Hospital Starkville, MS

Baptist Memorial Hospital-Oktibbeha County

Listed in its price file as “Oktibbeha County Hospital”.

Baptist Memorial Hospital-Oktibbeha County in Starkville, MS publishes cash prices for 370 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Mississippi median for 266 of 368 procedures and above it for 99. By typical cash price it ranks #12 of 55 Mississippi hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

400 HOSPITAL DRIVE, STARKVILLE, MS 39759 Collected Sep 27, 2026 Source price file Check a bill from this hospital (662) 323-4320

Acute care hospital Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 250050 · CMS hospital register

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Baptist Memorial Hospital-Oktibbeha County is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W + W/O CONTRAST	$918.40	$1,435.00	$135.66–$1,291.50	22% below	36%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$105.60	$165.00	$33.57–$215.14	33% below	36%
Ankle X-ray, complete, 3 or more views one side CPT 73610 OCHM XR ANKLE COMPLETE 3+ VIEWS LEFT	$86.08	$134.50	$37.07–$179.08	30% below	36%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE 3 PLUS VIEWS RIGHT	$105.60	$165.00	$37.07–$179.08	14% below	36%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT CLAVICLE W/O CONTRAST RIGHT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT CLAVICLE W/O CONTRAST LEFT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CONTRAST LEFT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW	$175.04	$273.50	$94.32–$360.95	21% below	36%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY INJECTION	$528.00	$825.00	$306.21–$825.00	19% below	36%
Breast ultrasound, complete, one breast one side CPT 76641 OCHM US BREAST COMPLETE LEFT	$148.48	$232.00	$62.00–$232.00	15% below	36%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT	$148.48	$232.00	$62.00–$232.00	15% below	36%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT	$148.48	$232.00	$47.48–$208.80	5% below	36%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT	$148.48	$232.00	$47.48–$208.80	5% below	36%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 OCHM US BREAST LIMITED LEFT	$148.48	$232.00	$47.48–$208.80	5% below	36%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 OCHM US BREAST LIMITED RIGHT	$148.48	$232.00	$47.48–$208.80	5% below	36%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN AND PELVIS	$2,512.64	$3,926.00	$271.40–$3,533.40	53% above	36%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD/NECK	$646.72	$1,010.50	$135.66–$909.45	43% below	36%
CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN/HEAD	$646.72	$1,010.50	$135.66–$909.45	43% below	36%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK	$646.72	$1,010.50	$135.66–$909.45	40% below	36%
CT angiography (CTA) of the neck CPT 70498 70498 CT ANGIO NECK: ADDON	$646.72	$1,010.50	$135.66–$909.45	40% below	36%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$672.00	$1,050.00	$135.66–$945.00	41% below	36%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART/CORONARY ARTERIES	$604.16	$944.00	$271.40–$944.00	42% below	36%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING	$96.00	$150.00	$67.09–$450.00	11% above	36%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W/O CONTRAST	$1,699.84	$2,656.00	$184.20–$2,390.40	30% above	36%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT ABDOMEN AND PELVIS W/O CONTRAST: ADDON	$1,699.84	$2,656.00	$184.20–$2,390.40	30% above	36%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN AND PELVIS W CONTRAST: ADDON	$1,699.84	$2,656.00	$271.40–$2,390.40	6% above	36%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST	$1,699.84	$2,656.00	$271.40–$2,390.40	6% above	36%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABDOMEN AND PELVIS W + W/O CONTRAST: ADDON	$1,699.84	$2,656.00	$271.40–$2,390.40	2% below	36%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS W + W/O CONTRAST	$1,699.84	$2,656.00	$271.40–$2,390.40	2% below	36%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 71270 CT ABDOMEN AND PELVIS W + W/O CONTRAST: ADDON	$1,699.84	$2,656.00	$271.40–$2,390.40	2% below	36%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$915.20	$1,430.00	$135.66–$1,287.00	10% below	36%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$767.04	$1,198.50	$81.04–$1,078.65	6% below	36%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$645.12	$1,008.00	$81.04–$907.20	2% below	36%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN/HEAD W/O CONTRAST	$672.00	$1,050.00	$81.04–$945.00	12% below	36%
CT scan of the head with contrast CPT 70460 CT BRAIN/HEAD W CONTRAST	$672.00	$1,050.00	$135.66–$945.00	28% below	36%
CT scan of the head without and with contrast CPT 70470 CT BRAIN/HEAD W + W/O CONTRAST	$739.20	$1,155.00	$135.66–$1,039.50	30% below	36%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$746.88	$1,167.00	$81.04–$1,050.30	16% below	36%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$800.00	$1,250.00	$81.04–$1,125.00	9% below	36%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$915.20	$1,430.00	$135.66–$1,287.00	6% below	36%
Chest CT scan without and with contrast CPT 71270 CT CHEST/ABDOMEN/PELVIS W + W/O CONTRAST	$698.88	$1,092.00	$135.66–$982.80	41% below	36%
Chest CT scan without and with contrast CPT 71270 CT CHEST W + W/O CONTRAST	$698.88	$1,092.00	$135.66–$982.80	41% below	36%
Chest CT scan without and with contrast CPT 71270 71270 CT CHEST W + W/O CONTRAST: ADDON	$698.88	$1,092.00	$135.66–$982.80	41% below	36%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$153.60	$240.00	$30.08–$216.00	9% above	36%
Chest X-ray, single view CPT 71045 XR PLACEMENT CVAD W FLUORO EO	$137.60	$215.00	$22.20–$203.27	30% above	36%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$137.60	$215.00	$22.20–$203.27	30% above	36%
Chest X-ray, single view CPT 71045 OCHM XR CHEST	$137.60	$215.00	$22.20–$203.27	30% above	36%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT	$105.60	$165.00	$31.38–$179.08	at median	36%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT	$105.60	$165.00	$31.38–$179.08	at median	36%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$211.84	$331.00	$81.04–$375.30	40% below	36%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$266.88	$417.00	$81.04–$375.30	24% below	36%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA AXIAL SKELETON	$359.84	$562.25	$35.75–$506.03	52% above	36%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD BONE DENSITY DEXA APP SKELETON	$110.40	$172.50	$27.45–$179.08	7% above	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABDOMEN/PELVIS W/O CONTRAST	$626.56	$979.00	$81.04–$881.10	24% below	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT CHEST W/O CONTRAST: ADDON	$626.56	$979.00	$81.04–$881.10	24% below	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$626.56	$979.00	$81.04–$881.10	24% below	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ABDOMEN/PELVIS W CONTRAST	$672.00	$1,050.00	$135.66–$945.00	34% below	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$672.00	$1,050.00	$135.66–$945.00	34% below	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT CHEST W CONTRAST: ADDON	$672.00	$1,050.00	$135.66–$945.00	34% below	36%
Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIAGNOSTIC BILATERAL W TOMO	$119.68	$187.00	$83.04–$187.00	—	36%
Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIAGNOSTIC LEFT W TOMO	$119.68	$187.00	$65.19–$168.30	6% below	36%
Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC RIGHT	$119.68	$187.00	$65.19–$168.30	6% below	36%
Diagnostic mammogram, one breast one side CPT 77065 MG ADDITIONAL PROJECTIONS RIGHT	$119.68	$187.00	$65.19–$168.30	6% below	36%
Diagnostic mammogram, one breast one side CPT 77065 MG ADDITIONAL PROJECTIONS LEFT	$119.68	$187.00	$65.19–$168.30	6% below	36%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D COMPLETE EO	$806.40	$1,260.00	$113.23–$1,260.00	16% below	36%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D COMPLETE	$806.40	$1,260.00	$113.23–$1,260.00	16% below	36%
Elbow X-ray, 2 views one side CPT 73070 OCHM XR ELBOW 2 VIEWS LEFT	$105.60	$165.00	$27.45–$179.08	at median	36%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT	$105.60	$165.00	$27.45–$179.08	at median	36%
Elbow X-ray, 2 views one side CPT 73070 OCHM XR ELBOW 2 VIEWS RIGHT	$105.60	$165.00	$27.45–$179.08	at median	36%
Elbow X-ray, complete, 3 or more views one side CPT 73080 OCHM XR ELBOW COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$31.38–$179.08	5% below	36%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$31.38–$179.08	5% below	36%
Elbow X-ray, complete, 3 or more views one side CPT 73080 OCHM XR ELBOW COMPLETE 3+ VIEWS RIGHT	$105.60	$165.00	$31.38–$179.08	5% below	36%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS SELLA W/O CONTRAST	$645.12	$1,008.00	$81.04–$907.20	8% below	36%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR ZYGOMATIC ARCHES	$81.73	$127.70	$45.81–$215.14	46% below	36%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3+ VIEWS	$86.08	$134.50	$45.81–$215.14	43% below	36%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OCHM XR FOREARM 2 VIEWS LEFT	$105.60	$165.00	$27.89–$179.08	4% below	36%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT	$105.60	$165.00	$27.89–$179.08	4% below	36%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 OCHM XR FOREARM 2 VIEWS RIGHT	$105.60	$165.00	$27.89–$179.08	4% below	36%
Hand X-ray, 2 views one side CPT 73120 OCHM XR HAND 2 VIEWS RIGHT	$86.08	$134.50	$30.08–$215.14	21% below	36%
