Hospital Louisville/Jefferson County, KY-IN

Saints Mary & Elizabeth Hospital

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

Saints Mary & Elizabeth Hospital in Louisville, KY publishes cash prices for 306 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 259 of 305 procedures and above it for 42. By typical cash price it ranks #18 of 80 Kentucky hospitals and #8 of 19 hospitals in the Louisville, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1850 Bluegrass Ave, Louisville, KY 40215 Collected Sep 27, 2026 Source price file

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	$580.32	$1,612.00	$270.82–$1,612.00	65% below	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WWO CONT	$580.32	$1,612.00	$483.60–$1,612.00	—	64%
Abdominal X-ray, 2 views CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC	$181.44	$504.00	$84.67–$504.00	36% below	64%
Abdominal X-ray, 2 views inpatient CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC	$181.44	$504.00	$151.20–$504.00	—	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS LT	$287.64	$799.00	$134.23–$799.00	9% below	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS RT	$287.64	$799.00	$134.23–$799.00	9% below	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS RT	$287.64	$799.00	$239.70–$799.00	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS LT	$287.64	$799.00	$239.70–$799.00	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL EXTREMITY STDY-2 LEVELS	$250.20	$695.00	$116.76–$695.00	37% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UPR L XTREMITY ART 2 LVLS	$294.48	$818.00	$137.42–$818.00	26% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL EXTREMITY STDY-2 LEVELS	$250.20	$695.00	$208.50–$695.00	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UPR L XTREMITY ART 2 LVLS	$294.48	$818.00	$245.40–$818.00	—	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO RT	$661.68	$1,838.00	$308.78–$1,838.00	37% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO LT	$661.68	$1,838.00	$308.78–$1,838.00	37% below	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO LT	$661.68	$1,838.00	$551.40–$1,838.00	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO RT	$661.68	$1,838.00	$551.40–$1,838.00	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM	$328.32	$912.00	$153.22–$912.00	18% below	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM	$328.32	$912.00	$273.60–$912.00	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAG WHOLE BODY	$986.76	$2,741.00	$460.49–$2,741.00	26% below	64%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAG WHOLE BODY	$986.76	$2,741.00	$822.30–$2,741.00	—	64%
Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST	$323.28	$898.00	$150.86–$898.00	22% below	64%
Breast ultrasound, complete, one breast CPT 76641 US EXAM BREAST W/DOPPLER	$323.28	$898.00	$150.86–$898.00	22% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US EXAM BREAST COMPLETE RT	$323.28	$898.00	$150.86–$898.00	22% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US EXAM BREAST COMPLETE LT	$323.28	$898.00	$150.86–$898.00	22% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 USN BREAST UNILAT COMPLET	$323.28	$898.00	$150.86–$898.00	22% below	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 US EXAM BREAST W/DOPPLER	$323.28	$898.00	$269.40–$898.00	—	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 US EXAM BREAST	$323.28	$898.00	$269.40–$898.00	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US EXAM BREAST COMPLETE LT	$323.28	$898.00	$269.40–$898.00	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US EXAM BREAST COMPLETE RT	$323.28	$898.00	$269.40–$898.00	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USN BREAST UNILAT COMPLET	$323.28	$898.00	$269.40–$898.00	—	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USN BREAST UNILAT LIMITED	$243.36	$676.00	$113.57–$676.00	17% below	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USN BREAST UNILAT LIMITED	$243.36	$676.00	$202.80–$676.00	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELVIS	$1,181.52	$3,282.00	$551.38–$3,282.00	49% below	64%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELVIS	$1,181.52	$3,282.00	$984.60–$3,282.00	—	64%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD WWO	$884.88	$2,458.00	$412.94–$2,458.00	38% below	64%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD WWO	$884.88	$2,458.00	$737.40–$2,458.00	—	64%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK WWO	$860.04	$2,389.00	$401.35–$2,389.00	35% below	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK WWO	$860.04	$2,389.00	$716.70–$2,389.00	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$717.12	$1,992.00	$334.66–$1,992.00	49% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$717.12	$1,992.00	$597.60–$1,992.00	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY 3D	$1,985.38	$5,514.94	$926.51–$5,514.94	45% above	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY 3D	$1,985.38	$5,514.94	$1,654.48–$5,514.94	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONT CAL SCORE	$35.64	$99.00	$16.63–$99.00	72% below	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CAL SCORING	$206.28	$573.00	$96.26–$573.00	62% above	64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONT CAL SCORE	$35.64	$99.00	$29.70–$99.00	—	64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CAL SCORING	$206.28	$573.00	$171.90–$573.00	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONT	$772.56	$2,146.00	$360.53–$2,146.00	63% below	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONT	$772.56	$2,146.00	$643.80–$2,146.00	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONT	$1,131.84	$3,144.00	$528.19–$3,144.00	57% below	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W CONT	$1,131.84	$3,144.00	$943.20–$3,144.00	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WWO CONTRAST	$1,940.40	$5,390.00	$905.52–$5,390.00	36% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS WWO CONTRAST	$1,940.40	$5,390.00	$1,617.00–$5,390.00	—	64%
CT scan of the abdomen with contrast CPT 74160 CT ABD WITH CONTRAST	$536.04	$1,489.00	$250.15–$1,489.00	66% below	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD WITH CONTRAST	$536.04	$1,489.00	$446.70–$1,489.00	—	64%
CT scan of the abdomen without contrast CPT 74150 CT ABD WITHOUT CONTRAST	$396.00	$1,100.00	$184.80–$1,100.00	67% below	64%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WITHOUT CONTRAST	$396.00	$1,100.00	$330.00–$1,100.00	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO	$641.16	$1,781.00	$299.21–$1,781.00	43% below	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO	$641.16	$1,781.00	$534.30–$1,781.00	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$411.12	$1,142.00	$191.86–$1,142.00	64% below	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$411.12	$1,142.00	$342.60–$1,142.00	—	64%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST	$668.52	$1,857.00	$311.98–$1,857.00	54% below	64%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST	$668.52	$1,857.00	$557.10–$1,857.00	—	64%
CT scan of the head without and with contrast CPT 70470 CT HEAD WWO CONTRAST	$825.48	$2,293.00	$385.22–$2,293.00	48% below	64%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WWO CONTRAST	$825.48	$2,293.00	$687.90–$2,293.00	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONT	$732.96	$2,036.00	$342.05–$2,036.00	44% below	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONT	$732.96	$2,036.00	$610.80–$2,036.00	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE WO CONT	$765.00	$2,125.00	$357.00–$2,125.00	44% below	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE WO CONT	$765.00	$2,125.00	$637.50–$2,125.00	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$523.44	$1,454.00	$244.27–$1,454.00	63% below	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST	$523.44	$1,454.00	$436.20–$1,454.00	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL STD COMP	$600.12	$1,667.00	$280.06–$1,667.00	30% below	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US EXTRACRANIAL STD COMP	$600.12	$1,667.00	$500.10–$1,667.00	—	64%
Chest CT scan without and with contrast CPT 71270 CT THORAX WWO CONTRAST	$925.92	$2,572.00	$432.10–$2,572.00	44% below	64%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WWO CONTRAST	$925.92	$2,572.00	$771.60–$2,572.00	—	64%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS W FLUORO	$181.80	$505.00	$84.84–$505.00	28% below	64%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS 2	$204.84	$569.00	$95.59–$569.00	19% below	64%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS	$238.68	$663.00	$111.38–$663.00	5% below	64%
Chest X-ray, 2 views CPT 71046 CHEST PA INSPR XPRTN	$238.68	$663.00	$111.38–$663.00	5% below	64%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS W FLUORO	$181.80	$505.00	$151.50–$505.00	—	64%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS 2	$204.84	$569.00	$170.70–$569.00	—	64%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS	$238.68	$663.00	$198.90–$663.00	—	64%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA INSPR XPRTN	$238.68	$663.00	$198.90–$663.00	—	64%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW	$138.24	$384.00	$64.51–$384.00	26% below	64%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW PORTABLE	$138.24	$384.00	$64.51–$384.00	26% below	64%
Chest X-ray, single view one side CPT 71045 CR CHEST DECUBITIS LT	$138.24	$384.00	$64.51–$384.00	26% below	64%
Chest X-ray, single view one side CPT 71045 CR CHEST DECUBITUS RT	$138.24	$384.00	$64.51–$384.00	26% below	64%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW PORTABLE	$138.24	$384.00	$115.20–$384.00	—	64%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW	$138.24	$384.00	$115.20–$384.00	—	64%
Chest X-ray, single view inpatient one side CPT 71045 CR CHEST DECUBITUS RT	$138.24	$384.00	$115.20–$384.00	—	64%
Chest X-ray, single view inpatient one side CPT 71045 CR CHEST DECUBITIS LT	$138.24	$384.00	$115.20–$384.00	—	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP LT	$142.20	$395.00	$66.36–$395.00	44% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP RT	$142.20	$395.00	$66.36–$395.00	44% below	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP RT	$142.20	$395.00	$118.50–$395.00	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP LT	$142.20	$395.00	$118.50–$395.00	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 XA KIDNEY SONOGRAM - BILAT	$446.04	$1,239.00	$208.15–$1,239.00	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN RETROPERITONEAL	$446.04	$1,239.00	$208.15–$1,239.00	23% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 XA KIDNEY SONOGRAM - BILAT	$446.04	$1,239.00	$371.70–$1,239.00	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABDOMEN RETROPERITONEAL	$446.04	$1,239.00	$371.70–$1,239.00	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 CR DEXA BONE DENS 1+ SITE	$190.80	$530.00	$89.04–$530.00	36% below	64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 CR DEXA BONE DENS 1+ SITE	$190.80	$530.00	$159.00–$530.00	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CR DEXA BONE DENS PERIPHERAL	$145.80	$405.00	$68.04–$405.00	29% below	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CR DEXA BONE DENS PERIPHERAL	$145.80	$405.00	$121.50–$405.00	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST	$447.48	$1,243.00	$208.82–$1,243.00	58% below	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WITHOUT CONTRAST	$447.48	$1,243.00	$372.90–$1,243.00	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST	$703.80	$1,955.00	$328.44–$1,955.00	47% below	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST	$703.80	$1,955.00	$586.50–$1,955.00	—	64%
