Hospital Lexington-Fayette, KY

Saint Joseph East

Listed in its price file as “Saint Joseph Health System, INC”.

Saint Joseph East in Lexington, KY publishes cash prices for 316 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 218 of 315 procedures and above it for 91. By typical cash price it ranks #26 of 74 Kentucky hospitals and #1 of 9 hospitals in the Lexington, KY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

150 North Eagle Creek Drive, Lexington, KY 40509 Collected Sep 27, 2026 Source price file (859) 967-5000

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 180143 · CMS hospital register NPI 1447457775

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VIEWS	$270.73	$674.00	$65.18–$613.34	11% below	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VIEWS	$270.73	$674.00	$613.34	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$242.21	$603.00	$126.64–$548.73	32% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL(ABI W DOPPLER)ONLY	$242.21	$603.00	$548.73	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$380.79	$948.00	$174.90–$862.68	2% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS SINGLE CONTRAST	$380.79	$948.00	$862.68	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,604.29	$3,994.00	$394.79–$3,634.54	19% above	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE &/OR JNT IMG WHOLE BDY	$1,604.29	$3,994.00	$3,634.54	—	60%
Breast ultrasound, complete, one breast CPT 76641 HC U/S BREAST UNI	$283.19	$705.00	$104.48–$641.55	26% below	60%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST BIL COMPLETE	$353.88	$881.00	$104.48–$801.71	7% below	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC U/S BREAST UNI	$283.19	$705.00	$641.55	—	60%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST BIL COMPLETE	$353.88	$881.00	$801.71	—	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC U/S BREAST LMTD	$283.19	$705.00	$86.51–$641.55	6% below	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC U/S BREAST LMTD	$283.19	$705.00	$641.55	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST	$1,153.21	$2,871.00	$174.90–$2,612.61	14% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST	$1,153.21	$2,871.00	$2,612.61	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PEL WO CONTRAST	$1,429.97	$3,560.00	$237.49–$3,239.60	17% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PEL WO CONTRAST	$1,429.97	$3,560.00	$3,239.60	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PEL W CONTRAST	$1,606.70	$4,000.00	$340.00–$3,640.00	21% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PEL W CONTRAST	$1,606.70	$4,000.00	$3,640.00	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PEL WOW CONTRAST	$1,606.70	$4,000.00	$340.00–$3,640.00	37% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PEL WOW CONTRAST	$1,606.70	$4,000.00	$3,640.00	—	60%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$789.70	$1,966.00	$174.90–$1,789.06	36% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$789.70	$1,966.00	$1,789.06	—	60%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$742.30	$1,848.00	$104.48–$1,681.68	34% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$742.30	$1,848.00	$1,681.68	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$819.02	$2,039.00	$104.48–$1,855.49	21% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTR	$819.02	$2,039.00	$1,855.49	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN	$718.20	$1,788.00	$104.48–$1,627.08	32% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN	$718.20	$1,788.00	$1,627.08	—	60%
CT scan of the head with contrast CPT 70460 HC CT BRAIN CONTRAST	$674.82	$1,680.00	$174.90–$1,528.80	40% below	60%
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN CONTRAST	$674.82	$1,680.00	$1,528.80	—	60%
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WOW CONTRAST	$990.94	$2,467.00	$174.90–$2,244.97	30% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN WOW CONTRAST	$990.94	$2,467.00	$2,244.97	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTR	$1,324.33	$3,297.00	$104.48–$3,000.27	3% above	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTR	$1,324.33	$3,297.00	$3,000.27	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,366.50	$3,402.00	$104.48–$3,095.82	8% above	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTR	$1,366.50	$3,402.00	$3,095.82	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$815.40	$2,030.00	$174.90–$1,847.30	33% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$815.40	$2,030.00	$1,847.30	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL	$694.10	$1,728.00	$237.49–$1,572.48	17% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL	$694.10	$1,728.00	$1,572.48	—	60%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$253.86	$632.00	$67.12–$575.12	13% above	60%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$253.86	$632.00	$575.12	—	60%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$185.18	$461.00	$49.87–$419.51	at median	60%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$185.18	$461.00	$419.51	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMP	$2,398.81	$5,972.00	$104.48–$5,434.52	291% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMP	$2,398.81	$5,972.00	$5,434.52	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY STUDY	$299.65	$746.00	$88.62–$678.86	at median	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY STUDY	$299.65	$746.00	$678.86	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA PERIPHERAL WRIST	$260.69	$649.00	$48.87–$590.59	25% above	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA PERIPHERAL WRIST	$260.69	$649.00	$590.59	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC U/S DETAIL/COMP-1 FETUS	$229.36	$571.00	$139.56–$519.61	47% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC U/S DETAIL/COMP-1 FETUS	$229.36	$571.00	$519.61	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST	$796.12	$1,982.00	$104.48–$1,803.62	23% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST	$796.12	$1,982.00	$1,803.62	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$931.49	$2,319.00	$174.90–$2,110.29	24% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$931.49	$2,319.00	$2,110.29	—	60%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL & CAD	$219.72	$547.00	$133.69–$497.77	9% below	60%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL & CAD	$219.72	$547.00	$497.77	—	60%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI & CAD	$179.96	$448.00	$109.50–$407.68	17% below	60%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI & CAD	$179.96	$448.00	$407.68	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$653.53	$1,627.00	$237.49–$1,480.57	29% below	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DOPPLER LEGS BIL	$653.53	$1,627.00	$1,480.57	—	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DOPPLER EXT BIL	$754.35	$1,878.00	$237.49–$1,708.98	18% below	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DOPPLER EXT BIL	$754.35	$1,878.00	$1,708.98	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D ECHO W/DOPPLER COMP	$1,877.03	$4,673.00	$538.69–$4,252.43	30% above	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D ECHO W/DOPPLER COMP	$1,877.03	$4,673.00	$4,252.43	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMG	$589.26	$1,467.00	$358.54–$1,334.97	44% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMG	$589.26	$1,467.00	$1,334.97	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TESTING	$432.21	$1,076.00	$153.72–$979.16	2% above	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP TESTING	$432.21	$1,076.00	$979.16	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,821.77	$7,025.00	$999.57–$6,392.75	7% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$2,821.77	$7,025.00	$6,392.75	—	60%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$316.93	$789.00	$75.36–$717.99	at median	60%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$316.93	$789.00	$717.99	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S ABDOMINAL LTD	$737.48	$1,836.00	$104.48–$1,670.76	36% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S ABDOMINAL LTD	$737.48	$1,836.00	$1,670.76	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$740.29	$1,843.00	$104.48–$1,677.13	40% above	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING ANNUAL FOLLOWUP	$740.29	$1,843.00	$1,677.13	—	60%
MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST BIL WOW CON W/CAD	$431.81	$1,075.00	$262.73–$1,530.00	8% below	60%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST BIL WOW CON W/CAD	$431.81	$1,075.00	$978.25	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$955.19	$2,378.00	$237.49–$2,163.98	36% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JNT WO CONT	$955.19	$2,378.00	$2,163.98	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JNT WOW CON	$1,079.30	$2,687.00	$350.87–$2,445.17	49% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JNT WOW CON	$1,079.30	$2,687.00	$2,445.17	—	60%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN	$762.38	$1,898.00	$237.49–$1,727.18	51% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN	$762.38	$1,898.00	$1,727.18	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABD WOW CONTRAST	$1,154.82	$2,875.00	$350.87–$2,616.25	42% below	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABD WOW CONTRAST	$1,154.82	$2,875.00	$2,616.25	—	60%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN W/O CONTRAST	$1,028.69	$2,561.00	$237.49–$2,330.51	28% below	60%
MRI of the brain, no contrast dye CPT 70551 HC MRIG LIMITED BRAIN	$1,771.39	$4,410.00	$237.49–$4,013.10	24% above	60%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN W/O CONTRAST	$1,028.69	$2,561.00	$2,330.51	—	60%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRIG LIMITED BRAIN	$1,771.39	$4,410.00	$4,013.10	—	60%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CONTRAST	$1,428.36	$3,556.00	$350.87–$3,235.96	27% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CONTRAST	$1,428.36	$3,556.00	$3,235.96	—	60%
MRI of the lower back, no contrast dye CPT 72148 HC MRIG LIMITED LUMBAR	$793.31	$1,975.00	$237.49–$1,797.25	47% below	60%
MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR	$829.46	$2,065.00	$237.49–$1,879.15	44% below	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRIG LIMITED LUMBAR	$793.31	$1,975.00	$1,797.25	—	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR	$829.46	$2,065.00	$1,879.15	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$1,177.72	$2,932.00	$350.87–$2,668.12	47% below	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WOW CONTR	$1,177.72	$2,932.00	$2,668.12	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC	$1,033.51	$2,573.00	$237.49–$2,341.43	36% below	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC	$1,033.51	$2,573.00	$2,341.43	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVL WOW CONTR	$1,260.46	$3,138.00	$350.87–$2,855.58	42% below	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVL WOW CONTR	$1,260.46	$3,138.00	$2,855.58	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL	$887.71	$2,210.00	$237.49–$2,011.10	40% below	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL	$887.71	$2,210.00	$2,011.10	—	60%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WOW CONTRAST	$1,042.75	$2,596.00	$350.87–$2,362.36	49% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WOW CONTRAST	$1,042.75	$2,596.00	$2,362.36	—	60%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS	$771.62	$1,921.00	$237.49–$1,748.11	49% below	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS	$771.62	$1,921.00	$1,748.11	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$914.62	$2,277.00	$237.49–$2,072.07	39% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRIG UPPER EXT JOINT W/O UNI	$1,271.31	$3,165.00	$237.49–$2,880.15	16% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JNT WO CONT	$914.62	$2,277.00	$2,072.07	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRIG UPPER EXT JOINT W/O UNI	$1,271.31	$3,165.00	$2,880.15	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD IMG MULT SPEC	$2,332.53	$5,807.00	$1,175.97–$5,284.37	23% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD IMG MULT SPEC	$2,332.53	$5,807.00	$5,284.37	—	60%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,390.77	$5,952.00	$1,433.04–$5,416.32	20% below	60%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMG SKULL BASE TO MID-THG W/CT	$2,390.77	$5,952.00	$5,416.32	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIC LTD	$210.88	$525.00	$67.22–$477.75	40% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIC LTD	$210.88	$525.00	$477.75	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S PELVIC	$659.15	$1,641.00	$104.48–$1,493.31	13% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S PELVIC	$659.15	$1,641.00	$1,493.31	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB>=14 WKS-1 FETUS	$407.70	$1,015.00	$104.48–$923.65	5% below	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB>=14 WKS-1 FETUS	$407.70	$1,015.00	$923.65	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB <14 WKS-1 FETUS	$224.54	$559.00	$104.48–$508.69	47% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB <14 WKS-1 FETUS	$224.54	$559.00	$508.69	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S OB US QUICK LTD	$288.41	$718.00	$104.48–$653.38	20% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S OB US QUICK LTD	$288.41	$718.00	$653.38	—	60%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCRN BIL & CAD	$138.98	$346.00	$84.57–$314.86	6% below	60%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCRN BIL & CAD	$138.98	$346.00	$314.86	—	60%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW	$270.73	$674.00	$56.00–$613.34	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$297.65	$741.00	$56.00–$674.31	2% below	60%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC SHOULDER BILATERAL - 2 VIEW	$270.73	$674.00	$613.34	—	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$297.65	$741.00	$674.31	—	60%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY	$2,624.55	$6,534.00	$999.57–$5,945.94	1% below	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY	$2,624.55	$6,534.00	$5,945.94	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$368.74	$918.00	$174.90–$835.38	15% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR ESOPH SWALLOW FUNC W/VID	$368.74	$918.00	$835.38	—	60%
Transvaginal pelvic ultrasound CPT 76830 HC U/SENDO VAG (EV)	$700.93	$1,745.00	$104.48–$1,587.95	35% above	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/SENDO VAG (EV)	$700.93	$1,745.00	$1,587.95	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$313.31	$780.00	$104.48–$709.80	26% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S PREGNANCY TRANSVAGINAL	$313.31	$780.00	$709.80	—	60%
Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMINAL COMP	$759.57	$1,891.00	$104.48–$1,720.81	10% above	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMINAL COMP	$759.57	$1,891.00	$1,720.81	—	60%
Ultrasound of the scrotum and testicles CPT 76870 HC U/STESTICULAR(SCROTUM)	$561.55	$1,398.00	$103.93–$1,272.18	6% above	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/STESTICULAR(SCROTUM)	$561.55	$1,398.00	$1,272.18	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$486.03	$1,210.00	$104.48–$1,101.10	7% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S HEAD & NECK-SFT TISSUE	$486.03	$1,210.00	$1,101.10	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC WATER SOLUBLE GI SM BOWEL	$521.38	$1,298.00	$174.90–$1,181.18	22% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC WATER SOLUBLE GI SM BOWEL	$521.38	$1,298.00	$1,181.18	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DOPPLER EXT UNI	$505.71	$1,259.00	$104.48–$1,145.69	2% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DOPPLER EXT UNI	$505.71	$1,259.00	$1,145.69	—	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$245.03	$610.00	$76.40–$555.10	15% below	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC XR WRIST 3VW/MORE UNILAT	$245.03	$610.00	$555.10	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP UNI 2-3 VWS	$196.42	$489.00	$86.51–$444.99	5% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP UNI 2-3 VWS	$196.42	$489.00	$444.99	—	60%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$185.18	$461.00	$61.38–$419.51	16% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$185.18	$461.00	$419.51	—	60%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$265.11	$660.00	$61.09–$600.60	13% above	60%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$265.11	$660.00	$600.60	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VIEW	$203.25	$506.00	$70.27–$460.46	at median	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VIEW	$203.25	$506.00	$460.46	—	60%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$292.83	$729.00	$51.91–$663.39	17% above	60%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$292.83	$729.00	$663.39	—	60%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$263.91	$657.00	$59.05–$597.87	14% below	60%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$263.91	$657.00	$597.87	—	60%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND 3 VIEWS	$259.89	$647.00	$63.14–$588.77	15% below	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND 3 VIEWS	$259.89	$647.00	$588.77	—	60%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$298.85	$744.00	$64.15–$677.04	24% above	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$298.85	$744.00	$677.04	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$327.77	$816.00	$68.23–$742.56	at median	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2- 3 VIEWS	$327.77	$816.00	$742.56	—	60%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$367.14	$914.00	$94.71–$831.74	16% below	