Hand X-ray, 2 views one side CPT 73120 OCHM XR HAND 2 VIEWS LEFT	$86.08	$134.50	$30.08–$215.14	21% below	36%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT	$86.08	$134.50	$30.08–$215.14	21% below	36%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OCHM XR CALCANEUS RIGHT	$86.08	$134.50	$27.45–$179.08	23% below	36%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OCHM XR CALCANEUS LEFT	$86.08	$134.50	$27.45–$179.08	23% below	36%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS LEFT	$86.08	$134.50	$27.45–$179.08	23% below	36%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY UNATTENDED SIMULTANEOUS RECORDING OF HEART RATE	$89.60	$140.00	$98.00–$444.33	69% below	36%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY UNATTENDED	$480.00	$750.00	$56.94–$675.00	64% above	36%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 9581152 LIMITED POLYSOMNOGRAPHY W/CPAP CHARGE	$2,022.40	$3,160.00	$617.04–$4,557.60	37% above	36%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 SLEEP STUDY WITH CPAP CHARGE	$3,240.96	$5,064.00	$617.04–$4,557.60	119% above	36%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$89.28	$139.50	$41.43–$179.08	27% below	36%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$89.28	$139.50	$41.43–$179.08	27% below	36%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE 4 PLUS VIEWS LEFT	$174.72	$273.00	$46.25–$273.00	27% above	36%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE 4 PLUS VIEWS RIGHT	$174.72	$273.00	$46.25–$273.00	27% above	36%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST RIGHT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CONTRAST LEFT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST LEFT	$456.96	$714.00	$81.04–$642.60	40% below	36%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$266.88	$417.00	$78.59–$375.30	2% below	36%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US LE NON-VASCULAR LIMITED RT	$160.00	$250.00	$43.19–$250.00	18% below	36%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US LE NON-VASCULAR LIMITED LT	$160.00	$250.00	$43.19–$250.00	18% below	36%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US UE NON-VASCULAR LIMITED RT	$160.00	$250.00	$43.19–$250.00	18% below	36%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US UE NON-VASCULAR LIMITED LT	$160.00	$250.00	$43.19–$250.00	18% below	36%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING	$160.00	$250.00	$81.04–$450.00	12% below	36%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OCHM XR TIBIA/FIBULA LEFT	$105.60	$165.00	$30.95–$179.08	14% below	36%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LEFT	$105.60	$165.00	$30.95–$179.08	14% below	36%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 OCHM XR TIBIA/FIBULA RIGHT	$105.60	$165.00	$30.95–$179.08	14% below	36%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN/HEAD W/O CONTRAST	$980.80	$1,532.50	$184.20–$1,379.25	19% below	36%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LEFT	$876.16	$1,369.00	$184.20–$1,232.10	21% below	36%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LEFT	$876.16	$1,369.00	$184.20–$1,232.10	21% below	36%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RIGHT	$876.16	$1,369.00	$184.20–$1,232.10	21% below	36%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W + W/O CONTRAST RIGHT	$1,145.92	$1,790.50	$271.40–$1,611.45	29% below	36%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W + W/O CONTRAST LEFT	$1,145.92	$1,790.50	$271.40–$1,611.45	29% below	36%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W + W/O CONTRAST LEFT	$1,145.92	$1,790.50	$271.40–$1,611.45	29% below	36%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$799.36	$1,249.00	$184.20–$1,124.10	41% below	36%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W + W/O CONTRAST	$1,012.80	$1,582.50	$271.40–$1,424.25	47% below	36%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$934.40	$1,460.00	$184.20–$1,314.00	32% below	36%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W + W/O CONTRAST	$1,161.60	$1,815.00	$271.40–$1,633.50	44% below	36%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$836.48	$1,307.00	$184.20–$1,176.30	37% below	36%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W + W/O CONTRAST	$1,093.76	$1,709.00	$271.40–$1,538.10	44% below	36%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$836.48	$1,307.00	$184.20–$1,176.30	38% below	36%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W + W/O CONTRAST	$1,093.76	$1,709.00	$271.40–$1,538.10	41% below	36%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONTRAST	$836.48	$1,307.00	$184.20–$1,176.30	38% below	36%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W + W/O CONTRAST	$1,012.80	$1,582.50	$271.40–$1,424.25	42% below	36%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$814.40	$1,272.50	$184.20–$1,145.25	27% below	36%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RIGHT	$876.16	$1,369.00	$184.20–$1,232.10	22% below	36%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LEFT	$876.16	$1,369.00	$184.20–$1,232.10	22% below	36%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LEFT	$876.16	$1,369.00	$184.20–$1,232.10	22% below	36%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS	$144.96	$226.50	$52.37–$226.50	22% below	36%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W CONTRAST	$521.28	$814.50	$135.66–$814.50	46% below	36%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK/CHEST W/O CONTRAST	$521.28	$814.50	$135.66–$814.50	46% below	36%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK/CHEST/ABDOMEN/PELVIS W/O CONTRAS	$521.28	$814.50	$135.66–$814.50	46% below	36%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK/CHEST W CONTRAST	$430.08	$672.00	$81.04–$604.80	45% below	36%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRAST	$430.08	$672.00	$81.04–$604.80	45% below	36%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK/CHEST/ABDOMEN/PELVIS W CONTRAST	$430.08	$672.00	$81.04–$604.80	45% below	36%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$86.08	$134.50	$29.64–$179.08	20% below	36%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT REST AND STRESS	$1,924.48	$3,007.00	$487.50–$3,007.00	7% above	36%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT DRUG STRESS MULTI	$1,924.48	$3,007.00	$487.50–$3,007.00	7% above	36%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT EXERCISE STRESS MULT	$1,924.48	$3,007.00	$487.50–$3,007.00	7% above	36%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$767.04	$1,198.50	$81.04–$1,078.65	6% below	36%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMP	$266.88	$417.00	$81.04–$375.30	16% below	36%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OCHM US OB > 14 WEEKS FIRST GEST	$266.88	$417.00	$81.04–$375.30	23% below	36%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS SINGLE	$266.88	$417.00	$81.04–$375.30	23% below	36%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS MULTI	$266.88	$417.00	$81.04–$375.30	23% below	36%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WEEKS	$192.32	$300.50	$81.33–$300.50	36% below	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$211.20	$330.00	$66.35–$330.00	at median	36%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCREENING BILATERAL W TOMO	$126.08	$197.00	$68.68–$177.30	—	36%
Screening mammogram, both breasts one side CPT 77067 MG MAMMO SCREENING RIGHT W TOMO	$126.08	$197.00	$68.68–$177.30	26% below	36%
Screening mammogram, both breasts one side CPT 77067 MG MAMMO SCREENING LEFT W TOMO	$126.08	$197.00	$68.68–$177.30	26% below	36%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE 2 PLUS VIEWS LEFT	$105.60	$165.00	$33.14–$179.08	21% below	36%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 OCHM XR SHOULDER COMPLETE 2+ VIEWS LEFT	$105.60	$165.00	$33.14–$179.08	21% below	36%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 OCHM XR SHOULDER COMPLETE 2+ VIEWS RIGHT	$105.60	$165.00	$33.14–$179.08	21% below	36%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE	$128.00	$200.00	$35.75–$200.00	9% below	36%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$174.72	$273.00	$35.31–$273.00	30% above	36%
Sleep study in a lab (polysomnography) CPT 95810 9581052 PSS W 4/> PARM <6HR CHARGES	$2,278.40	$3,560.00	$590.20–$4,148.10	79% above	36%
Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOMNOGRAPHY 4 OR > CHARGE	$2,949.76	$4,609.00	$590.20–$4,148.10	132% above	36%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION	$184.00	$287.50	$135.66–$360.95	23% below	36%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RIGHT	$86.08	$134.50	$34.44–$179.08	29% below	36%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 OCHM XR FEMUR 2 VIEWS LEFT	$86.08	$134.50	$34.44–$179.08	29% below	36%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$736.00	$1,150.00	$81.04–$1,035.00	17% below	36%
Toe X-ray, 2 or more views one side CPT 73660 OCHM XR TOE(S) 2+ VIEWS LEFT	$86.08	$134.50	$29.64–$179.08	20% below	36%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEWS LEFT	$86.08	$134.50	$29.64–$179.08	20% below	36%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$266.88	$417.00	$81.04–$375.30	11% below	36%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$266.88	$417.00	$75.09–$375.30	2% below	36%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$266.88	$417.00	$81.04–$375.30	32% below	36%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM (CONTENTS)	$266.88	$417.00	$81.04–$375.30	2% below	36%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE	$266.88	$417.00	$81.04–$375.30	2% below	36%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$266.88	$417.00	$81.04–$375.30	2% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$175.04	$273.50	$115.31–$420.50	39% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI + KUB	$181.76	$284.00	$115.31–$420.50	36% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI W SMALL BOWEL	$269.12	$420.50	$115.31–$420.50	6% below	36%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT	$88.64	$138.50	$31.38–$179.08	27% below	36%
Upper arm X-ray (humerus), 2 views one side CPT 73060 OCHM XR HUMERUS RIGHT	$88.64	$138.50	$31.38–$179.08	27% below	36%
Upper arm X-ray (humerus), 2 views one side CPT 73060 OCHM XR HUMERUS LEFT	$88.64	$138.50	$31.38–$179.08	27% below	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXT VENOUS DUPLEX LEFT	$270.72	$423.00	$81.04–$380.70	19% below	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VENOUS DUPLEX RIGHT	$270.72	$423.00	$81.04–$380.70	19% below	36%
Wrist X-ray, 2 views one side CPT 73100 OCHM XR WRIST 2 VIEWS RIGHT	$105.60	$165.00	$33.57–$179.08	9% below	36%
Wrist X-ray, 2 views one side CPT 73100 OCHM XR WRIST 2 VIEWS LEFT	$105.60	$165.00	$33.57–$179.08	9% below	36%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT	$105.60	$165.00	$33.57–$179.08	9% below	36%
Wrist X-ray, complete, 3 or more views one side CPT 73110 OCHM XR WRIST COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$42.32–$179.08	13% below	36%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$42.32–$179.08	13% below	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEWS W/AP PELVIS RIGHT	$81.73	$127.70	$47.12–$179.08	32% below	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEWS W/AP PELVIS LEFT	$81.73	$127.70	$47.12–$179.08	32% below	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OCHM XR HIP 2-3 VIEWS LEFT	$108.80	$170.00	$47.12–$179.08	9% below	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEWS RIGHT	$108.80	$170.00	$47.12–$179.08	9% below	36%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$134.40	$210.00	$27.89–$203.27	4% above	36%
