Macon Community Hospital
Macon Community Hospital in Lafayette, TN publishes cash prices for 295 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 169 of 290 procedures and below it for 119. By typical cash price it ranks #57 of 88 Tennessee hospitals and #7 of 22 hospitals in the Nashville, TN area, cheapest first. Click a procedure to compare it with other hospitals nearby.
305 W LOCUST ST, LAFAYETTE, TN 37083 Collected Sep 29, 2026 Source price file (615) 666-2147
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 441305 · CMS hospital register NPI 1417938846
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/ W/O CONTRAST | $528.00 | $880.00 | $148.20–$792.00 | 53% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $191.40 | $319.00 | $15.96–$287.10 | 11% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE 3 VIEWS RIGHT | $158.52 | $264.20 | $15.33–$237.78 | 12% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE 3 VIEWS LEFT | $158.52 | $264.20 | $15.33–$237.78 | 12% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US SEGMENTAL PRESSURES LE 12 LVLS BILAT | $309.36 | $515.60 | $29.93–$464.04 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI LIMITED BILATERAL | $309.36 | $515.60 | $29.93–$464.04 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT HUMERUS W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT WRIST W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT SHOULDER W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT HAND W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT FOREARM W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT ELBOW W/O CONTRAST BILAT | $499.02 | $831.70 | $78.11–$748.53 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND W/O CONTRAST LEFT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST W/O CONTRAST RIGHT | $332.64 | $554.40 | $78.11–$748.53 | 52% below | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONEMAGING WHOLE BODY | $964.38 | $1,607.30 | $117.76–$1,446.57 | 42% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT | $255.24 | $425.40 | $41.25–$382.86 | 47% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT | $255.24 | $425.40 | $41.25–$382.86 | 47% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT | $211.32 | $352.20 | $40.06–$316.98 | 28% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT | $211.32 | $352.20 | $40.06–$316.98 | 28% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN AND PELVIS | $857.10 | $1,428.50 | $217.16–$1,285.65 | 50% below | 40% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO BRAIN/HEAD | $565.50 | $942.50 | $152.66–$848.25 | 48% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK | $565.50 | $942.50 | $152.66–$848.25 | 46% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST | $427.26 | $712.10 | $152.66–$640.89 | 62% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PE PROTOCOL | $427.26 | $712.10 | $152.66–$640.89 | 62% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CORONARY ARTERY STR/MPH/FNT CNT | $857.10 | $1,428.50 | $120.24–$1,285.65 | 9% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING | $36.00 | $60.00 | $16.17–$60.00 | 64% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W/O CONTRAST | $580.14 | $966.90 | $101.11–$870.21 | 61% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/ CONTRAST | $857.10 | $1,428.50 | $192.93–$1,285.65 | 55% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS W/ W/O CONTRAST | $857.10 | $1,428.50 | $217.16–$1,285.65 | 60% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $496.38 | $827.30 | $133.72–$744.57 | 49% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $296.64 | $494.40 | $78.11–$444.96 | 62% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $276.78 | $461.30 | $78.11–$415.17 | 61% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD W/O CONTRAST | $255.24 | $425.40 | $78.11–$382.86 | 64% below | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $427.26 | $712.10 | $133.72–$640.89 | 55% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/ W/O CONTRAST | $427.26 | $712.10 | $148.20–$640.89 | 61% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $280.80 | $468.00 | $78.11–$421.20 | 67% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $282.18 | $470.30 | $78.11–$423.27 | 68% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $487.38 | $812.30 | $133.72–$731.07 | 47% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL | $580.14 | $966.90 | $69.63–$870.21 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/ W/O CONTRAST | $427.26 | $712.10 | $148.20–$640.89 | 56% below | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $158.52 | $264.20 | $14.38–$237.78 | 19% above | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $158.52 | $264.20 | $7.80–$237.78 | 32% above | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT | $158.52 | $264.20 | $15.04–$237.78 | 31% above | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT | $158.52 | $264.20 | $15.04–$237.78 | 31% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $255.24 | $425.40 | $44.69–$382.86 | 7% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA SPECIAL | $54.00 | $90.00 | $24.25–$287.10 | 69% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY DEXA AXIAL SKELETON | $191.40 | $319.00 | $24.25–$287.10 | 9% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $288.78 | $481.30 | $78.11–$433.17 | 59% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST | $427.26 | $712.10 | $133.72–$640.89 | 55% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIGITAL DIAGNOSTIC BILAT | $421.08 | $701.80 | $55.24–$631.62 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIAGNOSTIC BILATERAL W/ TOMO. | $421.08 | $701.80 | $55.24–$631.62 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DIGITAL DIAGNOSTIC BILAT. | $421.08 | $701.80 | $55.24–$631.62 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC LEFT. | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIAGNOSTIC LEFT W/ TOMO. | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC RIGHT | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC LEFT | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIGITAL DIAGNOSTIC RIGHT. | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIAGNOSTIC RIGHT W/ TOMO. | $333.96 | $556.60 | $43.25–$500.94 | 114% above | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ARTERIAL DUPLEX BILATERAL | $580.14 | $966.90 | $69.63–$870.21 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS DUPLEX BILATERAL | $580.14 | $966.90 | $69.63–$870.21 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UPPER EXT VENOUS DUPLEX BILATERAL | $580.14 | $966.90 | $69.63–$870.21 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO BUBBLE STUDY EO | $1,315.92 | $2,193.20 | $148.77–$1,973.88 | 10% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE W/ COLOR EO | $1,315.92 | $2,193.20 | $148.77–$1,973.88 | 10% above | 40% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT | $158.52 | $264.20 | $15.04–$237.78 | 30% above | 40% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RIGHT | $158.52 | $264.20 | $15.04–$237.78 | 30% above | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE 3 VIEWS LEFT | $158.52 | $264.20 | $16.30–$237.78 | 10% above | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE 3 VIEWS RIGHT | $158.52 | $264.20 | $16.30–$237.78 | 10% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS SELLA W/O CONTRAST | $344.82 | $574.70 | $78.11–$517.23 | 46% below | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 VIEWS | $191.40 | $319.00 | $22.35–$287.10 | 18% above | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RIGHT | $158.52 | $264.20 | $15.04–$237.78 | 21% above | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT | $158.52 | $264.20 | $15.04–$237.78 | 21% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARYMAGING | $964.38 | $1,607.30 | $141.48–$1,446.57 | 49% above | 40% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT | $191.40 | $319.00 | $14.21–$287.10 | 42% above | 40% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT | $191.40 | $319.00 | $14.21–$287.10 | 42% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS LEFT | $158.52 | $264.20 | $13.64–$237.78 | 17% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS RIGHT | $158.52 | $264.20 | $13.64–$237.78 | 17% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED SIMULT RECORD HR O2 SAT RESP AIRFLOW AND RES | $375.48 | $625.80 | $77.67–$563.22 | 44% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY | $375.48 | $625.80 | $77.67–$563.22 | 44% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY MCH | $375.48 | $625.80 | $77.67–$563.22 | 44% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION POLYSOMNOGRAPHY W/INIT CPAP ATTENDED 4 SLEEP PARAMETERS CHARGE | $2,441.76 | $4,069.60 | $209.96–$3,662.64 | 34% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT 40 AHI POLYSOMNOGRAPHY W/INIT CPAP ATTENDED CHARGE | $2,441.76 | $4,069.60 | $209.96–$3,662.64 | 34% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT | $158.52 | $264.20 | $16.30–$237.78 | 10% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT | $158.52 | $264.20 | $16.30–$237.78 | 10% above | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE 4 VIEWS RIGHT | $191.40 | $319.00 | $17.71–$287.10 | 25% above | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPLETE 4 VIEWS LEFT | $191.40 | $319.00 | $17.71–$287.10 | 25% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIBIA/FIBULA W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST RIGHT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIBIA/FIBULA W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST LEFT | $281.46 | $469.10 | $78.11–$422.19 | 59% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 US ABDOMEN LIMITED | $255.24 | $425.40 | $40.08–$382.86 | 5% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US EXTREMITY NONVASCULAR LIMITED BILAT | $382.80 | $638.00 | $7.72–$574.20 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NONVASCULAR LIMITED RIGHT | $255.24 | $425.40 | $7.72–$574.20 | 22% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NONVASCULAR LIMITED LEFT | $255.24 | $425.40 | $7.72–$574.20 | 22% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCAN | $255.24 | $425.40 | $13.47–$382.86 | 34% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA RIGHT | $158.52 | $264.20 | $15.04–$237.78 | 26% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LEFT | $158.52 | $264.20 | $15.04–$237.78 | 26% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN/HEAD W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI KNEE W/ W/O CONTRAST BILAT | $1,607.10 | $2,678.50 | $247.26–$2,410.65 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/ W/O CONTRAST LEFT | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ W/O CONTRAST RIGHT | $1,071.42 | $1,785.70 | $247.26–$2,410.65 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/ W/O CONTRAST LEFT | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/ W/O CONTRAST RIGHT | $1,071.42 | $1,785.70 | $247.26–$2,410.65 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ W/O CONTRAST LEFT | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/ W/O CONTRAST RIGHT | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 15% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $725.16 | $1,208.60 | $152.32–$1,087.74 | 23% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 23% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ W/O CONTRAST | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 16% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 37% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ W/O CONTRAST | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 29% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 27% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/ W/O CONTRAST | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 25% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 26% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/ W/O CONTRAST | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 27% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 27% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/ W/O CONTRAST | $1,071.42 | $1,785.70 | $247.26–$1,607.13 | 20% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $725.16 | $1,208.60 | $152.32–$1,087.74 | 18% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST LEFT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RIGHT | $725.16 | $1,208.60 | $152.32–$1,087.74 | 24% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $191.40 | $319.00 | $25.31–$287.10 | 9% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W/ CONTRAST | $427.26 | $712.10 | $133.72–$640.89 | 52% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRAST | $326.28 | $543.80 | $78.11–$489.42 | 56% below | 40% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $158.52 | $264.20 | $11.95–$237.78 | 28% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM REST/ STRESS MULTIPLE STUDIES CHARGE | $3,133.14 | $5,221.90 | $217.02–$4,699.71 | 62% above | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $288.84 | $481.40 | $78.11–$433.26 | 59% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD | $255.24 | $425.40 | $29.06–$382.86 | 33% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB | $255.24 | $425.40 | $43.30–$382.86 | 11% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS | $285.96 | $476.60 | $44.69–$428.94 | 1% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 14 WEEKS SINGLE | $255.24 | $425.40 | $29.75–$382.86 | 3% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $255.24 | $425.40 | $29.06–$382.86 | 57% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS LEFT | $158.52 | $264.20 | $16.30–$237.78 | 12% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS RIGHT | $158.52 | $264.20 | $16.30–$237.78 | 12% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS 3 VIEWS RIGHT W/ PA CHEST | $191.40 | $319.00 | $19.13–$287.10 | 20% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS 3 VIEWS LEFT W/ PA CHEST | $191.40 | $319.00 | $19.13–$287.10 | 20% above | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO DIGITAL SCREENING BILATERAL. | $272.58 | $454.30 | $24.25–$408.87 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO DIGITAL SCREENING BILATERAL | $272.58 | $454.30 | $24.25–$408.87 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCREENING BILATERAL W/ TOMO. | $272.58 | $454.30 | $24.25–$408.87 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MG MAMMO DIGITAL SCREENING SPECIAL | $54.00 | $90.00 | $24.25–$408.87 | 30% below | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG MAMMO