.00	$1,572.73–$4,424.00	—	55%
CT scan of the abdomen with contrast CPT 74160 CT ABD WITH CONTRAST	$670.05	$1,489.00	$250.15–$1,489.00	58% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD WITH CONTRAST	$670.05	$1,489.00	$529.34–$1,489.00	—	55%
CT scan of the abdomen without contrast CPT 74150 CT ABD WITHOUT CONTRAST	$495.00	$1,100.00	$184.80–$1,100.00	59% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WITHOUT CONTRAST	$495.00	$1,100.00	$391.05–$1,100.00	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO	$801.45	$1,781.00	$299.21–$1,781.00	29% below	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO	$801.45	$1,781.00	$633.15–$1,781.00	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$513.90	$1,142.00	$191.86–$1,142.00	54% below	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$513.90	$1,142.00	$405.98–$1,142.00	—	55%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$835.65	$1,857.00	$311.98–$1,857.00	42% below	55%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$835.65	$1,857.00	$660.16–$1,857.00	—	55%
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CONTRAST	$1,031.85	$2,293.00	$385.22–$2,293.00	36% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO CONTRAST	$1,031.85	$2,293.00	$815.16–$2,293.00	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W/O CONTRAST LIMITED	$916.20	$2,036.00	$342.05–$2,036.00	30% below	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONT	$916.20	$2,036.00	$342.05–$2,036.00	30% below	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONT	$916.20	$2,036.00	$342.05–$2,036.00	30% below	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONT	$916.20	$2,036.00	$723.80–$2,036.00	—	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONT	$916.20	$2,036.00	$723.80–$2,036.00	—	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR W/O CONTRAST LIMITED	$916.20	$2,036.00	$723.80–$2,036.00	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE WO CONT	$956.25	$2,125.00	$357.00–$2,125.00	30% below	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE WO CONT	$956.25	$2,125.00	$755.44–$2,125.00	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$654.30	$1,454.00	$244.27–$1,454.00	53% below	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST	$654.30	$1,454.00	$516.90–$1,454.00	—	55%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL STD COMP	$675.00	$1,500.00	$252.00–$1,500.00	21% below	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US EXTRACRANIAL STD COMP	$675.00	$1,500.00	$533.25–$1,500.00	—	55%
Chest CT scan without and with contrast CPT 71270 CT THORAX WWO CONTRAST	$1,057.50	$2,350.00	$394.80–$2,350.00	36% below	55%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WWO CONTRAST	$1,057.50	$2,350.00	$835.42–$2,350.00	—	55%
Chest X-ray, 2 views CPT 71046 CR CHEST DECUBITUS BIL	$165.60	$368.00	$61.82–$368.00	34% below	55%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS W FLUORO	$227.25	$505.00	$84.84–$505.00	10% below	55%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS	$309.60	$688.00	$115.58–$688.00	23% above	55%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST DECUBITUS BIL	$165.60	$368.00	$130.82–$368.00	—	55%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS W FLUORO	$227.25	$505.00	$179.53–$505.00	—	55%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS	$309.60	$688.00	$244.58–$688.00	—	55%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW	$202.50	$450.00	$75.60–$450.00	9% above	55%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW - PORTABLE	$202.50	$450.00	$75.60–$450.00	9% above	55%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW	$202.50	$450.00	$159.98–$450.00	—	55%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW - PORTABLE	$202.50	$450.00	$159.98–$450.00	—	55%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP RT	$251.55	$559.00	$93.91–$559.00	2% below	55%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP LT	$251.55	$559.00	$93.91–$559.00	2% below	55%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP RT	$251.55	$559.00	$198.72–$559.00	—	55%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP LT	$251.55	$559.00	$198.72–$559.00	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN RETROPERITONEAL	$557.55	$1,239.00	$208.15–$1,239.00	4% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABDOMEN RETROPERITONEAL	$557.55	$1,239.00	$440.46–$1,239.00	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CR DEXA BONE DENS 1+ SITE	$238.50	$530.00	$89.04–$530.00	20% below	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CR DEXA BONE DENS 1+ SITE	$238.50	$530.00	$188.42–$530.00	—	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CR DEXA BONE DENS PERIPHERAL MAM	$182.25	$405.00	$68.04–$405.00	11% below	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CR DEXA BONE DENS PERIPHERAL MAM	$182.25	$405.00	$143.98–$405.00	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST	$692.10	$1,538.00	$258.38–$1,538.00	35% below	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WITHOUT CONTRAST	$692.10	$1,538.00	$546.76–$1,538.00	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST	$990.00	$2,200.00	$369.60–$2,200.00	26% below	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST	$990.00	$2,200.00	$782.10–$2,200.00	—	55%
Diagnostic mammogram, both breasts CPT 77066 MAMM DIAG DIGIT BILATER	$185.85	$413.00	$69.38–$413.00	23% below	55%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMM DIAG DIGIT BILATER	$185.85	$413.00	$146.82–$413.00	—	55%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAG DIGIT UNILAT RT	$117.45	$261.00	$43.85–$261.00	47% below	55%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAG DIGIT UNILAT LT	$117.45	$261.00	$43.85–$261.00	47% below	55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DIAG DIGIT UNILAT RT	$117.45	$261.00	$92.79–$261.00	—	55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DIAG DIGIT UNILAT LT	$117.45	$261.00	$92.79–$261.00	—	55%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US LWR EXTREMITY STDY COMPLETE	$702.45	$1,561.00	$262.25–$1,561.00	18% below	55%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LWR EXTREMITY STDY COMPLETE	$702.45	$1,561.00	$554.94–$1,561.00	—	55%
Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAPPING LOWER EXTREMITY	$873.90	$1,942.00	$326.26–$1,942.00	5% below	55%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAPPING LOWER EXTREMITY	$873.90	$1,942.00	$690.38–$1,942.00	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,676.70	$3,726.00	$625.97–$3,726.00	8% above	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EC 2D ECHO W DOPPLER & COLOR FLOW	$1,772.55	$3,939.00	$661.75–$3,939.00	15% above	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$1,676.70	$3,726.00	$1,324.59–$3,726.00	—	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EC 2D ECHO W DOPPLER & COLOR FLOW	$1,772.55	$3,939.00	$1,400.31–$3,939.00	—	55%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VIEWS LT	$191.25	$425.00	$71.40–$425.00	20% below	55%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VIEWS RT	$191.25	$425.00	$71.40–$425.00	20% below	55%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VIEWS RT	$191.25	$425.00	$151.09–$425.00	—	55%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VIEWS LT	$191.25	$425.00	$151.09–$425.00	—	55%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS LT	$327.15	$727.00	$122.14–$727.00	at median	55%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS RT	$327.15	$727.00	$122.14–$727.00	at median	55%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS LT	$327.15	$727.00	$258.45–$727.00	—	55%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS RT	$327.15	$727.00	$258.45–$727.00	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA WO	$899.10	$1,998.00	$335.66–$1,998.00	16% below	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA WO	$899.10	$1,998.00	$710.29–$1,998.00	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 CR FACIAL BONES MIN 3 VIEWS	$435.60	$968.00	$162.62–$968.00	20% above	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CR FACIAL BONES MIN 3 VIEWS	$435.60	$968.00	$344.12–$968.00	—	55%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREMARM 2 VIEWS RT	$165.60	$368.00	$61.82–$368.00	42% below	55%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREMARM 2 VIEWS LT	$165.60	$368.00	$61.82–$368.00	42% below	55%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREMARM 2 VIEWS LT	$165.60	$368.00	$130.82–$368.00	—	55%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREMARM 2 VIEWS RT	$165.60	$368.00	$130.82–$368.00	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATO SYS IMG	$727.65	$1,617.00	$271.66–$1,617.00	30% below	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATO SYS IMG	$727.65	$1,617.00	$574.84–$1,617.00	—	55%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS RT	$247.95	$551.00	$92.57–$551.00	11% above	55%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS LT	$247.95	$551.00	$92.57–$551.00	11% above	55%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS RT	$247.95	$551.00	$195.88–$551.00	—	55%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS LT	$247.95	$551.00	$195.88–$551.00	—	55%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL 2 VIEWS LT	$152.55	$339.00	$56.95–$339.00	40% below	55%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL MIN 2 VIEWS RT	$152.55	$339.00	$56.95–$339.00	40% below	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL MIN 2 VIEWS RT	$152.55	$339.00	$120.51–$339.00	—	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL 2 VIEWS LT	$152.55	$339.00	$120.51–$339.00	—	55%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS RT	$435.15	$967.00	$162.46–$967.00	36% above	55%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS LT	$435.15	$967.00	$162.46–$967.00	36% above	55%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS RT	$435.15	$967.00	$343.77–$967.00	—	55%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS LT	$435.15	$967.00	$343.77–$967.00	—	55%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4+ VIEW LT	$351.00	$780.00	$131.04–$780.00	4% below	55%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4+ VIEW RT	$351.00	$780.00	$131.04–$780.00	4% below	55%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4+ VIEW LT	$351.00	$780.00	$277.29–$780.00	—	55%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4+ VIEW RT	$351.00	$780.00	$277.29–$780.00	—	55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT WO CONT RT	$142.28	$316.18	$53.12–$316.18	86% below	55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT WO CONT LT	$845.10	$1,878.00	$315.50–$1,878.00	14% below	55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT WO CONT RT	$142.28	$316.18	$112.40–$316.18	—	55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT WO CONT LT	$845.10	$1,878.00	$667.63–$1,878.