Diagnostic mammogram, both breasts CPT 77066 MAMM DIAG DIGIT BILATER	$148.68	$413.00	$69.38–$413.00	38% below	64%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMM DIAG DIGIT BILATER	$148.68	$413.00	$123.90–$413.00	—	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAG DIGIT UNILAT LT	$93.96	$261.00	$43.85–$261.00	58% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAG DIGIT UNILAT RT	$93.96	$261.00	$43.85–$261.00	58% below	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DIAG DIGIT UNILAT LT	$93.96	$261.00	$78.30–$261.00	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DIAG DIGIT UNILAT RT	$93.96	$261.00	$78.30–$261.00	—	64%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US LWR EXTREMITY STDY COMPLETE	$874.44	$2,429.00	$408.07–$2,429.00	3% above	64%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LWR EXTREMITY STDY COMPLETE	$874.44	$2,429.00	$728.70–$2,429.00	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX SCAN EXT VEINS BI	$699.12	$1,942.00	$326.26–$1,942.00	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX SCAN EXT VEINS BI	$699.12	$1,942.00	$582.60–$1,942.00	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W DOPPLER COMPLETE	$1,341.36	$3,726.00	$625.97–$3,726.00	13% below	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W DOPPLER COMPLETE	$1,341.36	$3,726.00	$1,117.80–$3,726.00	—	64%
Elbow X-ray, 2 views CPT 73070 CR ELBOW 2 VIEWS BIL	$153.00	$425.00	$71.40–$425.00	36% below	64%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VWS LT	$153.00	$425.00	$71.40–$425.00	36% below	64%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VWS RT	$153.00	$425.00	$71.40–$425.00	36% below	64%
Elbow X-ray, 2 views inpatient CPT 73070 CR ELBOW 2 VIEWS BIL	$153.00	$425.00	$127.50–$425.00	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VWS LT	$153.00	$425.00	$127.50–$425.00	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VWS RT	$153.00	$425.00	$127.50–$425.00	—	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS LT	$226.44	$629.00	$105.67–$629.00	31% below	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS RT	$226.44	$629.00	$105.67–$629.00	31% below	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS RT	$226.44	$629.00	$188.70–$629.00	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS LT	$226.44	$629.00	$188.70–$629.00	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT EAR FOSSA WO	$719.28	$1,998.00	$335.66–$1,998.00	32% below	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT EAR FOSSA WO	$719.28	$1,998.00	$599.40–$1,998.00	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 CR FACIAL BONES MIN 3 VIEWS	$354.60	$985.00	$165.48–$985.00	2% below	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CR FACIAL BONES MIN 3 VIEWS	$354.60	$985.00	$295.50–$985.00	—	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM 2 VIEWS RT	$135.72	$377.00	$63.34–$377.00	52% below	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM 2 VIEWS LT	$135.72	$377.00	$63.34–$377.00	52% below	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM 2 VIEWS LT	$135.72	$377.00	$113.10–$377.00	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM 2 VIEWS RT	$135.72	$377.00	$113.10–$377.00	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATO SYS IMG	$448.92	$1,247.00	$209.50–$1,247.00	57% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATO SYS IMG	$448.92	$1,247.00	$374.10–$1,247.00	—	64%
Hand X-ray, 2 views CPT 73120 CR HAND 2 VIEWS BIL	$198.36	$551.00	$92.57–$551.00	11% below	64%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS LT	$198.36	$551.00	$92.57–$551.00	11% below	64%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS RT	$198.36	$551.00	$92.57–$551.00	11% below	64%
Hand X-ray, 2 views inpatient CPT 73120 CR HAND 2 VIEWS BIL	$198.36	$551.00	$165.30–$551.00	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS RT	$198.36	$551.00	$165.30–$551.00	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS LT	$198.36	$551.00	$165.30–$551.00	—	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL MIN 2 VIEWS LT	$122.04	$339.00	$56.95–$339.00	52% below	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL MIN 2 VIEWS RT	$122.04	$339.00	$56.95–$339.00	52% below	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL MIN 2 VIEWS LT	$122.04	$339.00	$101.70–$339.00	—	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL MIN 2 VIEWS RT	$122.04	$339.00	$101.70–$339.00	—	64%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS RT	$341.64	$949.00	$159.43–$949.00	7% above	64%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS LT	$341.64	$949.00	$159.43–$949.00	7% above	64%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS RT	$341.64	$949.00	$284.70–$949.00	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS LT	$341.64	$949.00	$284.70–$949.00	—	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4 VIEW LT	$280.80	$780.00	$131.04–$780.00	23% below	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4 VIEW RT	$280.80	$780.00	$131.04–$780.00	23% below	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4 VIEW RT	$280.80	$780.00	$234.00–$780.00	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4 VIEW LT	$280.80	$780.00	$234.00–$780.00	—	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT WO CONT RT	$661.68	$1,838.00	$308.78–$1,838.00	33% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT WO CONT LT	$661.68	$1,838.00	$308.78–$1,838.00	33% below	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT WO CONT RT	$661.68	$1,838.00	$551.40–$1,838.00	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXT WO CONT LT	$661.68	$1,838.00	$551.40–$1,838.00	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 XA ABDWALL QUADRANT US	$420.12	$1,167.00	$196.06–$1,167.00	23% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$420.12	$1,167.00	$196.06–$1,167.00	23% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER TORSO	$420.12	$1,167.00	$196.06–$1,167.00	23% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED	$420.12	$1,167.00	$196.06–$1,167.00	23% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER TORSO	$420.12	$1,167.00	$350.10–$1,167.00	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 XA ABDWALL QUADRANT US	$420.12	$1,167.00	$350.10–$1,167.00	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ER USN BEDSIDE ABDOMEN LIMITED	$420.12	$1,167.00	$350.10–$1,167.00	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$420.12	$1,167.00	$350.10–$1,167.00	—	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US AXILLA	$259.20	$720.00	$120.96–$720.00	at median	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON VASC LMTD	$259.20	$720.00	$120.96–$720.00	at median	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LOCALIZE FLUID TISSUE/FB	$259.20	$720.00	$120.96–$720.00	at median	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON VASC LMTD RT	$259.20	$720.00	$120.96–$720.00	at median	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON VASC LMTD LT	$259.20	$720.00	$120.96–$720.00	at median	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US AXILLA	$259.20	$720.00	$216.00–$720.00	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON VASC LMTD	$259.20	$720.00	$216.00–$720.00	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LOCALIZE FLUID TISSUE/FB	$259.20	$720.00	$216.00–$720.00	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON VASC LMTD RT	$259.20	$720.00	$216.00–$720.00	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON VASC LMTD LT	$259.20	$720.00	$216.00–$720.00	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CT SCREENING	$422.64	$1,174.00	$197.23–$1,174.00	5% below	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG CT SCREENING	$422.64	$1,174.00	$352.20–$1,174.00	—	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LEG LT	$140.04	$389.00	$65.35–$389.00	54% below	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LG RT	$140.04	$389.00	$65.35–$389.00	54% below	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LG RT	$140.04	$389.00	$116.70–$389.00	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LEG LT	$140.04	$389.00	$116.70–$389.00	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST	$1,031.40	$2,865.00	$481.32–$2,865.00	32% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA NOVAQUANT HEAD	$1,842.12	$5,117.00	$859.66–$5,117.00	21% above	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST	$1,031.40	$2,865.00	$859.50–$2,865.00	—	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA NOVAQUANT HEAD	$1,842.12	$5,117.00	$1,535.10–$5,117.00	—	64%
MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST W WOCAD BIL	$374.04	$1,039.00	$174.55–$1,039.00	20% below	64%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MR BREAST W WOCAD BIL	$374.04	$1,039.00	$311.70–$1,039.00	—	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LE WO CONT RT	$1,118.16	$3,106.00	$521.81–$3,106.00	27% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LE WO CONT LT	$1,118.16	$3,106.00	$521.81–$3,106.00	27% below	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LE WO CONT RT	$1,118.16	$3,106.00	$931.80–$3,106.00	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT LE WO CONT LT	$1,118.16	$3,106.00	$931.80–$3,106.00	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LE WWO CONT LT	$1,233.36	$3,426.00	$575.57–$3,426.00	42% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LE WWO CONT RT	$1,788.48	$4,968.00	$834.62–$4,968.00	16% below	64%
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	$1,233.36	$3,426.00	$1,027.80–$3,426.00	—	64%
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	$1,788.48	$4,968.00	$1,490.40–$4,968.00	—	64%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CONTRAST	$1,054.80	$2,930.00	$492.24–$2,930.00	36% below	64%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CONTRAST	$1,054.80	$2,930.00	$879.00–$2,930.00	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WWO CONTRAST	$1,391.40	$3,865.00	$649.32–$3,865.00	36% below	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WWO CONTRAST	$1,391.40	$3,865.00	$1,159.50–$3,865.00	—	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$1,019.16	$2,831.00	$475.61–$2,831.00	41% below	64%