DIGITAL SCREENING RIGHT | $272.58 | $454.30 | $24.25–$408.87 | 253% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE 2 VIEWS RIGHT | $158.52 | $264.20 | $16.30–$237.78 | 15% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMPLETE 2 VIEWS LEFT | $158.52 | $264.20 | $16.30–$237.78 | 15% above | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE | $158.52 | $264.20 | $22.35–$237.78 | 8% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 4 VIEWS | $191.40 | $319.00 | $17.71–$287.10 | 57% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 NPSG POLYSOMNOGRAPHY ATTENDED 4 SLEEP PARAMETERS CHARGE | $2,441.76 | $4,069.60 | $156.45–$3,662.64 | 68% above | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNCTION W/ SPEECH | $320.46 | $534.10 | $36.83–$480.69 | 50% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RIGHT | $158.52 | $264.20 | $16.61–$237.78 | 53% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LEFT | $158.52 | $264.20 | $16.61–$237.78 | 53% above | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $281.46 | $469.10 | $78.11–$422.19 | 62% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NONOB | $255.24 | $425.40 | $43.30–$382.86 | 8% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $255.24 | $425.40 | $29.06–$382.86 | 13% above | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $255.24 | $425.40 | $44.69–$382.86 | 32% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS | $255.24 | $425.40 | $43.30–$382.86 | 5% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS W/ DOPPLERFND | $255.24 | $425.40 | $43.30–$382.86 | 5% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE | $255.24 | $425.40 | $40.08–$382.86 | 2% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $255.24 | $425.40 | $40.08–$382.86 | 2% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT | $158.52 | $264.20 | $16.30–$237.78 | 38% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT | $158.52 | $264.20 | $16.30–$237.78 | 38% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VENOUS DUPLEX LEFT | $255.24 | $425.40 | $44.69–$382.86 | 31% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VENOUS DUPLEX RIGHT | $255.24 | $425.40 | $44.69–$382.86 | 31% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXT VENOUS DUPLEX RIGHT | $255.24 | $425.40 | $44.69–$382.86 | 31% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXT VENOUS DUPLEX LEFT | $255.24 | $425.40 | $44.69–$382.86 | 31% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT | $158.52 | $264.20 | $14.21–$237.78 | 35% above | 40% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT | $158.52 | $264.20 | $14.21–$237.78 | 35% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3 VIEWS LEFT | $158.52 | $264.20 | $15.33–$237.78 | 16% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPLETE 3 VIEWS RIGHT | $158.52 | $264.20 | $15.33–$237.78 | 16% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEWS W/AP PELVIS RIGHT | $158.52 | $264.20 | $21.83–$237.78 | 12% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEWS W/AP PELVIS LEFT | $158.52 | $264.20 | $21.83–$237.78 | 12% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $158.52 | $264.20 | $13.33–$237.78 | 15% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT | $158.52 | $264.20 | $14.21–$237.78 | 24% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT | $158.52 | $264.20 | $14.21–$237.78 | 24% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 2 VIEWS RIGHT | $158.52 | $264.20 | $11.95–$237.78 | 31% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 2 VIEWS LEFT | $158.52 | $264.20 | $11.95–$237.78 | 31% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT | $158.52 | $264.20 | $14.21–$237.78 | 25% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT | $158.52 | $264.20 | $14.21–$237.78 | 25% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE 3 VIEWS RIGHT | $158.52 | $264.20 | $15.33–$237.78 | 12% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE 3 VIEWS LEFT | $158.52 | $264.20 | $15.33–$237.78 | 12% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE 3 VIEWS LEFT | $158.52 | $264.20 | $15.33–$237.78 | 11% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMPLETE 3 VIEWS RIGHT | $158.52 | $264.20 | $15.33–$237.78 | 11% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT | $158.52 | $264.20 | $15.04–$237.78 | 13% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RIGHT | $158.52 | $264.20 | $15.04–$237.78 | 13% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS | $191.40 | $319.00 | $19.13–$287.10 | 9% above | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4 VIEWS | $191.40 | $319.00 | $25.87–$287.10 | 15% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEWS | $158.52 | $264.20 | $15.04–$237.78 | 31% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $158.52 | $264.20 | $17.15–$237.78 | 12% above | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $191.40 | $319.00 | $15.04–$287.10 | 45% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 VIEWS | $158.52 | $264.20 | $16.30–$237.78 | 9% above | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH LC | $139.02 | $231.70 | $23.90–$208.53 | 25% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $19.08 | $31.80 | $3.27–$28.62 | 37% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $18.66 | $31.10 | $3.20–$27.99 | 39% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP PANEL 4 LC | $171.48 | $285.80 | $29.46–$257.22 | 1% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN LEVEL | $17.82 | $29.70 | $3.06–$26.73 | 1% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE LC | $146.70 | $244.50 | $25.21–$220.05 | 91% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE LC/MS LC | $146.70 | $244.50 | $25.21–$220.05 | 91% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 LIVER FRAC LC | $18.66 | $31.10 | $3.20–$27.99 | 27% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $18.66 | $31.10 | $3.20–$27.99 | 27% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOVINE ALBUMINGE LC | $18.78 | $31.30 | $3.23–$28.17 | 61% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C074IGE GELATIN LC | $18.78 | $31.30 | $3.23–$28.17 | 61% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP OPEN SPINA BIFIDA LC | $60.36 | $100.60 | $10.38–$90.54 | 18% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER LC | $60.36 | $100.60 | $10.38–$90.54 | 18% above | 40% |
| Ammonia blood test CPT 82140 AMMONIA 24HR UR LC | $52.44 | $87.40 | $9.01–$78.66 | 7% above | 40% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $52.44 | $87.40 | $9.01–$78.66 | 7% above | 40% |
| Amylase blood test CPT 82150 AMYLASE LEVEL | $23.34 | $38.90 | $4.01–$35.01 | 35% below | 40% |
| Amylase blood test CPT 82150 AMYLASE BF LC | $23.34 | $38.90 | $4.01–$35.01 | 35% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIESGG/IGA LC | $46.62 | $77.70 | $8.01–$69.93 | 19% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIESFA LC | $43.50 | $72.50 | $7.48–$65.25 | 18% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $141.36 | $235.60 | $21.00–$212.04 | 51% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE 182354 LC | $31.02 | $51.70 | $5.33–$46.53 | 23% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC BACTERIAL CULTURE LC | $31.02 | $51.70 | $5.33–$46.53 | 23% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $30.48 | $50.80 | $5.23–$45.72 | 59% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $18.06 | $30.10 | $3.11–$27.09 | 35% below | 40% |
| Bilirubin blood test, total CPT 82247 82247 COMPONENT | $18.06 | $30.10 | $3.11–$27.09 | 35% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY LEVELV | $232.62 | $387.70 | $15.18–$348.93 | 208% above | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE ROUTINE LC 59 MOD | $37.14 | $61.90 | $6.39–$55.71 | 37% below | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE ROUTINE LC | $37.14 | $61.90 | $6.39–$55.71 | 37% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BILL ONLY VENIPUNCTURE LC | $6.00 | $10.00 | $1.35–$24.57 | 37% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BILL ONLY VENIPUNCTURE | $16.38 | $27.30 | $1.35–$24.57 | 73% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS DRAW | $16.38 | $27.30 | $1.35–$24.57 | 73% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LVL | $14.16 | $23.60 | $2.43–$21.24 | 40% below | 40% |
| Blood lead test CPT 83655 LEAD BLD PEDIATRIC LC | $43.62 | $72.70 | $7.49–$65.43 | 19% above | 40% |
| Blood lead test CPT 83655 LEAD UR LC | $43.62 | $72.70 | $7.49–$65.43 | 19% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG QL | $27.06 | $45.10 | $4.65–$40.59 | 51% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH | $464.04 | $773.40 | $4.35–$696.06 | 841% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN/CREATININE RATIO | $14.22 | $23.70 | $2.44–$21.33 | 41% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $14.22 | $23.70 | $2.44–$21.33 | 41% below | 40% |
| C-peptide blood test CPT 84681 CPEPTIDE ULTRASENSITIVE LC | $74.94 | $124.90 | $12.87–$112.41 | 18% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN | $18.66 | $31.10 | $3.20–$27.99 | 12% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANT LC | $18.66 | $31.10 | $3.20–$27.99 | 12% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA LC | $134.16 | $223.60 | $21.71–$201.24 | 47% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 199 LC | $74.94 | $124.90 | $12.87–$112.41 | 7% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN CA 125 LC | $74.94 | $124.90 | $12.87–$112.41 | 8% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 RTPCR BDMAX | $184.74 | $307.90 | $51.31–$277.11 | 229% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 NAA LC | $184.74 | $307.90 | $51.31–$277.11 | 229% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 COVID19 RNA