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$525.15	$1,167.00	$196.06–$1,167.00	4% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER TORSO	$525.15	$1,167.00	$196.06–$1,167.00	4% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 XA ABDWALL QUADRANT US	$525.15	$1,167.00	$196.06–$1,167.00	4% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED	$525.15	$1,167.00	$196.06–$1,167.00	4% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER TORSO	$525.15	$1,167.00	$414.87–$1,167.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$525.15	$1,167.00	$414.87–$1,167.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 XA ABDWALL QUADRANT US	$525.15	$1,167.00	$414.87–$1,167.00	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED	$525.15	$1,167.00	$414.87–$1,167.00	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$324.00	$720.00	$120.96–$720.00	25% above	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LOCALIZE FLUID TISSUE/FB	$324.00	$720.00	$120.96–$720.00	25% above	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US AXILLA	$324.00	$720.00	$120.96–$720.00	25% above	55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON VASC LMTD RT	$324.00	$720.00	$120.96–$720.00	25% above	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LOCALIZE FLUID TISSUE/FB	$324.00	$720.00	$255.96–$720.00	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD	$324.00	$720.00	$255.96–$720.00	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US AXILLA	$324.00	$720.00	$255.96–$720.00	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON VASC LMTD RT	$324.00	$720.00	$255.96–$720.00	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CT SCREENING	$528.30	$1,174.00	$197.23–$1,174.00	18% above	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG CT SCREENING	$528.30	$1,174.00	$417.36–$1,174.00	—	55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LEG RT	$181.80	$404.00	$67.87–$404.00	40% below	55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LEG LT	$181.80	$404.00	$67.87–$404.00	40% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LEG RT	$181.80	$404.00	$143.62–$404.00	—	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LEG LT	$181.80	$404.00	$143.62–$404.00	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST	$1,062.90	$2,362.00	$396.82–$2,362.00	30% below	55%
MR angiography (MRA) of the head without contrast CPT 70544 MRA NOVAQUANT HEAD	$2,302.65	$5,117.00	$859.66–$5,117.00	51% above	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST	$1,062.90	$2,362.00	$839.69–$2,362.00	—	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA NOVAQUANT HEAD	$2,302.65	$5,117.00	$1,819.09–$5,117.00	—	55%
MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST W WOCAD BIL	$467.55	$1,039.00	$174.55–$1,039.00	at median	55%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MR BREAST W WOCAD BIL	$467.55	$1,039.00	$369.36–$1,039.00	—	55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LE WO CONT RT	$1,380.60	$3,068.00	$515.42–$3,068.00	9% below	55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LE WO CONT LT	$1,380.60	$3,068.00	$515.42–$3,068.00	9% below	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LE WO CONT LT	$1,380.60	$3,068.00	$1,090.67–$3,068.00	—	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LE WO CONT RT	$1,380.60	$3,068.00	$1,090.67–$3,068.00	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LE WWO CONT RT	$1,981.35	$4,403.00	$739.70–$4,403.00	7% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LE WWO CONT LT	$1,981.35	$4,403.00	$739.70–$4,403.00	7% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LE WWO CONT RT	$1,981.35	$4,403.00	$1,565.27–$4,403.00	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LE WWO CONT LT	$1,981.35	$4,403.00	$1,565.27–$4,403.00	—	55%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONTRAST	$1,247.85	$2,773.00	$465.86–$2,773.00	24% below	55%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CONTRAST	$1,247.85	$2,773.00	$985.80–$2,773.00	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WWO CONTRAST	$1,688.40	$3,752.00	$630.34–$3,752.00	23% below	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WWO CONTRAST	$1,688.40	$3,752.00	$1,333.84–$3,752.00	—	55%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$1,314.90	$2,922.00	$490.90–$2,922.00	24% below	55%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$1,314.90	$2,922.00	$1,038.77–$2,922.00	—	55%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST	$1,637.10	$3,638.00	$611.18–$3,638.00	30% below	55%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO STRYKER VARIAN	$2,303.10	$5,118.00	$859.82–$5,118.00	1% below	55%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO PERFUSION	$2,303.10	$5,118.00	$859.82–$5,118.00	1% below	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST	$1,637.10	$3,638.00	$1,293.31–$3,638.00	—	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO STRYKER VARIAN	$2,303.10	$5,118.00	$1,819.45–$5,118.00	—	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO PERFUSION	$2,303.10	$5,118.00	$1,819.45–$5,118.00	—	55%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST	$1,485.45	$3,301.00	$554.57–$3,301.00	12% below	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST	$1,485.45	$3,301.00	$1,173.51–$3,301.00	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WWO CONT	$2,019.15	$4,487.00	$753.82–$4,487.00	11% below	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WWO CONT	$2,019.15	$4,487.00	$1,595.13–$4,487.00	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST/SPINE WO CONT	$1,485.45	$3,301.00	$554.57–$3,301.00	14% below	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST/SPINE WO CONT	$1,485.45	$3,301.00	$1,173.51–$3,301.00	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE WWO CONT	$2,019.15	$4,487.00	$753.82–$4,487.00	11% below	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE WWO CONT	$2,019.15	$4,487.00	$1,595.13–$4,487.00	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO CONTRAST	$1,485.45	$3,301.00	$554.57–$3,301.00	5% below	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO CONTRAST	$1,485.45	$3,301.00	$1,173.51–$3,301.00	—	55%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTRAST	$1,044.45	$2,321.00	$389.93–$2,321.00	53% below	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO CONTRAST	$1,044.45	$2,321.00	$825.12–$2,321.00	—	55%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$1,454.85	$3,233.00	$543.14–$3,233.00	10% below	55%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O	$2,763.67	$6,141.48	$1,031.77–$6,141.48	70% above	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$1,454.85	$3,233.00	$1,149.33–$3,233.00	—	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE W/O	$2,763.67	$6,141.48	$2,183.30–$6,141.48	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO CONT RT	$1,542.60	$3,428.00	$575.90–$3,428.00	10% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO CONT LT	$1,542.60	$3,428.00	$575.90–$3,428.00	10% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO CONT LT	$1,542.60	$3,428.00	$1,218.65–$3,428.00	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO CONT RT	$1,542.60	$3,428.00	$1,218.65–$3,428.00	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS	$576.45	$1,281.00	$215.21–$1,281.00	31% above	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS	$576.45	$1,281.00	$455.40–$1,281.00	—	55%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST W CONTRAST	$1,105.65	$2,457.00	$412.78–$2,457.00	15% below	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST W CONTRAST	$1,105.65	$2,457.00	$873.46–$2,457.00	—	55%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST W/O CONTRAST	$818.10	$1,818.00	$305.42–$1,818.00	30% below	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST W/O CONTRAST	$818.10	$1,818.00	$646.30–$1,818.00	—	55%
Neck soft tissue X-ray CPT 70360 CR NECK SOFT TISSUE	$276.30	$614.00	$103.15–$614.00	10% above	55%
Neck soft tissue X-ray inpatient CPT 70360 CR NECK SOFT TISSUE	$276.30	$614.00	$218.28–$614.00	—	55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC EXER/PHARMCO.	$2,561.85	$5,693.00	$956.42–$5,693.00	6% below	55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC EXER/PHARMCO.	$2,561.85	$5,693.00	$2,023.86–$5,693.00	—	55%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST	$629.10	$1,398.00	$234.86–$1,398.00	41% below	55%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST	$629.10	$1,398.00	$496.99–$1,398.00	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US ED GYN TRANSABD NON PREG	$352.35	$783.00	$131.54–$783.00	9% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS	$352.35	$783.00	$131.54–$783.00	9% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$352.35	$783.00	$131.54–$783.00	9% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US ED GYN TRANSABD NON PREG	$352.35	$783.00	$278.36–$783.00	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS	$352.35	$783.00	$278.36–$783.00	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$352.35	$783.00	$278.36–$783.00	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$566.10	$1,258.00	$211.34–$1,258.00	21% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$566.10	$1,258.00	$447.22–$1,258.00	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14WKS SNGL FETUS	$482.40	$1,072.00	$180.10–$1,072.00	18% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14WKS SNGL FETUS	$482.40	$1,072.00	$381.10–$1,072.00	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 USN BDSD OB ABDMN LIMITED	$360.00	$800.00	$134.40–$800.00	29% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ER USN BDSD OB ABDMN LIMITED	$360.00	$800.00	$134.40–$800.00	29% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS(S)	$360.00	$800.00	$134.40–$800.00	29% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ER USN BDSD OB ABDMN LIMITED	$360.00	$800.00	$284.40–$800.00	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 USN BDSD OB ABDMN LIMITED	$360.00	$800.00	$284.40–$800.00	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUS(S)	$360.00	$800.00	$284.40–$800.00	—	55%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT	$158.85	$353.00	$59.30–$353.00	45% below	55%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT	$158.85	$353.00	$59.30–$353.00	45% below	55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT	$158.85	$353.00	$125.49–$353.00	—	55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT	$158.85	$353.00	$125.49–$353.00	—	55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR RIBS UNI 2 VIEWS W PA CH LT	$236.25	$525.00	$88.20–$525.00	32% below	55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR RIBS UNI 2 VIEWS W PA CH RT	$236.25	$525.00	$88.20–$525.00	32% below	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR RIBS UNI 2 VIEWS W PA CH LT	$236.25	$525.00	$186.64–$525.00	—	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR RIBS UNI 2 VIEWS W PA CH RT	$236.25	$525.00	$186.64–$525.00	—	55%
