Hospital Louisville/Jefferson County, KY-IN

Our Lady of Peace

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

Our Lady of Peace in Louisville, KY publishes cash prices for 92 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 above the Kentucky median for 61 of 92 procedures and below it for 29. By typical cash price it ranks #53 of 80 Kentucky hospitals and #13 of 19 hospitals in the Louisville, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2020 Newburg Road, Louisville, KY 40205 Collected Sep 27, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs KentuckyOff list
Abdominal X-ray, 2 views CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC $283.25 $504.00 $90.72–$504.00 at median 44%
Abdominal X-ray, 2 views inpatient CPT 74019 CR ABDOMEN FLAT UPRIGHT OR DEC $283.25 $504.00 $151.20–$504.00 — 44%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS RT $263.02 $468.00 $84.24–$468.00 17% below 44%
Ankle X-ray, complete, 3 or more views one side CPT 73610 CR ANKLE MIN 3 VIEWS LT $263.02 $468.00 $84.24–$468.00 17% below 44%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS RT $263.02 $468.00 $140.40–$468.00 — 44%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR ANKLE MIN 3 VIEWS LT $263.02 $468.00 $140.40–$468.00 — 44%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CR ESOPHAGRAM $512.54 $912.00 $164.16–$912.00 28% above 44%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR ESOPHAGRAM $512.54 $912.00 $273.60–$912.00 — 44%
Chest X-ray, 2 views CPT 71046 CHEST PA INSPR XPRTN $255.15 $454.00 $81.72–$454.00 1% above 44%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS W FLUORO $283.81 $505.00 $90.90–$505.00 13% above 44%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS $319.78 $569.00 $102.42–$569.00 27% above 44%
Chest X-ray, 2 views CPT 71046 CR CHEST 2 VIEWS 2 $319.78 $569.00 $102.42–$569.00 27% above 44%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA INSPR XPRTN $255.15 $454.00 $136.20–$454.00 — 44%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS W FLUORO $283.81 $505.00 $151.50–$505.00 — 44%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS $319.78 $569.00 $170.70–$569.00 — 44%
Chest X-ray, 2 views inpatient CPT 71046 CR CHEST 2 VIEWS 2 $319.78 $569.00 $170.70–$569.00 — 44%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW PORTABLE $252.90 $450.00 $81.00–$450.00 36% above 44%
Chest X-ray, single view CPT 71045 CR CHEST SINGLE VIEW $252.90 $450.00 $81.00–$450.00 36% above 44%
Chest X-ray, single view one side CPT 71045 CR CHEST DECUBITIS LT $252.90 $450.00 $81.00–$450.00 36% above 44%
Chest X-ray, single view one side CPT 71045 CR CHEST DECUBITUS RT $252.90 $450.00 $81.00–$450.00 36% above 44%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW PORTABLE $252.90 $450.00 $135.00–$450.00 — 44%
Chest X-ray, single view inpatient CPT 71045 CR CHEST SINGLE VIEW $252.90 $450.00 $135.00–$450.00 — 44%
Chest X-ray, single view inpatient one side CPT 71045 CR CHEST DECUBITIS LT $252.90 $450.00 $135.00–$450.00 — 44%
Chest X-ray, single view inpatient one side CPT 71045 CR CHEST DECUBITUS RT $252.90 $450.00 $135.00–$450.00 — 44%
Collarbone (clavicle) X-ray, complete CPT 73000 CR CLAVICL COMP BIL $352.37 $627.00 $112.86–$627.00 38% above 44%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP LT $221.99 $395.00 $71.10–$395.00 13% below 44%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CR CLAVICLE COMP RT $221.99 $395.00 $71.10–$395.00 13% below 44%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CR CLAVICL COMP BIL $352.37 $627.00 $188.10–$627.00 — 44%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP LT $221.99 $395.00 $118.50–$395.00 — 44%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR CLAVICLE COMP RT $221.99 $395.00 $118.50–$395.00 — 44%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CR DEXA BONE DENS PERIPHERAL $227.61 $405.00 $72.90–$405.00 11% above 44%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CR DEXA BONE DENS PERIPHERAL $227.61 $405.00 $121.50–$405.00 — 44%
Elbow X-ray, 2 views CPT 73070 CR ELBOW 2 VIEWS BIL $238.85 $425.00 $76.50–$425.00 1% below 44%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VWS RT $238.85 $425.00 $76.50–$425.00 1% below 44%
Elbow X-ray, 2 views one side CPT 73070 CR ELBOW 2 VWS LT $238.85 $425.00 $76.50–$425.00 1% below 44%
Elbow X-ray, 2 views inpatient CPT 73070 CR ELBOW 2 VIEWS BIL $238.85 $425.00 $127.50–$425.00 — 44%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VWS LT $238.85 $425.00 $127.50–$425.00 — 44%
