UMMC Holmes County
UMMC Holmes County in Lexington, MS publishes cash prices for 300 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 282 of 300 procedures and above it for 14. By typical cash price it ranks #3 of 55 Mississippi hospitals and #1 of 13 hospitals in the Jackson, MS area, cheapest first. Select a procedure to compare it with other hospitals nearby.
239 BOWLING GREEN ROAD, LEXINGTON, MS 39095 Collected Sep 23, 2026 Source price file Check a bill from this hospital (662) 834-1321
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 251319 · CMS hospital register NPI 1386630705
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
UMMC Holmes 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 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $690.40 | $1,726.00 | $139.73–$1,726.00 | 42% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 74019 X-RAY OF ABDOMEN | $108.40 | $271.00 | $83.47–$271.00 | 31% below | 60% |
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 X-RAY OF ANKLE | $90.00 | $225.00 | $69.10–$225.00 | 27% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 73200 CT SCAN OF ARM WITHOUT CONTRAST | $467.60 | $1,169.00 | $83.47–$1,169.00 | 39% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $399.60 | $999.00 | $315.40–$999.00 | 39% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $766.00 | $1,915.00 | $139.73–$1,915.00 | 32% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $909.60 | $2,274.00 | $189.73–$2,274.00 | 31% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $957.20 | $2,393.00 | $280.31–$2,393.00 | 41% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $1,005.20 | $2,513.00 | $280.31–$2,513.00 | 42% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $639.20 | $1,598.00 | $139.73–$1,598.00 | 37% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $583.20 | $1,458.00 | $83.47–$1,458.00 | 29% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 CT SCAN OF FACE WITHOUT CONTRAST | $350.00 | $875.00 | $83.47–$875.00 | 47% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $448.40 | $1,121.00 | $83.47–$1,121.00 | 42% below | 60% |
| CT scan of the head with contrast CPT 70460 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $448.00 | $1,120.00 | $139.73–$1,120.00 | 52% below | 60% |
| CT scan of the head without and with contrast CPT 70470 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $586.40 | $1,466.00 | $139.73–$1,466.00 | 44% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $596.80 | $1,492.00 | $83.47–$1,492.00 | 33% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $745.60 | $1,864.00 | $83.47–$1,864.00 | 15% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT SCAN OF PELVIS WITH CONTRAST | $594.40 | $1,486.00 | $139.73–$1,486.00 | 39% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $314.00 | $785.00 | $189.73–$785.00 | 28% below | 60% |
| Chest CT scan without and with contrast CPT 71270 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST | $435.20 | $1,088.00 | $139.73–$1,088.00 | 63% below | 60% |
| Chest X-ray, 2 views CPT 71046 71046 X-RAY OF CHEST | $112.40 | $281.00 | $69.10–$281.00 | 20% below | 60% |
| Chest X-ray, single view CPT 71045 71045 X-RAY OF CHEST | $93.20 | $233.00 | $69.10–$233.00 | 12% below | 60% |
| Collarbone (clavicle) X-ray, complete CPT 73000 73000 X-RAY OF COLLAR BONE | $88.80 | $222.00 | $69.10–$222.00 | 16% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $358.80 | $897.00 | $83.47–$897.00 | 2% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $224.40 | $561.00 | $83.47–$561.00 | 73% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT SCAN OF CHEST WITH CONTRAST | $435.20 | $1,088.00 | $139.73–$1,088.00 | 57% below | 60% |
| Diagnostic mammogram, both breasts CPT 77066 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $122.80 | $307.00 | $85.53–$307.00 | 29% below | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $294.40 | $736.00 | $189.73–$736.00 | 37% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $301.60 | $754.00 | $189.73–$754.00 | 32% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW | $500.00 | $1,250.00 | $430.35–$1,250.00 | 48% below | 60% |
| Elbow X-ray, 2 views CPT 73070 73070 X-RAY OF ELBOW | $83.20 | $208.00 | $69.10–$208.00 | 22% below | 60% |