X-ray of the abdomen, 1 view CPT 74018 OCHM XR ABDOMEN 1 VIEW	$134.40	$210.00	$27.89–$203.27	4% above	36%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$86.08	$134.50	$31.82–$179.08	21% below	36%
X-ray of the ankle, 2 views one side CPT 73600 OCHM XR ANKLE 2 VIEWS LEFT	$86.08	$134.50	$31.82–$179.08	21% below	36%
X-ray of the ankle, 2 views one side CPT 73600 OCHM XR ANKLE 2 VIEWS RIGHT	$86.08	$134.50	$31.82–$179.08	21% below	36%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 PLUS VIEWS RIGHT	$105.60	$165.00	$40.13–$179.08	2% below	36%
X-ray of the finger(s), 2 or more views one side CPT 73140 OCHM XR FINGER(S) 2+ VIEWS LEFT	$105.60	$165.00	$40.13–$179.08	2% below	36%
X-ray of the foot, 2 views one side CPT 73620 OCHM XR FOOT 2 VIEWS LEFT	$86.08	$134.50	$27.02–$179.08	20% below	36%
X-ray of the foot, 2 views one side CPT 73620 OCHM XR FOOT 2 VIEWS RIGHT	$86.08	$134.50	$27.02–$179.08	20% below	36%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT	$86.08	$134.50	$27.02–$179.08	20% below	36%
X-ray of the foot, complete, 3 or more views one side CPT 73630 OCHM XR FOOT COMPLETE 3+ VIEWS RIGHT	$105.60	$165.00	$34.44–$179.08	13% below	36%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE 3 PLUS VIEWS LEFT	$105.60	$165.00	$34.44–$179.08	13% below	36%
X-ray of the foot, complete, 3 or more views one side CPT 73630 OCHM XR FOOT COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$34.44–$179.08	13% below	36%
X-ray of the hand, 3 or more views one side CPT 73130 OCHM XR HAND COMPLETE 3+ VIEWS LEFT	$105.60	$165.00	$36.63–$179.08	11% below	36%
X-ray of the hand, 3 or more views one side CPT 73130 OCHM XR HAND COMPLETE 3+ VIEWS RIGHT	$105.60	$165.00	$36.63–$179.08	11% below	36%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE 3 PLUS VIEWS RIGHT	$105.60	$165.00	$36.63–$179.08	11% below	36%
X-ray of the knee, 1 or 2 views one side CPT 73560 OCHM XR KNEE 1 OR 2 VIEWS LEFT	$105.60	$165.00	$34.01–$179.08	13% below	36%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT	$105.60	$165.00	$34.01–$179.08	13% below	36%
X-ray of the knee, 1 or 2 views one side CPT 73560 OCHM XR KNEE 1 OR 2 VIEWS RIGHT	$105.60	$165.00	$34.01–$179.08	13% below	36%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$201.60	$315.00	$37.94–$315.00	42% above	36%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 OCHM XR SPINE LUMBAR 2/3 VIEWS	$201.60	$315.00	$37.94–$315.00	42% above	36%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4 PLUS VIEWS	$144.96	$226.50	$50.61–$226.50	30% below	36%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$144.00	$225.00	$30.08–$225.00	12% above	36%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 OCHM XR SPINE THORACIC 2 VIEWS	$144.00	$225.00	$30.08–$225.00	12% above	36%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$86.08	$134.50	$38.81–$179.08	37% below	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$195.20	$305.00	$37.50–$274.50	43% above	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OCHM XR SPINE CERVICAL 2/3 VIEWS	$195.20	$305.00	$37.50–$274.50	43% above	36%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$174.72	$273.00	$25.26–$273.00	27% above	36%
X-ray of the pelvis, 1 or 2 views CPT 72170 OCHM XR PELVIS	$174.72	$273.00	$25.26–$273.00	27% above	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 OCHM XR SACRUM/COCCYX 2+ VIEWS	$105.60	$165.00	$31.38–$179.08	21% below	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+ VIEWS	$105.60	$165.00	$31.38–$179.08	21% below	36%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE AEL	$184.83	$288.80	$16.22–$259.92	33% above	36%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$25.60	$40.00	$2.23–$36.00	2% below	36%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$23.55	$36.80	$2.18–$33.12	11% below	36%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL AEL	$112.00	$175.00	$20.00–$157.50	22% below	36%
Albumin blood test CPT 82040 ALBUMIN LEVEL	$19.20	$30.00	$2.08–$27.00	32% below	36%
Aldosterone blood test CPT 82088 ALDOSTERONE AEL	$112.00	$175.00	$17.12–$157.50	6% above	36%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$23.55	$36.80	$2.18–$33.12	21% below	36%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS-BONE SPECIFIC AEL	$23.55	$36.80	$2.18–$33.12	21% below	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-JOHNSON GRAS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOUSE UR AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-A ALTERNATA AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-A FUMIGATUS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ALMOND AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 GAL D 2 OVA IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 GAL D 1 OVO IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 BOS D8 CASEIN IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 BOS D5 BETA IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 BOS D4 A-LAC IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 BOS D4 A-LAC CLASS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ARA H 9 IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ARA H 8 IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ARA H 3 IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-AM COCKROACH AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BAHIA GRASS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BERM GRASS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ARA H 2 IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-BIRCH SILVER AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-C HERBARUM AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CASHEW NUT AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CAT EPITHEL AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COCKROACH G AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-CODFISH AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ARA H 1 IGE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-D FARINAE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-D PTERONYS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-DOG DANDER AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHITE ASH AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WHEAT AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WALNUT TREE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-WALNUT AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TUNA AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-TIMOTHY GRAS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SWEET GUM AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SOYBEAN AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-EGG WHITE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ELM AMERICAN AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHRIMP AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SHEEP SORREL AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SESAME SEED AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SCALLOP AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-SALMON AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-S HERBARUM AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-RAGWEED COMM AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PIGWEED AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PECAN/HICKRY AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-PEANUT AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-P NOTATUM AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-OAK AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-NETTLE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MULBERRY AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MNTN JUNIPER AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MILK AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-ENG PLANTAIN AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-HZNUT FLBERT AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MESQUITE TRE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MARSH ELDER AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-MAPLE/BOX EL AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-M RACEMOSUS AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-LENSCALE AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-JUNE GRAS/KY AEL	$12.80	$20.00	$2.19–$18.00	2% above	36%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER AEL	$21.12	$33.00	$7.04–$33.00	58% below	36%
Ammonia blood test CPT 82140 AMMONIA PLASMA	$64.00	$100.00	$6.12–$90.00	11% below	36%
Amylase blood test CPT 82150 AMYLASE TIMED UR AEL	$26.88	$42.00	$2.72–$45.00	32% below	36%
Amylase blood test CPT 82150 AMYLASE FLUID AEL	$28.80	$45.00	$2.72–$45.00	27% below	36%
Amylase blood test CPT 82150 AMYLASE LEVEL	$32.00	$50.00	$2.72–$45.00	19% below	36%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEP (CCP) AB IGG AEL	$25.60	$40.00	$5.44–$36.00	44% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 METHOD AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ABS AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR (ANA) AB AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 NUCLEAR MEMBRANE AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 NUCLEOLAR AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PATTERNS AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CYTO. RETICULAR(MITO) AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 COMMENTS AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 COARSE SPECKLED AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 DENSE FINE SPECKLED AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 DISCRETE NUCLEAR DOTS AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HOMOGENEOUS AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SPECKLED AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODIES AEL	$26.88	$42.00	$5.08–$37.80	55% below	36%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBRAIN NATRIURETIC PEPTIDE AEL	$112.00	$175.00	$16.49–$157.50	at median	36%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$112.00	$175.00	$16.49–$157.50	at median	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANA/AER FLUID/TISSUE PRELIM AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DEVICE AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE W ANAEROBES PRELIM AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE MRSA FINAL AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE W ANAEROBES PRELIM AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE STERILE BF OR TISSUE PRELIM AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DEVICE W ANAEROBES PRELIM AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANA+AER NON STERILE FINAL AEL	$48.00	$75.00	$3.62–$67.50	10% below	36%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$89.60	$140.00	$3.55–$126.00	64% above	36%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$23.55	$36.80	$2.11–$33.12	1% above	36%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP BILL SURGICAL PATHOLOGY LEVEL IV COMPLEXITY	$77.44	$121.00	$40.54–$121.00	2% below	36%