Elbow X-ray, 2 views inpatient one side CPT 73070 CR ELBOW 2 VWS RT $238.85 $425.00 $127.50–$425.00 — 44%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS LT $345.63 $615.00 $110.70–$615.00 6% above 44%
Elbow X-ray, complete, 3 or more views one side CPT 73080 CR ELBOW MIN 3 VIEWS RT $345.63 $615.00 $110.70–$615.00 6% above 44%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS RT $345.63 $615.00 $184.50–$615.00 — 44%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR ELBOW MIN 3 VIEWS LT $345.63 $615.00 $184.50–$615.00 — 44%
Facial bones X-ray, complete, 3 or more views CPT 70150 CR FACIAL BONES MIN 3 VIEWS $622.13 $1,107.00 $199.26–$1,107.00 72% above 44%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CR FACIAL BONES MIN 3 VIEWS $622.13 $1,107.00 $332.10–$1,107.00 — 44%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM 2 VIEWS RT $254.02 $452.00 $81.36–$452.00 11% below 44%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR FOREARM 2 VIEWS LT $254.02 $452.00 $81.36–$452.00 11% below 44%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM 2 VIEWS RT $254.02 $452.00 $135.60–$452.00 — 44%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR FOREARM 2 VIEWS LT $254.02 $452.00 $135.60–$452.00 — 44%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS LT $309.66 $551.00 $99.18–$551.00 39% above 44%
Hand X-ray, 2 views one side CPT 73120 CR HAND 2 VIEWS RT $309.66 $551.00 $99.18–$551.00 39% above 44%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS RT $309.66 $551.00 $165.30–$551.00 — 44%
Hand X-ray, 2 views inpatient one side CPT 73120 CR HAND 2 VIEWS LT $309.66 $551.00 $165.30–$551.00 — 44%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL MIN 2 VIEWS RT $221.43 $394.00 $70.92–$394.00 12% below 44%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR HEEL MIN 2 VIEWS LT $221.43 $394.00 $70.92–$394.00 12% below 44%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL MIN 2 VIEWS LT $221.43 $394.00 $118.20–$394.00 — 44%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR HEEL MIN 2 VIEWS RT $221.43 $394.00 $118.20–$394.00 — 44%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS LT $388.90 $692.00 $124.56–$692.00 22% above 44%
Knee X-ray, 3 views one side CPT 73562 CR KNEE 3 VIEWS RT $388.90 $692.00 $124.56–$692.00 22% above 44%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS LT $388.90 $692.00 $207.60–$692.00 — 44%
Knee X-ray, 3 views inpatient one side CPT 73562 CR KNEE 3 VIEWS RT $388.90 $692.00 $207.60–$692.00 — 44%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4 VIEW RT $438.36 $780.00 $140.40–$780.00 20% above 44%
Knee X-ray, complete, 4 or more views one side CPT 73564 CR KNEE COMP 4 VIEW LT $438.36 $780.00 $140.40–$780.00 20% above 44%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4 VIEW RT $438.36 $780.00 $234.00–$780.00 — 44%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR KNEE COMP 4 VIEW LT $438.36 $780.00 $234.00–$780.00 — 44%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LEG LT $306.85 $546.00 $98.28–$546.00 2% above 44%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR LOWER LG RT $306.85 $546.00 $98.28–$546.00 2% above 44%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LG RT $306.85 $546.00 $163.80–$546.00 — 44%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR LOWER LEG LT $306.85 $546.00 $163.80–$546.00 — 44%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS $466.46 $830.00 $149.40–$830.00 6% above 44%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CR EXAM OF NECK SPINE MIN 4 VWS $466.46 $830.00 $249.00–$830.00 — 44%
Neck soft tissue X-ray CPT 70360 CR NECK SOFT TISSUE $427.12 $760.00 $136.80–$760.00 70% above 44%
Neck soft tissue X-ray inpatient CPT 70360 CR NECK SOFT TISSUE $427.12 $760.00 $228.00–$760.00 — 44%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT $248.97 $443.00 $79.74–$443.00 14% below 44%
Rib X-ray, one side, 2 views one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT $248.97 $443.00 $79.74–$443.00 14% below 44%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS RT $248.97 $443.00 $132.90–$443.00 — 44%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR RIBS UNILATERAL 2 VIEWS LT $248.97 $443.00 $132.90–$443.00 — 44%
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 $347.32 $618.00 $111.24–$618.00 at median 44%
