University of Mississippi Medical Center- Grenada
Listed in its price file as “State of Mississippi-University of Mississippi Medical Center”.
University of Mississippi Medical Center- Grenada in Grenada, MS publishes cash prices for 254 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 204 of 254 procedures and above it for 49. By typical cash price it ranks #8 of 55 Mississippi hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
960 AVENT DRIVE, GRENADA, MS 38901 Collected Sep 23, 2026 Source price file (662) 227-7000
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 250168 · CMS hospital register NPI 1558798603
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 73610 X-RAY OF ANKLE | $109.60 | $274.00 | $69.10–$253.45 | 11% below | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $112.80 | $282.00 | $101.18–$415.54 | 57% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $221.60 | $554.00 | $139.73–$554.00 | 1% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $414.80 | $1,037.00 | $315.40–$1,009.75 | 36% below | 60% |
| Breast ultrasound, complete, one breast CPT 76641 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST | $192.00 | $480.00 | $83.47–$444.00 | 8% above | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $192.00 | $480.00 | $69.10–$444.00 | 21% above | 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 | $505.20 | $1,263.00 | $139.73–$1,168.28 | 55% below | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $20.00 | $50.00 | $35.00–$150.06 | 77% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $446.40 | $1,116.00 | $189.73–$1,032.30 | 66% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $717.60 | $1,794.00 | $280.31–$1,659.45 | 55% 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 | $671.60 | $1,679.00 | $280.31–$1,553.08 | 61% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $580.40 | $1,451.00 | $139.73–$1,342.18 | 43% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $370.80 | $927.00 | $83.47–$857.48 | 55% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 CT SCAN OF FACE WITHOUT CONTRAST | $370.80 | $927.00 | $83.47–$857.48 | 44% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $370.80 | $927.00 | $83.47–$857.48 | 52% below | 60% |
| CT scan of the head with contrast CPT 70460 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $504.80 | $1,262.00 | $139.73–$1,167.35 | 46% below | 60% |
| CT scan of the head without and with contrast CPT 70470 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $645.20 | $1,613.00 | $139.73–$1,492.03 | 39% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $370.80 | $927.00 | $83.47–$857.48 | 58% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $370.80 | $927.00 | $83.47–$857.48 | 58% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT SCAN OF PELVIS WITH CONTRAST | $580.40 | $1,451.00 | $139.73–$1,342.18 | 40% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $280.00 | $700.00 | $189.73–$873.43 | 35% below | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $75.20 | $188.00 | $69.10–$188.00 | 46% below | 60% |
| Chest X-ray, 2 views CPT 71046 71046 X-RAY OF CHEST | $86.40 | $216.00 | $69.10–$216.00 | 38% below | 60% |
| Chest X-ray, single view CPT 71045 71045 X-RAY OF CHEST | $69.20 | $173.00 | $69.10–$173.00 | 35% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $186.00 | $465.00 | $83.47–$430.13 | 47% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 DXA BONE DENSITY MEASUREMENT OF HIP | $166.00 | $415.00 | $83.47–$383.88 | 30% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM | $96.00 | $240.00 | $69.10–$222.00 | 7% below | 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–$518.93 | 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–$1,006.40 | 57% below | 60% |
| Diagnostic mammogram, both breasts CPT 77066 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $153.60 | $384.00 | $85.53–$355.20 | 11% below | 60% |
| Diagnostic mammogram, one breast CPT 77065 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $121.60 | $304.00 | $67.15–$281.20 | 5% below | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $243.60 | $609.00 | $189.73–$813.37 | 48% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $243.60 | $609.00 | $189.73–$813.37 | 45% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW | $759.20 | $1,898.00 | $430.35–$2,194.87 | 21% 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 | $493.60 | $1,234.00 | $315.40–$1,141.45 | 18% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY INCLUDING HEART RATE | $119.60 | $299.00 | $186.16–$569.66 | 59% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE 6 YEARS OR OLDER | $791.60 | $1,979.00 | $740.37–$2,786.88 | 46% below | 60% |