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR 4-5 VIEW	$367.14	$914.00	$831.74	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$284.39	$708.00	$65.18–$644.28	1% below	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$284.39	$708.00	$644.28	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES 3+VWS	$327.77	$816.00	$68.23–$742.56	18% above	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES 3+VWS	$327.77	$816.00	$742.56	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$297.24	$740.00	$62.13–$673.40	6% below	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINECERVICAL 3/- VIEWS	$297.24	$740.00	$673.40	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2VIEW	$194.01	$483.00	$66.19–$439.53	9% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2VIEW	$194.01	$483.00	$439.53	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$208.07	$518.00	$54.96–$471.38	14% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM&COCCYX 2VW/MORE	$208.07	$518.00	$471.38	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LAB SGPT (ALT)	$47.80	$119.00	$4.50–$108.29	25% below	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LAB SGPT (ALT)	$47.80	$119.00	$108.29	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LAB SGOT (AST)	$63.47	$158.00	$4.40–$143.78	1% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LAB SGOT (AST)	$63.47	$158.00	$143.78	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$204.86	$510.00	$40.48–$464.10	19% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC LAB ACUTE HEPATITIS PANEL	$204.86	$510.00	$464.10	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MAPLE LEAF SYCAMORE TREE IGE	$9.65	$24.00	$4.43–$23.22	21% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHEY	$11.65	$29.00	$4.43–$26.39	5% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TIMONTHY GRASS (G6) IGE	$11.65	$29.00	$4.43–$26.39	5% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEE VENOM PROFILE	$12.06	$30.00	$4.43–$27.30	1% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ADULT FOOD PROFILE	$13.26	$33.00	$4.43–$30.03	9% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BANANA	$87.17	$217.00	$4.43–$197.47	615% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB ALLG SPEC IGE CRUDE XTRC EA	$96.01	$239.00	$4.43–$217.49	687% above	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MAPLE LEAF SYCAMORE TREE IGE	$9.65	$24.00	$21.84	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHEY	$11.65	$29.00	$26.39	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TIMONTHY GRASS (G6) IGE	$11.65	$29.00	$26.39	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEE VENOM PROFILE	$12.06	$30.00	$27.30	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ADULT FOOD PROFILE	$13.26	$33.00	$30.03	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BANANA	$87.17	$217.00	$197.47	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB ALLG SPEC IGE CRUDE XTRC EA	$96.01	$239.00	$217.49	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$27.72	$69.00	$11.00–$62.79	65% below	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC LAB CYCLIC CITRULINATD PEP IGG	$27.72	$69.00	$62.79	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC LAB ANA	$49.81	$124.00	$10.27–$112.84	35% below	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC LAB ANA	$49.81	$124.00	$112.84	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC LAB NATRIURETIC PEPTDE	$121.71	$303.00	$28.85–$275.73	33% below	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC LAB NATRIURETIC PEPTDE	$121.71	$303.00	$275.73	—	60%
Basic metabolic panel (blood test) CPT 80048 HC LAB BASIC METABOLIC PANEL	$89.98	$224.00	$5.69–$203.84	5% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 HC LAB BASIC METABOLIC PANEL	$89.98	$224.00	$203.84	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LAB SURG/PATH-LEVEL IV	$187.99	$468.00	$36.44–$425.88	18% above	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LAB SURG/PATH-LEVEL IV	$187.99	$468.00	$425.88	—	60%
Blood culture for bacteria CPT 87040 HC LAB CULT-BLOOD	$69.09	$172.00	$8.77–$156.52	45% below	60%
Blood culture for bacteria inpatient CPT 87040 HC LAB CULT-BLOOD	$69.09	$172.00	$156.52	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$18.08	$45.00	$5.00–$40.95	9% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$18.08	$45.00	$40.95	—	60%
Blood glucose (sugar) test CPT 82947 HC LAB GLUCOMETER	$5.23	$13.00	$3.34–$13.00	88% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$17.28	$43.00	$3.34–$39.13	59% below	60%
Blood glucose (sugar) test inpatient CPT 82947 HC LAB GLUCOMETER	$5.23	$13.00	$11.83	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$17.28	$43.00	$39.13	—	60%
Blood lead test CPT 83655 HC LAB LEAD WB	$59.05	$147.00	$10.29–$133.77	13% below	60%
Blood lead test inpatient CPT 83655 HC LAB LEAD WB	$59.05	$147.00	$133.77	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG QUALITATIVE	$110.47	$275.00	$6.38–$250.25	24% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC LAB HCG (QUALITATIVE) SERUM	$121.31	$302.00	$6.38–$274.82	36% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG QUALITATIVE	$110.47	$275.00	$250.25	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC LAB HCG (QUALITATIVE) SERUM	$121.31	$302.00	$274.82	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$35.75	$89.00	$2.54–$253.28	35% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC LAB BLOOD TYPING ABO SEROLOGIC	$35.75	$89.00	$80.99	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC LAB CRP (C-REACTPROTEIN)	$58.65	$146.00	$3.25–$132.86	7% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC LAB CRP (C-REACTPROTEIN)	$58.65	$146.00	$132.86	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$95.60	$238.00	$29.83–$216.58	4% below	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC LAB C DIFFICILE TOXIN PCR	$95.60	$238.00	$216.58	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$76.32	$190.00	$17.69–$172.90	41% below	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC LAB CARBOHYDRATE ANTI 19-9	$76.32	$190.00	$172.90	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC LAB CANCER ANTIGEN 125	$42.98	$107.00	$17.69–$97.37	67% below	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC LAB CANCER ANTIGEN 125	$42.98	$107.00	$97.37	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$66.68	$166.00	$20.52–$151.06	20% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$66.68	$166.00	$151.06	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC LAB C. TRACHOMATIS RNA	$57.04	$142.00	$29.83–$142.00	48% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC LAB C. TRACHOMATIS RNA	$57.04	$142.00	$129.22	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB LIPID PANEL	$100.42	$250.00	$9.68–$227.50	15% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LAB LIPID PANEL	$100.42	$250.00	$227.50	—	60%
Complete blood count (CBC) with differential CPT 85025 HC LAB CBC W/AUTO DIFF	$70.70	$176.00	$6.61–$160.16	18% above	60%
Complete blood count (CBC) with differential inpatient CPT 85025 HC LAB CBC W/AUTO DIFF	$70.70	$176.00	$160.16	—	60%
Complete blood count (CBC), no differential CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$48.21	$120.00	$5.50–$109.20	16% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 HC LAB CBC (W/PLT&HEMOGRAM)	$48.21	$120.00	$109.20	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMP METABOLIC PANEL	$171.52	$427.00	$7.15–$388.57	30% above	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC LAB COMP METABOLIC PANEL	$171.52	$427.00	$388.57	—	60%
D-dimer blood test (blood clot marker) CPT 85379 HC LAB D-DIMER	$77.13	$192.00	$8.65–$174.72	15% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC LAB D-DIMER	$77.13	$192.00	$174.72	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC LAB DHEA SULFATE	$15.67	$39.00	$18.89–$44.46	88% below	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC LAB DHEA SULFATE	$15.67	$39.00	$35.49	—	60%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL (E2)	$148.22	$369.00	$23.75–$335.79	3% above	60%
Estradiol blood test CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$149.43	$372.00	$23.75–$338.52	4% above	60%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL (E2)	$148.22	$369.00	$335.79	—	60%
Estradiol blood test inpatient CPT 82670 HC LAB ESTRADIOL ULTRASENSITIVE	$149.43	$372.00	$338.52	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 HC LAB FOLLICLE STIM HORMONE	$131.75	$328.00	$15.79–$298.48	18% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC LAB FOLLICLE STIM HORMONE	$131.75	$328.00	$298.48	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$115.29	$287.00	$16.68–$261.17	43% below	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL	$115.29	$287.00	$261.17	—	60%
Ferritin blood test (iron stores) CPT 82728 HC LAB FERRITIN	$79.94	$199.00	$11.58–$181.09	28% below	60%
Ferritin blood test (iron stores) inpatient CPT 82728 HC LAB FERRITIN	$79.94	$199.00	$181.09	—	60%