Screening mammogram, both breasts both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE	$182.70	$406.00	$68.21–$406.00	—	55%
Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL IMP	$182.70	$406.00	$68.21–$406.00	18% above	55%
Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL	$182.70	$406.00	$68.21–$406.00	18% above	55%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE	$182.70	$406.00	$144.33–$406.00	—	55%
Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL IMP	$182.70	$406.00	$144.33–$406.00	—	55%
Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL	$182.70	$406.00	$144.33–$406.00	—	55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT	$146.70	$326.00	$54.77–$326.00	51% below	55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT	$146.70	$326.00	$54.77–$326.00	51% below	55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT	$146.70	$326.00	$115.89–$326.00	—	55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT	$146.70	$326.00	$115.89–$326.00	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 CR SINUSES PARANASAL MIN 3 VWS	$414.00	$920.00	$154.56–$920.00	10% above	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CR SINUSES PARANASAL MIN 3 VWS	$414.00	$920.00	$327.06–$920.00	—	55%
Skull X-ray, fewer than 4 views CPT 70250 CR SKULL LESS THAN 4 VIEWS	$265.95	$591.00	$99.29–$591.00	at median	55%
Skull X-ray, fewer than 4 views CPT 70250 CR SHUNTOGRAM NONVASCULAR	$265.95	$591.00	$99.29–$591.00	at median	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SKULL LESS THAN 4 VIEWS	$265.95	$591.00	$210.10–$591.00	—	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SHUNTOGRAM NONVASCULAR	$265.95	$591.00	$210.10–$591.00	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FX W CINE OR VID	$591.30	$1,314.00	$220.75–$1,314.00	37% above	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FX W CINE OR VID	$591.30	$1,314.00	$467.13–$1,314.00	—	55%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS LT	$196.20	$436.00	$73.25–$436.00	33% below	55%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS RT	$196.20	$436.00	$73.25–$436.00	33% below	55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS LT	$196.20	$436.00	$155.00–$436.00	—	55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS RT	$196.20	$436.00	$155.00–$436.00	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE WO CONT	$1,060.65	$2,357.00	$395.98–$2,357.00	13% below	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE WO CONT	$1,060.65	$2,357.00	$837.91–$2,357.00	—	55%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS RT	$202.05	$449.00	$75.43–$449.00	7% above	55%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS LT	$202.05	$449.00	$75.43–$449.00	7% above	55%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS LT	$202.05	$449.00	$159.62–$449.00	—	55%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS RT	$202.05	$449.00	$159.62–$449.00	—	55%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL US NON-OB	$438.30	$974.00	$163.63–$974.00	27% below	55%
Transvaginal pelvic ultrasound CPT 76830 US ED GYN TRASVAG NON PREG	$438.30	$974.00	$163.63–$974.00	27% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ED GYN TRASVAG NON PREG	$438.30	$974.00	$346.26–$974.00	—	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL US NON-OB	$438.30	$974.00	$346.26–$974.00	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL US OBSTETRIC	$421.20	$936.00	$157.25–$936.00	15% below	55%
Transvaginal ultrasound during pregnancy CPT 76817 USN OB BEDSIDE TRANSVAGINAL	$421.20	$936.00	$157.25–$936.00	15% below	55%
Transvaginal ultrasound during pregnancy CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL	$421.20	$936.00	$157.25–$936.00	15% below	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL	$421.20	$936.00	$332.75–$936.00	—	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL US OBSTETRIC	$421.20	$936.00	$332.75–$936.00	—	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 USN OB BEDSIDE TRANSVAGINAL	$421.20	$936.00	$332.75–$936.00	—	55%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$688.50	$1,530.00	$257.04–$1,530.00	19% below	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$688.50	$1,530.00	$543.92–$1,530.00	—	55%
Ultrasound of the scrotum and testicles CPT 76870 US ED TESTICULAR	$530.55	$1,179.00	$198.07–$1,179.00	8% below	55%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$530.55	$1,179.00	$198.07–$1,179.00	8% below	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US ED TESTICULAR	$530.55	$1,179.00	$419.13–$1,179.00	—	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$530.55	$1,179.00	$419.13–$1,179.00	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TISS HEAD/NECK	$487.35	$1,083.00	$181.94–$1,083.00	14% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE	$487.35	$1,083.00	$181.94–$1,083.00	14% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE	$487.35	$1,083.00	$385.01–$1,083.00	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TISS HEAD/NECK	$487.35	$1,083.00	$385.01–$1,083.00	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XA PERC STUDY DISTAL STOMACH	$494.55	$1,099.00	$184.63–$1,099.00	2% above	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI & SBFT WO AIR	$494.55	$1,099.00	$184.63–$1,099.00	2% above	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI SEIES W KUB	$494.55	$1,099.00	$184.63–$1,099.00	2% above	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI SERIES WO KUB	$494.55	$1,099.00	$184.63–$1,099.00	2% above	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI SEIES W KUB	$494.55	$1,099.00	$390.69–$1,099.00	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI SERIES WO KUB	$494.55	$1,099.00	$390.69–$1,099.00	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI & SBFT WO AIR	$494.55	$1,099.00	$390.69–$1,099.00	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XA PERC STUDY DISTAL STOMACH	$494.55	$1,099.00	$390.69–$1,099.00	—	55%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS RT	$173.70	$386.00	$64.85–$386.00	36% below	55%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS LT	$173.70	$386.00	$64.85–$386.00	36% below	55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS RT	$173.70	$386.00	$137.22–$386.00	—	55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS LT	$173.70	$386.00	$137.22–$386.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 S DUPLEX SCAN EXT VEN LIMITED	$478.80	$1,064.00	$178.75–$1,064.00	19% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DOPPLER COLOR FLOW MAPPING	$478.80	$1,064.00	$178.75–$1,064.00	19% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX SCAN EXT VEN LIMITED	$478.80	$1,064.00	$178.75–$1,064.00	19% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT	$966.15	$2,147.00	$360.70–$2,147.00	64% above	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT LT	$478.80	$1,064.00	$178.75–$1,064.00	19% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT RT	$478.80	$1,064.00	$178.75–$1,064.00	19% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 S DUPLEX SCAN EXT VEN LIMITED	$478.80	$1,064.00	$378.25–$1,064.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DOPPLER COLOR FLOW MAPPING	$478.80	$1,064.00	$378.25–$1,064.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX SCAN EXT VEN LIMITED	$478.80	$1,064.00	$378.25–$1,064.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT	$966.15	$2,147.00	$763.26–$2,147.