| Elbow X-ray, complete, 3 or more views CPT 73080 73080 X-RAY OF ELBOW | $79.60 | $199.00 | $69.10–$199.00 | 28% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST | $380.00 | $950.00 | $83.47–$950.00 | 46% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 70150 X-RAY OF FACE BONES | $138.40 | $346.00 | $83.47–$346.00 | 8% below | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 X-RAY OF FOREARM | $77.20 | $193.00 | $69.10–$193.00 | 30% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM | $388.80 | $972.00 | $315.40–$972.00 | 35% below | 60% |
| Hand X-ray, 2 views CPT 73120 73120 X-RAY OF HAND | $92.40 | $231.00 | $83.47–$231.00 | 15% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 X-RAY OF HEEL | $83.20 | $208.00 | $69.10–$208.00 | 25% below | 60% |
| Knee X-ray, 3 views CPT 73562 73562 X-RAY OF KNEE | $98.40 | $246.00 | $69.10–$246.00 | 19% below | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 73564 X-RAY OF KNEE | $119.60 | $299.00 | $83.47–$299.00 | 13% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 73700 CT SCAN OF LEG WITHOUT CONTRAST | $537.60 | $1,344.00 | $83.47–$1,344.00 | 29% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $238.00 | $595.00 | $83.47–$595.00 | 13% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE | $132.00 | $330.00 | $83.47–$330.00 | 32% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 73590 X-RAY OF LOWER LEG | $92.00 | $230.00 | $69.10–$230.00 | 25% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST | $202.00 | $505.00 | $189.73–$505.00 | 83% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $739.60 | $1,849.00 | $189.73–$1,849.00 | 33% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $818.00 | $2,045.00 | $280.31–$2,045.00 | 49% below | 60% |
| MRI of the abdomen without contrast CPT 74181 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $862.80 | $2,157.00 | $189.73–$2,157.00 | 37% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,040.40 | $2,601.00 | $280.31–$2,601.00 | 46% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $910.00 | $2,275.00 | $189.73–$2,275.00 | 33% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,521.60 | $3,804.00 | $280.31–$3,804.00 | 27% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $343.60 | $859.00 | $189.73–$2,295.00 | 74% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $918.00 | $2,295.00 | $189.73–$2,295.00 | 31% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,407.20 | $3,518.00 | $280.31–$3,518.00 | 28% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $351.20 | $878.00 | $189.73–$2,225.00 | 74% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $890.00 | $2,225.00 | $189.73–$2,225.00 | 34% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,323.20 | $3,308.00 | $280.31–$3,308.00 | 29% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE LIMITED | $339.60 | $849.00 | $189.73–$2,336.00 | 75% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $934.40 | $2,336.00 | $189.73–$2,336.00 | 30% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $723.60 | $1,809.00 | $189.73–$1,809.00 | 35% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $652.40 | $1,631.00 | $189.73–$1,631.00 | 42% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 72050 X-RAY OF UPPER SPINE | $138.80 | $347.00 | $83.47–$347.00 | 25% below | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST | $701.60 | $1,754.00 | $139.73–$1,754.00 | 27% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST | $397.60 | $994.00 | $83.47–$994.00 | 49% below | 60% |
| Neck soft tissue X-ray CPT 70360 70360 X-RAY OF SOFT TISSUE OF NECK | $56.80 | $142.00 | $69.10–$142.00 | 47% below | 60% |
| Pelvic CT scan without contrast CPT 72192 72192 CT SCAN OF PELVIS WITHOUT CONTRAST | $610.40 | $1,526.00 | $83.47–$1,526.00 | 25% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $106.80 | $267.00 | $83.47–$267.00 | 50% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $247.20 | $618.00 | $83.47–$618.00 | 22% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE) | $276.80 | $692.00 | $83.47–$692.00 | 20% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS) | $318.40 | $796.00 | $242.42–$796.00 | 6% above | 60% |
| Rib X-ray, one side, 2 views CPT 71100 71100 X-RAY OF RIBS ON SIDE OF BODY | $111.20 | $278.00 | $69.10–$278.00 | 8% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 71101 X-RAY OF RIBS ON SIDE OF BODY | $111.20 | $278.00 | $83.47–$278.00 | 29% below | 60% |