Folate (folic acid) blood test CPT 82746 HC LAB FOLATESERUM	$60.26	$150.00	$12.49–$136.50	44% below	60%
Folate (folic acid) blood test inpatient CPT 82746 HC LAB FOLATESERUM	$60.26	$150.00	$136.50	—	60%
Free T3 thyroid hormone test CPT 84481 HC LAB T3 FREE	$70.30	$175.00	$14.40–$159.25	52% below	60%
Free T3 thyroid hormone test inpatient CPT 84481 HC LAB T3 FREE	$70.30	$175.00	$159.25	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB FREE T4	$96.41	$240.00	$7.66–$218.40	23% above	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC LAB FREE T4	$96.41	$240.00	$218.40	—	60%
Free testosterone test CPT 84402 HC LAB TESTOSTERONE FREE	$21.29	$53.00	$21.64–$53.00	73% below	60%
Free testosterone test inpatient CPT 84402 HC LAB TESTOSTERONE FREE	$21.29	$53.00	$48.23	—	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$276.76	$689.00	$10.26–$626.99	at median	60%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$276.76	$689.00	$626.99	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE	$27.72	$69.00	$4.04–$62.79	48% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC LAB GLUCOSE PST GLUCOSE DSE	$27.72	$69.00	$62.79	—	60%
Glucose tolerance test, 3 samples CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$51.42	$128.00	$10.94–$116.48	66% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LAB GLUCOSE TT FIRST 3 SPECS	$51.42	$128.00	$116.48	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC LAB N. GONORRHOEAE RNA	$135.77	$338.00	$29.83–$307.58	26% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC LAB N. GONORRHOEAE RNA	$135.77	$338.00	$307.58	—	60%
H. pylori antibody blood test CPT 86677 HC LAB H.PYLORI ANTIBODIES	$79.13	$197.00	$12.34–$179.27	18% below	60%
H. pylori antibody blood test inpatient CPT 86677 HC LAB H.PYLORI ANTIBODIES	$79.13	$197.00	$179.27	—	60%
H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL ANTIGEN	$59.45	$148.00	$12.22–$134.68	62% below	60%
H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL ANTIGEN	$59.45	$148.00	$134.68	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC LAB HIV-1 RNA	$148.22	$369.00	$72.31–$369.00	42% below	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC LAB HIV-1 RNA	$148.22	$369.00	$335.79	—	60%
HIV-1 and HIV-2 antibody test CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$87.97	$219.00	$11.66–$199.29	37% above	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC LAB HIV-1/HIV-2 AB SNGL RES	$87.97	$219.00	$199.29	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$71.10	$177.00	$20.47–$161.07	12% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC LAB HIV-1 AG W/HIV-1&2 AB	$71.10	$177.00	$161.07	—	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$168.31	$419.00	$16.76–$381.29	105% above	60%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES	$168.31	$419.00	$381.29	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC LAB HEMOGLOBIN A1C	$87.57	$218.00	$8.25–$198.38	24% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC LAB HEMOGLOBIN A1C	$87.57	$218.00	$198.38	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$89.58	$223.00	$9.13–$202.93	6% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC LAB HEP BS AB (ANTI-HBS)	$89.58	$223.00	$202.93	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC LAB HEP BS AG (HBSAG)	$66.28	$165.00	$8.78–$150.15	13% below	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC LAB HEP BS AG (HBSAG)	$66.28	$165.00	$150.15	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$64.27	$160.00	$12.13–$145.60	39% below	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC LAB HEP C AB (ANTI-HCV) DONOR	$64.27	$160.00	$145.60	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC LAB HEP C PCR-QUANT	$420.56	$1,047.00	$36.40–$952.77	45% above	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC LAB HEP C PCR-QUANT	$420.56	$1,047.00	$952.77	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HC LAB HERPES SIMPL TYPE I	$32.14	$80.00	$11.21–$72.80	50% below	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB HERPES SIMPL TYPE I	$32.14	$80.00	$72.80	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 HC LAB HERPES SIMPL TYPE 2	$38.97	$97.00	$16.45–$88.27	44% below	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB HERPES SIMPL TYPE 2	$38.97	$97.00	$88.27	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$39.37	$98.00	$11.00–$89.18	53% below	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC LAB C-REACTIVE PROTEIN HS	$39.37	$98.00	$89.18	—	60%
Homocysteine blood test CPT 83090 HC LAB HOMOCYSTEINE	$73.91	$184.00	$14.33–$167.44	48% below	60%
Homocysteine blood test inpatient CPT 83090 HC LAB HOMOCYSTEINE	$73.91	$184.00	$167.44	—	60%
Insulin blood test CPT 83525 HC LAB INSULIN	$80.74	$201.00	$9.71–$182.91	5% below	60%
Insulin blood test inpatient CPT 83525 HC LAB INSULIN	$80.74	$201.00	$182.91	—	60%
Iron blood test (serum iron) CPT 83540 HC LAB LIVER TISSUE FOR IRON	$25.31	$63.00	$5.51–$57.33	65% below	60%
Iron blood test (serum iron) CPT 83540 HC LAB IRON SERUM	$26.11	$65.00	$5.51–$59.15	64% below	60%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB LIVER TISSUE FOR IRON	$25.31	$63.00	$57.33	—	60%
Iron blood test (serum iron) inpatient CPT 83540 HC LAB IRON SERUM	$26.11	$65.00	$59.15	—	60%
Iron-binding capacity (TIBC) test CPT 83550 HC LAB TOTAL IRON BIND CAP	$28.12	$70.00	$7.43–$63.70	67% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC LAB TOTAL IRON BIND CAP	$28.12	$70.00	$63.70	—	60%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$153.44	$382.00	$5.69–$347.62	66% above	60%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$153.44	$382.00	$347.62	—	60%
LH (luteinizing hormone) test CPT 83002 HC LAB LUTENIZING HORMONE	$113.28	$282.00	$15.74–$256.62	22% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 HC LAB LUTENIZING HORMONE	$113.28	$282.00	$256.62	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 HC LAB LIPASE	$63.07	$157.00	$5.86–$142.87	15% below	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LAB LIPASE	$63.07	$157.00	$142.87	—	60%
Liver function blood test panel CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$100.02	$249.00	$5.69–$226.59	1% below	60%
Liver function blood test panel inpatient CPT 80076 HC LAB HEPATIC FUNCTION PANEL	$100.02	$249.00	$226.59	—	60%
Lyme disease antibody test CPT 86618 HC LAB LYME DISEASE AB TOTAL	$33.75	$84.00	$14.47–$76.44	41% below	60%
Lyme disease antibody test inpatient CPT 86618 HC LAB LYME DISEASE AB TOTAL	$33.75	$84.00	$76.44	—	60%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM	$49.41	$123.00	$5.69–$111.93	10% below	60%
Magnesium blood test CPT 83735 HC LAB MAGNESIUM STOOL	$49.41	$123.00	$5.69–$111.93	10% below	60%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM STOOL	$49.41	$123.00	$111.93	—	60%
Magnesium blood test inpatient CPT 83735 HC LAB MAGNESIUM	$49.41	$123.00	$111.93	—	60%
Measles (rubeola) antibody test CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM	$69.90	$174.00	$10.95–$158.34	22% above	60%
Measles (rubeola) antibody test inpatient CPT 86765 HC LAB RUBEOLA ANTIBODIES IGM	$69.90	$174.00	$158.34	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HC LAB INFECT MONO SCREEN	$101.23	$252.00	$4.40–$229.32	83% above	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC LAB INFECT MONO SCREEN	$101.23	$252.00	$229.32	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC LAB PSA FREE	$18.88	$47.00	$15.64–$47.00	77% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC LAB PSA FREE	$18.88	$47.00	$42.77	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$102.03	$254.00	$15.64–$231.14	20% below	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC LAB PROSTATIC SPECIFIC ANTIGEN	$102.03	$254.00	$231.14	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$181.16	$451.00	$35.08–$410.41	15% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC LAB PTH (INTRAOPERATIVE) HIXSON	$181.16	$451.00	$410.41	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LAB PTT	$65.08	$162.00	$5.10–$147.42	27% below	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LAB PTT	$65.08	$162.00	$147.42	—	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$1,535.21	$3,822.00	$759.05–$3,478.02	19% above	60%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$1,535.21	$3,822.00	$3,478.02	—	60%
Progesterone blood test CPT 84144 HC LAB PROGESTERONE	$42.58	$106.00	$17.73–$96.46	68% below	60%
Progesterone blood test inpatient CPT 84144 HC LAB PROGESTERONE	$42.58	$106.00	$96.46	—	60%
Prolactin blood test CPT 84146 HC LAB PROLACTIN	$106.05	$264.00	$16.47–$240.24	25% below	60%
Prolactin blood test inpatient CPT 84146 HC LAB PROLACTIN	$106.05	$264.00	$240.24	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LAB PT	$48.21	$120.00	$3.34–$109.20	8% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LAB PT	$48.21	$120.00	$109.20	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$28.93	$72.00	$6.43–$65.52	29% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC LAB DRUG SCREEN LATERAL FLOW	$28.93	$72.00	$65.52	—	60%
Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA IA W/DO	$47.80	$119.00	$9.73–$108.29	5% above	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA IA W/DO	$47.80	$119.00	$108.29	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB RAPID STREP A AG	$65.08	$162.00	$9.73–$147.42	10% above	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB RAPID STREP A AG	$65.08	$162.00	$147.42	—	60%
Rheumatoid factor (RF) test CPT 86431 HC LAB RHEUMATOID ARTH TTR	$46.60	$116.00	$4.82–$105.56	3% below	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HC LAB RHEUMATOID ARTH TTR	$46.60	$116.00	$105.56	—	60%
Rubella antibody test (immunity check) CPT 86762 HC LAB RUBELLA ANTIBODIES IGM	$44.19	$110.00	$12.23–$100.10	56% below	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB RUBELLA ANTIBODIES IGM	$44.19	$110.00	$100.10	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$57.85	$144.00	$2.30–$131.04	49% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC LAB SEDIMENTATION RATE (SED)	$57.85	$144.00	$131.04	—	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF	$66.28	$165.00	$10.24–$150.15	42% below	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF	$66.28	$165.00	$150.15	—	60%
Stool ova and parasites exam CPT 87177 HC LAB OVA-PARASITE EXAM	$56.64	$141.00	$7.42–$128.31	31% below	60%
Stool ova and parasites exam inpatient CPT 87177 HC LAB OVA-PARASITE EXAM	$56.64	$141.00	$128.31	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD GUAIAC	$20.09	$50.00	$2.77–$45.50	17% below	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD GUAIAC	$20.09	$50.00	$45.50	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD IFOBT	$24.11	$60.00	$13.52–$60.00	40% below	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD IFOBT	$24.11	$60.00	$54.60	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$42.98	$107.00	$3.63–$97.37	4% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC LAB SYPHILIS TEST NONTRP QL	$42.98	$107.00	$97.37	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC LAB QUANTIFERON-TB	$56.24	$140.00	$52.67–$140.00	61% below	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC LAB QUANTIFERON-TB	$56.24	$140.00	$127.40	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$147.02	$366.00	$21.94–$333.06	28% above	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC LAB TESTOSTERONE TOTAL BY LC MS/M	$147.02	$366.00	$333.06	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1)	$124.93	$311.00	$12.37–$283.01	35% above	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LAB LC-1 (LIVER CYTOSOL PROT 1)	$124.93	$311.00	$283.01	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC LAB TSH	$67.89	$169.00	$14.28–$153.79	30% below	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC LAB TSH	$67.89	$169.00	$153.79	—	60%
Trichomonas test (NAAT) CPT 87661 TRICHAMONAS VAG BY NAA	$36.96	$92.00	$35.09–$92.00	49% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHAMONAS VAG BY NAA	$36.96	$92.00	$83.72	—	60%
Uric acid blood test CPT 84550 HC LAB URIC ACID	$65.08	$162.00	$3.84–$147.42	16% above	60%
Uric acid blood test inpatient CPT 84550 HC LAB URIC ACID	$65.08	$162.00	$147.42	—	60%
Urinalysis with microscope exam, automated CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$47.80	$119.00	$2.69–$108.29	6% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC LAB AUTO URINALYS W/ MICRO	$47.80	$119.00	$108.29	—	60%
Urinalysis without microscope exam, automated CPT 81003 HC LAB AUTO URINALYS WO MICRO	$35.35	$88.00	$1.91–$80.08	32% above	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC LAB AUTO URINALYS WO MICRO	$35.35	$88.00	$80.08	—	60%
Urinalysis without microscope exam, manual CPT 81002 HC LAB N-AUTO URINALYS OT POC	$24.11	$60.00	$2.05–$54.60	37% above	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB N-AUTO URINALYS OT POC	$24.11	$60.00	$54.60	—	60%
Urine culture for bacteria, with colony count CPT 87086 HC LAB CULT-URINE	$49.81	$124.00	$6.86–$112.84	45% below	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC LAB CULT-URINE	$49.81	$124.00	$112.84	—	60%
Urine pregnancy test, read by color change CPT 81025 HC LAB PREG URINE VIS CLR	$30.53	$76.00	$1.02–$69.16	41% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB PREG URINE VIS CLR	$30.53	$76.00	$69.16	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 HC LAB ASSAY VITAMIN B-12	$67.49	$168.00	$12.81–$152.88	24% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC LAB ASSAY VITAMIN B-12	$67.49	$168.00	$152.88	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC LAB VITAMIN D 25-OH	$32.14	$80.00	$23.22–$80.00	73% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC LAB VITAMIN D 25-OH	$32.14	$80.00	$72.80	—	60%
Zinc blood test CPT 84630 HC LAB ZINC RBC	$62.26	$155.00	$9.67–$141.05	47% below	60%
Zinc blood test inpatient CPT 84630 HC LAB ZINC RBC	$62.26	$155.00	$141.05	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC LAB HCG QUANTITATIVE	$155.85	$388.00	$12.80–$353.08	at median	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC LAB HCG QUANTITATIVE	$155.85	$388.00	$353.08	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$698.12	$1,738.00	$290.02–$1,581.58	27% above	60%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$698.12	$1,738.00	$1,581.58	—	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$2,186.72	$5,444.00	$1,330.52–$4,954.04	at median	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$2,186.72	$5,444.00	$4,954.04	—	60%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX LAT MALLE WO MNP	$212.09	$528.00	$129.05–$2,584.00	17% below	60%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX LAT MALLE WO MNP	$212.09	$528.00	$480.48	—	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX MTRSAL WO MNP	$218.11	$543.00	$132.71–$1,538.38	20% below	60%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX MTRSAL WO MNP	$218.11	$543.00	$494.13	—	60%
Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ART/VENTR ANGIO	$5,829.11	$14,512.00	$3,160.06–$13,205.92	37% below	60%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HRT ART/VENTR ANGIO	$5,829.11	$14,512.00	$13,205.92	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSIONEXTERNAL	$878.87	$2,188.00	$534.75–$2,584.00	6% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSIONEXTERNAL	$878.87	$2,188.00	$1,991.08	—	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN	$1,096.18	$2,729.00	$666.97–$4,025.24	41% above	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN	$1,096.18	$2,729.00	$2,483.39	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX COLLES FX W/O MNP	$230.97	$575.00	$140.53–$1,538.38	17% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX COLLES FX W/O MNP	$230.97	$575.00	$523.25	—	60%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL	$530.62	$1,321.00	$322.86–$2,855.00	69% below	60%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL	$530.62	$1,321.00	$1,202.11	—	60%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY	$1,433.58	$3,569.00	$872.27–$3,247.79	14% below	60%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY	$1,433.58	$3,569.00	$3,247.79	—	60%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$4,648.99	$11,574.00	$2,828.69–$34,027.00	54% below	60%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STNT W/ANGIO 1 VSL	$4,648.99	$11,574.00	$10,532.34	—	60%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$2,971.59	$7,398.00	$1,808.08–$6,777.08	11% below	60%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$2,971.59	$7,398.00	$6,732.18	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$956.79	$2,382.00	$582.17–$2,584.00	2% above	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$956.79	$2,382.00	$2,167.62	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION	$69.49	$173.00	$42.29–$1,538.38	33% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMALFIRST LESION	$69.49	$173.00	$157.43	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$110.47	$275.00	$58.36–$1,538.38	15% above	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$110.47	$275.00	$250.25	—	60%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN	$213.29	$531.00	$58.36–$2,584.00	104% above	60%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN	$213.29	$531.00	$483.21	—	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC CYSTOPLASTY ON BLADDER	$184.78	$460.00	$112.43–$1,538.38	12% below	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BX WO CERVICAL DILAT	$488.44	$1,216.00	$197.65–$1,538.38	132% above	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC CYSTOPLASTY ON BLADDER	$184.78	$460.00	$418.60	—	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BX WO CERVICAL DILAT	$488.44	$1,216.00	$1,106.56	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$812.19	$2,022.00	$494.18–$2,584.00	10% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC CERV/THORACIC EPIDUR W/FLURO	$812.19	$2,022.00	$1,840.02	—	60%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$433.81	$1,080.00	$263.96–$2,584.00	—	60%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$433.81	$1,080.00	$982.80	—	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET LUMBAR	$1,063.64	$2,648.00	$647.18–$2,584.00	15% below	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET LUMBAR	$1,063.64	$2,648.00	$2,409.68	—	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORR INTBY LIGATION	$846.33	$2,107.00	$514.96–$2,584.00	9% below	60%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORR INTBY LIGATION	$846.33	$2,107.00	$1,917.37	—	60%