Blood culture for bacteria CPT 87040 CULTURE BLOOD 2ND SPECIMEN AEL	$48.00	$75.00	$4.33–$67.50	48% below	36%
Blood culture for bacteria CPT 87040 CULTURE BLOOD AEL	$48.00	$75.00	$4.33–$67.50	48% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 COLLECT VENOUS BLD BY VENIPUNCTURE	$7.23	$11.30	$3.00–$11.30	20% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: VENOUS DRAW	$7.23	$11.30	$3.00–$11.30	20% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 - COLLECTION OF BLOOD BY VENIPUNCTURE	$7.23	$11.30	$3.00–$11.30	20% below	36%
Blood glucose (sugar) test CPT 82947 82947ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿½ï¿	$8.96	$14.00	$1.65–$12.60	67% below	36%
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL	$23.55	$36.80	$1.65–$33.12	13% below	36%
Blood glucose (sugar) test CPT 82947 GLUCOSE 1 HOUR	$23.55	$36.80	$1.65–$33.12	13% below	36%
Blood lead test CPT 83655 LEAD UR PER 24H AEL	$51.20	$80.00	$5.09–$72.00	26% above	36%
Blood lead test CPT 83655 LEAD VENOUS BLOOD AEL	$51.20	$80.00	$5.09–$72.00	26% above	36%
Blood lead test CPT 83655 LEAD CAPILLARY BLOOD AEL	$51.20	$80.00	$5.09–$72.00	26% above	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE	$43.52	$68.00	$3.16–$61.20	7% below	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY TEST QUALITATIVE	$43.52	$68.00	$3.16–$61.20	7% below	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY TEST QUALITATIVE	$43.52	$68.00	$3.16–$61.20	7% below	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE URINE	$43.52	$68.00	$3.16–$61.20	7% below	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH.	$22.40	$35.00	$2.99–$273.79	59% below	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD ABORH	$22.40	$35.00	$2.99–$273.79	59% below	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO RH FACTOR AEL	$23.68	$37.00	$2.99–$273.79	56% below	36%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN	$24.32	$38.00	$1.66–$34.20	21% below	36%
C-peptide blood test CPT 84681 C-PEPTIDE AEL	$38.40	$60.00	$8.74–$54.00	49% below	36%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN AEL	$26.88	$42.00	$2.18–$37.80	10% below	36%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 AEL	$115.84	$181.00	$8.74–$162.90	67% above	36%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 AEL	$50.43	$78.80	$8.74–$70.92	37% below	36%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID19 SARS-COV-2 BY RT-PCR AEL	$115.20	$180.00	$21.55–$162.00	161% above	36%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL	$25.60	$40.00	$2.17–$36.00	6% below	36%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA AEL	$80.64	$126.00	$7.96–$113.40	17% below	36%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG AEL	$26.88	$42.00	$5.41–$37.80	47% below	36%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH - AMP AEL	$102.40	$160.00	$14.74–$144.00	52% above	36%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHOLESTEROL TOTAL	$41.60	$65.00	$5.62–$58.50	13% below	36%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL	$41.60	$65.00	$5.62–$58.50	13% below	36%
Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFFERENTIAL	$60.80	$95.00	$3.26–$85.50	72% above	36%
Complete blood count (CBC) with differential CPT 85025 CBC W DIFFERENTIAL	$60.80	$95.00	$3.26–$85.50	72% above	36%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$105.60	$165.00	$4.44–$148.50	27% above	36%
Cortisol blood test, total CPT 82533 CORTISOL AEL	$44.80	$70.00	$6.85–$63.00	15% below	36%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA AEL	$44.80	$70.00	$6.85–$63.00	15% below	36%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE	$25.60	$40.00	$2.73–$36.00	37% below	36%
Creatinine blood test CPT 82565 CREATININE	$24.32	$38.00	$2.15–$34.20	14% below	36%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS AEL	$41.60	$65.00	$9.34–$58.50	52% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 THC MS CONFIRM AEL	$14.98	$23.40	$11.70–$342.00	75% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE-150 AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE 300 AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE PCP AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP PHENCYCLIDINE 25 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE 100 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE 100 AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES 300 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MORPHINE REPORTED UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE 300 AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HYDROMORPHONE REP UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HYDROCODONE REPORTED UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #8 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #7 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #6 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #5 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #4 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #3 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #2 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG #1 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CODEINE REPORTED UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE 150 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COC NUMBER AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHAIN OF CUSTODY AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID 50 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE 200 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE 200 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES-500 AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE 500 UR AEL	$16.00	$25.00	$11.70–$342.00	73% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SCREEN AEL	$128.00	$200.00	$11.70–$342.00	115% above	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM RFLEX TO CONF/QUANT AEL	$243.20	$380.00	$11.70–$342.00	308% above	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM AND MET CONF AEL	$243.20	$380.00	$11.70–$342.00	308% above	36%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$67.20	$105.00	$2.94–$94.50	8% above	36%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTI-VCA IGM AEL	$35.49	$55.45	$7.62–$49.91	37% below	36%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTI-VCA IGG AEL	$35.49	$55.45	$7.62–$49.91	37% below	36%
Estradiol blood test CPT 82670 ESTRADIOL AEL	$147.84	$231.00	$11.73–$207.90	77% above	36%
FSH (follicle-stimulating hormone) test CPT 83001 FSH AEL	$87.36	$136.50	$7.80–$122.85	17% above	36%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN AEL	$35.84	$56.00	$8.24–$50.40	71% below	36%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$48.00	$75.00	$5.72–$67.50	29% below	36%
Folate (folic acid) blood test CPT 82746 FOLATE AEL	$40.32	$63.00	$6.17–$56.70	22% below	36%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$40.32	$63.00	$6.17–$56.70	22% below	36%
Free T3 thyroid hormone test CPT 84481 FREE T3 AEL	$47.04	$73.50	$7.11–$66.15	11% below	36%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 AEL	$28.80	$45.00	$3.79–$40.50	20% below	36%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 LEVEL	$28.80	$45.00	$3.79–$40.50	20% below	36%
Free testosterone test CPT 84402 TESTOST FREE-CALC AEL	$44.80	$70.00	$10.70–$63.00	40% below	36%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GGT) AEL	$26.88	$42.00	$3.02–$37.80	7% below	36%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE FASTING	$23.55	$36.80	$5.41–$33.30	65% below	36%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 3 HOUR	$23.68	$37.00	$5.41–$33.30	64% below	36%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE - AMP AEL	$115.20	$180.00	$14.74–$162.00	108% above	36%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGG AEL	$80.64	$126.00	$7.08–$113.40	53% above	36%
H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN EIA AEL	$26.24	$41.00	$6.04–$36.90	63% below	36%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD AEL	$272.00	$425.00	$35.74–$382.50	34% above	36%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIBODY AND P24 SCREEN (EXPOSURE ONLY)	$32.00	$50.00	$10.11–$50.00	20% below	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN CLINIC POC (RE)	$23.20	$36.25	$4.08–$32.63	41% below	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C AEL	$25.60	$40.00	$4.08–$36.00	34% below	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (BIORAD)	$25.60	$40.00	$4.08–$36.00	34% below	36%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$17.92	$28.00	$1.00–$25.20	11% above	36%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL AEL	$72.70	$113.60	$5.06–$102.24	65% above	36%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUAL AEL	$64.00	$100.00	$4.51–$90.00	51% above	36%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB IMMUN. QUANT AEL	$64.00	$100.00	$4.51–$90.00	51% above	36%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN AEL	$51.20	$80.00	$4.34–$72.00	14% above	36%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB AEL	$76.80	$120.00	$5.99–$108.00	35% above	36%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C (HCV) AB AEL	$76.80	$120.00	$5.99–$108.00	35% above	36%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD AEL	$658.56	$1,029.00	$17.99–$926.10	316% above	36%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS 1 IGG AB AEL	$73.60	$115.00	$5.54–$103.50	123% above	36%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG AB AEL	$38.40	$60.00	$8.13–$54.00	2% below	36%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS (HSV-2) AB IGG AEL	$38.40	$60.00	$8.13–$54.00	2% below	36%
Homocysteine blood test CPT 83090 HOMOCYSTEINE AEL	$48.64	$76.00	$7.53–$68.40	44% below	36%