| Screening mammogram, both breasts CPT 77067 77067 SCREENING MAMMOGRAPHY | $98.80 | $247.00 | $70.74–$222.30 | 42% below | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 X-RAY OF SHOULDER | $93.20 | $233.00 | $69.10–$233.00 | 30% below | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 70220 X-RAY OF PARANASAL SINUS | $157.20 | $393.00 | $69.10–$393.00 | 11% above | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 70250 X-RAY OF SKULL | $85.60 | $214.00 | $83.47–$214.00 | 36% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 73552 X-RAY OF THIGH BONE | $92.00 | $230.00 | $69.10–$230.00 | 24% below | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST | $696.40 | $1,741.00 | $83.47–$1,741.00 | 21% below | 60% |
| Toe X-ray, 2 or more views CPT 73660 73660 X-RAY OF TOE | $72.40 | $181.00 | $69.10–$181.00 | 32% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 76830 ULTRASOUND SCAN OF UTERUS | $268.80 | $672.00 | $83.47–$672.00 | 11% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $268.80 | $672.00 | $242.42–$672.00 | 1% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $356.00 | $890.00 | $83.47–$890.00 | 9% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 ULTRASOUND SCAN OF SCROTUM | $328.40 | $821.00 | $83.47–$821.00 | 20% above | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $186.80 | $467.00 | $83.47–$467.00 | 31% below | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 73060 X-RAY OF UPPER ARM | $88.80 | $222.00 | $69.10–$222.00 | 27% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $260.00 | $650.00 | $83.47–$650.00 | 22% below | 60% |
| Wrist X-ray, 2 views CPT 73100 73100 X-RAY OF WRIST | $86.80 | $217.00 | $69.10–$217.00 | 25% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 X-RAY OF WRIST | $100.80 | $252.00 | $69.10–$252.00 | 17% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 73502 X-RAY OF HIP | $116.00 | $290.00 | $69.10–$290.00 | 3% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 74018 X-RAY OF ABDOMEN | $76.80 | $192.00 | $69.10–$192.00 | 41% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 73600 X-RAY OF ANKLE | $83.20 | $208.00 | $69.10–$208.00 | 24% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 X-RAY OF FINGER | $83.20 | $208.00 | $69.10–$208.00 | 23% below | 60% |
| X-ray of the foot, 2 views CPT 73620 73620 X-RAY OF FOOT | $83.20 | $208.00 | $69.10–$208.00 | 22% below | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 X-RAY OF FOOT | $88.80 | $222.00 | $69.10–$222.00 | 27% below | 60% |
| X-ray of the hand, 3 or more views CPT 73130 73130 X-RAY OF HAND | $88.80 | $222.00 | $69.10–$222.00 | 26% below | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 X-RAY OF KNEE | $83.20 | $208.00 | $69.10–$208.00 | 31% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 X-RAY OF LOWER AND SACRAL SPINE | $111.20 | $278.00 | $83.47–$278.00 | 21% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 X-RAY OF LOWER AND SACRAL SPINE | $171.20 | $428.00 | $83.47–$428.00 | 17% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 X-RAY OF MIDDLE SPINE | $98.40 | $246.00 | $83.47–$246.00 | 23% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 70160 X-RAY OF NOSE BONES | $118.80 | $297.00 | $69.10–$297.00 | 13% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 X-RAY OF UPPER SPINE | $103.60 | $259.00 | $69.10–$259.00 | 24% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 X-RAY OF PELVIS | $92.00 | $230.00 | $83.47–$230.00 | 33% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 X-RAY OF SACRUM AND TAILBONE | $90.00 | $225.00 | $69.10–$225.00 | 33% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 LIVER ENZYME (SGPT) | $11.60 | $29.00 | $4.91–$29.00 | 56% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 LIVER ENZYME (SGOT) | $11.60 | $29.00 | $4.80–$29.00 | 56% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 ACUTE HEPATITIS PANEL | $77.60 | $194.00 | $44.16–$194.00 | 46% below | 60% |
| Albumin blood test CPT 82040 82040 ALBUMIN (PROTEIN) LEVEL | $14.00 | $35.00 | $4.59–$35.00 | 51% below | 60% |
| Aldosterone blood test CPT 82088 82088 ALDOSTERONE HORMONE LEVEL | $71.20 | $178.00 | $37.78–$178.00 | 33% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE (ENZYME) LEVEL | $12.80 | $32.00 | $4.80–$32.00 | 57% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE | $20.80 | $52.00 | $4.84–$52.00 | 65% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 ALPHA-FETOPROTEIN (AFP) LEVEL | $16.40 | $41.00 | $15.54–$41.00 | 67% below | 60% |