| Knee X-ray, 3 views CPT 73562 73562 X-RAY OF KNEE | $109.60 | $274.00 | $69.10–$253.45 | 17% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $241.60 | $604.00 | $83.47–$558.70 | 12% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $314.00 | $785.00 | $83.47–$726.13 | 72% above | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $597.20 | $1,493.00 | $189.73–$1,381.03 | 46% 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 | $1,123.60 | $2,809.00 | $280.31–$2,598.33 | 31% below | 60% |
| MRI of the abdomen without contrast CPT 74181 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $568.80 | $1,422.00 | $189.73–$1,315.35 | 58% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,173.20 | $2,933.00 | $280.31–$2,713.03 | 39% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $597.20 | $1,493.00 | $189.73–$1,381.03 | 56% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $942.00 | $2,355.00 | $280.31–$2,178.38 | 55% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $568.80 | $1,422.00 | $189.73–$1,554.00 | 57% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $672.00 | $1,680.00 | $189.73–$1,554.00 | 49% 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 | $942.00 | $2,355.00 | $280.31–$2,178.38 | 51% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $597.20 | $1,493.00 | $189.73–$2,058.13 | 56% 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–$2,058.13 | 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 | $897.20 | $2,243.00 | $280.31–$2,074.78 | 52% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $597.20 | $1,493.00 | $189.73–$1,381.03 | 56% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $1,021.60 | $2,554.00 | $280.31–$2,362.45 | 42% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $862.40 | $2,156.00 | $189.73–$1,994.30 | 22% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $913.20 | $2,283.00 | $189.73–$2,111.78 | 19% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $1,311.60 | $3,279.00 | $1,024.66–$3,275.94 | 27% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN | $2,202.80 | $5,507.00 | $1,144.85–$5,093.98 | 26% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $114.00 | $285.00 | $83.47–$285.00 | 46% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $241.60 | $604.00 | $83.47–$558.70 | 24% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE) | $210.00 | $525.00 | $83.47–$485.63 | 40% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS) | $241.60 | $604.00 | $90.13–$558.70 | 20% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $241.60 | $604.00 | $83.47–$558.70 | 14% above | 60% |
| Screening mammogram, both breasts CPT 77067 77067 SCREENING MAMMOGRAPHY | $123.60 | $309.00 | $70.74–$285.83 | 28% below | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 73030 X-RAY OF SHOULDER | $109.60 | $274.00 | $69.10–$253.45 | 19% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY | $791.60 | $1,979.00 | $740.37–$2,786.88 | 38% below | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $144.00 | $360.00 | $139.73–$360.00 | 40% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 76830 ULTRASOUND SCAN OF UTERUS | $241.60 | $604.00 | $83.47–$558.70 | 20% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $241.60 | $604.00 | $90.13–$558.70 | 11% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $241.60 | $604.00 | $83.47–$558.70 | 38% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 ULTRASOUND SCAN OF SCROTUM | $161.60 | $404.00 | $83.47–$373.70 | 41% below | 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 | $186.00 | $465.00 | $83.47–$430.13 | 32% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $221.60 | $554.00 | $139.73–$554.00 | 23% 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 | $220.80 | $552.00 | $83.47–$544.59 | 34% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 73110 X-RAY OF WRIST | $106.00 | $265.00 | $69.10–$245.13 | 13% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 73502 X-RAY OF HIP | $106.00 | $265.00 | $69.10–$245.13 | 11% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 74018 X-RAY OF ABDOMEN | $69.20 | $173.00 | $69.10–$173.00 | 47% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 73600 X-RAY OF ANKLE | $109.60 | $274.00 | $69.10–$253.45 | 2% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 73140 X-RAY OF FINGER | $106.00 | $265.00 | $69.10–$245.13 | 2% below | 60% |