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT LT	$478.80	$1,064.00	$378.25–$1,064.00	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT RT	$478.80	$1,064.00	$378.25–$1,064.00	—	55%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS RT	$146.70	$326.00	$54.77–$326.00	28% below	55%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS LT	$146.70	$326.00	$54.77–$326.00	28% below	55%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS RT	$146.70	$326.00	$115.89–$326.00	—	55%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS LT	$146.70	$326.00	$115.89–$326.00	—	55%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS LT	$239.40	$532.00	$89.38–$532.00	22% below	55%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS RT	$239.40	$532.00	$89.38–$532.00	22% below	55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS RT	$239.40	$532.00	$189.13–$532.00	—	55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS LT	$239.40	$532.00	$189.13–$532.00	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS LT	$185.85	$413.00	$69.38–$413.00	21% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS RT	$185.85	$413.00	$69.38–$413.00	21% below	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR HIP MIN 2 VIEWS RT	$185.85	$413.00	$146.82–$413.00	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR HIP MIN 2 VIEWS LT	$185.85	$413.00	$146.82–$413.00	—	55%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN SINGLE AP VIEW	$300.60	$668.00	$112.22–$668.00	23% above	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN SINGLE AP VIEW	$300.60	$668.00	$237.47–$668.00	—	55%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VIEWS RT	$225.90	$502.00	$84.34–$502.00	3% below	55%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VIEWS LT	$225.90	$502.00	$84.34–$502.00	3% below	55%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VIEWS LT	$225.90	$502.00	$178.46–$502.00	—	55%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VIEWS RT	$225.90	$502.00	$178.46–$502.00	—	55%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS LT	$137.70	$306.00	$51.41–$306.00	39% below	55%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS RT	$137.70	$306.00	$51.41–$306.00	39% below	55%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS LT	$137.70	$306.00	$108.78–$306.00	—	55%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS RT	$137.70	$306.00	$108.78–$306.00	—	55%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS RT	$181.35	$403.00	$67.70–$403.00	18% below	55%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS LT	$181.35	$403.00	$67.70–$403.00	18% below	55%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS RT	$181.35	$403.00	$143.27–$403.00	—	55%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS LT	$181.35	$403.00	$143.27–$403.00	—	55%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT	$473.85	$1,053.00	$176.90–$1,053.00	55% above	55%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT	$473.85	$1,053.00	$176.90–$1,053.00	55% above	55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT	$473.85	$1,053.00	$374.34–$1,053.00	—	55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT	$473.85	$1,053.00	$374.34–$1,053.00	—	55%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS LT	$230.40	$512.00	$86.02–$512.00	23% below	55%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS RT	$230.40	$512.00	$86.02–$512.00	23% below	55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS RT	$230.40	$512.00	$182.02–$512.00	—	55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS LT	$230.40	$512.00	$182.02–$512.00	—	55%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT	$506.25	$1,125.00	$189.00–$1,125.00	113% above	55%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT	$506.25	$1,125.00	$189.00–$1,125.00	113% above	55%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT	$506.25	$1,125.00	$399.94–$1,125.00	—	55%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT	$506.25	$1,125.00	$399.94–$1,125.00	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR L SPINE 2 OR 3 VIEWS	$185.40	$412.00	$69.22–$412.00	44% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR L SPINE 2 OR 3 VIEWS	$185.40	$412.00	$146.47–$412.00	—	55%
X-ray of the lower back, 4 or more views CPT 72110 CR L SPINE MIN 4 VIEW	$941.85	$2,093.00	$351.62–$2,093.00	97% above	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR L SPINE MIN 4 VIEW	$941.85	$2,093.00	$744.06–$2,093.00	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE 2 VIEWS	$153.00	$340.00	$57.12–$340.00	49% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE 2 VIEWS	$153.00	$340.00	$120.87–$340.00	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VIEWS	$357.75	$795.00	$133.56–$795.00	22% above	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VIEWS	$357.75	$795.00	$282.62–$795.00	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR EXAM OF NECK SPINE	$550.80	$1,224.00	$205.63–$1,224.00	74% above	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR EXAM OF NECK SPINE	$550.80	$1,224.00	$435.13–$1,224.00	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VIEWS	$179.10	$398.00	$66.86–$398.00	31% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VIEWS	$179.10	$398.00	$141.49–$398.00	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM & COCCYX MIN 2 VIEWS	$287.55	$639.00	$107.35–$639.00	at median	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM & COCCYX MIN 2 VIEWS	$287.55	$639.00	$227.16–$639.00	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ACTH blood test CPT 82024 ASSAY OF ACTH	$149.85	$333.00	$55.94–$333.00	19% below	55%
ACTH blood test inpatient CPT 82024 ASSAY OF ACTH	$149.85	$333.00	$118.38–$333.00	—	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALTSGPT	$20.70	$46.00	$7.73–$46.00	65% below	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALTSGPT	$20.70	$46.00	$16.35–$46.00	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASTSGOT	$41.40	$92.00	$15.46–$92.00	33% below	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASTSGOT	$41.40	$92.00	$32.71–$92.00	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 1	$139.05	$309.00	$51.91–$309.00	39% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 1	$139.05	$309.00	$109.85–$309.00	—	55%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$30.60	$68.00	$11.42–$68.00	48% below	55%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN	$30.60	$68.00	$24.17–$68.00	—	55%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$120.60	$268.00	$45.02–$268.00	4% below	55%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE	$120.60	$268.00	$95.27–$268.00	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE.	$20.25	$45.00	$7.56–$45.00	65% below	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE.	$20.25	$45.00	$16.00–$45.00	—	55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT/SEMIQ1	$6.75	$15.00	$2.52–$15.00	44% below	55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT/SEMIQ1	$6.75	$15.00	$5.33–$15.00	—	55%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$54.90	$122.00	$20.50–$122.00	44% below	55%
Ammonia blood test inpatient CPT 82140 ASSAY OF AMMONIA	$54.90	$122.00	$43.37–$122.00	—	55%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$87.75	$195.00	$32.76–$195.00	24% above	55%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$87.75	$195.00	$69.32–$195.00	—	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$69.75	$155.00	$26.04–$155.00	7% below	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$69.75	$155.00	$55.10–$155.00	—	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES 1	$80.55	$179.00	$30.07–$179.00	16% above	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES 1	$80.55	$179.00	$63.63–$179.00	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$81.90	$182.00	$30.58–$182.00	53% below	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$81.90	$182.00	$64.70–$182.00	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTHER 1	$101.25	$225.00	$37.80–$225.00	2% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTHER 1	$101.25	$225.00	$79.99–$225.00	—	55%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$43.20	$96.00	$16.13–$96.00	50% below	55%
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA	$43.20	$96.00	$34.13–$96.00	—	55%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$27.90	$62.00	$10.42–$62.00	45% below	55%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$27.90	$62.00	$22.04–$62.00	—	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH GROSS/MICRO 4	$173.70	$386.00	$64.85–$386.00	45% above	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURG PATH GROSS/MICRO 4	$173.70	$386.00	$137.22–$386.00	—	55%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$132.75	$295.00	$49.56–$295.00	17% above	55%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$132.75	$295.00	$104.87–$295.00	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 US LAB DRAW VEIN	$6.30	$14.00	$2.35–$14.00	60% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$9.45	$21.00	$3.53–$21.00	40% below	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 US LAB DRAW VEIN	$6.30	$14.00	$4.98–$14.00	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$9.45	$21.00	$7.47–$21.00	—	55%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$18.90	$42.00	$7.06–$42.00	44% below	55%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$18.90	$42.00	$14.93–$42.00	—	55%
Blood lead test CPT 83655 ASSAY OF LEAD	$55.35	$123.00	$20.66–$123.00	7% below	55%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$55.35	$123.00	$43.73–$123.00	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GANADOTROPIN ASSAY 1	$76.05	$169.00	$28.39–$169.00	11% below	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GANADOTROPIN ASSAY 1	$76.05	$169.00	$60.08–$169.00	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$64.80	$144.00	$24.19–$144.00	19% above	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$64.80	$144.00	$51.19–$144.00	—	55%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$31.95	$71.00	$11.93–$71.00	30% below	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$31.95	$71.00	$25.24–$71.00	—	55%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$90.90	$202.00	$33.94–$202.00	35% below	55%