| Ammonia blood test CPT 82140 82140 AMMONIA LEVEL | $24.00 | $60.00 | $13.50–$60.00 | 67% below | 60% |
| Amylase blood test CPT 82150 82150 AMYLASE (ENZYME) LEVEL | $13.60 | $34.00 | $6.00–$34.00 | 66% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $25.20 | $63.00 | $11.21–$63.00 | 58% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $52.80 | $132.00 | $36.39–$132.00 | 53% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 BACTERIAL CULTURE | $33.20 | $83.00 | $7.99–$83.00 | 37% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 80048 BLOOD TEST | $26.80 | $67.00 | $7.84–$67.00 | 51% below | 60% |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN LEVEL | $10.80 | $27.00 | $4.66–$27.00 | 54% below | 60% |
| Blood culture for bacteria CPT 87040 87040 BACTERIAL BLOOD CULTURE | $41.20 | $103.00 | $9.57–$103.00 | 55% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $4.40 | $11.00 | $3.60–$11.00 | 51% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD TEST | $4.80 | $12.00 | $3.65–$32.00 | 82% below | 60% |
| Blood glucose (sugar) test CPT 82947 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $12.80 | $32.00 | $3.65–$32.00 | 53% below | 60% |
| Blood lead test CPT 83655 83655 LEAD LEVEL | $17.60 | $44.00 | $11.23–$44.00 | 57% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $19.60 | $49.00 | $6.97–$49.00 | 58% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD GROUP TYPING (ABO) | $74.00 | $185.00 | $5.00–$185.00 | 37% above | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION | $12.00 | $30.00 | $3.67–$30.00 | 61% below | 60% |
| C-peptide blood test CPT 84681 84681 C-PEPTIDE (PROTEIN) LEVEL | $20.00 | $50.00 | $19.29–$50.00 | 73% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $30.00 | $75.00 | $4.80–$75.00 | at median | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN | $65.60 | $164.00 | $19.29–$164.00 | 5% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN | $22.00 | $55.00 | $19.29–$55.00 | 72% below | 60% |
| Calcium blood test, total CPT 82310 82310 CALCIUM LEVEL | $12.00 | $30.00 | $4.78–$30.00 | 56% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $47.60 | $119.00 | $17.57–$119.00 | 51% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $24.00 | $60.00 | $11.94–$60.00 | 53% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS | $34.80 | $87.00 | $32.53–$87.00 | 48% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $34.40 | $86.00 | $12.41–$86.00 | 28% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE BLOOD CELL COUNT (RED CELLS | $52.00 | $130.00 | $7.20–$130.00 | 48% above | 60% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE BLOOD CELL COUNT (RED CELLS | $8.00 | $20.00 | $5.99–$20.00 | 76% below | 60% |
| Cortisol blood test, total CPT 82533 82533 CORTISOL (HORMONE) MEASUREMENT | $32.80 | $82.00 | $15.11–$82.00 | 38% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL | $13.60 | $34.00 | $6.04–$34.00 | 66% below | 60% |
| Creatinine blood test CPT 82565 82565 BLOOD CREATININE LEVEL | $13.20 | $33.00 | $4.75–$33.00 | 53% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $31.60 | $79.00 | $13.34–$79.00 | 25% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 85379 COAGULATION FUNCTION MEASUREMENT | $28.00 | $70.00 | $9.43–$70.00 | 55% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $22.00 | $55.00 | $20.61–$55.00 | 74% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESUMPTIVE CHEM ANALYZER | $18.00 | $45.00 | $26.10–$125.00 | 70% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMPTV INSTRMTD CHEM ANLYZR PER DATE | $50.00 | $125.00 | $26.10–$125.00 | 16% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM | $18.40 | $46.00 | $6.50–$46.00 | 70% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS) | $28.40 | $71.00 | $16.82–$71.00 | 49% below | 60% |
| Estradiol blood test CPT 82670 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $27.60 | $69.00 | $25.90–$69.00 | 67% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 GONADOTROPIN | $33.20 | $83.00 | $17.22–$83.00 | 56% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $31.20 | $78.00 | $12.64–$78.00 | 54% below | 60% |
| Fibrinogen blood test CPT 85384 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $22.40 | $56.00 | $9.01–$56.00 | 58% below | 60% |