| X-ray of the foot, 2 views CPT 73620 73620 X-RAY OF FOOT | $106.00 | $265.00 | $69.10–$245.13 | 2% below | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 73630 X-RAY OF FOOT | $106.00 | $265.00 | $69.10–$245.13 | 12% below | 60% |
| X-ray of the hand, 3 or more views CPT 73130 73130 X-RAY OF HAND | $106.00 | $265.00 | $69.10–$245.13 | 13% below | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 73560 X-RAY OF KNEE | $106.00 | $265.00 | $69.10–$245.13 | 13% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 X-RAY OF LOWER AND SACRAL SPINE | $115.60 | $289.00 | $83.47–$289.00 | 18% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 X-RAY OF LOWER AND SACRAL SPINE | $167.60 | $419.00 | $83.47–$387.58 | 19% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070 X-RAY OF MIDDLE SPINE | $115.60 | $289.00 | $83.47–$289.00 | 10% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 70160 X-RAY OF NOSE BONES | $106.00 | $265.00 | $69.10–$245.13 | 23% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 X-RAY OF UPPER SPINE | $109.60 | $274.00 | $69.10–$253.45 | 19% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 X-RAY OF PELVIS | $115.60 | $289.00 | $83.47–$289.00 | 16% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 X-RAY OF SACRUM AND TAILBONE | $106.00 | $265.00 | $69.10–$245.13 | 21% 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) | $12.40 | $31.00 | $9.61–$27.90 | 53% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 LIVER ENZYME (SGOT) | $12.40 | $31.00 | $9.61–$27.90 | 53% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 ACUTE HEPATITIS PANEL | $110.80 | $277.00 | $85.87–$249.30 | 23% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE | $12.00 | $30.00 | $9.30–$27.00 | 5% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $30.40 | $76.00 | $23.56–$68.40 | 34% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $21.60 | $54.00 | $16.74–$48.60 | 64% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $79.60 | $199.00 | $61.69–$179.10 | 29% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 80048 BLOOD TEST | $19.60 | $49.00 | $15.19–$44.10 | 64% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $54.40 | $136.00 | $41.94–$136.00 | 31% below | 60% |
| Blood culture for bacteria CPT 87040 87040 BACTERIAL BLOOD CULTURE | $28.00 | $70.00 | $19.61–$63.00 | 69% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $5.60 | $14.00 | $3.80–$18.68 | 38% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD TEST | $4.80 | $12.00 | $3.72–$20.70 | 82% below | 60% |
| Blood glucose (sugar) test CPT 82947 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $9.20 | $23.00 | $3.72–$20.70 | 66% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $17.60 | $44.00 | $13.64–$39.60 | 63% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD GROUP TYPING (ABO) | $92.00 | $230.00 | $101.18–$230.00 | 70% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $10.80 | $27.00 | $8.37–$24.30 | 64% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE | $82.40 | $206.00 | $63.86–$185.40 | 45% above | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN | $36.80 | $92.00 | $28.52–$82.80 | 47% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN | $36.80 | $92.00 | $28.52–$82.80 | 54% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS | $76.40 | $191.00 | $59.21–$171.90 | 14% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $36.00 | $90.00 | $12.41–$83.25 | 25% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE BLOOD CELL COUNT (RED CELLS | $21.20 | $53.00 | $14.76–$47.70 | 40% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE BLOOD CELL COUNT (RED CELLS | $18.40 | $46.00 | $12.29–$41.40 | 46% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 BLOOD TEST | $28.40 | $71.00 | $20.06–$63.90 | 66% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 85379 COAGULATION FUNCTION MEASUREMENT | $12.00 | $30.00 | $9.30–$28.61 | 81% below | 60% |