Insulin blood test CPT 83525 INSULIN AEL	$34.56	$54.00	$4.80–$48.60	27% below	36%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$28.80	$45.00	$2.72–$40.50	13% below	36%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$32.00	$50.00	$3.67–$45.00	12% below	36%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$89.60	$140.00	$3.65–$126.00	17% above	36%
LH (luteinizing hormone) test CPT 83002 LH AEL	$84.03	$131.30	$7.78–$118.17	1% above	36%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (VENOUS) - SEPSIS	$32.00	$50.00	$4.86–$45.00	43% below	36%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (VENOUS)	$32.00	$50.00	$4.86–$45.00	43% below	36%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLUID	$25.60	$40.00	$2.54–$36.00	13% below	36%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$25.60	$40.00	$2.54–$36.00	13% below	36%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) AEL	$25.60	$40.00	$2.54–$36.00	13% below	36%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE FLUID AEL	$25.60	$40.00	$2.54–$36.00	13% below	36%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$32.00	$50.00	$2.89–$45.00	17% below	36%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$89.60	$140.00	$3.43–$126.00	36% above	36%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$44.80	$70.00	$2.81–$63.00	33% above	36%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM UR AEL	$44.80	$70.00	$2.81–$63.00	33% above	36%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG AB AEL	$25.60	$40.00	$5.41–$36.00	32% below	36%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN	$22.40	$35.00	$2.18–$31.50	29% below	36%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN AEL	$22.40	$35.00	$2.18–$31.50	29% below	36%
Mumps immunity blood test CPT 86735 MUMPS IGG AB AEL	$25.60	$40.00	$5.48–$36.00	46% below	36%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN FREE	$76.80	$120.00	$7.72–$108.00	36% above	36%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$76.80	$120.00	$7.72–$108.00	36% above	36%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE AEL	$64.00	$100.00	$17.34–$90.00	52% below	36%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$28.80	$45.00	$2.52–$40.50	20% below	36%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT HEPARIN NEUT AEL	$28.80	$45.00	$13.27–$40.50	20% below	36%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL	$24.32	$38.00	$1.99–$34.20	6% below	36%
Potassium blood test CPT 84132 POTASSIUM LEVEL	$23.68	$37.00	$2.00–$33.30	12% below	36%
Progesterone blood test CPT 84144 PROGESTERONE AEL	$50.43	$78.80	$8.76–$70.92	41% below	36%
Prolactin blood test CPT 84146 PROLACTIN AEL	$33.60	$52.50	$8.14–$47.25	64% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR CLINIC POC (RE)	$8.64	$13.50	$1.80–$12.15	68% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$28.80	$45.00	$1.80–$40.50	5% above	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POCT	$28.80	$45.00	$1.80–$40.50	5% above	36%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B CLINIC POC (RE)	$19.20	$30.00	$6.95–$30.00	34% below	36%
Rapid flu test (influenza antigen) CPT 87804 FLU AANDB	$70.40	$110.00	$6.95–$99.00	143% above	36%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP CLINIC POC (RE)	$19.84	$31.00	$6.94–$31.00	42% below	36%
Renin blood test CPT 84244 RENIN AEL	$179.20	$280.00	$9.24–$252.00	204% above	36%
Rh blood typing CPT 86901 RH ADD-ON	$22.40	$35.00	$2.99–$76.86	33% below	36%
Rh blood typing CPT 86901 WEAK D TUBE	$23.55	$36.80	$2.99–$76.86	29% below	36%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR AEL	$35.20	$55.00	$2.38–$49.50	14% above	36%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG AB AEL	$26.88	$42.00	$6.04–$75.60	34% below	36%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB AEL	$53.76	$84.00	$6.04–$75.60	32% above	36%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN SAMPLE ANALYSIS	$48.00	$75.00	$5.17–$67.50	48% below	36%
Sodium blood test CPT 84295 SODIUM LEVEL	$23.55	$36.80	$2.02–$33.12	30% below	36%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES AEL	$38.40	$60.00	$3.74–$54.00	2% below	36%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL CLINIC POC (RE)	$7.68	$12.00	$1.84–$10.98	63% below	36%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL DIAGNOSTIC	$16.00	$25.00	$1.84–$22.50	24% below	36%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN	$16.00	$25.00	$1.84–$22.50	24% below	36%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL I	$42.24	$66.00	$6.69–$59.40	140% above	36%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB IGG AEL	$35.84	$56.00	$5.56–$50.40	3% below	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 T PALLIDUM VDRL CSF AEL	$17.28	$27.00	$1.79–$24.30	23% below	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$17.28	$27.00	$1.79–$24.30	23% below	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W RFLX TREPONEMA PALLIDUM IGG AEL	$17.28	$27.00	$1.79–$24.30	23% below	36%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB AEL	$61.44	$96.00	$26.03–$96.00	41% below	36%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE AEL	$48.00	$75.00	$10.84–$67.50	43% below	36%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB AEL	$25.60	$40.00	$6.11–$36.00	7% below	36%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB AEL	$25.60	$40.00	$6.11–$36.00	7% below	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN SCREEN	$16.00	$25.00	$7.06–$113.40	73% below	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$80.64	$126.00	$7.06–$113.40	34% above	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH REFLEX TO FT4	$80.64	$126.00	$7.06–$113.40	34% above	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH AEL	$80.64	$126.00	$7.06–$113.40	34% above	36%
Total IgE blood test CPT 82785 IGE AEL	$61.57	$96.20	$6.91–$86.58	22% above	36%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E AEL	$61.57	$96.20	$6.91–$86.58	22% above	36%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID AEL	$23.55	$36.80	$1.83–$33.12	13% below	36%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$23.55	$36.80	$1.83–$33.12	13% below	36%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) AEL	$57.60	$90.00	$2.89–$81.00	71% above	36%
Total triiodothyronine (T3) blood test CPT 84480 T3 AEL	$41.60	$65.00	$5.96–$58.50	12% below	36%
Transferrin blood test CPT 84466 TRANSFERRIN AEL	$32.00	$50.00	$5.36–$45.00	29% below	36%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS AMPLIFIED AEL	$45.44	$71.00	$14.74–$71.00	4% below	36%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$26.88	$42.00	$2.41–$37.80	19% below	36%
Troponin test, quantitative CPT 84484 TROPONIN-I	$76.80	$120.00	$5.24–$126.00	3% below	36%
Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN I	$89.60	$140.00	$5.24–$126.00	13% above	36%
Uric acid blood test CPT 84550 URIC ACID	$24.32	$38.00	$1.90–$34.20	17% below	36%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC WITH CULTURE IF INDICATED	$35.20	$55.00	$1.33–$49.50	2% above	36%
Urinalysis with microscope exam, automated CPT 81001 UA W MICRO	$35.20	$55.00	$1.33–$49.50	2% above	36%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS COMPLETE W MICROSCOPY CLINIC POC (RE)	$8.32	$13.00	$1.69–$11.70	58% below	36%
Urinalysis with microscope exam, manual CPT 81000 URINE MICROSCOPY POC	$8.32	$13.00	$1.69–$11.70	58% below	36%
Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK CLINIC POC (RE)	$6.40	$10.00	$0.95–$9.00	54% below	36%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC	$20.16	$31.50	$0.95–$28.35	44% above	36%
Urinalysis without microscope exam, manual CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE	$6.14	$9.60	$1.46–$8.76	57% below	36%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE AEL	$48.00	$75.00	$3.39–$67.50	17% above	36%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREATININE RATIO AEL	$23.55	$36.80	$2.43–$33.12	27% below	36%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST CLINIC POC (RE)	$11.20	$17.50	$3.62–$17.50	72% below	36%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12)	$26.88	$42.00	$6.33–$38.18	58% below	36%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$40.32	$63.00	$6.33–$56.70	37% below	36%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D2 D3 AEL	$129.92	$203.00	$12.43–$182.70	88% above	36%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY AEL	$129.92	$203.00	$12.43–$182.70	88% above	36%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 25 HYDROXY LEVEL	$201.60	$315.00	$16.17–$283.50	67% above	36%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHYDROXY AEL	$201.60	$315.00	$16.17–$283.50	67% above	36%
Zinc blood test CPT 84630 ZINC AEL	$26.88	$42.00	$4.78–$37.80	53% below	36%
Zinc blood test CPT 84630 ZINC U24 AEL	$26.88	$42.00	$4.78–$37.80	53% below	36%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TOTAL HCG QUANTITATIVE	$73.92	$115.50	$6.32–$103.95	2% below	36%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$73.92	$115.50	$6.32–$103.95	2% below	36%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION	$1,842.56	$2,879.00	$1,583.45–$14,932.04	83% below	36%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 ARTHROSCOPY SHOULDER SURGICAL WITH ROTATOR CUFF REPAIR	$1,512.32	$2,363.00	$1,299.65–$14,932.04	83% below	36%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 BIOPSY BREAST W LOCALIZATION DEVICE FIRST LESION INCLUDING STEREOTACTIC	$729.60	$1,140.00	$595.66–$3,398.70	57% below	36%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG BREAST BIOPSY W STEREO GUIDE RIGHT	$1,024.00	$1,600.00	$595.66–$3,472.46	39% below	36%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG BREAST BIOPSY W STEREO GUIDE LEFT	$1,024.00	$1,600.00	$595.66–$3,472.46	39% below	36%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE LATERAL MALLEOLUS	$562.56	$879.00	$182.80–$791.10	255% above	36%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TREATMENT OF METATARSAL FRACTURE WITHOUT MANIPULATION EACH	$426.88	$667.00	$182.80–$600.30	93% above	36%
Cardioversion, elective (restoring heart rhythm) CPT 92960 RT CARDIO DEFIBRILLATION CHARGE	$881.92	$1,378.00	$498.66–$1,378.00	50% above	36%
Carpal tunnel release, open surgery CPT 64721 64721 NEUROPLASTY AND/OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL	$758.40	$1,185.00	$651.75–$4,018.37	71% below	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE WITHOUT MANIPULATION	$489.60	$765.00	$182.80–$688.50	132% above	36%
Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY FLEXIBLE W REMOVAL OF TUMORS POLYPS OR OTHER LESIONS	$808.32	$1,263.00	$656.15–$2,462.48	49% below	36%