C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE	$90.90	$202.00	$71.81–$202.00	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$42.30	$94.00	$15.79–$94.00	11% below	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$42.30	$94.00	$33.42–$94.00	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE.	$299.70	$666.00	$111.89–$666.00	200% above	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE.	$299.70	$666.00	$236.76–$666.00	—	55%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$91.35	$203.00	$34.10–$203.00	25% below	55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$91.35	$203.00	$72.17–$203.00	—	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$73.80	$164.00	$27.55–$164.00	43% below	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$73.80	$164.00	$58.30–$164.00	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP	$65.25	$145.00	$24.36–$145.00	14% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP	$65.25	$145.00	$51.55–$145.00	—	55%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM TOTAL	$29.70	$66.00	$11.09–$66.00	35% below	55%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM TOTAL	$29.70	$66.00	$23.46–$66.00	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$194.40	$432.00	$72.58–$432.00	55% above	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$194.40	$432.00	$153.58–$432.00	—	55%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$123.75	$275.00	$46.20–$275.00	27% above	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$123.75	$275.00	$97.76–$275.00	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PRO TRAC	$125.10	$278.00	$46.70–$278.00	25% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PRO TRAC	$125.10	$278.00	$98.83–$278.00	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$84.60	$188.00	$31.58–$188.00	27% below	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$84.60	$188.00	$66.83–$188.00	—	55%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC.	$25.20	$56.00	$9.41–$56.00	54% below	55%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC.	$25.20	$56.00	$19.91–$56.00	—	55%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$62.10	$138.00	$23.18–$138.00	10% above	55%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$62.10	$138.00	$49.06–$138.00	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$141.30	$314.00	$52.75–$314.00	15% above	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$141.30	$314.00	$111.63–$314.00	—	55%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$139.05	$309.00	$51.91–$309.00	73% above	55%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$139.05	$309.00	$109.85–$309.00	—	55%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK CPK	$48.60	$108.00	$18.14–$108.00	29% below	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK CPK	$48.60	$108.00	$38.39–$108.00	—	55%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$39.15	$87.00	$14.62–$87.00	4% below	55%
Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE	$39.15	$87.00	$30.93–$87.00	—	55%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY 1.	$71.10	$158.00	$26.54–$158.00	14% below	55%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY VIRUS NOS 1	$71.10	$158.00	$26.54–$158.00	14% below	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY 1.	$71.10	$158.00	$56.17–$158.00	—	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY VIRUS NOS 1	$71.10	$158.00	$56.17–$158.00	—	55%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$47.25	$105.00	$17.64–$105.00	46% below	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$47.25	$105.00	$37.33–$105.00	—	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULF	$11.25	$25.00	$4.20–$25.00	91% below	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULF	$11.25	$25.00	$8.89–$25.00	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SO DRUG TEST PRESUMPTIVE INST	$239.40	$532.00	$89.38–$532.00	412% above	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SO DRUG TEST PRESUMPTIVE INST	$239.40	$532.00	$189.13–$532.00	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$86.40	$192.00	$32.26–$192.00	24% above	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$86.40	$192.00	$68.26–$192.00	—	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 SO EPSTEIN-BARR ANTI VIRAL CAPSID	$37.35	$83.00	$13.94–$83.00	36% below	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 SO EPSTEIN-BARR ANTI VIRAL CAPSID	$37.35	$83.00	$29.51–$83.00	—	55%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CAL PROTECTIN FECAL	$83.25	$185.00	$31.08–$185.00	60% below	55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CAL PROTECTIN FECAL	$83.25	$185.00	$65.77–$185.00	—	55%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$46.35	$103.00	$17.30–$103.00	56% below	55%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$46.35	$103.00	$36.62–$103.00	—	55%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$105.75	$235.00	$39.48–$235.00	22% above	55%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$105.75	$235.00	$83.54–$235.00	—	55%
Folate (folic acid) blood test CPT 82746 BLOOD FOLIC ACID SERUM	$119.25	$265.00	$44.52–$265.00	13% above	55%
Folate (folic acid) blood test inpatient CPT 82746 BLOOD FOLIC ACID SERUM	$119.25	$265.00	$94.21–$265.00	—	55%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY FT-3	$106.20	$236.00	$39.65–$236.00	23% below	55%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY FT 3	$109.80	$244.00	$40.99–$244.00	20% below	55%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY FT-3	$106.20	$236.00	$83.90–$236.00	—	55%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY FT 3	$109.80	$244.00	$86.74–$244.00	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$102.60	$228.00	$38.30–$228.00	42% above	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$102.60	$228.00	$81.05–$228.00	—	55%
Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE	$45.00	$100.00	$16.80–$100.00	41% below	55%
Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE	$45.00	$100.00	$35.55–$100.00	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$58.95	$131.00	$22.01–$131.00	9% above	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$58.95	$131.00	$46.57–$131.00	—	55%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$257.85	$573.00	$96.26–$573.00	6% below	55%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$257.85	$573.00	$203.70–$573.00	—	55%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST GTT	$142.20	$316.00	$53.09–$316.00	1% above	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST GTT	$142.20	$316.00	$112.34–$316.00	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SO N.GONORRHOEAE DNA AMP PROB 1	$125.10	$278.00	$46.70–$278.00	21% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SO N.GONORRHOEAE DNA AMP PROB 1	$125.10	$278.00	$98.83–$278.00	—	55%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$33.75	$75.00	$12.60–$75.00	56% below	55%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$33.75	$75.00	$26.66–$75.00	—	55%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$96.30	$214.00	$35.95–$214.00	35% below	55%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA	$96.30	$214.00	$76.08–$214.00	—	55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$256.50	$570.00	$95.76–$570.00	8% above	55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$256.50	$570.00	$202.64–$570.00	—	55%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV2 SINGLE RESULT 2	$64.35	$143.00	$24.02–$143.00	at median	55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV2 SINGLE RESULT 2	$64.35	$143.00	$50.84–$143.00	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 AG HIV1/2 AB SNGL RST	$85.05	$189.00	$31.75–$189.00	20% above	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1 AG HIV1/2 AB SNGL RST	$85.05	$189.00	$67.19–$189.00	—	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA AMP PROBE	$142.20	$316.00	$53.09–$316.00	84% above	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA AMP PROBE	$142.20	$316.00	$112.34–$316.00	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$126.45	$281.00	$47.21–$281.00	79% above	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$126.45	$281.00	$99.90–$281.00	—	55%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$9.00	$20.00	$3.36–$20.00	66% below	55%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$9.00	$20.00	$7.11–$20.00	—	55%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL 1	$102.15	$227.00	$38.14–$227.00	38% above	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL 1	$102.15	$227.00	$80.70–$227.00	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$105.30	$234.00	$39.31–$234.00	17% above	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$105.30	$234.00	$83.19–$234.00	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SO HEPATITIS B SURFACE AG EIA	$64.35	$143.00	$24.02–$143.00	6% below	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SO HEPATITIS B SURFACE AG EIA	$64.35	$143.00	$50.84–$143.00	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$85.95	$191.00	$32.09–$191.00	at median	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$85.95	$191.00	$67.90–$191.00	—	55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT 2	$349.65	$777.00	$130.54–$777.00	40% above	55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT 2	$349.65	$777.00	$276.22–$777.00	—	55%
Herpes blood test, HSV-1 antibody CPT 86695 HSV-1 IGG ANTIBODY	$58.95	$131.00	$22.01–$131.00	2% below	55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV-1 IGG ANTIBODY	$58.95	$131.00	$46.57–$131.00	—	55%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TEST TYPE 2	$36.45	$81.00	$13.61–$81.00	40% below	55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TEST TYPE 2	$36.45	$81.00	$28.80–$81.00	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$34.20	$76.00	$12.77–$76.00	51% below	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$34.20	$76.00	$27.02–$76.00	—	55%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$184.50	$410.00	$68.88–$410.00	46% above	55%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$184.50	$410.00	$145.76–$410.00	—	55%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL	$65.25	$145.00	$24.36–$145.00	22% below	55%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL	$65.25	$145.00	$51.55–$145.00	—	55%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$66.15	$147.00	$24.70–$147.00	8% below	55%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$66.15	$147.00	$52.26–$147.00	—	55%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST.	$50.85	$113.00	$18.98–$113.00	37% below	55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST.	$50.85	$113.00	$40.17–$113.00	—	55%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$137.25	$305.00	$51.24–$305.00	54% above	55%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$137.25	$305.00	$108.43–$305.00	—	55%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LH	$140.85	$313.00	$52.58–$313.00	2% above	55%
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LH	$140.85	$313.00	$111.27–$313.00	—	55%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$67.95	$151.00	$25.37–$151.00	1% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$67.95	$151.00	$53.68–$151.00	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE LD LDH ENZYME	$27.00	$60.00	$10.08–$60.00	42% below	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE LD LDH ENZYME	$27.00	$60.00	$21.33–$60.00	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$49.05	$109.00	$18.31–$109.00	26% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$49.05	$109.00	$38.75–$109.00	—	55%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$160.65	$357.00	$59.98–$357.00	71% above	55%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$160.65	$357.00	$126.91–$357.00	—	55%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$63.45	$141.00	$23.69–$141.00	25% above	55%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$63.45	$141.00	$50.13–$141.00	—	55%