MRI of the brain, no contrast dye CPT 70551 XA PTA AORTA	$1,618.92	$4,497.00	$755.50–$4,497.00	6% below	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$1,019.16	$2,831.00	$849.30–$2,831.00	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 XA PTA AORTA	$1,618.92	$4,497.00	$1,349.10–$4,497.00	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST	$1,276.56	$3,546.00	$595.73–$3,546.00	45% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO PERFUSION	$1,842.48	$5,118.00	$859.82–$5,118.00	21% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO STRYKER VARIAN	$1,842.48	$5,118.00	$859.82–$5,118.00	21% below	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST	$1,276.56	$3,546.00	$1,063.80–$3,546.00	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO STRYKER VARIAN	$1,842.48	$5,118.00	$1,535.40–$5,118.00	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO PERFUSION	$1,842.48	$5,118.00	$1,535.40–$5,118.00	—	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST	$1,209.60	$3,360.00	$564.48–$3,360.00	29% below	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST	$1,209.60	$3,360.00	$1,008.00–$3,360.00	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WWO CONT	$1,499.40	$4,165.00	$699.72–$4,165.00	34% below	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WWO CONT	$1,499.40	$4,165.00	$1,249.50–$4,165.00	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE WO CONT	$1,209.60	$3,360.00	$564.48–$3,360.00	30% below	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE WO CONT	$1,209.60	$3,360.00	$1,008.00–$3,360.00	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE WWO CONT	$1,499.40	$4,165.00	$699.72–$4,165.00	34% below	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE WWO CONT	$1,499.40	$4,165.00	$1,249.50–$4,165.00	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO CONTRAST	$1,209.60	$3,360.00	$564.48–$3,360.00	22% below	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO CONTRAST	$1,209.60	$3,360.00	$1,008.00–$3,360.00	—	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WWO CONTRAST	$2,210.76	$6,141.00	$1,031.69–$6,141.00	1% below	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WWO CONTRAST	$2,210.76	$6,141.00	$1,842.30–$6,141.00	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$1,069.20	$2,970.00	$498.96–$2,970.00	34% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O	$2,210.93	$6,141.48	$1,031.77–$6,141.48	36% above	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$1,069.20	$2,970.00	$891.00–$2,970.00	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE W/O	$2,210.93	$6,141.48	$1,842.44–$6,141.48	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT	$1,400.04	$3,889.00	$653.35–$3,889.00	18% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO CONT LT	$1,221.84	$3,394.00	$570.19–$3,394.00	29% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO CONT RT	$1,221.84	$3,394.00	$570.19–$3,394.00	29% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT WO CONT	$1,400.04	$3,889.00	$1,166.70–$3,889.00	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO CONT LT	$1,221.84	$3,394.00	$1,018.20–$3,394.00	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO CONT RT	$1,221.84	$3,394.00	$1,018.20–$3,394.00	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS	$435.24	$1,209.00	$203.11–$1,209.00	1% below	64%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS	$435.24	$1,209.00	$362.70–$1,209.00	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST W CONTRAST	$786.24	$2,184.00	$366.91–$2,184.00	40% below	64%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST W CONTRAST	$786.24	$2,184.00	$655.20–$2,184.00	—	64%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST WO CONTRAST	$654.48	$1,818.00	$305.42–$1,818.00	44% below	64%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST WO CONTRAST	$654.48	$1,818.00	$545.40–$1,818.00	—	64%
Neck soft tissue X-ray CPT 70360 CR NECK SOFT TISSUE	$222.12	$617.00	$103.66–$617.00	12% below	64%
Neck soft tissue X-ray inpatient CPT 70360 CR NECK SOFT TISSUE	$222.12	$617.00	$185.10–$617.00	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC EXER/PHARMCO.	$2,264.40	$6,290.00	$1,056.72–$6,290.00	17% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC EXER/PHARMCO.	$2,264.40	$6,290.00	$1,887.00–$6,290.00	—	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST	$427.68	$1,188.00	$199.58–$1,188.00	60% below	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST	$427.68	$1,188.00	$356.40–$1,188.00	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS	$281.88	$783.00	$131.54–$783.00	27% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US ED GYN TRANSABD NON PREG	$281.88	$783.00	$131.54–$783.00	27% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIM NON OB	$281.88	$783.00	$131.54–$783.00	27% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE BUTTOCK/PELVIS	$281.88	$783.00	$234.90–$783.00	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIM NON OB	$281.88	$783.00	$234.90–$783.00	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US ED GYN TRANSABD NON PREG	$281.88	$783.00	$234.90–$783.00	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 USN URINARY BLADDER	$474.12	$1,317.00	$221.26–$1,317.00	34% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 USN PELVIC	$474.12	$1,317.00	$221.26–$1,317.00	34% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$477.00	$1,325.00	$222.60–$1,325.00	33% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 USN PELVIC	$474.12	$1,317.00	$395.10–$1,317.00	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 USN URINARY BLADDER	$474.12	$1,317.00	$395.10–$1,317.00	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$477.00	$1,325.00	$397.50–$1,325.00	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB MORE OR EQ 14WKS SGL FETUS	$434.16	$1,206.00	$202.61–$1,206.00	5% below	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB MORE OR EQ 14WKS SGL FETUS	$434.16	$1,206.00	$361.80–$1,206.00	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14WKS SNGL FETUS	$385.92	$1,072.00	$180.10–$1,072.00	35% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14WKS SNGL FETUS	$385.92	$1,072.00	$321.60–$1,072.00	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ER USN BDSD OB ABDMN LIMITED	$288.00	$800.00	$134.40–$800.00	43% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS(S)	$288.00	$800.00	$134.40–$800.00	43% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUSS	$288.00	$800.00	$134.40–$800.00	43% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ER USN BDSD OB ABDMN LIMITED	$288.00	$800.00	$240.00–$800.00	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUSS	$288.00	$800.00	$240.00–$800.00	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED FETUS(S)	$288.00	$800.00	$240.00–$800.00	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT	$152.64	$424.00	$71.23–$424.00	47% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT	$159.48	$443.00	$74.42–$443.00	45% below	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT	$152.64	$424.00	$127.20–$424.00	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT	$159.48	$443.00	$132.90–$443.00	—	64%
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	$189.00	$525.00	$88.20–$525.00	45% below	64%
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	$189.00	$525.00	$88.20–$525.00	45% below	64%
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	$189.00	$525.00	$157.50–$525.00	—	64%
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	$189.00	$525.00	$157.50–$525.00	—	64%
Screening mammogram, both breasts both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE	$146.16	$406.00	$68.21–$406.00	—	64%
Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL IMP	$146.16	$406.00	$68.21–$406.00	5% below	64%
Screening mammogram, both breasts CPT 77067 MAMM SCREEN DIGITAL	$146.16	$406.00	$68.21–$406.00	5% below	64%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIG MAM SCREEN BILAT MOBILE	$146.16	$406.00	$121.80–$406.00	—	64%
Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL IMP	$146.16	$406.00	$121.80–$406.00	—	64%
Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREEN DIGITAL	$146.16	$406.00	$121.80–$406.00	—	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT	$159.48	$443.00	$74.42–$443.00	47% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT	$159.48	$443.00	$74.42–$443.00	47% below	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT	$159.48	$443.00	$132.90–$443.00	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT	$159.48	$443.00	$132.90–$443.00	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 CR SINUSES PARANASAL MIN 3 VWS	$328.32	$912.00	$153.22–$912.00	13% below	64%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CR SINUSES PARANASAL MIN 3 VWS	$328.32	$912.00	$273.60–$912.00	—	64%
Skull X-ray, fewer than 4 views CPT 70250 SKULL PEDS 2 VIEW	$212.76	$591.00	$99.29–$591.00	20% below	64%
Skull X-ray, fewer than 4 views CPT 70250 CR SKULL 4 VIEW LTD	$212.76	$591.00	$99.29–$591.00	20% below	64%
Skull X-ray, fewer than 4 views CPT 70250 CR SKULL 4 VIEW	$212.76	$591.00	$99.29–$591.00	20% below	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SKULL 4 VIEW	$212.76	$591.00	$177.30–$591.00	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SKULL 4 VIEW LTD	$212.76	$591.00	$177.30–$591.00	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL PEDS 2 VIEW	$212.76	$591.00	$177.30–$591.00	—	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FX W CINE OR VID	$424.08	$1,178.00	$197.90–$1,178.00	2% below	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FX W CINE OR VID	$424.08	$1,178.00	$353.40–$1,178.00	—	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS LT	$121.68	$338.00	$56.78–$338.00	59% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS RT	$121.68	$338.00	$56.78–$338.00	59% below	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS LT	$121.68	$338.00	$101.40–$338.00	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS RT	$121.68	$338.00	$101.40–$338.00	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE WO CONT	$848.52	$2,357.00	$395.98–$2,357.00	31% below	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE WO CONT	$848.52	$2,357.00	$707.10–$2,357.00	—	64%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS RT	$161.64	$449.00	$75.43–$449.00	14% below	64%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS LT	$161.64	$449.00	$75.43–$449.00	14% below	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS LT	$161.64	$449.00	$134.70–$449.00	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS RT	$161.64	$449.00	$134.70–$449.00	—	64%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL US NON OB	$350.64	$974.00	$163.63–$974.00	42% below	64%
Transvaginal pelvic ultrasound CPT 76830 US ED GYN TRASVAG NON PREG	$350.64	$974.00	$163.63–$974.00	42% below	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ED GYN TRASVAG NON PREG	$350.64	$974.00	$292.20–$974.00	—	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL US NON OB	$350.64	$974.00	$292.20–$974.00	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$336.96	$936.00	$157.25–$936.00	32% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL	$336.96	$936.00	$157.25–$936.00	32% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL US OBSTETRIC	$336.96	$936.00	$157.25–$936.00	32% below	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$336.96	$936.00	$280.80–$936.00	—	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL US OBSTETRIC	$336.96	$936.00	$280.80–$936.00	—	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ER USN OB BEDSIDE TRANSVAGINAL	$336.96	$936.00	$280.80–$936.00	—	64%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$550.80	$1,530.00	$257.04–$1,530.00	35% below	64%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$550.80	$1,530.00	$459.00–$1,530.00	—	64%