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY FLEXIBLE WITH BIOPSY SINGLE OR MULTIPLE	$739.20	$1,155.00	$635.25–$2,462.48	43% below	36%
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY FLEXIBLE DIAGNOSTIC INCLUDING COLLECTION OF SPECIMENS BY BRUSH	$649.60	$1,015.00	$498.84–$1,913.69	41% below	36%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCT PREMALIG 1ST LESION	$81.92	$128.00	$70.40–$412.87	35% below	36%
Earwax removal with instruments, one ear CPT 69210 69210-CERUMEN W INSTRUMENTATION	$93.44	$146.00	$45.26–$145.54	22% above	36%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED EAR WAX UNI WC CHARGE	$99.84	$156.00	$45.26–$145.54	30% above	36%
Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN (EAR WAX) REQUIRING INSTRUMENTATION UNILATERAL	$60.80	$95.00	$45.26–$121.40	21% below	36%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100-ENDOMETRIAL BIOPSY	$277.76	$434.00	$101.19–$434.00	83% above	36%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 INJECTIONS OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCES CERVICAL OR THORACIC	$328.00	$512.50	$281.88–$1,452.58	39% below	36%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL STEROID INJECTION CERVICAL	$1,180.16	$1,844.00	$414.53–$1,659.60	118% above	36%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJECTION PARAVERTEBRAL FACET JOINT - LUMBAR OR SACRAL SINGLE LEVEL	$405.76	$634.00	$348.70–$1,820.09	41% below	36%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR MEDIAL BRANCH LUMBAR	$1,180.16	$1,844.00	$512.20–$1,859.59	72% above	36%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR FACET INJECTION	$1,180.16	$1,844.00	$512.20–$1,859.59	72% above	36%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 REPAIR ANTERIOR ABDOMINAL HERNIA LESS THAN 3CM REDUCIBLE	$355.84	$556.00	$305.80–$7,367.85	94% below	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330: SIGMOIDSCOPY FLEX DIAGNOSTIC	$128.00	$200.00	$110.00–$1,913.69	83% below	36%
Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPY SURGICAL CHOLECYSTECTOMY	$1,172.48	$1,832.00	$1,007.60–$12,440.66	66% below	36%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 LAP CHOLECYSTECTOMY W CHOLANGIOGRAPHY	$1,379.20	$2,155.00	$1,185.25–$12,440.66	78% below	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 46221: HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S)	$198.40	$310.00	$170.50–$1,913.69	72% below	36%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY	$2,711.20	$4,236.25	$2,329.94–$26,419.80	—	36%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 HSG INTROD CONTRAST: ADDON	$127.04	$198.50	$58.52–$178.65	39% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN ABSCESS SIMPLE	$135.68	$212.00	$116.60–$412.87	28% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 IANDD ABSCESS/CYST/HEMATOMA SIMPLE	$295.68	$462.00	$148.33–$462.00	57% above	36%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D OF ABSCESS SIMPLE CHARGE	$309.12	$483.00	$148.33–$483.00	64% above	36%
Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 20550 = INJECTION SINGLE TENDON SHEATH (SINGLE OR BILATERAL)	$98.56	$154.00	$84.70–$631.65	—	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ADMIN OTHER CHARGE 20550: INJECTION(S) TENDON SHEATH	$98.56	$154.00	$84.70–$631.65	45% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION(S) SINGLE TENDON SHEATH/LIGAMENT	$352.00	$550.00	$219.44–$645.36	98% above	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Z20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA	$117.12	$183.00	$100.65–$631.65	54% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ADMIN OTHER CHARGE 20610: LARGE JOINT	$117.12	$183.00	$100.65–$631.65	54% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION JOINT	$381.44	$596.00	$219.44–$645.36	51% above	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-MAJOR JOINT ASPIRATE/INJECT W/O US	$414.72	$648.00	$219.44–$648.00	64% above	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR JOINT/BURSA MAJOR ARTHR/ASP/INJ LEFT	$399.04	$623.50	$219.44–$645.36	58% above	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR JOINT/BURSA MAJOR ARTHR/ASP/INJ RIGHT	$399.04	$623.50	$219.44–$645.36	58% above	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ADMIN OTHER CHARGE 20605: MEDIUM JOINT	$95.36	$149.00	$81.95–$631.65	57% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASP AND/OR INJ INTERMED JOINT/BURSA W/O US GUIDANCE	$95.36	$149.00	$81.95–$631.65	57% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION JOINT INTERMEDIATE	$381.44	$596.00	$219.44–$645.36	73% above	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-INTERMEDIATE ASPIRATION/INJ W/O US	$414.72	$648.00	$219.44–$648.00	88% above	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION JOINT SMALL	$381.44	$596.00	$219.44–$645.36	48% above	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-SMALL JOINT ASPIRATE/INJECT W/O US	$414.72	$648.00	$219.44–$648.00	61% above	36%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR JOINT/BURSA SMALL ARTHR/ASP/INJ RIGHT	$381.44	$596.00	$219.44–$645.36	48% above	36%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR JOINT/BURSA SMALL ARTHR/ASP/INJ LEFT	$381.44	$596.00	$219.44–$645.36	48% above	36%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 ARTHROSCOPY KNEE SURGICAL WITH MENISCUS REPAIR (MEDIAL OR LATERAL)	$1,237.12	$1,933.00	$1,063.15–$6,733.22	81% below	36%
Knee arthroscopy with meniscus trim CPT 29881 29881 ARTHROSCOPY KNEE SURGICAL WITH MENISCECTOMY MEDIAL OR LATERAL INC	$1,168.00	$1,825.00	$1,003.75–$6,733.22	74% below	36%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 ARTHROSCOPY KNEE SURGICAL WITH MENISCECTOMY MEDIAL AND LATERAL INCLUDING	$1,272.32	$1,988.00	$1,093.40–$6,733.22	81% below	36%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 ARTHROSCOPY KNEE SURGICAL DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE	$1,132.80	$1,770.00	$973.50–$6,733.22	74% below	36%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 LAPAROSCOPY SURGICAL APPENDECTOMY	$777.60	$1,215.00	$668.25–$12,440.66	85% below	36%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651: LAPAROSCOPY SURGICAL REPAIR RECURRENT INGUINAL HERNIA	$409.60	$640.00	$352.00–$12,440.66	94% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 INTERMEDIATE REPAIR SCALP/AXILLAE/TRUNK/EXTEM 2.5CM OR LESS	$226.56	$354.00	$194.70–$836.54	7% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-SCALP/TRUNK/EXTREMITY LESS THAN/EQUAL TO 2.5 CM	$526.08	$822.00	$295.43–$836.54	115% above	36%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJECTIONS OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCES LUMBAR OR SACRAL	$314.40	$491.25	$270.19–$1,452.58	32% below	36%
Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR INTERLAMINAR/CAUDAL INJECTION WITH FLURO	$1,180.16	$1,844.00	$512.37–$1,659.60	155% above	36%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJECTION TRANSFORAMINAL EPIDURAL - SINGLE LEVEL	$600.32	$938.00	$512.20–$1,820.09	1% below	36%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL STEROID INJECTION	$1,180.16	$1,844.00	$512.20–$1,859.59	94% above	36%
Lumpectomy (partial mastectomy) CPT 19301 19301 MASTECTOMY PARTIAL	$544.00	$850.00	$467.50–$8,057.29	80% below	36%
Mastectomy (total removal of the breast) CPT 19303 19303 MASTECTOMY SIMPLE COMPLETE	$1,203.20	$1,880.00	$1,034.00–$13,664.33	72% below	36%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC BENIGN LESION < 0.5 CM	$147.20	$230.00	$126.50–$1,457.21	61% below	36%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC BENIGN LESION FACE UNDER 0.5 CM	$168.32	$263.00	$144.65–$1,457.21	56% below	36%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE SIMPLE SINGLE	$102.40	$160.00	$88.00–$412.87	38% below	36%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE SINGLE	$145.28	$227.00	$124.85–$412.87	13% below	36%
Nail removal (partial or complete), one nail CPT 11730 11730-AVULSION NAIL PLATE SINGLE	$295.68	$462.00	$148.33–$462.00	78% above	36%
Occipital nerve block (injection for headaches) CPT 64405 64405 INJECTION GREATER OCCIPITAL NERVE	$1,180.16	$1,844.00	$45.32–$1,659.60	332% above	36%
Paracentesis with imaging guidance CPT 49083 49083 PARACENTESIS ABDOMINAL W IMAGING TECH FEE	$427.52	$668.00	$467.60–$1,866.42	39% below	36%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS	$630.40	$985.00	$591.00–$1,906.92	10% below	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-EXCISION NAIL AND MATRIX	$659.49	$1,030.45	$295.43–$979.01	83% above	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 REMOVAL OF NAIL BED WC CHARGE	$723.20	$1,130.00	$295.43–$1,017.00	100% above	36%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 DESTRUCTIONNEUROLYTICPARAVERTEBRAL FACET JOINT NERVEW/IMAGING	$1,295.36	$2,024.00	$1,113.20–$4,018.37	3% above	36%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 LUMBAR MEDIAL BRANCH BLOCK RADIOFREQUENCY ABLATION	$1,786.88	$2,792.00	$1,430.53–$4,105.57	42% above	36%
Removal of a breast lump, open surgery CPT 19120 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR	$560.64	$876.00	$481.80–$8,057.29	74% below	36%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL FB SUBQ SIMPLE	$139.52	$218.00	$119.90–$836.54	49% below	36%
Removal of a foreign object under the skin, simple CPT 10120 10120-SUBCUTANEOUS TISSUE SIMPLE	$526.08	$822.00	$295.43–$836.54	93% above	36%
Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW TO FINGER (SHORT ARM)	$124.16	$194.00	$106.70–$575.56	21% below	36%
Short arm cast (elbow to hand) CPT 29075 29075-CAST APPLICATION ELBOW TO FINGER (SHORT ARM)	$394.24	$616.00	$198.98–$616.00	150% above	36%
Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND) STATIC	$98.40	$153.75	$84.56–$273.79	21% below	36%
Short arm splint (forearm and hand) CPT 29125 29125-SHORT ARM	$178.56	$279.00	$94.64–$279.00	43% above	36%
Short leg cast (below the knee) CPT 29405 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES)	$129.92	$203.00	$111.65–$575.56	27% below	36%
Short leg cast (below the knee) CPT 29405 29405-APP OF SHORT LEG CAST (BELOW KNEE TO TOES)	$394.24	$616.00	$198.98–$616.00	122% above	36%
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT)	$101.12	$158.00	$86.90–$334.40	32% below	36%