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 $347.32 $618.00 $111.24–$618.00 at median 44%
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 $347.32 $618.00 $185.40–$618.00 — 44%
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 $347.32 $618.00 $185.40–$618.00 — 44%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT $454.66 $809.00 $145.62–$809.00 52% above 44%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT $454.66 $809.00 $145.62–$809.00 52% above 44%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS LT $454.66 $809.00 $242.70–$809.00 — 44%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR SHOULDER MIN 2 VIEWS RT $454.66 $809.00 $242.70–$809.00 — 44%
Sinus X-ray, complete, 3 or more views CPT 70220 CR SINUSES PARANASAL MIN 3 VWS $512.54 $912.00 $164.16–$912.00 36% above 44%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CR SINUSES PARANASAL MIN 3 VWS $512.54 $912.00 $273.60–$912.00 — 44%
Skull X-ray, fewer than 4 views CPT 70250 CR SKULL 4 VIEW LTD $332.14 $591.00 $106.38–$591.00 25% above 44%
Skull X-ray, fewer than 4 views CPT 70250 CR SKULL 4 VIEW $332.14 $591.00 $106.38–$591.00 25% above 44%
Skull X-ray, fewer than 4 views CPT 70250 SKULL PEDS 2 VIEW $332.14 $591.00 $106.38–$591.00 25% above 44%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SKULL 4 VIEW LTD $332.14 $591.00 $177.30–$591.00 — 44%
Skull X-ray, fewer than 4 views inpatient CPT 70250 CR SKULL 4 VIEW $332.14 $591.00 $177.30–$591.00 — 44%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL PEDS 2 VIEW $332.14 $591.00 $177.30–$591.00 — 44%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CR SWALLOWING FX W CINE OR VID $370.36 $659.00 $118.62–$659.00 14% below 44%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR SWALLOWING FX W CINE OR VID $370.36 $659.00 $197.70–$659.00 — 44%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS RT $421.50 $750.00 $135.00–$750.00 43% above 44%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR FEMUR 2 VIEWS LT $421.50 $750.00 $135.00–$750.00 43% above 44%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS RT $421.50 $750.00 $225.00–$750.00 — 44%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR FEMUR 2 VIEWS LT $421.50 $750.00 $225.00–$750.00 — 44%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS LT $252.34 $449.00 $80.82–$449.00 34% above 44%
Toe X-ray, 2 or more views one side CPT 73660 CR TOE 2 VIEWS RT $252.34 $449.00 $80.82–$449.00 34% above 44%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS LT $252.34 $449.00 $134.70–$449.00 — 44%
Toe X-ray, 2 or more views inpatient one side CPT 73660 CR TOE 2 VIEWS RT $252.34 $449.00 $134.70–$449.00 — 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPR SERIE WO KUB $617.64 $1,099.00 $197.82–$1,099.00 27% above 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI & SBFT WO AIR $617.64 $1,099.00 $197.82–$1,099.00 27% above 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR UPPER GI SEIES W KUB $617.64 $1,099.00 $197.82–$1,099.00 27% above 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI UPPR SERIE WO KUB $617.64 $1,099.00 $329.70–$1,099.00 — 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI SEIES W KUB $617.64 $1,099.00 $329.70–$1,099.00 — 44%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR UPPER GI & SBFT WO AIR $617.64 $1,099.00 $329.70–$1,099.00 — 44%
Upper arm X-ray (humerus), 2 views CPT 73060 CR HUMERUS 2 VIEWS BIL $252.34 $449.00 $80.82–$449.00 7% below 44%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS RT $362.49 $645.00 $116.10–$645.00 34% above 44%
Upper arm X-ray (humerus), 2 views one side CPT 73060 CR HUMERUS 2 VIEWS LT $362.49 $645.00 $116.10–$645.00 34% above 44%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CR HUMERUS 2 VIEWS BIL $252.34 $449.00 $134.70–$449.00 — 44%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS RT $362.49 $645.00 $193.50–$645.00 — 44%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR HUMERUS 2 VIEWS LT $362.49 $645.00 $193.50–$645.00 — 44%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS RT $183.21 $326.00 $58.68–$326.00 10% below 44%
Wrist X-ray, 2 views one side CPT 73100 CR WRIST 2 VIEWS LT $183.21 $326.00 $58.68–$326.00 10% below 44%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS LT $183.21 $326.00 $97.80–$326.00 — 44%