| Folate (folic acid) blood test CPT 82746 82746 FOLIC ACID LEVEL | $28.00 | $70.00 | $13.63–$70.00 | 46% below | 60% |
| Free T3 thyroid hormone test CPT 84481 84481 THYROID HORMONE | $28.80 | $72.00 | $15.71–$72.00 | 46% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 THYROXINE (THYROID CHEMICAL) | $32.00 | $80.00 | $8.36–$80.00 | 11% below | 60% |
| Free testosterone test CPT 84402 84402 TESTOSTERONE (HORMONE) LEVEL | $136.00 | $340.00 | $23.61–$340.00 | 81% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $14.00 | $35.00 | $6.67–$35.00 | 52% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST | $25.20 | $63.00 | $11.93–$63.00 | 62% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE | $39.20 | $98.00 | $32.53–$98.00 | 29% below | 60% |
| H. pylori antibody blood test CPT 86677 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) | $50.80 | $127.00 | $15.63–$127.00 | 4% below | 60% |
| H. pylori stool antigen test CPT 87338 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI | $81.20 | $203.00 | $13.33–$203.00 | 15% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS | $155.20 | $388.00 | $78.89–$388.00 | 24% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $43.20 | $108.00 | $12.71–$108.00 | at median | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $18.80 | $47.00 | $9.00–$47.00 | 52% below | 60% |
| Hemoglobin blood test CPT 85018 85018 BLOOD COUNT | $8.80 | $22.00 | $2.19–$22.00 | 46% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $15.60 | $39.00 | $11.18–$39.00 | 65% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $16.80 | $42.00 | $9.96–$42.00 | 60% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $12.80 | $32.00 | $9.58–$32.00 | 71% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 HEPATITIS C ANTIBODY MEASUREMENT | $48.80 | $122.00 | $13.23–$122.00 | 14% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS | $73.20 | $183.00 | $39.72–$183.00 | 54% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS | $24.80 | $62.00 | $12.23–$62.00 | 25% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS | $19.60 | $49.00 | $17.94–$49.00 | 50% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $34.00 | $85.00 | $12.01–$85.00 | 4% above | 60% |
| Insulin blood test CPT 83525 83525 INSULIN MEASUREMENT | $21.60 | $54.00 | $10.60–$54.00 | 54% below | 60% |
| Iron blood test (serum iron) CPT 83540 83540 IRON LEVEL | $14.80 | $37.00 | $5.99–$37.00 | 55% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACITY | $19.20 | $48.00 | $8.11–$48.00 | 47% below | 60% |
| LH (luteinizing hormone) test CPT 83002 83002 GONADOTROPIN | $32.00 | $80.00 | $17.17–$80.00 | 62% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 83605 LACTIC ACID LEVEL | $13.60 | $34.00 | $10.72–$34.00 | 76% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $13.60 | $34.00 | $5.60–$34.00 | 54% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 83690 LIPASE (FAT ENZYME) LEVEL | $14.00 | $35.00 | $6.39–$35.00 | 64% below | 60% |
| Liver function blood test panel CPT 80076 80076 LIVER FUNCTION BLOOD TEST PANEL | $23.60 | $59.00 | $7.57–$59.00 | 64% below | 60% |
| Lyme disease antibody test CPT 86618 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $44.80 | $112.00 | $15.79–$112.00 | 12% below | 60% |
| Magnesium blood test CPT 83735 83735 MAGNESIUM LEVEL | $13.60 | $34.00 | $6.21–$34.00 | 60% below | 60% |
| Measles (rubeola) antibody test CPT 86765 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $18.00 | $45.00 | $11.94–$45.00 | 53% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $24.80 | $62.00 | $4.80–$62.00 | 22% below | 60% |
| Mumps immunity blood test CPT 86735 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $20.00 | $50.00 | $12.10–$50.00 | 58% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT | $44.00 | $110.00 | $17.05–$110.00 | 44% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $57.20 | $143.00 | $38.26–$143.00 | 57% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 COAGULATION ASSESSMENT BLOOD TEST | $16.80 | $42.00 | $5.57–$42.00 | 53% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 84100 PHOSPHATE LEVEL | $11.60 | $29.00 | $4.40–$29.00 | 55% below | 60% |
| Potassium blood test CPT 84132 84132 BLOOD POTASSIUM LEVEL | $13.20 | $33.00 | $4.41–$33.00 | 51% below | 60% |
| Progesterone blood test CPT 84144 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $34.00 | $85.00 | $19.33–$85.00 | 60% below | 60% |