| Estradiol blood test CPT 82670 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $65.20 | $163.00 | $50.53–$146.70 | 22% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 GONADOTROPIN | $43.60 | $109.00 | $33.79–$98.10 | 42% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $32.00 | $80.00 | $24.80–$72.00 | 53% below | 60% |
| Folate (folic acid) blood test CPT 82746 82746 FOLIC ACID LEVEL | $29.20 | $73.00 | $22.63–$65.70 | 44% below | 60% |
| Free T3 thyroid hormone test CPT 84481 84481 THYROID HORMONE | $39.60 | $99.00 | $30.69–$89.10 | 25% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 THYROXINE (THYROID CHEMICAL) | $21.20 | $53.00 | $16.43–$47.70 | 41% below | 60% |
| Free testosterone test CPT 84402 84402 TESTOSTERONE (HORMONE) LEVEL | $59.60 | $149.00 | $46.19–$134.10 | 21% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 80050 GENERAL HEALTH PANEL | $52.40 | $131.00 | $58.00–$121.18 | 67% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST | $30.00 | $75.00 | $11.93–$69.38 | 55% below | 60% |
| H. pylori stool antigen test CPT 87338 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI GI TRACT | $33.60 | $84.00 | $26.04–$75.60 | 52% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS | $188.00 | $470.00 | $145.70–$423.00 | 8% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $32.40 | $81.00 | $25.11–$72.90 | 25% below | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV) | $82.40 | $206.00 | $63.86–$185.40 | 81% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $26.40 | $66.00 | $18.45–$59.40 | 32% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $22.00 | $55.00 | $17.05–$49.50 | 51% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 HEPATITIS C ANTIBODY MEASUREMENT | $27.20 | $68.00 | $21.08–$61.20 | 52% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS | $30.80 | $77.00 | $23.87–$69.30 | 7% below | 60% |
| Insulin blood test CPT 83525 83525 INSULIN MEASUREMENT | $26.80 | $67.00 | $20.77–$60.30 | 43% below | 60% |
| Iron blood test (serum iron) CPT 83540 83540 IRON LEVEL | $15.20 | $38.00 | $11.78–$34.20 | 54% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACITY | $20.40 | $51.00 | $15.81–$45.90 | 44% below | 60% |
| Kidney function blood test panel CPT 80069 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $20.40 | $51.00 | $15.81–$45.90 | 73% below | 60% |
| LH (luteinizing hormone) test CPT 83002 83002 GONADOTROPIN | $43.60 | $109.00 | $33.79–$98.10 | 48% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 83690 LIPASE (FAT ENZYME) LEVEL | $16.00 | $40.00 | $12.40–$36.00 | 58% below | 60% |
| Liver function blood test panel CPT 80076 80076 LIVER FUNCTION BLOOD TEST PANEL | $19.20 | $48.00 | $14.88–$43.20 | 71% below | 60% |
| Lyme disease antibody test CPT 86618 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $36.80 | $92.00 | $28.52–$82.80 | 28% below | 60% |
| Magnesium blood test CPT 83735 83735 MAGNESIUM LEVEL | $18.00 | $45.00 | $12.73–$40.50 | 47% below | 60% |
| Measles (rubeola) antibody test CPT 86765 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $30.40 | $76.00 | $23.56–$68.40 | 20% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $12.40 | $31.00 | $9.61–$27.90 | 61% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT | $36.80 | $92.00 | $28.52–$82.80 | 53% below | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 PAP TEST | $21.20 | $53.00 | $16.43–$53.00 | 29% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $96.80 | $242.00 | $75.02–$217.80 | 28% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 COAGULATION ASSESSMENT BLOOD TEST | $14.00 | $35.00 | $10.85–$31.50 | 61% below | 60% |
| Progesterone blood test CPT 84144 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $48.80 | $122.00 | $37.82–$109.80 | 43% below | 60% |
| Prolactin blood test CPT 84146 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $45.60 | $114.00 | $35.34–$102.60 | 51% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 BLOOD TEST | $9.20 | $23.00 | $7.13–$20.70 | 66% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 GRENADA DRUG SCREEN ANY NUMBER DRUG CLASSES | $16.00 | $40.00 | $12.40–$36.00 | 56% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFL | $27.60 | $69.00 | $21.39–$62.10 | 5% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREP | $28.00 | $70.00 | $21.70–$63.00 | 19% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 86431 RHEUMATOID FACTOR LEVEL | $13.20 | $33.00 | $10.23–$29.70 | 57% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $33.60 | $84.00 | $26.04–$75.60 | 18% below | 60% |