Magnesium blood test CPT 83735 MAGNESIUM	$42.75	$95.00	$15.96–$95.00	13% below	55%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$42.75	$95.00	$33.77–$95.00	—	55%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY 1	$75.60	$168.00	$28.22–$168.00	39% above	55%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY 1	$75.60	$168.00	$59.72–$168.00	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREEN	$45.00	$100.00	$16.80–$100.00	10% below	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCREEN	$45.00	$100.00	$35.55–$100.00	—	55%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$73.80	$164.00	$27.55–$164.00	5% above	55%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$73.80	$164.00	$58.30–$164.00	—	55%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$118.80	$264.00	$44.35–$264.00	48% above	55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$118.80	$264.00	$93.85–$264.00	—	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$149.40	$332.00	$55.78–$332.00	25% above	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$149.40	$332.00	$118.03–$332.00	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$254.25	$565.00	$94.92–$565.00	34% above	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$254.25	$565.00	$200.86–$565.00	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$55.35	$123.00	$20.66–$123.00	32% below	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$55.35	$123.00	$43.73–$123.00	—	55%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$38.70	$86.00	$14.45–$86.00	26% below	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$38.70	$86.00	$30.57–$86.00	—	55%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$30.60	$68.00	$11.42–$68.00	34% below	55%
Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM	$30.60	$68.00	$24.17–$68.00	—	55%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$79.20	$176.00	$29.57–$176.00	36% below	55%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$79.20	$176.00	$62.57–$176.00	—	55%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$162.45	$361.00	$60.65–$361.00	24% above	55%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$162.45	$361.00	$128.34–$361.00	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$31.95	$71.00	$11.93–$71.00	22% below	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$31.95	$71.00	$25.24–$71.00	—	55%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$60.75	$135.00	$22.68–$135.00	33% above	55%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$60.75	$135.00	$47.99–$135.00	—	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$164.25	$365.00	$61.32–$365.00	231% above	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$164.25	$365.00	$129.76–$365.00	—	55%
Renin blood test CPT 84244 ASSAY OF RENIN	$147.15	$327.00	$54.94–$327.00	4% above	55%
Renin blood test inpatient CPT 84244 ASSAY OF RENIN	$147.15	$327.00	$116.25–$327.00	—	55%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$27.90	$62.00	$10.42–$62.00	35% below	55%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$27.90	$62.00	$22.04–$62.00	—	55%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$36.90	$82.00	$13.78–$82.00	19% below	55%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$36.90	$82.00	$29.15–$82.00	—	55%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY 3	$51.30	$114.00	$19.15–$114.00	44% below	55%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY 3	$51.30	$114.00	$40.53–$114.00	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$44.10	$98.00	$16.46–$98.00	18% above	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$44.10	$98.00	$34.84–$98.00	—	55%
Sodium blood test CPT 84295 ASSAY OF SODIUM	$39.60	$88.00	$14.78–$88.00	23% below	55%
Sodium blood test inpatient CPT 84295 ASSAY OF SODIUM	$39.60	$88.00	$31.28–$88.00	—	55%
Stool ova and parasites exam CPT 87177 SO OVA AND PARASITES SMEARS	$56.70	$126.00	$21.17–$126.00	14% below	55%
Stool ova and parasites exam inpatient CPT 87177 SO OVA AND PARASITES SMEARS	$56.70	$126.00	$44.79–$126.00	—	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$31.95	$71.00	$11.93–$71.00	38% above	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$31.95	$71.00	$25.24–$71.00	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$31.50	$70.00	$11.76–$70.00	17% below	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$31.50	$70.00	$24.88–$70.00	—	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM 1	$71.10	$158.00	$26.54–$158.00	71% above	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM 1	$71.10	$158.00	$56.17–$158.00	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY	$40.95	$91.00	$15.29–$91.00	1% below	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY	$40.95	$91.00	$32.35–$91.00	—	55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$160.65	$357.00	$59.98–$357.00	20% above	55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$160.65	$357.00	$126.91–$357.00	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL	$115.20	$256.00	$43.01–$256.00	7% above	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL	$115.20	$256.00	$91.01–$256.00	—	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$71.10	$158.00	$26.54–$158.00	22% below	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$71.10	$158.00	$56.17–$158.00	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF THYROID STIM HORMONE 2	$120.60	$268.00	$45.02–$268.00	41% above	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF THYROID STIM HORMONE 2	$120.60	$268.00	$95.27–$268.00	—	55%
Total IgE blood test CPT 82785 ASSAY OF IGE	$129.15	$287.00	$48.22–$287.00	30% above	55%
Total IgE blood test inpatient CPT 82785 ASSAY OF IGE	$129.15	$287.00	$102.03–$287.00	—	55%
Total cholesterol blood test CPT 82465 ASSAY BLD SERUM CHOLESTEROL	$48.15	$107.00	$17.98–$107.00	3% above	55%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD SERUM CHOLESTEROL	$48.15	$107.00	$38.04–$107.00	—	55%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$80.55	$179.00	$30.07–$179.00	7% above	55%
Total thyroxine (T4) blood test inpatient CPT 84436 ASSAY OF TOTAL THYROXINE	$80.55	$179.00	$63.63–$179.00	—	55%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE T3	$83.25	$185.00	$31.08–$185.00	11% below	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 ASSAY TRIIODOTHYRONINE T3	$83.25	$185.00	$65.77–$185.00	—	55%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$110.70	$246.00	$41.33–$246.00	18% above	55%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$110.70	$246.00	$87.45–$246.00	—	55%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP PROBE	$95.40	$212.00	$35.62–$212.00	49% above	55%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP PROBE	$95.40	$212.00	$75.37–$212.00	—	55%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$58.05	$129.00	$21.67–$129.00	16% above	55%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$58.05	$129.00	$45.86–$129.00	—	55%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$93.60	$208.00	$34.94–$208.00	20% below	55%
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT	$93.60	$208.00	$73.94–$208.00	—	55%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$45.90	$102.00	$17.14–$102.00	18% below	55%
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$45.90	$102.00	$36.26–$102.00	—	55%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$20.70	$46.00	$7.73–$46.00	58% below	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$20.70	$46.00	$16.35–$46.00	—	55%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$18.90	$42.00	$7.06–$42.00	14% below	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$18.90	$42.00	$14.93–$42.00	—	55%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$90.45	$201.00	$33.77–$201.00	5% above	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$90.45	$201.00	$71.46–$201.00	—	55%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$54.90	$122.00	$20.50–$122.00	3% below	55%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE	$54.90	$122.00	$43.37–$122.00	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 1	$124.20	$276.00	$46.37–$276.00	47% above	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 1	$124.20	$276.00	$98.12–$276.00	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$56.70	$126.00	$21.17–$126.00	49% below	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$56.70	$126.00	$44.79–$126.00	—	55%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$145.80	$324.00	$54.43–$324.00	10% below	55%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$145.80	$324.00	$115.18–$324.00	—	55%
Zinc blood test CPT 84630 ASSAY OF ZINC	$75.15	$167.00	$28.06–$167.00	34% below	55%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$75.15	$167.00	$59.37–$167.00	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$140.85	$313.00	$52.58–$313.00	9% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$140.85	$313.00	$111.27–$313.00	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,133.55	$2,519.00	$423.19–$2,519.00	28% above	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$1,133.55	$2,519.00	$423.19–$2,519.00	28% above	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,133.55	$2,519.00	$423.19–$2,519.00	28% above	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,133.55	$2,519.00	$895.50–$2,519.00	—	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$1,133.55	$2,519.00	$895.50–$2,519.00	—	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,133.55	$2,519.00	$895.50–$2,519.00	—	55%
Catheter ablation for atrial fibrillation CPT 93656 EP & ABLATE A FIB	$10,637.55	$23,639.00	$3,971.35–$23,639.00	29% below	55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP & ABLATE A FIB	$10,637.55	$23,639.00	$8,403.66–$23,639.00	—	55%
Coronary stent placement, one artery CPT 92928 PTCA W/STENT PLCMENT CORN RC	$10,696.05	$23,769.00	$3,993.19–$23,769.00	42% above	55%