Hysterectomy through an abdominal incision (total) CPT 58150 HC HYSTERECTOMY POST C-SECTION	$707.76	$1,762.00	$430.64–$1,603.42	56% below	60%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC HYSTERECTOMY POST C-SECTION	$707.76	$1,762.00	$1,603.42	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$267.52	$666.00	$162.78–$1,923.63	11% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ SIS/HYSTEROGRAPHY	$267.52	$666.00	$606.06	—	60%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD	$173.53	$432.00	$105.59–$2,584.00	71% below	60%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD	$173.53	$432.00	$393.12	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SIMPL OR SGL	$434.62	$1,082.00	$195.22–$2,584.00	47% above	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SIMPL OR SGL	$434.62	$1,082.00	$984.62	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHTH/LIG SGL	$457.91	$1,140.00	$278.62–$1,538.38	7% above	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHTH/LIG SGL	$457.91	$1,140.00	$1,037.40	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT	$375.57	$935.00	$228.52–$2,584.00	9% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ JOINT MAJOR	$815.81	$2,031.00	$290.02–$2,584.00	97% above	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIRATION/INJECTION MAJOR JOINT	$375.57	$935.00	$850.85	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ JOINT MAJOR	$815.81	$2,031.00	$1,848.21	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASPIR/INJ JOINT INTERM	$253.06	$630.00	$153.98–$1,538.38	16% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASPIR/INJ JOINT INTERM	$253.06	$630.00	$573.30	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIR/INJ JOINT SMALL	$334.60	$833.00	$203.59–$1,538.38	11% above	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIR/INJ JOINT SMALL	$334.60	$833.00	$758.03	—	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAP ING HERNIA REPAIR INIT	$2,448.61	$6,096.00	$1,489.87–$11,464.28	15% below	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAP ING HERNIA REPAIR INIT	$2,448.61	$6,096.00	$5,547.36	—	60%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 HC GASTROPLASTY ENDOSCOPIC	$1,879.84	$4,680.00	$1,143.80–$4,258.80	4% below	60%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 HC GASTROPLASTY ENDOSCOPIC	$1,879.84	$4,680.00	$4,258.80	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$313.71	$781.00	$190.88–$1,538.38	11% above	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INT SCLP 2.5CM /<	$313.71	$781.00	$710.71	—	60%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$1,906.75	$4,747.00	$1,160.17–$9,080.00	67% below	60%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HRT CATH W/VENTRCLGRP	$1,906.75	$4,747.00	$4,319.77	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR W IMAGING	$922.65	$2,297.00	$561.39–$2,584.00	3% below	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR W IMAGING	$922.65	$2,297.00	$2,090.27	—	60%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ SINGLE LUMBAR SACRAL	$664.37	$1,654.00	$404.24–$2,584.00	17% below	60%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ SINGLE LUMBAR SACRAL	$664.37	$1,654.00	$1,505.14	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN LUMB/SAC	$1,037.53	$2,583.00	$631.29–$2,584.00	9% below	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN LUMB/SAC	$1,037.53	$2,583.00	$2,350.53	—	60%
Lumbar spinal fusion (posterior), one level CPT 22612 HC SPINAL FUSION	$1,141.56	$2,842.00	$694.59–$36,135.72	68% below	60%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 HC SPINAL FUSION	$1,141.56	$2,842.00	$2,586.22	—	60%
Lumpectomy (partial mastectomy) CPT 19301 HC MASTECTOMY PARTIAL	$681.65	$1,697.00	$414.75–$12,323.00	39% below	60%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC MASTECTOMY PARTIAL	$681.65	$1,697.00	$1,544.27	—	60%
Miscarriage treatment with D&C, first trimester CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL	$1,225.92	$3,052.00	$745.91–$6,247.64	69% below	60%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TX OF MISSED ABORTION 1ST TRIM SURGICAL	$1,225.92	$3,052.00	$2,777.32	—	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$599.71	$1,493.00	$364.89–$2,584.00	97% above	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5CM/<	$599.71	$1,493.00	$1,358.63	—	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5CM/<	$599.71	$1,493.00	$364.89–$2,584.00	80% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5CM/<	$599.71	$1,493.00	$1,358.63	—	60%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF SGL NAIL PLATE	$157.46	$392.00	$95.81–$2,584.00	36% below	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF SGL NAIL PLATE	$157.46	$392.00	$356.72	—	60%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT ANESH AGENT OCC NERVE	$412.12	$1,026.00	$250.76–$1,538.38	1% below	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT ANESH AGENT OCC NERVE	$412.12	$1,026.00	$933.66	—	60%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$2,413.27	$6,008.00	$1,468.36–$20,563.96	87% below	60%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT PM W/ATRL&VENT LEAD	$2,413.27	$6,008.00	$5,467.28	—	60%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING	$419.76	$1,045.00	$255.40–$2,584.00	63% below	60%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING	$419.76	$1,045.00	$950.95	—	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$400.07	$996.00	$243.43–$2,584.00	12% below	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$400.07	$996.00	$906.36	—	60%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE	$1,738.05	$4,327.00	$1,057.52–$4,025.24	20% below	60%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE	$1,738.05	$4,327.00	$3,937.57	—	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$778.05	$1,937.00	$473.41–$3,837.12	63% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$778.05	$1,937.00	$1,762.67	—	60%
Removal of a foreign object under the skin, simple CPT 10120 HC INC&REMV FOREIGN BODY SMPL	$454.30	$1,131.00	$276.42–$2,584.00	53% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC&REMV FOREIGN BODY SMPL	$454.30	$1,131.00	$1,029.21	—	60%
Septoplasty to straighten the nasal septum CPT 30520 HC REPAIR OF NASAL SEPTUM	$1,395.02	$3,473.00	$848.81–$6,372.50	18% below	60%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC REPAIR OF NASAL SEPTUM	$1,395.02	$3,473.00	$3,160.43	—	60%
Short arm cast (elbow to hand) CPT 29075 HC APPL SHORT ARM CAST	$159.47	$397.00	$97.03–$1,538.38	at median	60%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL SHORT ARM CAST	$159.47	$397.00	$361.27	—	60%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT FOREARM-HAND	$234.98	$585.00	$126.64–$1,538.38	36% above	60%
Short arm splint (forearm and hand) CPT 29125 HC APPLY ARM SHORT SPLINT	$234.98	$585.00	$126.64–$1,538.38	36% above	60%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT FOREARM-HAND	$234.98	$585.00	$532.35	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY ARM SHORT SPLINT	$234.98	$585.00	$532.35	—	60%
Short leg cast (below the knee) CPT 29405 HC APPLY LEG SHORT CAST	$155.85	$388.00	$94.83–$1,538.38	15% below	60%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY LEG SHORT CAST	$155.85	$388.00	$353.08	—	60%
Short leg splint (calf to foot) CPT 29515 HC APPLY LEG SHORT SPLINT	$238.60	$594.00	$145.18–$1,538.38	27% above	60%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LEG SHORT SPLINT	$238.60	$594.00	$540.54	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$354.68	$883.00	$195.22–$1,538.38	33% above	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SIMSCLP 2.5CM/<	$354.68	$883.00	$803.53	—	60%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$195.62	$487.00	$119.03–$1,538.38	17% below	60%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SINGLE	$195.62	$487.00	$119.03–$1,538.38	17% below	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SINGLE	$195.62	$487.00	$443.17	—	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$195.62	$487.00	$443.17	—	60%
Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS <=15 LESIONS	$140.59	$350.00	$85.54–$2,584.00	at median	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS <=15 LESIONS	$140.59	$350.00	$318.50	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$1,166.47	$2,904.00	$680.39–$2,642.64	56% above	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAG	$1,166.47	$2,904.00	$2,642.64	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$372.36	$927.00	$195.22–$1,538.38	31% above	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SIM SCLP 2.6-7.5CM	$372.36	$927.00	$843.57	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SIM FACE 2.5CM/<	$354.68	$883.00	$195.22–$1,538.38	30% above	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SIM FACE 2.5CM/<	$354.68	$883.00	$803.53	—	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$74.72	$186.00	$45.46–$1,538.38	63% below	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SINGLE	$74.72	$186.00	$169.26	—	60%
Thoracentesis with imaging guidance CPT 32555 HC U/S THORACENTESIS GUID	$442.65	$1,102.00	$269.33–$2,584.00	63% below	60%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$489.65	$1,219.00	$297.93–$2,584.00	59% below	60%
Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS GUID	$670.80	$1,670.00	$408.15–$2,584.00	43% below	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC U/S THORACENTESIS GUID	$442.65	$1,102.00	$1,002.82	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$489.65	$1,219.00	$1,109.29	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS GUID	$670.80	$1,670.00	$1,519.70	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIG POINT 1-2 MUSCL	$621.40	$1,547.00	$290.02–$1,538.38	14% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIG POINT 1-2 MUSCL	$621.40	$1,547.00	$1,407.77	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$708.56	$1,764.00	$431.13–$3,183.70	65% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$708.56	$1,764.00	$1,605.24	—	60%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD WITH BIOPSY	$1,205.03	$3,000.00	$733.20–$2,855.00	18% below	60%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD WITH BIOPSY	$1,205.03	$3,000.00	$2,730.00	—	60%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH	$1,004.19	$2,500.00	$611.00–$2,584.00	15% below	60%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH	$1,004.19	$2,500.00	$2,275.00	—	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO LITHO/LASER STENT INS	$1,390.20	$3,461.00	$845.87–$9,989.10	74% below	60%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO LITHO/LASER STENT INS	$1,390.20	$3,461.00	$3,149.51	—	60%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ABLAT INCOMP 1ST VEIN	$2,234.92	$5,564.00	$1,359.85–$6,960.00	30% below	60%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEN ABLAT INCOMP 1ST VEIN	$2,234.92	$5,564.00	$5,063.24	—	60%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$120.91	$301.00	$73.57–$2,584.00	6% above	60%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$120.91	$301.00	$273.91	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$473.98	$1,180.00	$288.40–$2,855.00	1% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SQ TISS IST 20SQCM/<	$473.98	$1,180.00	$1,073.80	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$591.67	$1,473.00	$360.01–$1,538.38	at median	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$591.67	$1,473.00	$1,340.43	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY	$54.23	$135.00	$33.00–$399.66	62% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION INIT TX	$57.04	$142.00	$34.71–$399.66	60% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY	$54.23	$135.00	$122.85	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION INIT TX	$57.04	$142.00	$129.22	—	60%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$344.24	$857.00	$209.46–$779.87	29% below	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INIT 1HR	$344.24	$857.00	$779.87	—	60%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE	$1,503.88	$3,744.00	$827.85–$3,407.04	12% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE	$1,503.88	$3,744.00	$3,407.04	—	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY	$814.20	$2,027.00	$305.94–$1,844.57	33% above	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY	$814.20	$2,027.00	$1,844.57	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG-12 LEAD TRACING ONLY	$185.58	$462.00	$58.36–$420.42	8% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG-12 LEAD TRACING ONLY	$185.58	$462.00	$420.42	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1	$221.73	$552.00	$86.51–$538.00	52% above	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1	$221.73	$552.00	$502.32	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2	$360.31	$897.00	$155.59–$816.27	29% above	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2	$360.31	$897.00	$816.27	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3	$590.87	$1,471.00	$272.04–$1,338.61	49% above	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3	$590.87	$1,471.00	$1,338.61	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4	$923.05	$2,298.00	$418.36–$2,091.18	1% above	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4	$923.05	$2,298.00	$2,091.18	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5	$1,154.02	$2,873.00	$602.36–$2,614.43	at median	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5	$1,154.02	$2,873.00	$2,614.43	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST	$1,013.43	$2,523.00	$305.94–$2,584.00	32% above	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST	$1,013.43	$2,523.00	$2,295.93	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA INIT 31-60M	$258.28	$643.00	$157.15–$585.13	8% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA INIT 31-60M	$258.28	$643.00	$585.13	—	60%
IV infusion of a medicine, first hour CPT 96365 HC IV INF TX PROP DX INITIAL	$241.01	$600.00	$146.64–$546.00	25% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX PROP DX INITIAL	$241.01	$600.00	$546.00	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR	$73.51	$183.00	$44.73–$166.53	17% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ IM/SQ	$74.31	$185.00	$45.22–$168.35	16% below	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION COSYNTROPIN INTRAMUSCULAR	$73.51	$183.00	$166.53	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ IM/SQ	$74.31	$185.00	$168.35	—	60%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$301.26	$750.00	$157.86–$682.50	27% above	60%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$301.26	$750.00	$682.50	—	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDT STDY 7-8 STDS	$951.17	$2,368.00	$305.94–$2,154.88	79% above	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDT STDY 7-8 STDS	$951.17	$2,368.00	$2,154.88	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$68.69	$171.00	$41.80–$155.61	18% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$77.13	$192.00	$46.93–$174.72	8% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC EDUC 15 MIN	$68.69	$171.00	$155.61	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC EDUC 15 MIN	$77.13	$192.00	$174.72	—	60%
New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$161.48	$402.00	$98.25–$365.82	30% above	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC CLINIC VISIT LEVEL 3 NEW	$161.48	$402.00	$365.82	—	60%
New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$211.29	$526.00	$128.56–$478.66	14% above	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT LEVEL 4 NEW	$211.29	$526.00	$478.66	—	60%
New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$234.18	$583.00	$142.49–$530.53	at median	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC CLINIC VISIT LEVEL 5 NEW	$234.18	$583.00	$530.53	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$136.17	$339.00	$82.86–$308.49	50% above	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC VISIT LEVEL 2 NEW	$136.17	$339.00	$308.49	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL EACH 15M	$23.30	$58.00	$14.18–$66.64	18% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL EACH 15M	$23.30	$58.00	$52.78	—	60%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$157.06	$391.00	$95.57–$355.81	11% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN	$157.06	$391.00	$355.81	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 60 MIN	$165.09	$411.00	$100.45–$374.01	19% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX	$217.71	$542.00	$132.47–$493.22	6% above	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 60 MIN	$165.09	$411.00	$374.01	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX	$217.71	$542.00	$493.22	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$138.58	$345.00	$84.32–$313.95	21% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN	$138.58	$345.00	$313.95	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX	$165.09	$411.00	$100.45–$374.01	15% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX	$165.09	$411.00	$374.01	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THRPY 15 MIN	$67.89	$169.00	$41.31–$153.79	12% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THRPY 15 MIN	$119.30	$297.00	$72.59–$270.27	55% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THRPY 15 MIN	$67.89	$169.00	$153.79	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THRPY 15 MIN	$119.30	$297.00	$270.27	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15 MIN	$67.49	$168.00	$41.06–$152.88	25% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15 MIN	$103.64	$258.00	$63.06–$234.78	16% above	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15 MIN	$67.49	$168.00	$152.88	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15 MIN	$103.64	$258.00	$234.78	—	60%