Ultrasound of the scrotum and testicles CPT 76870 US ED TESTICULAR	$424.44	$1,179.00	$198.07–$1,179.00	26% below	64%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$424.44	$1,179.00	$198.07–$1,179.00	26% below	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US ED TESTICULAR	$424.44	$1,179.00	$353.70–$1,179.00	—	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$424.44	$1,179.00	$353.70–$1,179.00	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE	$389.88	$1,083.00	$181.94–$1,083.00	31% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TISS HEAD/NECK	$389.88	$1,083.00	$181.94–$1,083.00	31% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE	$389.88	$1,083.00	$324.90–$1,083.00	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TISS HEAD/NECK	$389.88	$1,083.00	$324.90–$1,083.00	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPR SERIE WO KUB	$395.64	$1,099.00	$184.63–$1,099.00	19% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XA PERC STUDY DISTAL STOMACH	$395.64	$1,099.00	$184.63–$1,099.00	19% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI SEIES W KUB	$540.72	$1,502.00	$252.34–$1,502.00	11% above	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI & SBFT WO AIR	$540.72	$1,502.00	$252.34–$1,502.00	11% above	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI UPPR SERIE WO KUB	$395.64	$1,099.00	$329.70–$1,099.00	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XA PERC STUDY DISTAL STOMACH	$395.64	$1,099.00	$329.70–$1,099.00	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI SEIES W KUB	$540.72	$1,502.00	$450.60–$1,502.00	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI & SBFT WO AIR	$540.72	$1,502.00	$450.60–$1,502.00	—	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS RT	$123.12	$342.00	$57.46–$342.00	54% below	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS LT	$123.12	$342.00	$57.46–$342.00	54% below	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS RT	$123.12	$342.00	$102.60–$342.00	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS LT	$123.12	$342.00	$102.60–$342.00	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX SCAN EXT VEN LIMITED	$413.64	$1,149.00	$193.03–$1,149.00	30% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT	$413.64	$1,149.00	$193.03–$1,149.00	30% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT LT	$413.64	$1,149.00	$193.03–$1,149.00	30% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT RT	$413.64	$1,149.00	$193.03–$1,149.00	30% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ED BEDSIDE ULTRASOUND FOR DVT	$413.64	$1,149.00	$344.70–$1,149.00	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX SCAN EXT VEN LIMITED	$413.64	$1,149.00	$344.70–$1,149.00	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT RT	$413.64	$1,149.00	$344.70–$1,149.00	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX SCAN EXT VEN UNILAT LT	$413.64	$1,149.00	$344.70–$1,149.00	—	64%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS LT	$117.36	$326.00	$54.77–$326.00	43% below	64%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS RT	$117.36	$326.00	$54.77–$326.00	43% below	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS RT	$117.36	$326.00	$97.80–$326.00	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS LT	$117.36	$326.00	$97.80–$326.00	—	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS RT	$191.52	$532.00	$89.38–$532.00	38% below	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS LT	$191.52	$532.00	$89.38–$532.00	38% below	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS LT	$191.52	$532.00	$159.60–$532.00	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS RT	$191.52	$532.00	$159.60–$532.00	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS LT	$90.00	$250.00	$42.00–$250.00	62% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS RT	$90.00	$250.00	$42.00–$250.00	62% below	64%
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	$90.00	$250.00	$75.00–$250.00	—	64%
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	$90.00	$250.00	$75.00–$250.00	—	64%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN SINGLE AP VIEW	$159.48	$443.00	$74.42–$443.00	35% below	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN SINGLE AP VIEW	$159.48	$443.00	$132.90–$443.00	—	64%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VWS RT	$180.72	$502.00	$84.34–$502.00	23% below	64%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VWS LT	$180.72	$502.00	$84.34–$502.00	23% below	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VWS LT	$180.72	$502.00	$150.60–$502.00	—	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VWS RT	$180.72	$502.00	$150.60–$502.00	—	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS LT	$110.16	$306.00	$51.41–$306.00	51% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS RT	$110.16	$306.00	$51.41–$306.00	51% below	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS LT	$110.16	$306.00	$91.80–$306.00	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS RT	$110.16	$306.00	$91.80–$306.00	—	64%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS LT	$155.88	$433.00	$72.74–$433.00	30% below	64%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS RT	$155.88	$433.00	$72.74–$433.00	30% below	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS RT	$155.88	$433.00	$129.90–$433.00	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS LT	$155.88	$433.00	$129.90–$433.00	—	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT	$354.24	$984.00	$165.31–$984.00	16% above	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT	$354.24	$984.00	$165.31–$984.00	16% above	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT	$354.24	$984.00	$295.20–$984.00	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT	$354.24	$984.00	$295.20–$984.00	—	64%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS RT	$184.32	$512.00	$86.02–$512.00	39% below	64%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS LT	$184.32	$512.00	$86.02–$512.00	39% below	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS LT	$184.32	$512.00	$153.60–$512.00	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS RT	$184.32	$512.00	$153.60–$512.00	—	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT	$317.16	$881.00	$148.01–$881.00	33% above	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT	$324.72	$902.00	$151.54–$902.00	36% above	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT	$317.16	$881.00	$264.30–$881.00	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT	$324.72	$902.00	$270.60–$902.00	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR L SPINE 2 OR 3 VIEWS	$114.48	$318.00	$53.42–$318.00	65% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR L SPINE 2 OR 3 VIEWS	$114.48	$318.00	$95.40–$318.00	—	64%
X-ray of the lower back, 4 or more views CPT 72110 CR L SPINE MIN 4 VIEW	$263.52	$732.00	$122.98–$732.00	45% below	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR L SPINE MIN 4 VIEW	$263.52	$732.00	$219.60–$732.00	—	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE 2 VIEWS	$208.08	$578.00	$97.10–$578.00	31% below	64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE 2 VIEWS	$208.08	$578.00	$173.40–$578.00	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VIEWS	$121.68	$338.00	$56.78–$338.00	59% below	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VIEWS	$121.68	$338.00	$101.40–$338.00	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR EXAM OF NECK SPINE	$397.80	$1,105.00	$185.64–$1,105.00	26% above	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR EXAM OF NECK SPINE	$397.80	$1,105.00	$331.50–$1,105.00	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VIEWS	$112.68	$313.00	$52.58–$313.00	57% below	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VIEWS	$112.68	$313.00	$93.90–$313.00	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS	$190.44	$529.00	$88.87–$529.00	34% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS	$190.44	$529.00	$158.70–$529.00	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ACTH blood test CPT 82024 ASSAY OF ACTH	$166.32	$462.00	$77.62–$462.00	10% below	64%
ACTH blood test inpatient CPT 82024 ASSAY OF ACTH	$166.32	$462.00	$138.60–$462.00	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT SGPT	$28.08	$78.00	$13.10–$78.00	52% below	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALT SGPT	$28.08	$78.00	$23.40–$78.00	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST SGOT	$38.88	$108.00	$18.14–$108.00	37% below	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST SGOT	$38.88	$108.00	$32.40–$108.00	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 1	$199.44	$554.00	$93.07–$554.00	13% below	64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 1	$199.44	$554.00	$166.20–$554.00	—	64%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$42.12	$117.00	$19.66–$117.00	28% below	64%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN	$42.12	$117.00	$35.10–$117.00	—	64%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$103.68	$288.00	$48.38–$288.00	17% below	64%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE	$103.68	$288.00	$86.40–$288.00	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE.	$16.20	$45.00	$7.56–$45.00	72% below	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE.	$16.20	$45.00	$13.50–$45.00	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT SEMIQ1	$8.28	$23.00	$3.86–$23.00	31% below	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT SEMIQ1	$8.28	$23.00	$6.90–$23.00	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$72.36	$201.00	$33.77–$201.00	20% below	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$72.36	$201.00	$60.30–$201.00	—	64%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$98.28	$273.00	$45.86–$273.00	at median	64%
Ammonia blood test inpatient CPT 82140 ASSAY OF AMMONIA	$98.28	$273.00	$81.90–$273.00	—	64%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$89.28	$248.00	$41.66–$248.00	26% above	64%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$89.28	$248.00	$74.40–$248.00	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$55.80	$155.00	$26.04–$155.00	25% below	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$55.80	$155.00	$46.50–$155.00	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES 1	$64.44	$179.00	$30.07–$179.00	7% below	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES 1	$64.44	$179.00	$53.70–$179.00	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$80.64	$224.00	$37.63–$224.00	54% below	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$80.64	$224.00	$67.20–$224.00	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTHER 1	$90.36	$251.00	$42.17–$251.00	12% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTHER 1	$90.36	$251.00	$75.30–$251.00	—	64%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$64.80	$180.00	$30.24–$180.00	25% below	64%
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA	$64.80	$180.00	$54.00–$180.00	—	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL 1	$42.12	$117.00	$19.66–$117.00	17% below	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL 1	$42.12	$117.00	$35.10–$117.00	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM PATHOLOGIST LEVEL4	$133.20	$370.00	$62.16–$370.00	11% above	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM PATHOLOGIST LEVEL4	$133.20	$370.00	$111.00–$370.00	—	64%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$52.92	$147.00	$24.70–$147.00	53% below	64%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$52.92	$147.00	$44.10–$147.00	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$5.04	$14.00	$2.35–$14.00	68% below	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENPUNCTURE	$10.08	$28.00	$4.70–$28.00	36% below	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$5.04	$14.00	$4.20–$14.00	—	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENPUNCTURE	$10.08	$28.00	$8.40–$28.00	—	64%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$34.92	$97.00	$16.30–$97.00	4% above	64%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$34.92	$97.00	$29.10–$97.00	—	64%
Blood lead test CPT 83655 ASSAY OF LEAD	$30.60	$85.00	$14.28–$85.00	49% below	64%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$30.60	$85.00	$25.50–$85.00	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GANADOTROPIN ASSAY	$30.24	$84.00	$14.11–$84.00	65% below	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GANADOTROPIN ASSAY	$30.24	$84.00	$25.20–$84.00	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING_ABO	$51.84	$144.00	$24.19–$144.00	5% below	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING_ABO	$51.84	$144.00	$43.20–$144.00	—	64%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$18.00	$50.00	$8.40–$50.00	61% below	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$18.00	$50.00	$15.00–$50.00	—	64%
C-peptide blood test CPT 84681 ASSAY OF C PEPTIDE	$64.44	$179.00	$30.07–$179.00	54% below	64%