| Stool ova and parasites exam CPT 87177 87177 SMEAR FOR PARASITES | $20.80 | $52.00 | $16.12–$46.80 | 47% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $12.80 | $32.00 | $4.06–$29.60 | 39% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $22.00 | $55.00 | $17.05–$49.50 | 25% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS DETECTION TEST | $10.00 | $25.00 | $3.96–$23.13 | 56% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 TUBERCULOSIS TEST | $70.40 | $176.00 | $54.56–$174.16 | 33% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE (HORMONE) LEVEL | $60.40 | $151.00 | $46.81–$135.90 | 28% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $26.00 | $65.00 | $20.15–$58.50 | 5% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 BLOOD TEST | $42.40 | $106.00 | $31.92–$95.40 | 29% below | 60% |
| Trichomonas test (NAAT) CPT 87661 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS GENITAL PARASITE | $76.80 | $192.00 | $59.52–$172.80 | 62% above | 60% |
| Uric acid blood test CPT 84550 84550 URIC ACID LEVEL | $10.80 | $27.00 | $8.37–$24.30 | 63% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 81003 AUTOMATED URINALYSIS TEST | $5.20 | $13.00 | $4.03–$11.70 | 63% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 87086 BACTERIAL COLONY COUNT | $21.60 | $54.00 | $15.33–$48.60 | 47% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST | $14.80 | $37.00 | $11.47–$33.30 | 63% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $35.20 | $88.00 | $27.28–$79.20 | 45% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 VITAMIN D-3 LEVEL | $69.20 | $173.00 | $53.63–$155.70 | at median | 60% |
| Zinc blood test CPT 84630 84630 ZINC LEVEL | $26.80 | $67.00 | $20.77–$60.30 | 53% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 GONADOTROPIN | $20.40 | $51.00 | $15.81–$45.90 | 73% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE | $1,182.00 | $2,955.00 | $1,271.72–$2,955.00 | 32% below | 60% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY | $3,392.40 | $8,481.00 | $2,524.55–$8,188.43 | 40% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $622.00 | $1,555.00 | $513.62–$2,165.98 | 30% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE | $164.40 | $411.00 | $287.70–$3,604.48 | 68% below | 60% |
| Colonoscopy with polyp removal CPT 45385 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE | $920.00 | $2,300.00 | $665.99–$2,300.00 | 42% below | 60% |
| Colonoscopy with tissue sample CPT 45380 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $920.00 | $2,300.00 | $665.99–$2,300.00 | 29% below | 60% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $920.00 | $2,300.00 | $506.60–$2,300.00 | 10% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH | $126.40 | $316.00 | $155.96–$345.96 | 1% above | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $54.40 | $136.00 | $46.62–$136.00 | 4% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVAL OF IMPACTED EAR WAX | $57.60 | $144.00 | $46.62–$144.00 | 23% below | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING | $680.00 | $1,700.00 | $414.53–$1,700.00 | 26% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE | $593.20 | $1,483.00 | $538.55–$1,525.11 | 14% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $491.20 | $1,228.00 | $715.59–$1,603.54 | 34% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $832.40 | $2,081.00 | $715.59–$2,081.00 | 18% above | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS | $100.00 | $250.00 | $125.00–$231.25 | 52% 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 | $306.80 | $767.00 | $231.70–$767.00 | 21% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $254.00 | $635.00 | $231.70–$635.00 | 15% above | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP | $319.60 | $799.00 | $313.59–$799.00 | 35% above | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $680.00 | $1,700.00 | $543.56–$1,700.00 | 47% above | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE | $738.40 | $1,846.00 | $538.55–$1,846.00 | 21% above | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY | $452.80 | $1,132.00 | $552.24–$1,221.04 | 19% above | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE | $452.80 | $1,132.00 | $552.24–$1,221.04 | 20% above | 60% |
| Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED | $146.40 | $366.00 | $155.96–$366.00 | 6% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK | $234.00 | $585.00 | $43.58–$585.00 | 14% below | 60% |
| Pacemaker implant (dual chamber) CPT 33208 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $8,211.20 | $20,528.00 | $8,214.21–$20,528.00 | 7% below | 60% |
| Paracentesis with imaging guidance CPT 49083 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $652.00 | $1,630.00 | $735.88–$1,630.00 | 7% below | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR | $767.60 | $1,919.00 | $506.60–$1,919.00 | 21% below | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $767.60 | $1,919.00 | $506.60–$1,919.00 | 17% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $193.20 | $483.00 | $208.45–$483.00 | 23% above | 60% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $128.00 | $320.00 | $101.18–$320.00 | 10% above | 60% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $118.80 | $297.00 | $123.85–$297.00 | 8% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP | $164.00 | $410.00 | $155.96–$410.00 | 9% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG | $141.60 | $354.00 | $155.96–$354.00 | 11% above | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC | $272.00 | $680.00 | $476.00–$1,217.16 | 37% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC | $457.60 | $1,144.00 | $476.00–$1,217.16 | 6% above | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP | $174.80 | $437.00 | $155.96–$437.00 | 5% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE | $173.60 | $434.00 | $155.96–$434.00 | 5% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH | $146.00 | $365.00 | $155.96–$700.96 | 19% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $647.20 | $1,618.00 | $485.27–$1,618.00 | 1% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION OF TRIGGER POINTS | $338.00 | $845.00 | $231.70–$781.63 | 50% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND | $1,359.20 | $3,398.00 | $1,271.72–$3,398.00 | 19% below | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 BALLOON DILATION OF ESOPHAGUS | $920.00 | $2,300.00 | $870.27–$3,308.80 | 51% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 BIOPSY OF ESOPHAGUS | $741.60 | $1,854.00 | $521.22–$1,854.00 | 36% below | 60% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 INJECTION OF ESOPHAGUS | $644.80 | $1,612.00 | $735.88–$1,612.00 | 45% below | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS | $920.00 | $2,300.00 | $870.27–$3,308.80 | 41% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE END | $644.80 | $1,612.00 | $521.22–$1,612.00 | 48% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 DIAGNOSTIC EXAM OF ESOPHAGUS | $741.60 | $1,854.00 | $521.22–$1,854.00 | 24% below | 60% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION OF SKIN GROWTH | $85.20 | $213.00 | $149.10–$345.96 | 43% 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 | $403.20 | $1,008.00 | $343.14–$1,008.00 | 8% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $164.80 | $412.00 | $120.00–$649.51 | 155% above | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN | $321.60 | $804.00 | $260.34–$1,100.19 | 10% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE | $656.80 | $1,642.00 | $661.36–$1,642.00 | 8% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $90.80 | $227.00 | $46.62–$251.54 | at median | 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 | $118.00 | $295.00 | $69.11–$272.88 | 15% above | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $194.00 | $485.00 | $124.29–$448.63 | 31% above | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $229.20 | $573.00 | $217.33–$573.00 | 10% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $523.20 | $1,308.00 | $334.22–$1,209.90 | 1% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $890.00 | $2,225.00 | $481.22–$2,058.13 | 18% above | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $344.40 | $861.00 | $186.16–$940.58 | 21% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 INFUSION INTO A VEIN FOR HYDRATION | $184.40 | $461.00 | $165.37–$671.03 | at median | 60% |