Wrist X-ray, 2 views inpatient one side CPT 73100 CR WRIST 2 VIEWS RT $183.21 $326.00 $97.80–$326.00 — 44%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS RT $258.52 $460.00 $82.80–$460.00 16% below 44%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CR WRIST MIN 3 VIEWS LT $258.52 $460.00 $82.80–$460.00 16% below 44%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS RT $258.52 $460.00 $138.00–$460.00 — 44%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR WRIST MIN 3 VIEWS LT $258.52 $460.00 $138.00–$460.00 — 44%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS RT $262.45 $467.00 $84.06–$467.00 11% above 44%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR HIP MIN 2 VIEWS LT $262.45 $467.00 $84.06–$467.00 11% above 44%
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 $262.45 $467.00 $140.10–$467.00 — 44%
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 $262.45 $467.00 $140.10–$467.00 — 44%
X-ray of the abdomen, 1 view CPT 74018 CR ABDOMEN SINGLE AP VIEW $233.23 $415.00 $74.70–$415.00 5% below 44%
X-ray of the abdomen, 1 view inpatient CPT 74018 CR ABDOMEN SINGLE AP VIEW $233.23 $415.00 $124.50–$415.00 — 44%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VWS RT $233.23 $415.00 $74.70–$415.00 at median 44%
X-ray of the ankle, 2 views one side CPT 73600 CR ANKLE 2 VWS LT $233.23 $415.00 $74.70–$415.00 at median 44%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VWS LT $233.23 $415.00 $124.50–$415.00 — 44%
X-ray of the ankle, 2 views inpatient one side CPT 73600 CR ANKLE 2 VWS RT $233.23 $415.00 $124.50–$415.00 — 44%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS RT $171.97 $306.00 $55.08–$306.00 24% below 44%
X-ray of the finger(s), 2 or more views one side CPT 73140 CR FINGER 2 VIEWS LT $171.97 $306.00 $55.08–$306.00 24% below 44%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS LT $171.97 $306.00 $91.80–$306.00 — 44%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR FINGER 2 VIEWS RT $171.97 $306.00 $91.80–$306.00 — 44%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS RT $363.05 $646.00 $116.28–$646.00 64% above 44%
X-ray of the foot, 2 views one side CPT 73620 CR FOOT 2 VIEWS LT $363.05 $646.00 $116.28–$646.00 64% above 44%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS RT $363.05 $646.00 $193.80–$646.00 — 44%
X-ray of the foot, 2 views inpatient one side CPT 73620 CR FOOT 2 VIEWS LT $363.05 $646.00 $193.80–$646.00 — 44%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT $366.42 $652.00 $117.36–$652.00 20% above 44%
X-ray of the foot, complete, 3 or more views one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT $366.42 $652.00 $117.36–$652.00 20% above 44%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS LT $366.42 $652.00 $195.60–$652.00 — 44%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR FOOT COMPLETE MIN 3 VIEWS RT $366.42 $652.00 $195.60–$652.00 — 44%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS LT $292.24 $520.00 $93.60–$520.00 3% below 44%
X-ray of the hand, 3 or more views one side CPT 73130 CR HAND MIN 3 VIEWS RT $292.24 $520.00 $93.60–$520.00 3% below 44%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS RT $292.24 $520.00 $156.00–$520.00 — 44%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR HAND MIN 3 VIEWS LT $292.24 $520.00 $156.00–$520.00 — 44%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT $364.18 $648.00 $116.64–$648.00 53% above 44%
X-ray of the knee, 1 or 2 views one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT $366.99 $653.00 $117.54–$653.00 54% above 44%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS RT $364.18 $648.00 $194.40–$648.00 — 44%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR KNEE 1 OR 2 VIEWS LT $366.99 $653.00 $195.90–$653.00 — 44%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR L SPINE 2 OR 3 VIEWS $409.14 $728.00 $131.04–$728.00 24% above 44%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR L SPINE 2 OR 3 VIEWS $409.14 $728.00 $218.40–$728.00 — 44%
X-ray of the lower back, 4 or more views CPT 72110 CR L SPINE MIN 4 VIEW $419.81 $747.00 $134.46–$747.00 12% below 44%
X-ray of the lower back, 4 or more views inpatient CPT 72110 CR L SPINE MIN 4 VIEW $419.81 $747.00 $224.10–$747.00 — 44%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR THORACIC SPINE 2 VIEWS $401.27 $714.00 $128.52–$714.00 34% above 44%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR THORACIC SPINE 2 VIEWS $401.27 $714.00 $214.20–$714.00 — 44%