C-peptide blood test inpatient CPT 84681 ASSAY OF C PEPTIDE	$64.44	$179.00	$53.70–$179.00	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$33.84	$94.00	$15.79–$94.00	29% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$33.84	$94.00	$28.20–$94.00	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE.	$100.80	$280.00	$47.04–$280.00	1% above	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE.	$100.80	$280.00	$84.00–$280.00	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$22.32	$62.00	$10.42–$62.00	82% below	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$22.32	$62.00	$18.60–$62.00	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$47.16	$131.00	$22.01–$131.00	63% below	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$47.16	$131.00	$39.30–$131.00	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP	$52.20	$145.00	$24.36–$145.00	31% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP	$52.20	$145.00	$43.50–$145.00	—	64%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM TOTAL	$19.44	$54.00	$9.07–$54.00	57% below	64%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM TOTAL	$19.44	$54.00	$16.20–$54.00	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$140.40	$390.00	$65.52–$390.00	12% above	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$140.40	$390.00	$117.00–$390.00	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY	$99.00	$275.00	$46.20–$275.00	1% above	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY	$99.00	$275.00	$82.50–$275.00	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SO CHYLMD TRACH DNA AMP PRO TRACH	$27.72	$77.00	$12.94–$77.00	72% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SO CHYLMD TRACH DNA AMP PRO TRACH	$27.72	$77.00	$23.10–$77.00	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$61.20	$170.00	$28.56–$170.00	47% below	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$61.20	$170.00	$51.00–$170.00	—	64%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W AUTO DIFF WBC	$37.08	$103.00	$17.30–$103.00	33% below	64%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W AUTO DIFF WBC	$37.08	$103.00	$30.90–$103.00	—	64%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$25.56	$71.00	$11.93–$71.00	55% below	64%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$25.56	$71.00	$21.30–$71.00	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$115.20	$320.00	$53.76–$320.00	6% below	64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$115.20	$320.00	$96.00–$320.00	—	64%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$63.72	$177.00	$29.74–$177.00	20% below	64%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$63.72	$177.00	$53.10–$177.00	—	64%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK CPK	$21.60	$60.00	$10.08–$60.00	68% below	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK CPK	$21.60	$60.00	$18.00–$60.00	—	64%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$24.84	$69.00	$11.59–$69.00	39% below	64%
Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE	$24.84	$69.00	$20.70–$69.00	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 SO CMV ANTIBODY	$45.72	$127.00	$21.34–$127.00	44% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY VIRUS NOS 1	$56.88	$158.00	$26.54–$158.00	31% below	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SO CMV ANTIBODY	$45.72	$127.00	$38.10–$127.00	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY VIRUS NOS 1	$56.88	$158.00	$47.40–$158.00	—	64%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$41.04	$114.00	$19.15–$114.00	53% below	64%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$41.04	$114.00	$34.20–$114.00	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$66.24	$184.00	$30.91–$184.00	48% below	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$66.24	$184.00	$55.20–$184.00	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPTIVE INST	$191.52	$532.00	$89.38–$532.00	310% above	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPTIVE INST	$191.52	$532.00	$159.60–$532.00	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$50.04	$139.00	$23.35–$139.00	28% below	64%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$50.04	$139.00	$41.70–$139.00	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR ANTI VIRAL CAPSD	$81.36	$226.00	$37.97–$226.00	38% above	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ANTI VIRAL CAPSD	$81.36	$226.00	$67.80–$226.00	—	64%
Estradiol blood test CPT 82670 Q ASSAY OF ESTRADIOL	$104.76	$291.00	$48.89–$291.00	22% below	64%
Estradiol blood test inpatient CPT 82670 Q ASSAY OF ESTRADIOL	$104.76	$291.00	$87.30–$291.00	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$88.20	$245.00	$41.16–$245.00	57% below	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$88.20	$245.00	$73.50–$245.00	—	64%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$57.96	$161.00	$27.05–$161.00	45% below	64%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$57.96	$161.00	$48.30–$161.00	—	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$84.60	$235.00	$39.48–$235.00	2% below	64%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$84.60	$235.00	$70.50–$235.00	—	64%
Folate (folic acid) blood test CPT 82746 BLOOD FOLIC ACID SERUM	$49.32	$137.00	$23.02–$137.00	53% below	64%
Folate (folic acid) blood test inpatient CPT 82746 BLOOD FOLIC ACID SERUM	$49.32	$137.00	$41.10–$137.00	—	64%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY FT 3	$47.16	$131.00	$22.01–$131.00	66% below	64%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY FT 3	$47.16	$131.00	$39.30–$131.00	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$77.40	$215.00	$36.12–$215.00	7% above	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$77.40	$215.00	$64.50–$215.00	—	64%
Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE	$49.68	$138.00	$23.18–$138.00	35% below	64%
Free testosterone test inpatient CPT 84402 ASSAY OF TESTOSTERONE	$49.68	$138.00	$41.40–$138.00	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$50.76	$141.00	$23.69–$141.00	6% below	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$50.76	$141.00	$42.30–$141.00	—	64%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$187.56	$521.00	$87.53–$521.00	32% below	64%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$187.56	$521.00	$156.30–$521.00	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$20.16	$56.00	$9.41–$56.00	60% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$20.16	$56.00	$16.80–$56.00	—	64%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST GTT	$42.12	$117.00	$19.66–$117.00	70% below	64%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST GTT	$42.12	$117.00	$35.10–$117.00	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$86.40	$240.00	$40.32–$240.00	16% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$86.40	$240.00	$72.00–$240.00	—	64%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$101.52	$282.00	$47.38–$282.00	32% above	64%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$101.52	$282.00	$84.60–$282.00	—	64%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$240.84	$669.00	$112.39–$669.00	62% above	64%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA	$240.84	$669.00	$200.70–$669.00	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 SO HIV 1 DNA QUANT	$298.08	$828.00	$139.10–$828.00	26% above	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 SO HIV 1 DNA QUANT	$298.08	$828.00	$248.40–$828.00	—	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV2 SINGLE RESULT 2	$51.48	$143.00	$24.02–$143.00	20% below	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV2 SINGLE RESULT 2	$51.48	$143.00	$42.90–$143.00	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 AG HIV1/2 AB SNGL RST	$68.04	$189.00	$31.75–$189.00	4% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1 AG HIV1/2 AB SNGL RST	$68.04	$189.00	$56.70–$189.00	—	64%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA AMP PROBE	$113.76	$316.00	$53.09–$316.00	47% above	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA AMP PROBE	$113.76	$316.00	$94.80–$316.00	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$59.04	$164.00	$27.55–$164.00	17% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$59.04	$164.00	$49.20–$164.00	—	64%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$7.92	$22.00	$3.70–$22.00	70% below	64%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$7.92	$22.00	$6.60–$22.00	—	64%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL 1	$59.76	$166.00	$27.89–$166.00	19% below	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL 1	$59.76	$166.00	$49.80–$166.00	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$100.80	$280.00	$47.04–$280.00	12% above	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$100.80	$280.00	$84.00–$280.00	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SO HEPATITIS B SURFACE AG EIA	$73.80	$205.00	$34.44–$205.00	8% above	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SO HEPATITIS B SURFACE AG EIA	$73.80	$205.00	$61.50–$205.00	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST 1	$82.44	$229.00	$38.47–$229.00	4% below	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST 1	$82.44	$229.00	$68.70–$229.00	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT 2	$250.20	$695.00	$116.76–$695.00	at median	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT 2	$250.20	$695.00	$208.50–$695.00	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST TYPE 1	$47.16	$131.00	$22.01–$131.00	22% below	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST TYPE 1	$47.16	$131.00	$39.30–$131.00	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TEST TYPE 2	$29.16	$81.00	$13.61–$81.00	52% below	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TEST TYPE 2	$29.16	$81.00	$24.30–$81.00	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS	$39.60	$110.00	$18.48–$110.00	43% below	64%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS	$39.60	$110.00	$33.00–$110.00	—	64%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$111.24	$309.00	$51.91–$309.00	12% below	64%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$111.24	$309.00	$92.70–$309.00	—	64%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL	$52.20	$145.00	$24.36–$145.00	38% below	64%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL	$52.20	$145.00	$43.50–$145.00	—	64%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$77.40	$215.00	$36.12–$215.00	7% above	64%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$77.40	$215.00	$64.50–$215.00	—	64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$99.36	$276.00	$46.37–$276.00	24% above	64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$99.36	$276.00	$82.80–$276.00	—	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$57.24	$159.00	$26.71–$159.00	36% below	64%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$57.24	$159.00	$47.70–$159.00	—	64%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LH	$138.96	$386.00	$64.85–$386.00	at median	64%
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LH	$138.96	$386.00	$115.80–$386.00	—	64%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$52.92	$147.00	$24.70–$147.00	23% below	64%
Lactate (lactic acid) blood test CPT 83605 ISTAT LACTATE	$52.92	$147.00	$24.70–$147.00	23% below	64%
Lactate (lactic acid) blood test inpatient CPT 83605 ISTAT LACTATE	$52.92	$147.00	$44.10–$147.00	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$52.92	$147.00	$44.10–$147.00	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE LD LDH ENZYME	$34.20	$95.00	$15.96–$95.00	26% below	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE LD LDH ENZYME	$34.20	$95.00	$28.50–$95.00	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$45.00	$125.00	$21.00–$125.00	32% below	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$45.00	$125.00	$37.50–$125.00	—	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$61.20	$170.00	$28.56–$170.00	35% below	64%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$61.20	$170.00	$51.00–$170.00	—	64%
Lyme disease antibody test CPT 86618 SO LYME DISEASE ANTIBODY	$47.16	$131.00	$22.01–$131.00	7% below	64%
Lyme disease antibody test inpatient CPT 86618 SO LYME DISEASE ANTIBODY	$47.16	$131.00	$39.30–$131.00	—	64%