Coronary stent placement, one artery inpatient CPT 92928 PTCA W/STENT PLCMENT CORN RC	$10,696.05	$23,769.00	$8,449.88–$23,769.00	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD DAILY	$558.00	$1,240.00	$208.32–$1,240.00	1% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION (ONCE DAILY)	$558.00	$1,240.00	$208.32–$1,240.00	1% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD	$558.00	$1,240.00	$208.32–$1,240.00	1% below	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION (ONCE DAILY)	$558.00	$1,240.00	$440.82–$1,240.00	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD DAILY	$558.00	$1,240.00	$440.82–$1,240.00	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD	$558.00	$1,240.00	$440.82–$1,240.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER INITIAL	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI-NEB TX INITIAL	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER ANTIMICROBIAL	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI-NEB TX SUBSEQUENT	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER SUBSEQUENT	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB/MDI TREATMENT	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$48.15	$107.00	$17.98–$107.00	64% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI-NEB TX SUBSEQUENT	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER ANTIMICROBIAL	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER SUBSEQUENT	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER INITIAL	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB/MDI TREATMENT	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI-NEB TX INITIAL	$48.15	$107.00	$38.04–$107.00	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$48.15	$107.00	$38.04–$107.00	—	55%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS INIT 1ST HR	$503.10	$1,118.00	$187.82–$1,118.00	5% above	55%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS INIT HR	$503.10	$1,118.00	$187.82–$1,118.00	5% above	55%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS INIT 1ST HOUR	$503.10	$1,118.00	$187.82–$1,118.00	5% above	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS INIT HR	$503.10	$1,118.00	$397.45–$1,118.00	—	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS INIT 1ST HR	$503.10	$1,118.00	$397.45–$1,118.00	—	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS INIT 1ST HOUR	$503.10	$1,118.00	$397.45–$1,118.00	—	55%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74 MIN	$2,429.10	$5,398.00	$906.86–$5,398.00	33% above	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74 MIN	$2,429.10	$5,398.00	$1,918.99–$5,398.00	—	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$675.45	$1,501.00	$252.17–$1,501.00	16% above	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$675.45	$1,501.00	$533.61–$1,501.00	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG MIN 12 LEAD TRACE ONLY	$135.90	$302.00	$50.74–$302.00	23% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$135.90	$302.00	$50.74–$302.00	23% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$135.90	$302.00	$107.36–$302.00	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG MIN 12 LEAD TRACE ONLY	$135.90	$302.00	$107.36–$302.00	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1	$119.70	$266.00	$44.69–$266.00	33% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SAFE SERVICES LEVEL 1	$119.70	$266.00	$44.69–$266.00	33% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SAFE SERVICES LEVEL 1	$119.70	$266.00	$94.56–$266.00	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LEVEL 1	$119.70	$266.00	$94.56–$266.00	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2	$356.40	$792.00	$133.06–$792.00	25% above	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 SAFE SERVICES LEVEL 2	$356.40	$792.00	$133.06–$792.00	25% above	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEVEL 2	$356.40	$792.00	$281.56–$792.00	—	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 SAFE SERVICES LEVEL 2	$356.40	$792.00	$281.56–$792.00	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3	$598.05	$1,329.00	$223.27–$1,329.00	29% above	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SAFE SERVICES LEVEL 3	$598.05	$1,329.00	$223.27–$1,329.00	29% above	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SAFE SERVICES LEVEL 3	$598.05	$1,329.00	$472.46–$1,329.00	—	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEVEL 3	$598.05	$1,329.00	$472.46–$1,329.00	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SAFE SERVICES LEVEL 4	$784.35	$1,743.00	$292.82–$1,743.00	13% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4	$784.35	$1,743.00	$292.82–$1,743.00	13% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SAFE SERVICES LEVEL 4	$784.35	$1,743.00	$619.64–$1,743.00	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEVEL 4	$784.35	$1,743.00	$619.64–$1,743.00	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5	$1,169.55	$2,599.00	$436.63–$2,599.00	at median	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SAFE SERVICES LEVEL 5	$1,169.55	$2,599.00	$436.63–$2,599.00	at median	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SAFE SERVICES LEVEL 5	$1,169.55	$2,599.00	$923.94–$2,599.00	—	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEVEL 5	$1,169.55	$2,599.00	$923.94–$2,599.00	—	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIO STRESS NO SUPERV	$778.05	$1,729.00	$290.47–$1,729.00	2% above	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVA STRESS TEST NO SUPERV	$778.05	$1,729.00	$290.47–$1,729.00	2% above	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVA STRESS TEST NO SUPERV	$778.05	$1,729.00	$614.66–$1,729.00	—	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIO STRESS NO SUPERV	$778.05	$1,729.00	$614.66–$1,729.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INI	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31MIN 1HR	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL 1ST HR	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MIN - 1 HR	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MINS-1 HR	$224.55	$499.00	$83.83–$499.00	20% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MINS-1 HR	$224.55	$499.00	$177.39–$499.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60	$224.55	$499.00	$177.39–$499.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MIN - 1 HR	$224.55	$499.00	$177.39–$499.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL 1ST HR	$224.55	$499.00	$177.39–$499.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INI	$224.55	$499.00	$177.39–$499.00	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31MIN 1HR	$224.55	$499.00	$177.39–$499.00	—	55%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF IN	$245.70	$546.00	$91.73–$546.00	20% below	55%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HR	$245.70	$546.00	$91.73–$546.00	20% below	55%
IV infusion of a medicine, first hour CPT 96365 IV INFUS INIT 1ST HR	$245.70	$546.00	$91.73–$546.00	20% below	55%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HOUR	$245.70	$546.00	$91.73–$546.00	20% below	55%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS INIT 1ST HR	$245.70	$546.00	$194.10–$546.00	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HR	$245.70	$546.00	$194.10–$546.00	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HOUR	$245.70	$546.00	$194.10–$546.00	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF IN	$245.70	$546.00	$194.10–$546.00	—	55%
IV push of a medicine, first drug CPT 96374 INJ TX OR DX IVP SINGLE/INT	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 ING TX OR DX IVP SINGLE/INT	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 INJ IV PUSH SGL/INIT DRUG	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 INJTX OR DX IVP SINGLE/INIT	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PU	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 INJ TX OR DX INTRAVENOUS	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug CPT 96374 IV PUSH SGL INIT DRUG	$126.45	$281.00	$47.21–$281.00	27% below	55%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SGL INIT DRUG	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PU	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 INJ TX OR DX INTRAVENOUS	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 ING TX OR DX IVP SINGLE/INT	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 INJTX OR DX IVP SINGLE/INIT	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 INJ TX OR DX IVP SINGLE/INT	$126.45	$281.00	$99.90–$281.00	—	55%
IV push of a medicine, first drug inpatient CPT 96374 INJ IV PUSH SGL/INIT DRUG	$126.45	$281.00	$99.90–$281.00	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM INJ THER PROPH DIAG SQ IM	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH DIAG SQ/IM	$91.35	$203.00	$34.10–$203.00	3% above	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH DIAG SQ/IM	$91.35	$203.00	$72.17–$203.00	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER PROPH DIAG SQ IM	$91.35	$203.00	$72.17–$203.00	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$91.35	$203.00	$72.17–$203.00	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$91.35	$203.00	$72.17–$203.00	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM INJ THER PROPH DIAG SQ IM	$91.35	$203.00	$72.17–$203.00	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION	$91.35	$203.00	$72.17–$203.00	—	55%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NCV 7 - 8 STUDIES	$107.55	$239.00	$40.15–$239.00	87% below	55%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NCV 7 - 8 STUDIES	$107.55	$239.00	$84.96–$239.00	—	55%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$124.65	$277.00	$46.54–$277.00	2% above	55%
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW LEVEL 3	$124.65	$277.00	$46.54–$277.00	2% above	55%
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT	$124.65	$277.00	$46.54–$277.00	2% above	55%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT NEW LEVEL 3	$124.65	$277.00	$98.47–$277.00	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 INITIAL VISIT	$124.65	$277.00	$98.47–$277.00	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3	$124.65	$277.00	$98.47–$277.00	—	55%