X-ray of the nasal bones, 3 or more views CPT 70160 CR NASAL BONES MIN 3 VIEWS $189.96 $338.00 $60.84–$338.00 35% below 44%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR NASAL BONES MIN 3 VIEWS $189.96 $338.00 $101.40–$338.00 — 44%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR EXAM OF NECK SPINE $358.56 $638.00 $114.84–$638.00 13% above 44%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR EXAM OF NECK SPINE $358.56 $638.00 $191.40–$638.00 — 44%
X-ray of the pelvis, 1 or 2 views CPT 72170 CR PELVIS 1 OR 2 VIEWS $429.93 $765.00 $137.70–$765.00 65% above 44%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR PELVIS 1 OR 2 VIEWS $429.93 $765.00 $229.50–$765.00 — 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS $239.41 $426.00 $76.68–$426.00 17% below 44%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR SACRUM AND COCCYX MIN 2 VIEWS $239.41 $426.00 $127.80–$426.00 — 44%

Lab tests

ProcedureCash price List priceInsurers payvs KentuckyOff list
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 1 $622.70 $1,108.00 $199.44–$1,108.00 171% above 44%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 1 $622.70 $1,108.00 $332.40–$1,108.00 — 44%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA $189.96 $338.00 $60.84–$338.00 119% above 44%
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA $189.96 $338.00 $101.40–$338.00 — 44%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE $15.74 $28.00 $5.04–$28.00 1% below 44%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE $15.74 $28.00 $8.40–$28.00 — 44%
Blood lead test CPT 83655 SO ASSAY OF LEAD $47.77 $85.00 $15.30–$85.00 20% below 44%
Blood lead test CPT 83655 ASSAY OF LEAD 1 $47.77 $85.00 $15.30–$85.00 20% below 44%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD 1 $47.77 $85.00 $25.50–$85.00 — 44%
Blood lead test inpatient CPT 83655 SO ASSAY OF LEAD $47.77 $85.00 $25.50–$85.00 — 44%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SO SARS-COV-2 COVID-19 AMP $81.49 $145.00 $26.10–$145.00 8% above 44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SO SARS-COV-2 COVID-19 AMP $81.49 $145.00 $43.50–$145.00 — 44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $342.26 $609.00 $109.62–$609.00 196% above 44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $342.26 $609.00 $182.70–$609.00 — 44%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $331.58 $590.00 $106.20–$590.00 170% above 44%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $331.58 $590.00 $177.00–$590.00 — 44%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $83.74 $149.00 $26.82–$149.00 20% above 44%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL $83.74 $149.00 $44.70–$149.00 — 44%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $292.80 $521.00 $93.78–$521.00 7% above 44%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $292.80 $521.00 $156.30–$521.00 — 44%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $215.81 $384.00 $69.12–$384.00 143% above 44%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $215.81 $384.00 $115.20–$384.00 — 44%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $158.48 $282.00 $50.76–$282.00 69% above 44%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $158.48 $282.00 $84.60–$282.00 — 44%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE $54.51 $97.00 $17.46–$97.00 10% above 44%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCOPE $54.51 $97.00 $29.10–$97.00 — 44%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $21.92 $39.00 $7.02–$39.00 24% above 44%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE $21.92 $39.00 $11.70–$39.00 — 44%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KentuckyOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICES $696.88 $1,240.00 $223.20–$1,240.00 23% above 44%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICES $696.88 $1,240.00 $372.00–$1,240.00 — 44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING $169.72 $302.00 $54.36–$302.00 4% below 44%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING $169.72 $302.00 $90.60–$302.00 — 44%