Psychiatric evaluation with medical services CPT 90792 HC PSY DIAG EVAL W/MED SERV	$180.76	$450.00	$109.98–$409.50	28% below	60%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSY DIAG EVAL W/MED SERV	$180.76	$450.00	$409.50	—	60%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSY EVAL PHYSICIAN/QHP 1ST HR	$236.99	$590.00	$144.20–$611.88	10% above	60%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSY EVAL PHYSICIAN/QHP 1ST HR	$236.99	$590.00	$536.90	—	60%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MIN W PAT	$249.44	$621.00	$151.78–$565.11	56% above	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MIN W PAT	$249.44	$621.00	$565.11	—	60%
Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PT & FAMILY 45 MIN	$249.44	$621.00	$151.78–$565.11	28% above	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX PT & FAMILY 45 MIN	$249.44	$621.00	$565.11	—	60%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT & FAMILY 60 MIN	$249.44	$621.00	$151.78–$565.11	1% below	60%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX PT & FAMILY 60 MIN	$249.44	$621.00	$565.11	—	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$72.71	$181.00	$29.27–$164.71	125% above	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$72.71	$181.00	$164.71	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$189.19	$471.00	$115.12–$428.61	15% above	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC CLINIC VISIT LEVEL 5 EST	$189.19	$471.00	$428.61	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$136.17	$339.00	$82.86–$308.49	56% above	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LEVEL 3 EST	$136.17	$339.00	$308.49	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$114.08	$284.00	$69.41–$258.44	5% below	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LEVEL 4 EST	$114.08	$284.00	$258.44	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$115.29	$287.00	$70.15–$261.17	95% above	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC CLINIC VISIT LEVEL 2 EST	$115.29	$287.00	$261.17	—	60%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$123.32	$307.00	$75.04–$279.37	61% below	60%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$123.32	$307.00	$279.37	—	60%
Speech therapy session, individual CPT 92507 HC SPEECH-LANGUAGE TREATMENT	$146.21	$364.00	$88.97–$331.24	15% below	60%
Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$160.27	$399.00	$97.52–$363.09	7% below	60%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH-LANGUAGE TREATMENT	$146.21	$364.00	$331.24	—	60%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH 15 MIN	$160.27	$399.00	$363.09	—	60%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY W/O BRONCH	$109.66	$273.00	$66.73–$307.44	56% below	60%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W/O BRONCH	$109.66	$273.00	$248.43	—	60%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$145.41	$362.00	$88.48–$611.88	67% below	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/BRONCHODILATOR	$145.41	$362.00	$329.42	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$65.08	$162.00	$39.60–$147.42	15% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$73.11	$182.00	$44.49–$165.62	5% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT FUNCTIONAL ACTIV 15 MIN	$65.08	$162.00	$147.42	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT FUNCTIONAL ACTIV 15 MIN	$73.11	$182.00	$165.62	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$132.56	$330.00	$80.66–$300.30	15% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$132.56	$330.00	$300.30	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kentucky	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$52.55	$130.82	$31.98–$130.82	80% below	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$52.55	$130.82	$54.95–$119.05	—	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$24.18	$60.19	$14.72–$60.19	65% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$24.62	$61.29	$14.98–$61.29	65% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$115.66	$287.93	$70.38–$262.02	65% above	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION	$24.18	$60.19	$25.28–$54.78	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE	$24.62	$61.29	$25.75–$55.78	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$115.66	$287.93	$120.94–$262.02	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$49.72	$123.76	$29.71–$211.14	72% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$71.75	$178.61	$42.87–$211.14	59% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$83.69	$208.33	$50.00–$211.14	52% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$49.72	$123.76	$25.40–$112.63	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$71.75	$178.61	$36.66–$162.54	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$83.69	$208.33	$42.75–$189.59	—	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$142.87	$355.68	$86.93–$323.67	26% below	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$142.87	$355.68	$149.39–$323.67	—	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT	$172.14	$428.54	$104.74–$389.98	15% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$222.72	$554.46	$135.52–$504.56	10% above	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT	$172.14	$428.54	$179.99–$389.98	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$222.72	$554.46	$232.88–$504.56	—	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$257.53	$641.12	$156.69–$583.42	71% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$257.53	$641.12	$269.28–$583.42	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$360.20	$896.73	$219.17–$816.03	54% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$360.20	$896.73	$376.63–$816.03	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$38.80	$96.58	$23.18–$400.41	87% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$171.48	$426.89	$102.46–$400.41	41% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$38.80	$96.58	$19.82–$87.89	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$171.48	$426.89	$87.60–$388.47	—	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$485.92	$1,209.72	$295.66–$1,100.85	33% below	60%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$485.92	$1,209.72	$508.09–$1,100.85	—	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$245.16	$610.32	$149.17–$555.40	31% below	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP KIT	$245.16	$610.32	$256.34–$555.40	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$52.93	$131.75	$32.20–$119.90	20% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$68.51	$170.55	$35.69–$155.21	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$52.93	$131.75	$55.34–$119.90	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$68.51	$170.55	$71.64–$155.21	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$72.68	$180.92	$44.22–$164.64	25% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$83.68	$208.32	$50.92–$189.58	14% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACELL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP	$72.68	$180.92	$75.99–$164.64	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$83.68	$208.32	$87.50–$189.58	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC HEP B CFV ONLY ADMIN FEE	$9.65	$24.00	$5.87–$139.84	86% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INTRANSAL H1N1	$20.89	$52.00	$12.71–$139.84	70% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE	$36.96	$92.00	$22.49–$139.84	48% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC FLU ONLY ADMIN FEE	$39.37	$98.00	$23.96–$139.84	44% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC HEP B CFV ONLY ADMIN FEE	$9.65	$24.00	$21.84	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INTRANSAL H1N1	$20.89	$52.00	$47.32	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE	$36.96	$92.00	$83.72	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC FLU ONLY ADMIN FEE	$39.37	$98.00	$89.18	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE ADDL	$29.33	$73.00	$17.85–$66.43	27% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE ADDL	$29.33	$73.00	$66.43	—	60%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/chisj/soky/finance/price-transparency/611334601-1447457775_saint-joseph-health-system-inc_standardcharges.json