| Prolactin blood test CPT 84146 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $32.40 | $81.00 | $17.96–$81.00 | 65% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 BLOOD TEST | $16.40 | $41.00 | $3.98–$41.00 | 40% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBS | $50.00 | $125.00 | $15.35–$125.00 | 73% above | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBS | $14.00 | $35.00 | $15.33–$35.00 | 59% below | 60% |
| Renin blood test CPT 84244 84244 RENIN (KIDNEY ENZYME) LEVEL | $36.80 | $92.00 | $20.38–$92.00 | 38% below | 60% |
| Rh blood typing CPT 86901 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $22.40 | $56.00 | $5.00–$56.00 | 33% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 86431 RHEUMATOID FACTOR LEVEL | $27.20 | $68.00 | $5.25–$68.00 | 12% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $31.20 | $78.00 | $13.34–$78.00 | 24% below | 60% |
| Sodium blood test CPT 84295 84295 BLOOD SODIUM LEVEL | $12.40 | $31.00 | $4.46–$31.00 | 63% below | 60% |
| Stool ova and parasites exam CPT 87177 87177 SMEAR FOR PARASITES | $20.80 | $52.00 | $8.25–$52.00 | 47% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $24.40 | $61.00 | $4.06–$61.00 | 16% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS DETECTION TEST | $15.20 | $38.00 | $3.96–$38.00 | 32% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE (HORMONE) LEVEL | $40.00 | $100.00 | $23.93–$100.00 | 52% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $61.60 | $154.00 | $13.49–$154.00 | 125% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 BLOOD TEST | $29.60 | $74.00 | $15.57–$74.00 | 51% below | 60% |
| Total IgE blood test CPT 82785 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $25.60 | $64.00 | $15.25–$64.00 | 49% below | 60% |
| Total cholesterol blood test CPT 82465 82465 CHOLESTEROL LEVEL | $13.20 | $33.00 | $4.04–$33.00 | 51% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 84436 THYROXINE (THYROID CHEMICAL) | $16.00 | $40.00 | $6.37–$40.00 | 53% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 84480 THYROID HORMONE | $32.80 | $82.00 | $13.14–$82.00 | 31% below | 60% |
| Transferrin blood test CPT 84466 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $14.80 | $37.00 | $11.82–$37.00 | 67% below | 60% |
| Triglycerides blood test CPT 84478 84478 TRIGLYCERIDES LEVEL | $16.40 | $41.00 | $5.33–$41.00 | 51% below | 60% |
| Troponin test, quantitative CPT 84484 84484 TROPONIN (PROTEIN) ANALYSIS | $16.80 | $42.00 | $11.56–$42.00 | 79% below | 60% |
| Uric acid blood test CPT 84550 84550 URIC ACID LEVEL | $14.40 | $36.00 | $4.19–$36.00 | 51% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE | $17.60 | $44.00 | $3.73–$44.00 | 12% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 81003 AUTOMATED URINALYSIS TEST | $14.00 | $35.00 | $2.09–$35.00 | at median | 60% |
| Urine culture for bacteria, with colony count CPT 87086 87086 BACTERIAL COLONY COUNT | $32.00 | $80.00 | $7.48–$80.00 | 22% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $20.00 | $50.00 | $5.36–$50.00 | 38% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST | $22.40 | $56.00 | $10.61–$56.00 | 44% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $26.40 | $66.00 | $13.98–$66.00 | 59% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 VITAMIN D-3 LEVEL | $67.60 | $169.00 | $27.44–$169.00 | 2% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 82652 DIHYDROXYVITAMIN D | $38.00 | $95.00 | $35.69–$95.00 | 68% below | 60% |
| Zinc blood test CPT 84630 84630 ZINC LEVEL | $26.80 | $67.00 | $10.56–$67.00 | 53% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 GONADOTROPIN | $20.80 | $52.00 | $13.96–$52.00 | 72% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE | $196.40 | $491.00 | $188.28–$491.00 | 24% above | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT | $154.40 | $386.00 | $188.28–$386.00 | 30% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $359.60 | $899.00 | $513.62–$899.00 | 39% below | 60% |
| Cervical biopsy CPT 57500 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH | $94.40 | $236.00 | $136.88–$236.00 | 90% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST | $199.20 | $498.00 | $188.28–$498.00 | 6% below | 60% |