Electroconvulsive therapy (ECT), one session CPT 90870 ECT TREATMENT $751.96 $1,338.00 $240.84–$1,338.00 17% below 44%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT TREATMENT $751.96 $1,338.00 $401.40–$1,338.00 — 44%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EPS LEVEL ONE $149.49 $266.00 $47.88–$266.00 16% below 44%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EPS LEVEL ONE $149.49 $266.00 $79.80–$266.00 — 44%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EPS LEVEL TWO $445.10 $792.00 $142.56–$792.00 56% above 44%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EPS LEVEL TWO $445.10 $792.00 $237.60–$792.00 — 44%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EPS LEVEL THREE $746.90 $1,329.00 $239.22–$1,329.00 61% above 44%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EPS LEVEL THREE $746.90 $1,329.00 $398.70–$1,329.00 — 44%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EPS LEVEL FOUR $979.57 $1,743.00 $313.74–$1,743.00 9% above 44%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EPS LEVEL FOUR $979.57 $1,743.00 $522.90–$1,743.00 — 44%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EPS LEVEL FIVE $1,460.64 $2,599.00 $467.82–$2,599.00 25% above 44%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EPS LEVEL FIVE $1,460.64 $2,599.00 $779.70–$2,599.00 — 44%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PT $115.21 $205.00 $36.90–$205.00 54% below 44%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W/PT $115.21 $205.00 $61.50–$205.00 — 44%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT $109.59 $195.00 $35.10–$195.00 51% below 44%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PT $109.59 $195.00 $58.50–$195.00 — 44%
Group psychotherapy session CPT 90853 PCS GROUP THERAPY $57.89 $103.00 $18.54–$103.00 60% below 44%
Group psychotherapy session CPT 90853 CHEM IOP GROUP PSYCHOTHERAPY $130.38 $232.00 $41.76–$232.00 9% below 44%
Group psychotherapy session CPT 90853 TELEHEALTH GROUP 45-60 MIN $130.38 $232.00 $41.76–$232.00 9% below 44%
Group psychotherapy session CPT 90853 PSYCH IOP GROUP PSYCHOTHERAPY $130.38 $232.00 $41.76–$232.00 9% below 44%
Group psychotherapy session CPT 90853 PHP GROUP PSYCHOTHERAPY $130.38 $232.00 $41.76–$232.00 9% below 44%
Group psychotherapy session inpatient CPT 90853 PCS GROUP THERAPY $57.89 $103.00 $30.90–$103.00 — 44%
Group psychotherapy session inpatient CPT 90853 PHP GROUP PSYCHOTHERAPY $130.38 $232.00 $69.60–$232.00 — 44%
Group psychotherapy session inpatient CPT 90853 CHEM IOP GROUP PSYCHOTHERAPY $130.38 $232.00 $69.60–$232.00 — 44%
Group psychotherapy session inpatient CPT 90853 TELEHEALTH GROUP 45-60 MIN $130.38 $232.00 $69.60–$232.00 — 44%
Group psychotherapy session inpatient CPT 90853 PSYCH IOP GROUP PSYCHOTHERAPY $130.38 $232.00 $69.60–$232.00 — 44%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31 60 $257.96 $459.00 $82.62–$459.00 9% below 44%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31 60 $257.96 $459.00 $137.70–$459.00 — 44%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY FIRST HR $409.14 $728.00 $131.04–$728.00 33% above 44%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY FIRST HR $409.14 $728.00 $218.40–$728.00 — 44%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE/INITIAL DRUG $157.92 $281.00 $50.58–$281.00 9% below 44%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE/INITIAL DRUG $157.92 $281.00 $84.30–$281.00 — 44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ ADDITIONAL $114.09 $203.00 $36.54–$203.00 29% above 44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON CHEMO IM/SQ $114.09 $203.00 $36.54–$203.00 29% above 44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM $114.09 $203.00 $36.54–$203.00 29% above 44%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON-CHEMO IM/SQ $114.09 $203.00 $36.54–$203.00 29% above 44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION NON CHEMO IM/SQ $114.09 $203.00 $60.90–$203.00 — 44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER PROPH DIAG SQ IM $114.09 $203.00 $60.90–$203.00 — 44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ ADDITIONAL $114.09 $203.00 $60.90–$203.00 — 44%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION NON-CHEMO IM/SQ $114.09 $203.00 $60.90–$203.00 — 44%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY CRISIS FIRST 60MIN $336.64 $599.00 $107.82–$599.00 33% above 44%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY CRISIS FIRST 60MIN $336.64 $599.00 $179.70–$599.00 — 44%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN $75.31 $134.00 $24.12–$134.00 38% below 44%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN $75.31 $134.00 $40.20–$134.00 — 44%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN $94.98 $169.00 $30.42–$169.00 46% below 44%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN $94.98 $169.00 $50.70–$169.00 — 44%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN $115.21 $205.00 $36.90–$205.00 42% below 44%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN $115.21 $205.00 $61.50–$205.00 — 44%