Magnesium blood test CPT 83735 MAGNESIUM	$45.00	$125.00	$21.00–$125.00	9% below	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$45.00	$125.00	$37.50–$125.00	—	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY EMP	$6.48	$18.00	$3.02–$18.00	88% below	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY EMP	$6.48	$18.00	$5.40–$18.00	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREEN	$53.28	$148.00	$24.86–$148.00	6% above	64%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCREEN	$53.28	$148.00	$44.40–$148.00	—	64%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$33.48	$93.00	$15.62–$93.00	53% below	64%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$33.48	$93.00	$27.90–$93.00	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$78.48	$218.00	$36.62–$218.00	2% below	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$78.48	$218.00	$65.40–$218.00	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$78.48	$218.00	$36.62–$218.00	34% below	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$78.48	$218.00	$65.40–$218.00	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR THINPREP	$64.80	$180.00	$30.24–$180.00	7% above	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THINPREP	$64.80	$180.00	$54.00–$180.00	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$102.24	$284.00	$47.71–$284.00	46% below	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$102.24	$284.00	$85.20–$284.00	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL.	$33.12	$92.00	$15.46–$92.00	59% below	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL.	$33.12	$92.00	$27.60–$92.00	—	64%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$22.32	$62.00	$10.42–$62.00	57% below	64%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$22.32	$62.00	$18.60–$62.00	—	64%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$14.76	$41.00	$6.89–$41.00	68% below	64%
Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM	$14.76	$41.00	$12.30–$41.00	—	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEUPLOIDY	$373.32	$1,037.00	$174.22–$1,037.00	71% below	64%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL ANEUPLOIDY	$373.32	$1,037.00	$311.10–$1,037.00	—	64%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$63.36	$176.00	$29.57–$176.00	49% below	64%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$63.36	$176.00	$52.80–$176.00	—	64%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$91.44	$254.00	$42.67–$254.00	30% below	64%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$91.44	$254.00	$76.20–$254.00	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$24.12	$67.00	$11.26–$67.00	41% below	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$24.12	$67.00	$20.10–$67.00	—	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMPTIVE DIR OBS	$22.68	$63.00	$10.58–$63.00	36% below	64%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRESUMPTIVE DIR OBS	$22.68	$63.00	$18.90–$63.00	—	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W OPTIC	$24.48	$68.00	$11.42–$68.00	46% below	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W OPTIC	$24.48	$68.00	$20.40–$68.00	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A AG EIA.	$35.28	$98.00	$16.46–$98.00	29% below	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A AG EIA.	$35.28	$98.00	$29.40–$98.00	—	64%
Renin blood test CPT 84244 ASSAY OF RENIN	$65.16	$181.00	$30.41–$181.00	54% below	64%
Renin blood test inpatient CPT 84244 ASSAY OF RENIN	$65.16	$181.00	$54.30–$181.00	—	64%
Rh blood typing CPT 86901 BLOOD TYPING RHD	$17.64	$49.00	$8.23–$49.00	59% below	64%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RHD	$17.64	$49.00	$14.70–$49.00	—	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$25.20	$70.00	$11.76–$70.00	44% below	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$25.20	$70.00	$21.00–$70.00	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$37.08	$103.00	$17.30–$103.00	1% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$37.08	$103.00	$30.90–$103.00	—	64%
Sodium blood test CPT 84295 ASSAY OF SODIUM	$14.76	$41.00	$6.89–$41.00	71% below	64%
Sodium blood test inpatient CPT 84295 ASSAY OF SODIUM	$14.76	$41.00	$12.30–$41.00	—	64%
Stool ova and parasites exam CPT 87177 SO OVA AND PARASITES SMEARS	$122.40	$340.00	$57.12–$340.00	85% above	64%
Stool ova and parasites exam inpatient CPT 87177 SO OVA AND PARASITES SMEARS	$122.40	$340.00	$102.00–$340.00	—	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN (GUAIAC)	$18.36	$51.00	$8.57–$51.00	21% below	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD POINT OF CARE	$25.56	$71.00	$11.93–$71.00	10% above	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN (GUAIAC)	$18.36	$51.00	$15.30–$51.00	—	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD POINT OF CARE	$25.56	$71.00	$21.30–$71.00	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$25.20	$70.00	$11.76–$70.00	33% below	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$25.20	$70.00	$21.00–$70.00	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM 1	$56.88	$158.00	$26.54–$158.00	37% above	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM 1	$56.88	$158.00	$47.40–$158.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY	$32.76	$91.00	$15.29–$91.00	20% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST TREPONEMAL ANTIBODY	$32.76	$91.00	$27.30–$91.00	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$30.60	$85.00	$14.28–$85.00	77% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$30.60	$85.00	$25.50–$85.00	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL	$70.92	$197.00	$33.10–$197.00	34% below	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL	$70.92	$197.00	$59.10–$197.00	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 SO MICROSOMAL ANTIBODY	$101.16	$281.00	$47.21–$281.00	11% above	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SO MICROSOMAL ANTIBODY	$101.16	$281.00	$84.30–$281.00	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF THYROID STIM HORMONE	$86.04	$239.00	$40.15–$239.00	1% above	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF THYROID STIM HORMONE	$86.04	$239.00	$71.70–$239.00	—	64%
Total IgE blood test CPT 82785 ASSAY OF IGE	$26.64	$74.00	$12.43–$74.00	73% below	64%
Total IgE blood test inpatient CPT 82785 ASSAY OF IGE	$26.64	$74.00	$22.20–$74.00	—	64%
Total cholesterol blood test CPT 82465 ASSAY BLD SERUM CHOLESTEROL	$28.44	$79.00	$13.27–$79.00	39% below	64%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD SERUM CHOLESTEROL	$28.44	$79.00	$23.70–$79.00	—	64%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$43.92	$122.00	$20.50–$122.00	42% below	64%
Total thyroxine (T4) blood test inpatient CPT 84436 ASSAY OF TOTAL THYROXINE	$43.92	$122.00	$36.60–$122.00	—	64%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE T3	$80.28	$223.00	$37.46–$223.00	14% below	64%
Total triiodothyronine (T3) blood test inpatient CPT 84480 ASSAY TRIIODOTHYRONINE T3	$80.28	$223.00	$66.90–$223.00	—	64%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$43.92	$122.00	$20.50–$122.00	53% below	64%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$43.92	$122.00	$36.60–$122.00	—	64%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP PROBE	$38.88	$108.00	$18.14–$108.00	39% below	64%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP PROBE	$38.88	$108.00	$32.40–$108.00	—	64%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$31.68	$88.00	$14.78–$88.00	37% below	64%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES.4	$34.56	$96.00	$16.13–$96.00	31% below	64%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$31.68	$88.00	$26.40–$88.00	—	64%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES.4	$34.56	$96.00	$28.80–$96.00	—	64%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$65.88	$183.00	$30.74–$183.00	43% below	64%
Troponin test, quantitative CPT 84484 TROPONIN I BIOSITE POC	$145.80	$405.00	$68.04–$405.00	25% above	64%
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT	$65.88	$183.00	$54.90–$183.00	—	64%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I BIOSITE POC	$145.80	$405.00	$121.50–$405.00	—	64%
Uric acid blood test CPT 84550 ASSAY OF BLOOD URIC ACID	$24.12	$67.00	$11.26–$67.00	57% below	64%
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD URIC ACID	$24.12	$67.00	$20.10–$67.00	—	64%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE	$34.92	$97.00	$16.30–$97.00	30% below	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCOPE	$34.92	$97.00	$29.10–$97.00	—	64%
Urinalysis with microscope exam, manual CPT 81000 URINE DIP UADIPPOC	$3.60	$10.00	$1.68–$10.00	83% below	64%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIP UADIPPOC	$3.60	$10.00	$3.00–$10.00	—	64%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W O SCOPE	$15.12	$42.00	$7.06–$42.00	31% below	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W O SCOPE	$15.12	$42.00	$12.60–$42.00	—	64%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$14.04	$39.00	$6.55–$39.00	21% below	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$14.04	$39.00	$11.70–$39.00	—	64%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$24.12	$67.00	$11.26–$67.00	72% below	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$24.12	$67.00	$20.10–$67.00	—	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE 1	$43.92	$122.00	$20.50–$122.00	23% below	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE 1	$43.92	$122.00	$36.60–$122.00	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$50.40	$140.00	$23.52–$140.00	40% below	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$50.40	$140.00	$42.00–$140.00	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$122.04	$339.00	$56.95–$339.00	10% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$122.04	$339.00	$101.70–$339.00	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY	$118.80	$330.00	$55.44–$330.00	27% below	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25 DIHYDROXY	$118.80	$330.00	$99.00–$330.00	—	64%
Zinc blood test CPT 84630 ASSAY OF ZINC	$54.72	$152.00	$25.54–$152.00	52% below	64%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$54.72	$152.00	$45.60–$152.00	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$77.04	$214.00	$35.95–$214.00	50% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$77.04	$214.00	$64.20–$214.00	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$704.88	$1,958.00	$328.94–$1,958.00	20% below	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$906.84	$2,519.00	$423.19–$2,519.00	3% above	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$704.88	$1,958.00	$587.40–$1,958.00	—	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$906.84	$2,519.00	$755.70–$2,519.00	—	64%
Catheter ablation for atrial fibrillation CPT 93656 EP AND ABLATE A FIB	$16,335.66	$45,376.82	$7,623.31–$45,376.82	9% above	64%
Catheter ablation for atrial fibrillation CPT 93656 EP AND ABLATE A FIB W/ANESTH	$16,335.72	$45,377.00	$7,623.34–$45,377.00	9% above	64%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AND ABLATE A FIB	$16,335.66	$45,376.82	$13,613.05–$45,376.82	—	64%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AND ABLATE A FIB W/ANESTH	$16,335.72	$45,377.00	$13,613.10–$45,377.00	—	64%