Short leg splint (calf to foot) CPT 29515 29515-SHORT LEG	$225.28	$352.00	$116.74–$352.00	52% above	36%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 ARTHROSCOPY SHOULDER SURGICAL DISTAL CLAVICULECTOMY INCLUDING DISTAL	$1,068.00	$1,668.75	$917.81–$6,733.22	82% below	36%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 ARTHROSCOPY SHOULDER SURGICAL DECOMPRESS SUBACROMIAL SPACE W PART	$1,065.60	$1,665.00	$490.84–$1,498.50	84% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LACERATION REPAIR < 2.5 CM	$156.80	$245.00	$134.75–$412.87	15% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 REPAIR SUPERFICIAL WOUND 2.5 CM OR LESS	$295.68	$462.00	$148.33–$462.00	61% above	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-SCALP/NECK/TRUNK/GENITAL/EXTREMITY <= 2.5 CM	$295.68	$462.00	$148.33–$462.00	61% above	36%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE LESION	$144.00	$225.00	$123.75–$836.54	39% below	36%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY OF SKIN SINGLE LESION CHARGE	$291.20	$455.00	$250.25–$836.54	22% above	36%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVE SKIN TAGS UP TO 15 LESIONS	$99.20	$155.00	$85.25–$412.87	23% below	36%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS UP TO 15 LESIONS	$120.96	$189.00	$103.95–$412.87	6% below	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR LUMBAR PUNCTURE	$581.76	$909.00	$512.37–$1,484.10	26% above	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,002.88	$1,567.00	$512.37–$1,567.00	118% above	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-LUMBAR PUNCTURE DIAGNOSTIC	$1,002.88	$1,567.00	$512.37–$1,567.00	118% above	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 LACERATION REPAIR 2.6 TO 7.5 CM	$184.96	$289.00	$151.42–$412.87	2% below	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-SCALP/NECK/TRUNK/GENITAL/EXTREMITY 2.6-7.5 CM	$295.68	$462.00	$148.33–$462.00	57% above	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-FACE/EAR/EYELID/NOSE/LIP LESS THAN/EQUAL TO 2.5 CM	$295.68	$462.00	$148.33–$462.00	61% above	36%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BIOPSY OF SKIN 1 LESION CHARGE	$216.96	$339.00	$148.33–$836.54	21% above	36%
Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTESIS EO	$399.04	$623.50	$374.10–$1,318.89	47% below	36%
Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTESIS	$399.04	$623.50	$374.10–$1,318.89	47% below	36%
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH	$2,039.04	$3,186.00	$471.14–$2,867.40	171% above	36%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACENTESIS RIGHT	$399.04	$623.50	$374.10–$1,318.89	47% below	36%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACENTESIS LEFT	$399.04	$623.50	$374.10–$1,318.89	47% below	36%
Total hip replacement CPT 27130 27130 ARTHROPLASTY ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT	$2,682.40	$4,191.25	$2,000.13–$26,419.80	79% below	36%
Total knee replacement CPT 27447 27447 ARTHROPLASTY KNEE CONDYLE AND PLATEAU MEDIAL AND LATERAL COMPARTMENTS	$2,867.84	$4,481.00	$2,464.55–$26,419.80	74% below	36%
Total shoulder replacement CPT 23472 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$3,224.00	$5,037.50	$2,147.41–$36,081.59	77% below	36%
Trigger finger release surgery CPT 26055 26055 TENDON SHEATH INCISION (EG FOR TRIGGER FINGER)	$888.32	$1,388.00	$763.40–$3,308.97	53% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION(S) SINGLE OR MULTIPLE TRIGGER POINT(S) 1 OR 2 MUSCLE(S)	$87.04	$136.00	$74.80–$631.65	64% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 ADMIN OTHER CHARGE 20552: INJ TRIGGER POINTS ONE OR TWO MUSCLES	$87.04	$136.00	$74.80–$631.65	64% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION TRIGGER POINT	$381.44	$596.00	$219.44–$645.36	56% above	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BIOPSY BREAST W LOCALIZATION DEVICE FIRST LESION INCLUDING ULTRA	$696.32	$1,088.00	$579.75–$3,398.70	57% below	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 OCHM US GUIDED BREAST BIOPSY LEFT	$1,724.16	$2,694.00	$579.75–$3,472.46	8% above	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED BREAST BIOPSY RIGHT	$1,724.16	$2,694.00	$579.75–$3,472.46	8% above	36%
Upper endoscopy (EGD) with biopsy CPT 43239 43239 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY	$501.12	$783.00	$430.65–$1,866.42	57% below	36%
Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT BENIGN UP TP 14 LESIONS	$117.12	$183.00	$100.65–$412.87	21% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ TISSUE LESS THAN/EQUAL TO 1ST 20 SQ CM	$526.08	$822.00	$295.43–$836.54	48% above	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SUBQ TISSUE FIRST 20SQ CM	$759.68	$1,187.00	$295.43–$1,068.30	113% above	36%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 OPEN TX DISTAL RADIAL EXTRA-ARTICULAR FX OR EPIPHYSEAL SEPARATION	$1,052.16	$1,644.00	$904.20–$14,932.04	89% below	36%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMIN ADDON	$444.16	$694.00	$333.15–$907.86	2% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 NEBULIZER TREATMENT	$26.24	$41.00	$22.55–$450.62	59% below	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ADMIN OTHER CHARGE 94640: INHALATION/AEROSOL	$26.24	$41.00	$22.55–$450.62	59% below	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT SPUTUM COLLECTION CHARGE	$225.77	$352.76	$154.99–$450.62	249% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT EVALUATION RESPIRATORY CHARGE	$225.77	$352.76	$154.99–$450.62	249% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT INCENTIVE SPIROMETRY INITIAL CHARGE	$225.92	$353.00	$154.99–$450.62	250% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT INCENTIVE SPIROMETRY SUBSEQ CHARGE	$225.92	$353.00	$154.99–$450.62	250% above	36%
Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE FIRST 30-74 MIN	$257.60	$402.50	$221.38–$1,699.83	75% below	36%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN 99291	$1,239.04	$1,936.00	$642.10–$1,936.00	19% above	36%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG AWAKE/DROWSY RECORDING CHARGE	$668.80	$1,045.00	$167.97–$940.50	130% above	36%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG W 12 PLUS LEADS TRACING/INTERP/REPORT	$24.32	$38.00	$11.20–$34.20	52% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG PEDIATRIC	$131.20	$205.00	$5.19–$211.50	44% above	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM 12 LEAD	$150.40	$235.00	$5.19–$211.50	65% above	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG CARDIO CLINIC	$150.40	$235.00	$5.19–$211.50	65% above	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ELECTROCARDIOGRAM 12 LEAD	$150.40	$235.00	$5.19–$211.50	65% above	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG	$150.40	$235.00	$5.19–$211.50	65% above	36%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMERGENCY DEPARTMENT VISIT. LEVEL 1	$116.48	$182.00	$65.60–$182.00	14% above	36%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - LEVEL 2	$214.40	$335.00	$119.45–$335.00	11% above	36%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - LEVEL 3	$373.76	$584.00	$211.00–$584.00	4% above	36%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - LEVEL 4	$603.52	$943.00	$324.49–$943.00	10% above	36%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - LEVEL 5	$880.00	$1,375.00	$463.28–$1,375.00	9% above	36%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$560.32	$875.50	$30.19–$787.95	28% above	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION 1ST HR. CHARGE	$166.40	$260.00	$160.55–$437.71	10% below	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION 1ST HR	$166.40	$260.00	$160.55–$437.71	10% below	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - HYDRATION FIRST HOUR	$313.60	$490.00	$160.55–$490.00	70% above	36%
IV infusion of a medicine, first hour CPT 96365 96365 INFUSION THERAPY IST HOUR CHARGE	$241.92	$378.00	$160.55–$437.71	3% above	36%
IV infusion of a medicine, first hour CPT 96365 LIDOCAINE INTRAVENOUS INFUSION	$241.92	$378.00	$160.55–$437.71	3% above	36%
IV infusion of a medicine, first hour CPT 96365 96365 IV THERAPY 1ST HR	$241.92	$378.00	$160.55–$437.71	3% above	36%
IV infusion of a medicine, first hour CPT 96365 96365- IV TX FIRST HOUR	$313.60	$490.00	$160.55–$490.00	34% above	36%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH INITIAL CHARGE OCHM	$145.28	$227.00	$124.85–$437.71	5% above	36%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH INITIAL CHARGE	$145.28	$227.00	$158.90–$437.71	5% above	36%
IV push of a medicine, first drug CPT 96374 96374 INJECTION IV	$145.28	$227.00	$158.90–$437.71	5% above	36%
IV push of a medicine, first drug CPT 96374 96374 INJECTION IV INITIAL CHARGE	$145.28	$227.00	$158.90–$437.71	5% above	36%
IV push of a medicine, first drug CPT 96374 96374 INJECTION IV CHARGE OCHM	$145.28	$227.00	$124.85–$437.71	5% above	36%
IV push of a medicine, first drug CPT 96374 96374- IV INJECTION SINGLE/INITIAL	$313.60	$490.00	$160.55–$490.00	127% above	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN OTHER CHARGE 96372: SUBQ/IM	$25.60	$40.00	$22.00–$148.16	58% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SQ INJECTION CHARGE.	$49.92	$78.00	$54.24–$148.16	17% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM SQ INJECTION CHARGE OCHM	$49.92	$78.00	$42.90–$160.00	17% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION SQ/IM CHARGE	$49.92	$78.00	$54.24–$148.16	17% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM SQ INJECTION CHARGE	$49.92	$78.00	$42.90–$160.00	17% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- SUBQ/IM INJECTION	$99.84	$156.00	$54.24–$156.00	65% above	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM WC	$102.40	$160.00	$42.90–$160.00	70% above	36%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 7-8 NERVE CONDUCTION STUDIES	$1,161.60	$1,815.00	$237.29–$1,633.50	334% above	36%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT VISIT- LEVEL 3	$79.20	$123.75	$67.27–$307.00	31% below	36%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT LEVEL 3 CHARGE	$196.48	$307.00	$67.27–$307.00	72% above	36%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$196.48	$307.00	$67.27–$307.00	72% above	36%
New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT VISIT- LEVEL 4	$120.00	$187.50	$103.13–$366.30	24% below	36%
New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT LEVEL 4 CHARGE	$260.48	$407.00	$103.13–$366.30	66% above	36%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$260.48	$407.00	$103.13–$366.30	66% above	36%
New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT VISIT- LEVEL 5	$158.40	$247.50	$103.57–$501.21	16% below	36%
New patient office visit, about 60 minutes CPT 99205 99205 REHAB-SCREEN CHARGE	$273.63	$427.55	$103.57–$384.80	45% above	36%