Vaccines

ProcedureCash price List priceInsurers payvs KentuckyOff list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 tetanus/diphth/pertuss (DTaP) *NEO* inj 0.5 mL $195.71 $348.24 $62.68–$348.24 123% above 44%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphth/pertus/tet tox *PED* 0.5 mL inj $201.82 $359.11 $64.64–$359.11 130% above 44%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 tetanus/diphth/pertuss (DTaP) *NEO* inj 0.5 mL $195.71 $348.24 $104.47–$348.24 — 44%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphth/pertus/tet tox *PED* 0.5 mL inj $201.82 $359.11 $107.73–$359.11 — 44%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HepB-IPV-DTaP (Pediarix) *NEO* inj 0.5 mL $501.32 $892.03 $160.57–$892.03 83% above 44%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HepB-IPV-DTaP (Pediarix) *NEO* inj 0.5 mL $501.32 $892.03 $267.61–$892.03 — 44%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B) $1,013.84 $1,803.98 $324.72–$1,803.98 48% above 44%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B adult vac 20 mcg/0.5 mL (Heplisav-B) $1,013.84 $1,803.98 $541.19–$1,803.98 — 44%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj $166.98 $297.13 $53.48–$297.13 43% above 44%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza HIGH-DOSE (trivalent) vaccine 0.5 mL inj $166.98 $297.13 $89.14–$297.13 — 44%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles-mumps-rubella vaccine inj $386.82 $688.29 $123.89–$688.29 101% above 44%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles-mumps-rubella vaccine inj $386.82 $688.29 $206.49–$688.29 — 44%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj $788.32 $1,402.71 $252.49–$1,402.71 35% above 44%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 meningococcal conj vaccine (MenQuadfi) 40 mcg/0.5 mL inj $788.32 $1,402.71 $420.81–$1,402.71 — 44%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL $1,243.87 $2,213.29 $398.39–$2,213.29 40% above 44%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vacc, OMV, adj inj 0.5 mL $1,243.87 $2,213.29 $663.99–$2,213.29 — 44%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent inj 0.5 mL $1,768.11 $3,146.10 $566.30–$3,146.10 240% above 44%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent inj 0.5 mL $1,768.11 $3,146.10 $943.83–$3,146.10 — 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent inj 0.5 mL $861.02 $1,532.06 $275.77–$1,532.06 239% above 44%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent inj 0.5 mL $861.02 $1,532.06 $459.62–$1,532.06 — 44%
Rabies vaccine, one dose CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert) $1,039.00 $1,848.75 $332.78–$1,848.75 26% above 44%
Rabies vaccine, one dose inpatient CPT 90675 rabies virus vaccine 2.5 unit/1 mL inj (RabAvert) $1,039.00 $1,848.75 $554.62–$1,848.75 — 44%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine pentavalent liq 2 mL $187.84 $334.23 $60.16–$334.23 25% above 44%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine pentavalent liq 2 mL $187.84 $334.23 $100.27–$334.23 — 44%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated (recombinant) inj $631.88 $1,124.35 $202.38–$1,124.35 77% above 44%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated (recombinant) inj $631.88 $1,124.35 $337.30–$1,124.35 — 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphth/tetanus tox *ADULT* inj 0.5 mL $271.26 $482.66 $86.88–$482.66 258% above 44%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphth/tetanus tox *ADULT* inj 0.5 mL $271.26 $482.66 $144.80–$482.66 — 44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACC ADM $84.86 $151.00 $27.18–$151.00 20% above 44%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INIT VACCINE $84.86 $151.00 $27.18–$151.00 20% above 44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL VACC ADM $84.86 $151.00 $45.30–$151.00 — 44%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INIT VACCINE $84.86 $151.00 $45.30–$151.00 — 44%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACCINE $50.02 $89.00 $16.02–$89.00 32% above 44%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACCINE $50.02 $89.00 $26.70–$89.00 — 44%

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