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	$446.40	$1,240.00	$208.32–$1,240.00	21% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$446.40	$1,240.00	$208.32–$1,240.00	21% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICES	$446.40	$1,240.00	$208.32–$1,240.00	21% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$446.40	$1,240.00	$208.32–$1,240.00	21% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0-60 MIN	$540.36	$1,501.00	$252.17–$1,501.00	5% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 0-60 MIN	$540.36	$1,501.00	$252.17–$1,501.00	5% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 61-120 MIN	$1,118.88	$3,108.00	$522.14–$3,108.00	98% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 61-120 MIN	$1,118.88	$3,108.00	$522.14–$3,108.00	98% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 121-180 MIN	$1,314.00	$3,650.00	$613.20–$3,650.00	132% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 121-180 MIN	$1,314.00	$3,650.00	$613.20–$3,650.00	132% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 181-240 MIN	$1,404.00	$3,900.00	$655.20–$3,900.00	148% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 181-240 MIN	$1,404.00	$3,900.00	$655.20–$3,900.00	148% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 241-300 MIN	$1,620.00	$4,500.00	$756.00–$4,500.00	186% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 241-300 MIN	$1,620.00	$4,500.00	$756.00–$4,500.00	186% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 301-360 MIN	$2,902.32	$8,062.00	$1,354.42–$8,062.00	412% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 301-360 MIN	$2,902.32	$8,062.00	$1,354.42–$8,062.00	412% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 361-420 MIN	$2,941.20	$8,170.00	$1,372.56–$8,170.00	419% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 361-420 MIN	$2,941.20	$8,170.00	$1,372.56–$8,170.00	419% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 421-480 MIN	$3,317.40	$9,215.00	$1,548.12–$9,215.00	486% above	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 421-480 MIN	$3,317.40	$9,215.00	$1,548.12–$9,215.00	486% above	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD DAILY	$446.40	$1,240.00	$372.00–$1,240.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$446.40	$1,240.00	$372.00–$1,240.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$446.40	$1,240.00	$372.00–$1,240.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICES	$446.40	$1,240.00	$372.00–$1,240.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 0-60 MIN	$540.36	$1,501.00	$450.30–$1,501.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0-60 MIN	$540.36	$1,501.00	$450.30–$1,501.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 61-120 MIN	$1,118.88	$3,108.00	$932.40–$3,108.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 61-120 MIN	$1,118.88	$3,108.00	$932.40–$3,108.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 121-180 MIN	$1,314.00	$3,650.00	$1,095.00–$3,650.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 121-180 MIN	$1,314.00	$3,650.00	$1,095.00–$3,650.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 181-240 MIN	$1,404.00	$3,900.00	$1,170.00–$3,900.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 181-240 MIN	$1,404.00	$3,900.00	$1,170.00–$3,900.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 241-300 MIN	$1,620.00	$4,500.00	$1,350.00–$4,500.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 241-300 MIN	$1,620.00	$4,500.00	$1,350.00–$4,500.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 301-360 MIN	$2,902.32	$8,062.00	$2,418.60–$8,062.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 301-360 MIN	$2,902.32	$8,062.00	$2,418.60–$8,062.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 361-420 MIN	$2,941.20	$8,170.00	$2,451.00–$8,170.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 361-420 MIN	$2,941.20	$8,170.00	$2,451.00–$8,170.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 421-480 MIN	$3,317.40	$9,215.00	$2,764.50–$9,215.00	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 421-480 MIN	$3,317.40	$9,215.00	$2,764.50–$9,215.00	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$30.96	$86.00	$14.45–$86.00	77% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$30.96	$86.00	$14.45–$86.00	77% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MINI NEB/MDI TREATMENT	$30.96	$86.00	$14.45–$86.00	77% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI FOLLOWUP	$30.96	$86.00	$14.45–$86.00	77% below	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$30.96	$86.00	$25.80–$86.00	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI FOLLOWUP	$30.96	$86.00	$25.80–$86.00	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MINI NEB/MDI TREATMENT	$30.96	$86.00	$25.80–$86.00	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$30.96	$86.00	$25.80–$86.00	—	64%
Chemotherapy IV infusion, first hour CPT 96413 SSU CHEMO INFUSION 1ST HR	$238.32	$662.00	$111.22–$662.00	50% below	64%
Chemotherapy IV infusion, first hour CPT 96413 COMPLEX INF OR CHEMO IV INF 1 HR	$885.96	$2,461.00	$413.45–$2,461.00	86% above	64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 SSU CHEMO INFUSION 1ST HR	$238.32	$662.00	$198.60–$662.00	—	64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 COMPLEX INF OR CHEMO IV INF 1 HR	$885.96	$2,461.00	$738.30–$2,461.00	—	64%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30 74 MIN	$1,943.28	$5,398.00	$906.86–$5,398.00	6% above	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30 74 MIN	$1,943.28	$5,398.00	$1,619.40–$5,398.00	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$540.36	$1,501.00	$252.17–$1,501.00	7% below	64%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$540.36	$1,501.00	$450.30–$1,501.00	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$108.72	$302.00	$50.74–$302.00	38% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE EKG	$108.72	$302.00	$50.74–$302.00	38% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG WITHOUT PROFESSIONAL FEE	$108.72	$302.00	$50.74–$302.00	38% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$108.72	$302.00	$90.60–$302.00	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG WITHOUT PROFESSIONAL FEE	$108.72	$302.00	$90.60–$302.00	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINE EKG	$108.72	$302.00	$90.60–$302.00	—	64%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$255.24	$709.00	$119.11–$709.00	72% below	64%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$255.24	$709.00	$212.70–$709.00	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1	$75.24	$209.00	$35.11–$209.00	58% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SAFE SERVICES LEVEL 1	$75.24	$209.00	$35.11–$209.00	58% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SAFE SERVICES LEVEL 1	$75.24	$209.00	$62.70–$209.00	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LEVEL 1	$75.24	$209.00	$62.70–$209.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2	$285.12	$792.00	$133.06–$792.00	at median	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 SAFE SERVICES LEVEL 2	$285.12	$792.00	$133.06–$792.00	at median	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEVEL 2	$285.12	$792.00	$237.60–$792.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 SAFE SERVICES LEVEL 2	$285.12	$792.00	$237.60–$792.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SAFE SERVICES LEVEL 3	$423.00	$1,175.00	$197.40–$1,175.00	9% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3	$423.00	$1,175.00	$197.40–$1,175.00	9% below	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEVEL 3	$423.00	$1,175.00	$352.50–$1,175.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SAFE SERVICES LEVEL 3	$423.00	$1,175.00	$352.50–$1,175.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SAFE SERVICES LEVEL 4	$663.12	$1,842.00	$309.46–$1,842.00	26% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4	$663.12	$1,842.00	$309.46–$1,842.00	26% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SAFE SERVICES LEVEL 4	$663.12	$1,842.00	$552.60–$1,842.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEVEL 4	$663.12	$1,842.00	$552.60–$1,842.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5	$978.48	$2,718.00	$456.62–$2,718.00	17% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SAFE SERVICES LEVEL 5	$978.48	$2,718.00	$456.62–$2,718.00	17% below	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SAFE SERVICES LEVEL 5	$978.48	$2,718.00	$815.40–$2,718.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEVEL 5	$978.48	$2,718.00	$815.40–$2,718.00	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVA STRESS TEST NO SUPERV	$622.44	$1,729.00	$290.47–$1,729.00	19% below	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIO STRESS NO SUPERV	$622.44	$1,729.00	$290.47–$1,729.00	19% below	64%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVA STRESS TEST NO SUPERV	$622.44	$1,729.00	$518.70–$1,729.00	—	64%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIO STRESS NO SUPERV	$622.44	$1,729.00	$518.70–$1,729.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MIN-1 HR	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INIT 31 MIN - 1 HR	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31-60 MIN	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 1ST HOUR	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 1ST HR	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60M	$165.24	$459.00	$77.11–$459.00	41% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 1ST HR	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31-60 MIN	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MIN-1 HR	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INIT 31 MIN - 1 HR	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 1ST HOUR	$165.24	$459.00	$137.70–$459.00	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60M	$165.24	$459.00	$137.70–$459.00	—	64%
IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION 1 HOUR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HOUR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UP TO 30 MIN	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY 1ST HR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1ST HR	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UP TO 60 MIN	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUS INITIAL UP TO 60 MIN	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour CPT 96365 4TH IV INF INITIAL UP TO 15 MIN	$196.56	$546.00	$91.73–$546.00	36% below	64%
IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UP TO 60 MIN	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSION 1 HOUR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UP TO 15 MIN	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HOUR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS INITIAL UP TO 60 MIN	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HOUR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY 1ST HR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HR	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 4TH IV INF INITIAL UP TO 30 MIN	$196.56	$546.00	$163.80–$546.00	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1ST HR	$196.56	$546.00	$163.80–$546.00	—	64%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INITIAL SUB	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 SSU IV PUSH	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 INJTX OR DX IVP SINGLE/INIT	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 INJECTION INTRAVENOUS	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INITIAL	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 INJ IV PUSH INITIAL DRUG	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug CPT 96374 INJTX OR DX INTRAVENOUS	$101.16	$281.00	$47.21–$281.00	42% below	64%
IV push of a medicine, first drug inpatient CPT 96374 INJTX OR DX INTRAVENOUS	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 INJ IV PUSH INITIAL DRUG	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION INTRAVENOUS	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 INJTX OR DX IVP SINGLE/INIT	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE OR INITIAL	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 SSU IV PUSH	$101.16	$281.00	$84.30–$281.00	—	64%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE OR INITIAL SUB	$101.16	$281.00	$84.30–$281.00	—	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ IM/SQ	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON CHEMO IM/SQ	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM INJ THER PROPH DIAG SQ IM	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC IM	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUTANEOUS	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION INTRAMUSCULAR	$73.08	$203.00	$34.10–$203.00	18% below	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ IM/SQ	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION INTRAMUSCULAR	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM INJ THER PROPH DIAG SQ IM	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION NON CHEMO IM/SQ	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER PROPH DIAG SQ IM	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ANTIBIOTIC IM	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$73.08	$203.00	$60.90–$203.00	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUTANEOUS	$73.08	$203.00	$60.90–$203.00	—	64%