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT	$172.80	$384.00	$64.51–$384.00	7% below	55%
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW LEVEL 4	$172.80	$384.00	$64.51–$384.00	7% below	55%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$172.80	$384.00	$64.51–$384.00	7% below	55%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW LEVEL 4	$172.80	$384.00	$136.51–$384.00	—	55%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4	$172.80	$384.00	$136.51–$384.00	—	55%
New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 INITIAL VISIT	$172.80	$384.00	$136.51–$384.00	—	55%
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT	$207.00	$460.00	$77.28–$460.00	12% below	55%
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW LEVEL 5	$207.00	$460.00	$77.28–$460.00	12% below	55%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5	$207.00	$460.00	$77.28–$460.00	12% below	55%
New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 INITIAL VISIT	$207.00	$460.00	$163.53–$460.00	—	55%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW LEVEL 5	$207.00	$460.00	$163.53–$460.00	—	55%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5	$207.00	$460.00	$163.53–$460.00	—	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT NEW LEVEL 2	$103.50	$230.00	$38.64–$230.00	16% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT	$103.50	$230.00	$38.64–$230.00	16% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$103.50	$230.00	$38.64–$230.00	16% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT NEW LVL 2	$103.50	$230.00	$38.64–$230.00	16% above	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPT NEW LVL 2	$103.50	$230.00	$81.76–$230.00	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 INITIAL VISIT	$103.50	$230.00	$81.76–$230.00	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2	$103.50	$230.00	$81.76–$230.00	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT NEW LEVEL 2	$103.50	$230.00	$81.76–$230.00	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN	$24.75	$55.00	$9.24–$55.00	17% below	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN	$24.75	$55.00	$19.55–$55.00	—	55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC	$62.55	$139.00	$23.35–$139.00	94% above	55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC	$62.55	$139.00	$49.41–$139.00	—	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL 5	$157.50	$350.00	$58.80–$350.00	2% below	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST LEVEL 5	$157.50	$350.00	$58.80–$350.00	2% below	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$157.50	$350.00	$58.80–$350.00	2% below	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$157.50	$350.00	$124.42–$350.00	—	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST LEVEL 5	$157.50	$350.00	$124.42–$350.00	—	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 5	$157.50	$350.00	$124.42–$350.00	—	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$106.20	$236.00	$39.65–$236.00	22% above	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST LEVEL 3	$106.20	$236.00	$39.65–$236.00	22% above	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL 3	$106.20	$236.00	$39.65–$236.00	22% above	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST LEVEL 3	$106.20	$236.00	$83.90–$236.00	—	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$106.20	$236.00	$83.90–$236.00	—	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 3	$106.20	$236.00	$83.90–$236.00	—	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$126.45	$281.00	$47.21–$281.00	6% above	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST LEVEL 4	$126.45	$281.00	$47.21–$281.00	6% above	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL 4	$126.45	$281.00	$47.21–$281.00	6% above	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 4	$126.45	$281.00	$99.90–$281.00	—	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$126.45	$281.00	$99.90–$281.00	—	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST LEVEL 4	$126.45	$281.00	$99.90–$281.00	—	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL 2	$95.85	$213.00	$35.78–$213.00	63% above	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST LEVEL 2	$95.85	$213.00	$35.78–$213.00	63% above	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$95.85	$213.00	$35.78–$213.00	63% above	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVALUATION & MGMNT 10MINS LVL 2	$95.85	$213.00	$35.78–$213.00	63% above	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST LEVEL 2	$95.85	$213.00	$75.72–$213.00	—	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EVALUATION & MGMNT 10MINS LVL 2	$95.85	$213.00	$75.72–$213.00	—	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 2	$95.85	$213.00	$75.72–$213.00	—	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$95.85	$213.00	$75.72–$213.00	—	55%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$183.60	$408.00	$68.54–$408.00	19% below	55%
Spirometry (breathing test) CPT 94010 SPIROMETRY BEDSIDE	$183.60	$408.00	$68.54–$408.00	19% below	55%
Spirometry (breathing test) CPT 94010 SIMPLE PULMONARY FUNCTION	$183.60	$408.00	$68.54–$408.00	19% below	55%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$183.60	$408.00	$145.04–$408.00	—	55%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY BEDSIDE	$183.60	$408.00	$145.04–$408.00	—	55%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE PULMONARY FUNCTION	$183.60	$408.00	$145.04–$408.00	—	55%
Spirometry before and after a bronchodilator CPT 94060 EVAL OF WHEEZING PRE/POST	$509.85	$1,133.00	$190.34–$1,133.00	11% above	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL OF WHEEZING PRE/POST	$509.85	$1,133.00	$402.78–$1,133.00	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$170.10	$378.00	$63.50–$378.00	9% above	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$170.10	$378.00	$134.38–$378.00	—	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 tetanus/diphth/pertuss (DTaP) NEO inj 0.5 mL	$156.71	$348.24	$58.50–$348.24	79% above	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphth/pertus/tet tox PED 0.5 mL inj	$161.60	$359.11	$60.33–$359.11	84% above	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 tetanus/diphth/pertuss (DTaP) NEO inj 0.5 mL	$156.71	$348.24	$123.80–$348.24	—	55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphth/pertus/tet tox PED 0.5 mL inj	$161.60	$359.11	$127.66–$359.11	—	55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HepB-IPV-DTaP (Pediarix) NEO inj 0.5 mL	$401.41	$892.03	$149.86–$892.03	46% above	55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HepB-IPV-DTaP (Pediarix) NEO inj 0.5 mL	$401.41	$892.03	$317.12–$892.03	—	55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B)	$811.79	$1,803.98	$303.07–$1,803.98	18% above	55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B)	$811.79	$1,803.98	$641.31–$1,803.98	—	55%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj	$133.71	$297.13	$49.92–$297.13	14% above	55%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj	$133.71	$297.13	$105.63–$297.13	—	55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles-mumps-rubella vaccine inj	$309.73	$688.29	$115.63–$688.29	61% above	55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles-mumps-rubella vaccine inj	$309.73	$688.29	$244.69–$688.29	—	55%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj	$631.22	$1,402.71	$235.66–$1,402.71	8% above	55%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj	$631.22	$1,402.71	$498.66–$1,402.71	—	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL	$995.98	$2,213.29	$371.83–$2,213.29	12% above	55%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL	$995.98	$2,213.29	$786.82–$2,213.29	—	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent inj 0.5 mL	$1,415.74	$3,146.10	$528.54–$3,146.10	172% above	55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent inj 0.5 mL	$1,415.74	$3,146.10	$1,118.44–$3,146.10	—	55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent inj 0.5 mL	$689.43	$1,532.06	$257.39–$1,532.06	172% above	55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent inj 0.5 mL	$689.43	$1,532.06	$544.65–$1,532.06	—	55%
Rabies vaccine, one dose CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert)	$831.94	$1,848.75	$310.59–$1,848.75	1% above	55%
Rabies vaccine, one dose inpatient CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert)	$831.94	$1,848.75	$657.23–$1,848.75	—	55%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine pentavalent liq 2 mL	$150.40	$334.23	$56.15–$334.23	at median	55%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine pentavalent liq 2 mL	$150.40	$334.23	$118.82–$334.23	—	55%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated (recombinant) inj	$505.96	$1,124.35	$188.89–$1,124.35	42% above	55%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated (recombinant) inj	$505.96	$1,124.35	$399.71–$1,124.35	—	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphth/tetanus tox ADULT inj 0.5 mL	$217.20	$482.66	$81.09–$482.66	187% above	55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphth/tetanus tox ADULT inj 0.5 mL	$217.20	$482.66	$171.59–$482.66	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN IMMUN 1ST	$67.95	$151.00	$25.37–$151.00	4% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INIT	$67.95	$151.00	$25.37–$151.00	4% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION INITIAL VACCINE-OP	$67.95	$151.00	$25.37–$151.00	4% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACCINE	$67.95	$151.00	$25.37–$151.00	4% below	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION INITIAL VACCINE-OP	$67.95	$151.00	$53.68–$151.00	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACCINE	$67.95	$151.00	$53.68–$151.00	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN IMMUN 1ST	$67.95	$151.00	$53.68–$151.00	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INIT	$67.95	$151.00	$53.68–$151.00	—	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACCINE	$40.05	$89.00	$14.95–$89.00	6% above	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACCINE	$40.05	$89.00	$31.64–$89.00	—	55%

Source file: https://uoflhealth.org/wp-content/uploads/2026/04/843178470_UofL-Health-Jewish-Hospital_standardcharges.zip