| Colonoscopy with tissue sample CPT 45380 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $664.00 | $1,660.00 | $665.99–$1,660.00 | 49% below | 60% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $640.00 | $1,600.00 | $506.60–$1,600.00 | 41% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVAL OF IMPACTED EAR WAX | $45.60 | $114.00 | $46.62–$114.00 | 41% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $592.40 | $1,481.00 | $715.59–$1,481.00 | 23% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $118.40 | $296.00 | $155.96–$296.00 | 37% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION INTO TENDON OR LIGAMENT | $74.40 | $186.00 | $107.88–$186.00 | 58% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $171.60 | $429.00 | $231.70–$429.00 | 32% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $171.60 | $429.00 | $231.70–$429.00 | 22% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $56.00 | $140.00 | $81.20–$140.00 | 78% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP | $180.80 | $452.00 | $262.16–$452.00 | 26% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY | $125.60 | $314.00 | $182.12–$314.00 | 67% below | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE | $125.60 | $314.00 | $182.12–$314.00 | 67% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED | $99.20 | $248.00 | $143.84–$248.00 | 40% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $162.80 | $407.00 | $236.06–$407.00 | 55% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $777.20 | $1,943.00 | $1,126.94–$1,943.00 | 65% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE | $82.00 | $205.00 | $118.90–$205.00 | 70% below | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 GASTROINTESTINAL SERVICES | $640.00 | $1,600.00 | $506.60–$1,600.00 | 34% below | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 GASTROINTESTINAL SERVICES | $640.00 | $1,600.00 | $506.60–$1,600.00 | 34% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION OF ELBOW TO FINGER CAST | $85.20 | $213.00 | $123.54–$213.00 | 46% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $73.60 | $184.00 | $101.18–$184.00 | 41% below | 60% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $79.20 | $198.00 | $114.84–$198.00 | 55% below | 60% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $94.80 | $237.00 | $123.85–$237.00 | 36% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP | $133.20 | $333.00 | $155.96–$333.00 | 27% below | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 REMOVAL OF CANCER SKIN GROWTH OF BODY | $252.40 | $631.00 | $365.98–$631.00 | 58% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG | $65.20 | $163.00 | $94.54–$163.00 | 49% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC | $96.40 | $241.00 | $139.78–$953.00 | 79% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC | $381.20 | $953.00 | $139.78–$953.00 | 17% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP | $184.80 | $462.00 | $155.96–$462.00 | 2% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE | $151.60 | $379.00 | $155.96–$379.00 | 17% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH | $116.00 | $290.00 | $155.96–$290.00 | 35% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 BIOPSY OF ESOPHAGUS | $664.00 | $1,660.00 | $521.22–$1,660.00 | 43% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 DIAGNOSTIC EXAM OF ESOPHAGUS | $664.00 | $1,660.00 | $521.22–$1,660.00 | 32% below | 60% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 REMOVAL OF SPERM DUCT | $683.20 | $1,708.00 | $990.64–$1,708.00 | 56% below | 60% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION OF SKIN GROWTH | $32.80 | $82.00 | $47.56–$82.00 | 78% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE | $218.00 | $545.00 | $313.59–$545.00 | 39% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $263.20 | $658.00 | $343.14–$658.00 | 40% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE | $514.40 | $1,286.00 | $661.36–$1,286.00 | 50% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $58.00 | $145.00 | $46.62–$145.00 | 36% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $83.20 | $208.00 | $69.11–$208.00 | 19% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $158.80 | $397.00 | $124.29–$397.00 | 18% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $253.20 | $633.00 | $217.33–$633.00 | 30% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $442.80 | $1,107.00 | $334.22–$1,107.00 | 19% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $550.40 | $1,376.00 | $481.22–$1,376.00 | 32% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT | $78.00 | $195.00 | $113.10–$195.00 | 51% below | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT | $63.60 | $159.00 | $92.22–$159.00 | 53% below | 60% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY | $50.80 | $127.00 | $72.60–$127.00 | 56% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 INFUSION INTO A VEIN FOR HYDRATION | $154.00 | $385.00 | $165.37–$385.00 | 17% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 96365 INFUSION INTO A VEIN FOR THERAPY | $154.00 | $385.00 | $165.37–$385.00 | 34% below | 60% |