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT	$99.72	$277.00	$46.54–$277.00	19% below	64%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW LVL 3	$99.72	$277.00	$46.54–$277.00	19% below	64%
New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPT NEW LVL 3	$99.72	$277.00	$46.54–$277.00	19% below	64%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW LVL 3	$99.72	$277.00	$83.10–$277.00	—	64%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPT NEW LVL 3	$99.72	$277.00	$83.10–$277.00	—	64%
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 INITIAL VISIT	$99.72	$277.00	$83.10–$277.00	—	64%
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPT NEW LVL 4	$138.24	$384.00	$64.51–$384.00	26% below	64%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW LVL 4	$138.24	$384.00	$64.51–$384.00	26% below	64%
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT	$138.24	$384.00	$64.51–$384.00	26% below	64%
New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 INITIAL VISIT	$138.24	$384.00	$115.20–$384.00	—	64%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPT NEW LVL 4	$138.24	$384.00	$115.20–$384.00	—	64%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW LVL 4	$138.24	$384.00	$115.20–$384.00	—	64%
New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPT NEW LVL 5	$165.60	$460.00	$77.28–$460.00	29% below	64%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW LVL 5	$165.60	$460.00	$77.28–$460.00	29% below	64%
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT	$165.60	$460.00	$77.28–$460.00	29% below	64%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW LVL 5	$165.60	$460.00	$138.00–$460.00	—	64%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPT NEW LVL 5	$165.60	$460.00	$138.00–$460.00	—	64%
New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 INITIAL VISIT	$165.60	$460.00	$138.00–$460.00	—	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT	$82.80	$230.00	$38.64–$230.00	7% below	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW LVL 2	$82.80	$230.00	$38.64–$230.00	7% below	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPT NEW LVL 2	$82.80	$230.00	$38.64–$230.00	7% below	64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPT NEW LVL 2	$82.80	$230.00	$69.00–$230.00	—	64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 INITIAL VISIT	$82.80	$230.00	$69.00–$230.00	—	64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW LVL 2	$82.80	$230.00	$69.00–$230.00	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN	$21.96	$61.00	$10.25–$61.00	27% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THPY INIT ASMT EA - 15 MIN	$21.96	$61.00	$18.30–$61.00	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC	$50.04	$139.00	$23.35–$139.00	55% above	64%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOB CESS CNSLNG 3-10MIN-RISK FAC	$50.04	$139.00	$41.70–$139.00	—	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PATIENT VISIT LEVEL 5 ENDO	$126.00	$350.00	$58.80–$350.00	22% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$126.00	$350.00	$58.80–$350.00	22% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED LEVEL 5	$126.00	$350.00	$58.80–$350.00	22% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST LVL5	$126.00	$350.00	$58.80–$350.00	22% below	64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$126.00	$350.00	$105.00–$350.00	—	64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED LEVEL 5	$126.00	$350.00	$105.00–$350.00	—	64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PATIENT VISIT LEVEL 5 ENDO	$126.00	$350.00	$105.00–$350.00	—	64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT EST LVL5	$126.00	$350.00	$105.00–$350.00	—	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST LVL3	$84.96	$236.00	$39.65–$236.00	2% below	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$84.96	$236.00	$39.65–$236.00	2% below	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PATIENT VISIT LEVEL 3 ENDO	$84.96	$236.00	$39.65–$236.00	2% below	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED LEVEL 3	$84.96	$236.00	$39.65–$236.00	2% below	64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$84.96	$236.00	$70.80–$236.00	—	64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED LEVEL 3	$84.96	$236.00	$70.80–$236.00	—	64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST LVL3	$84.96	$236.00	$70.80–$236.00	—	64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PATIENT VISIT LEVEL 3 ENDO	$84.96	$236.00	$70.80–$236.00	—	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED LEVEL 4	$101.16	$281.00	$47.21–$281.00	15% below	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$101.16	$281.00	$47.21–$281.00	15% below	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PATIENT VISIT LEVEL 4 ENDO	$101.16	$281.00	$47.21–$281.00	15% below	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST LVL4	$101.16	$281.00	$47.21–$281.00	15% below	64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST LVL4	$101.16	$281.00	$84.30–$281.00	—	64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$101.16	$281.00	$84.30–$281.00	—	64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PATIENT VISIT LEVEL 4 ENDO	$101.16	$281.00	$84.30–$281.00	—	64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED LEVEL 4	$101.16	$281.00	$84.30–$281.00	—	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$76.68	$213.00	$35.78–$213.00	31% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PATIENT VISIT LEVEL 2 ENDO	$76.68	$213.00	$35.78–$213.00	31% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST LVL2	$76.68	$213.00	$35.78–$213.00	31% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED LEVEL 2	$76.68	$213.00	$35.78–$213.00	31% above	64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT EST LVL2	$76.68	$213.00	$63.90–$213.00	—	64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$76.68	$213.00	$63.90–$213.00	—	64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED LEVEL 2	$76.68	$213.00	$63.90–$213.00	—	64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PATIENT VISIT LEVEL 2 ENDO	$76.68	$213.00	$63.90–$213.00	—	64%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$146.88	$408.00	$68.54–$408.00	36% below	64%
Spirometry (breathing test) CPT 94010 SIMPLE PULMONARY FUNCTION	$146.88	$408.00	$68.54–$408.00	36% below	64%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$146.88	$408.00	$122.40–$408.00	—	64%
Spirometry (breathing test) inpatient CPT 94010 SIMPLE PULMONARY FUNCTION	$146.88	$408.00	$122.40–$408.00	—	64%
Spirometry before and after a bronchodilator CPT 94060 EVAL OF WHEEZING PRE/POST	$130.32	$362.00	$60.82–$362.00	72% below	64%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL OF WHEEZING PRE/POST	$130.32	$362.00	$108.60–$362.00	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$136.08	$378.00	$63.50–$378.00	12% below	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$136.08	$378.00	$63.50–$378.00	12% below	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 SSU THERAPEUTIC PHLEBOTOMY	$136.08	$378.00	$63.50–$378.00	12% below	64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$136.08	$378.00	$113.40–$378.00	—	64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$136.08	$378.00	$113.40–$378.00	—	64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 SSU THERAPEUTIC PHLEBOTOMY	$136.08	$378.00	$113.40–$378.00	—	64%

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	$125.37	$348.24	$58.50–$348.24	43% above	64%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphth/pertus/tet tox PED 0.5 mL inj	$129.28	$359.11	$60.33–$359.11	47% above	64%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 tetanus/diphth/pertuss (DTaP) NEO inj 0.5 mL	$125.37	$348.24	$104.47–$348.24	—	64%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphth/pertus/tet tox PED 0.5 mL inj	$129.28	$359.11	$107.73–$359.11	—	64%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HepB-IPV-DTaP (Pediarix) NEO inj 0.5 mL	$321.13	$892.03	$149.86–$892.03	17% above	64%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HepB-IPV-DTaP (Pediarix) NEO inj 0.5 mL	$321.13	$892.03	$267.61–$892.03	—	64%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B)	$649.43	$1,803.98	$303.07–$1,803.98	5% below	64%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B)	$649.43	$1,803.98	$541.19–$1,803.98	—	64%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj	$106.97	$297.13	$49.92–$297.13	9% below	64%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj	$106.97	$297.13	$89.14–$297.13	—	64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles-mumps-rubella vaccine inj	$247.78	$688.29	$115.63–$688.29	28% above	64%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles-mumps-rubella vaccine inj	$247.78	$688.29	$206.49–$688.29	—	64%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj	$504.98	$1,402.71	$235.66–$1,402.71	14% below	64%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj	$504.98	$1,402.71	$420.81–$1,402.71	—	64%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL	$796.78	$2,213.29	$371.83–$2,213.29	10% below	64%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL	$796.78	$2,213.29	$663.99–$2,213.29	—	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent inj 0.5 mL	$1,132.59	$3,146.10	$528.54–$3,146.10	118% above	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent inj 0.5 mL	$1,132.59	$3,146.10	$943.83–$3,146.10	—	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent inj 0.5 mL	$551.54	$1,532.06	$257.39–$1,532.06	117% above	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent inj 0.5 mL	$551.54	$1,532.06	$459.62–$1,532.06	—	64%
Rabies vaccine, one dose CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert)	$665.55	$1,848.75	$310.59–$1,848.75	19% below	64%
Rabies vaccine, one dose inpatient CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert)	$665.55	$1,848.75	$554.62–$1,848.75	—	64%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine pentavalent liq 2 mL	$120.32	$334.23	$56.15–$334.23	20% below	64%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine pentavalent liq 2 mL	$120.32	$334.23	$100.27–$334.23	—	64%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated (recombinant) inj	$404.77	$1,124.35	$188.89–$1,124.35	14% above	64%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated (recombinant) inj	$404.77	$1,124.35	$337.30–$1,124.35	—	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphth/tetanus tox ADULT inj 0.5 mL	$173.76	$482.66	$81.09–$482.66	129% above	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphth/tetanus tox ADULT inj 0.5 mL	$173.76	$482.66	$144.80–$482.66	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACCINE	$54.36	$151.00	$25.37–$151.00	23% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACCINE	$54.36	$151.00	$45.30–$151.00	—	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACCINE	$32.04	$89.00	$14.95–$89.00	15% below	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACCINE	$32.04	$89.00	$26.70–$89.00	—	64%

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