| IV infusion of a medicine, first hour CPT 96365 96365 INFUSION INTO A VEIN FOR THERAPY | $234.00 | $585.00 | $165.37–$752.87 | 2% above | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 NERVE CONDUCTION | $272.80 | $682.00 | $244.41–$1,093.56 | 2% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION | $58.80 | $147.00 | $27.49–$157.94 | 11% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $58.80 | $147.00 | $27.49–$157.94 | 11% above | 60% |
| New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $93.20 | $233.00 | $69.29–$233.00 | 16% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $202.40 | $506.00 | $91.17–$468.05 | 28% above | 60% |
| New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $240.00 | $600.00 | $91.08–$555.00 | 28% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW LEVEL II | $102.00 | $255.00 | $39.72–$255.00 | 21% above | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $34.40 | $86.00 | $23.34–$108.40 | 41% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE | $61.20 | $153.00 | $23.34–$152.62 | 4% above | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH | $64.80 | $162.00 | $24.71–$161.06 | 21% above | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $64.80 | $162.00 | $24.71–$161.06 | 21% above | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $176.00 | $440.00 | $91.30–$407.00 | at median | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $112.40 | $281.00 | $55.85–$281.00 | 12% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $152.00 | $380.00 | $82.24–$351.50 | 15% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT | $117.20 | $293.00 | $29.81–$293.00 | 46% above | 60% |
| Spirometry (breathing test) CPT 94010 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $161.60 | $404.00 | $122.81–$638.96 | 21% above | 60% |
| Spirometry before and after a bronchodilator CPT 94060 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER | $272.40 | $681.00 | $244.41–$1,092.90 | 9% above | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES | $59.20 | $148.00 | $29.26–$162.08 | 10% above | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $59.20 | $148.00 | $29.26–$162.08 | 10% above | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $92.00 | $230.00 | $101.18–$230.00 | 8% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SUSR 1 EACH VIAL | $276.46 | $691.16 | $114.02–$639.32 | 84% above | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SUSR 1 EACH VIAL | $276.46 | $691.16 | $114.02–$639.32 | — | 60% |
| 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 | $28.23 | $70.58 | $17.22–$65.45 | 52% 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 | $28.23 | $70.58 | $17.22–$65.45 | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE SUSY 0.5 ML SYRINGE | $473.71 | $1,184.27 | $189.25–$1,095.45 | 179% above | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE SUSY 0.5 ML SYRINGE | $473.71 | $1,184.27 | $189.25–$1,095.45 | — | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VAC SOLR 1 EACH VIAL | $140.56 | $351.41 | $175.71–$325.05 | 127% above | 60% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA VAC SOLR 1 EACH VIAL | $140.56 | $351.41 | $175.71–$325.05 | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSY 0.5 ML SYRINGE | $430.74 | $1,076.84 | $301.09–$1,572.19 | 2% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSY 0.5 ML SYRINGE | $430.74 | $1,076.84 | $301.09–$1,572.19 | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML SOSY 0.5 ML SYRINGE | $168.60 | $421.50 | $119.03–$390.86 | 10% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML SOSY 0.5 ML SYRINGE | $168.60 | $421.50 | $119.03–$390.86 | — | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC SUSR 1 EACH VIAL | $625.84 | $1,564.59 | $276.72–$1,659.99 | 98% above | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC SUSR 1 EACH VIAL | $625.84 | $1,564.59 | $276.72–$1,659.99 | — | 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 | $89.58–$165.72 | 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 | $89.58–$165.72 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMINISTRATION OF VACCINE | $53.60 | $134.00 | $55.87–$134.00 | 1% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADMINISTRATION OF VACCINE | $20.00 | $50.00 | $25.00–$46.25 | 34% below | 60% |