New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT LEVEL 5 CHARGE	$356.42	$556.90	$103.57–$501.21	89% above	36%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW PATIENT VISIT- LEVEL 2	$51.20	$80.00	$38.56–$273.97	39% below	36%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW PATIENT LEVEL 2 CHARGE	$149.12	$233.00	$38.56–$273.97	78% above	36%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$149.12	$233.00	$38.56–$273.97	78% above	36%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT INITIAL 15 MIN CHARGE	$19.20	$30.00	$8.84–$30.00	20% below	36%
Preventive checkup, new patient aged 18–39 CPT 99385 99385 INITIAL COMP PREVENTIVE MED 18 TO 39 YEARS NEW	$106.24	$166.00	$48.94–$149.40	12% below	36%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 INITIAL COMP PREVENTIVE MED 40 TO 64 YEARS NEW	$124.16	$194.00	$57.19–$174.60	6% below	36%
Preventive checkup, new patient aged 65 or older CPT 99387 99387 INITIAL COMPREHENSIVE PREVENTIVE MEDICINE 65+ YRS NEW	$133.76	$209.00	$61.61–$188.10	at median	36%
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PREVENTIVE EVAL EST PT. 18-39 YEAR AGE	$87.04	$136.00	$40.09–$122.40	12% below	36%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PREVENTIVE EVAL EST PT. 40-64 YEAR AGE	$95.36	$149.00	$43.93–$134.10	15% below	36%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PREVENTIVE EVAL EST PT. 65 YEAR AGE	$106.24	$166.00	$48.94–$149.40	14% below	36%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 TOBACCO USE COUNSEL 3-10 MIN WC CHARGE	$32.00	$50.00	$29.14–$77.10	4% below	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTABLISHED PATIENT VISIT- LEVEL 5	$121.60	$190.00	$103.57–$366.30	33% below	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NURSERY LEVEL III CHARGE	$188.16	$294.00	$103.57–$366.30	4% above	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTABLISHED PATIENT LEVEL 5 CHARGE	$260.48	$407.00	$103.57–$366.30	44% above	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT VISIT- LEVEL 3	$64.80	$101.25	$54.22–$273.97	35% below	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT LEVEL 3 CHARGE	$149.12	$233.00	$54.22–$273.97	49% above	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99212 OB LEVEL II VISIT CHARGE	$164.96	$257.75	$54.22–$273.97	65% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT VISIT- LEVEL 4	$92.00	$143.75	$79.06–$366.30	31% below	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 O/P NSY LEVEL 2 CHARGE	$145.92	$228.00	$79.06–$366.30	10% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NURSERY LEVEL II CHARGE	$145.92	$228.00	$79.06–$366.30	10% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OB LEVEL III CHARGE	$231.94	$362.40	$79.06–$366.30	75% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4	$260.48	$407.00	$79.06–$366.30	97% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT LEVEL 4 CHARGE	$260.48	$407.00	$79.06–$366.30	97% above	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT VISIT- LEVEL 2	$40.00	$62.50	$28.94–$273.97	50% below	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OB LEVEL 1 CHARGE	$100.22	$156.60	$28.94–$273.97	25% above	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT LEVEL 2 CHARGE	$149.12	$233.00	$28.94–$273.97	86% above	36%
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULT NEW OR EST. L3 PT 40 MIN	$107.52	$168.00	$49.53–$151.20	16% below	36%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULT NEW OR EST. L4 PT 60 MIN	$158.72	$248.00	$73.11–$223.20	5% above	36%
Spirometry (breathing test) CPT 94010 94010 SPIROMETRY INCLUDING GRAPHIC RECORD TOTAL AND TIMED VITAL CAPACITY EX	$119.04	$186.00	$102.30–$444.33	11% below	36%
Spirometry (breathing test) CPT 94010 RT CHARGE PFT SPIROMETRY	$158.72	$248.00	$119.23–$444.33	19% above	36%
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT SPIROMETRY BEFORE AND AFTER	$276.96	$432.75	$237.29–$767.89	11% above	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY 1	$63.87	$99.80	$69.86–$273.79	37% below	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$63.87	$99.80	$69.86–$273.79	37% below	36%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-COV-2 COVID-19 MRNA-LNP VACCINE CVX 312 PRESERVATIVE-FREE 50 MCG/0.5 ML	$465.45	$727.27	$145.92–$669.09	319% above	36%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-COV-2 COVID-19 MRNA-LNP VACCINE CVX 312 PRESERVATIVE-FREE 50 MCG/0.5 ML	$465.45	$727.27	$145.92–$669.09	—	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-COV-2 COVID-19 MRNA-LNP VACCINE CVX 309 PRESERVATIVE-FREE 30 MCG/0.3 ML	$491.51	$767.99	$131.10–$706.55	275% above	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-COV-2 COVID-19 MRNA-LNP VACCINE CVX 309 PRESERVATIVE-FREE 30 MCG/0.3 ML	$491.51	$767.99	$131.10–$706.55	—	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE	$629.64	$983.82	$114.02–$885.44	320% above	36%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE	$629.64	$983.82	$114.02–$885.44	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB INFLUENZA VACC CHARGE 90656 NO PRSV 3+>	$76.51	$119.55	$12.83–$109.99	31% above	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE INACTIVATED PRESERVATIVE-FREE TRIVALENT	$77.01	$120.33	$12.83–$110.70	31% above	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AMB INFLUENZA VACC CHARGE 90656 NO PRSV 3+>	$76.51	$119.55	$12.83–$109.99	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACCINE INACTIVATED PRESERVATIVE-FREE TRIVALENT	$77.01	$120.33	$12.83–$110.70	—	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE 20 MCG/ML SUS	$260.79	$407.49	$56.27–$375.28	249% above	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE 10 MCG/ML SUS	$261.06	$407.91	$56.27–$375.28	249% above	36%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE 20 MCG/ML SUS	$260.79	$407.49	$56.27–$375.28	—	36%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE 10 MCG/ML SUS	$261.06	$407.91	$56.27–$375.28	—	36%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDIATRIC VACCINE 10 MCG/0.5 ML SUS	$98.90	$154.53	$21.71–$142.17	41% above	36%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDIATRIC VACCINE 10 MCG/0.5 ML SUS	$98.90	$154.53	$21.71–$142.17	—	36%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJUGATE (PRP-T) VACCINE - POW	$59.25	$92.58	$27.29–$83.32	184% above	36%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJUGATE (PRP-T) VACCINE - POW	$59.25	$92.58	$27.29–$83.32	—	36%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 AMB INFLUENZA CHARGE FLU VACCINE HD 65+ YRS	$24.32	$38.00	$8.06–$38.00	42% below	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VIRUS VACCINE SUBQ INJ	$350.95	$548.36	$161.66–$493.52	493% above	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VIRUS VACCINE SUBQ INJ	$350.95	$548.36	$161.66–$493.52	—	36%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL CONJUGATE VACCINE POLYSACCHARIDE TETANUS TOXOID GROUP ACYW SOL	$574.10	$897.03	$130.15–$807.33	73% above	36%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL CONJUGATE VACCINE POLYSACCHARIDE TETANUS TOXOID GROUP ACYW SOL	$574.10	$897.03	$130.15–$807.33	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE	$879.56	$1,374.32	$291.49–$1,264.37	100% above	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 AMB PNEUMOCOCCAL 20-VALENT VAC CHARGE PNEUMOCOCCAL 20-VALENT CONJUGATE	$939.84	$1,468.50	$311.47–$1,351.02	113% above	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE	$879.56	$1,374.32	$291.49–$1,264.37	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 AMB PNEUMOCOCCAL 20-VALENT VAC CHARGE PNEUMOCOCCAL 20-VALENT CONJUGATE	$939.84	$1,468.50	$311.47–$1,351.02	—	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VALENT VACCINE INJ SOL 0.5 ML	$427.11	$667.36	$47.23–$613.97	127% above	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 AMB PNEUMOCOCCAL 23-VALENT VACCINE CHARGE 0.5 ML PNEUMOCOCCAL 23-VALENT	$427.14	$667.40	$47.23–$614.01	127% above	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VALENT VACCINE INJ SOL 0.5 ML	$427.11	$667.36	$47.23–$613.97	—	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 AMB PNEUMOCOCCAL 23-VALENT VACCINE CHARGE 0.5 ML PNEUMOCOCCAL 23-VALENT	$427.14	$667.40	$47.23–$614.01	—	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/0.5 ML (INSURANCE)	$1,588.69	$2,482.33	$386.10–$2,234.10	234% above	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MG/0.5 ML (INSURANCE)	$1,588.69	$2,482.33	$386.10–$2,234.10	—	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT) 2.5 INTL UNITS IM INJ	$1,296.96	$2,026.50	$276.72–$1,823.85	367% above	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT) 2.5 INTL UNITS IM INJ	$1,296.96	$2,026.50	$276.72–$1,823.85	—	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE RECOMBINANT ADJUVANTED	$680.88	$1,063.88	$151.41–$957.49	110% above	36%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE RECOMBINANT ADJUVANTED	$680.88	$1,063.88	$151.41–$957.49	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTH TOXOIDS TD ADULT/ADOL 5 UNITS-2 UNITS/0.5 ML PRESERVATIVE	$152.93	$238.96	$70.45–$215.06	133% above	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTH TOXOIDS TD ADULT/ADOL 5 UNITS-2 UNITS/0.5 ML PRESERVATIVE	$152.93	$238.96	$70.45–$215.06	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTH/PERTUSS (TDAP) ADULT/ADOL 5 UNITS-2.5 UNITS (BOOSTRIX)	$171.26	$267.60	$78.89–$240.84	79% above	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTH/PERTUSS (TDAP) ADULT/ADOL 5 UNITS-2.5 UNITS (BOOSTRIX)	$171.26	$267.60	$78.89–$240.84	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION CHARGE 90471: IM/SUBQ FIRST DOSE	$24.00	$37.50	$20.63–$148.16	56% below	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF VACCINE CHARGE	$99.84	$156.00	$54.24–$156.00	83% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF VACCINE CHARGE OCHM	$99.84	$156.00	$54.24–$156.00	83% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-VACCINE ADMINISTRATION	$99.84	$156.00	$54.24–$156.00	83% above	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZATION CHARGE 90472: IM/SUBQ EACH ADDITIONAL	$13.44	$21.00	$6.19–$18.90	56% below	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-VACCINE ADMINISTRATION EACH ADDL	$52.77	$82.45	$24.31–$74.21	75% above	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADDITIONAL VACCINE INJECTION CHARGE OCHM	$54.40	$85.00	$25.06–$76.50	80% above	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADDITIONAL VACCINE INJECTION CHARGE	$54.40	$85.00	$25.06–$76.50	80% above	36%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.och.org/wp-content/uploads/2026/04/och-standardcharges.zip