| IV push of a medicine, first drug CPT 96374 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $134.40 | $336.00 | $165.37–$336.00 | 3% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $47.20 | $118.00 | $55.87–$118.00 | 22% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $148.80 | $372.00 | $126.11–$372.00 | 17% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $26.00 | $65.00 | $27.49–$65.00 | 51% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION | $28.00 | $70.00 | $27.49–$70.00 | 47% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $82.40 | $206.00 | $69.29–$206.00 | 28% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $112.00 | $280.00 | $112.87–$280.00 | 29% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $137.60 | $344.00 | $127.94–$344.00 | 27% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW LEVEL II | $71.20 | $178.00 | $39.72–$178.00 | 15% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 97165 EVALUATION FOR OCCUPATIONAL THERAPY | $66.80 | $167.00 | $86.18–$167.00 | 48% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 EVALUATION FOR PHYSICAL THERAPY | $62.00 | $155.00 | $84.14–$155.00 | 59% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 EVALUATION FOR PHYSICAL THERAPY | $62.00 | $155.00 | $84.14–$155.00 | 51% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 EVALUATION FOR PHYSICAL THERAPY | $62.00 | $155.00 | $84.14–$155.00 | 52% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE | $26.00 | $65.00 | $23.34–$65.00 | 56% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH | $26.00 | $65.00 | $24.71–$65.00 | 52% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $26.00 | $65.00 | $24.71–$65.00 | 52% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY | $43.20 | $108.00 | $62.64–$108.00 | 57% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYCHOTHERAPY | $62.80 | $157.00 | $91.06–$157.00 | 55% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $125.60 | $314.00 | $121.49–$314.00 | 31% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $82.00 | $205.00 | $55.85–$205.00 | 18% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $97.60 | $244.00 | $82.24–$244.00 | 26% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $58.00 | $145.00 | $29.81–$145.00 | 28% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $27.20 | $68.00 | $39.44–$68.00 | 79% below | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $34.00 | $85.00 | $49.30–$85.00 | 78% below | 60% |
| Speech and language evaluation CPT 92523 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION | $160.00 | $400.00 | $160.00–$400.00 | 15% below | 60% |
| Speech therapy session, individual CPT 92507 92507 TREATMENT OF SPEECH | $58.40 | $146.00 | $64.96–$146.00 | 53% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $34.00 | $85.00 | $29.26–$85.00 | 37% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES | $40.00 | $100.00 | $29.26–$100.00 | 25% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE | $29.60 | $74.00 | $17.22–$80.29 | 49% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE | $29.60 | $74.00 | $17.22–$80.29 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DEPHTHERIA TOXOIDS (ADULT) 5-2 LF/0.5ML SUSP 0.5 ML VIAL | $65.76 | $164.39 | $31.20–$164.39 | at median | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DEPHTHERIA TOXOIDS (ADULT) 5-2 LF/0.5ML SUSP 0.5 ML VIAL | $65.76 | $164.39 | $31.20–$164.39 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSY 0.5 ML SYRINGE | $71.66 | $179.16 | $70.98–$179.16 | 25% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSY 0.5 ML SYRINGE | $71.66 | $179.16 | $70.98–$179.16 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMINISTRATION OF VACCINE | $40.80 | $102.00 | $55.87–$102.00 | 25% below | 60% |