ACCULA | $184.74 | $307.90 | $51.31–$277.11 | 229% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL | $18.60 | $31.00 | $3.19–$27.90 | 32% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA LC | $68.28 | $113.80 | $11.74–$102.42 | 8% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLAZOSTER V ABGG LC | $46.38 | $77.30 | $7.97–$69.57 | 18% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACH NAA LC | $126.30 | $210.50 | $21.71–$189.45 | 109% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NAA LC | $126.30 | $210.50 | $21.71–$189.45 | 109% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $48.18 | $80.30 | $8.29–$72.27 | 3% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE LIPIDS LC | $48.18 | $80.30 | $8.29–$72.27 | 3% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFF | $27.96 | $46.60 | $4.81–$41.94 | 37% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF+ | $23.28 | $38.80 | $4.00–$34.92 | 21% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $38.04 | $63.40 | $6.54–$57.06 | 64% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL AM LC | $58.68 | $97.80 | $10.08–$88.02 | 7% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL LC | $58.68 | $97.80 | $10.08–$88.02 | 7% above | 40% |
| Cortisol blood test, total CPT 82533 #1 SALIVARY CORTISOL LC | $58.68 | $97.80 | $10.08–$88.02 | 7% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK WITH CKMBNDEX | $23.46 | $39.10 | $4.03–$35.19 | 25% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL LC | $23.46 | $39.10 | $4.03–$35.19 | 25% below | 40% |
| Creatinine blood test CPT 82565 82565 COMPONENT | $18.42 | $30.70 | $3.17–$27.63 | 18% below | 40% |
| Creatinine blood test CPT 82565 CREATININE | $18.42 | $30.70 | $3.17–$27.63 | 18% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CMV ABGG LC | $51.78 | $86.30 | $8.91–$77.67 | 18% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 DDIMER | $36.66 | $61.10 | $6.30–$54.99 | 29% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEASULFATE LC | $80.04 | $133.40 | $13.75–$120.06 | 11% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PROFILE UR 9 DRUGS LC | $223.68 | $372.80 | $35.91–$335.52 | 126% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 789254 9 OXYCODONEBUND LC | $223.68 | $372.80 | $35.91–$335.52 | 126% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE SCREEN ONLY URINE LC | $223.68 | $372.80 | $35.91–$335.52 | 126% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES | $25.26 | $42.10 | $4.34–$37.89 | 47% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCAGM AB LC | $65.28 | $108.80 | $11.22–$97.92 | 23% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL FREE LC | $100.56 | $167.60 | $17.28–$150.84 | 18% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $100.56 | $167.60 | $17.28–$150.84 | 18% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL LC | $100.56 | $167.60 | $17.28–$150.84 | 18% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE LEVEL | $66.90 | $111.50 | $11.49–$100.35 | 4% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $66.90 | $111.50 | $11.49–$100.35 | 4% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL LC | $70.68 | $117.80 | $12.14–$106.02 | 38% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $49.08 | $81.80 | $8.43–$73.62 | 9% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY LC | $34.98 | $58.30 | $5.26–$52.47 | 27% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE LEVEL | $52.92 | $88.20 | $9.09–$79.38 | 7% above | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $60.96 | $101.60 | $10.48–$91.44 | 8% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE DIRECT LC | $32.46 | $54.10 | $5.58–$48.69 | 11% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 LEVEL | $32.46 | $54.10 | $5.58–$48.69 | 11% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $25.92 | $43.20 | $4.46–$38.88 | 23% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL CHARGE | $150.69 | $251.15 | $18.37–$226.04 | 8% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 2 HOUR POST PRANDIAL | $46.32 | $77.20 | $7.96–$69.48 | 2% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE FASTING | $46.32 | $77.20 | $7.96–$69.48 | 2% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS NAA LC | $126.30 | $210.50 | $21.71–$189.45 | 105% above | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORIGG ABS LC | $60.66 | $101.10 | $8.98–$90.99 | 26% above | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG EIA LC | $51.78 | $86.30 | $8.90–$77.67 | 15% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA RT PCR NONGRAPH LC | $306.36 | $510.60 | $52.63–$459.54 | 93% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/O/2 4TH GENERATION LC | $86.70 | $144.50 | $14.90–$130.05 | 50% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $34.98 | $58.30 | $6.00–$52.47 | 19% below | 40% |
| Hemoglobin blood test CPT 85018 HGB | $8.52 | $14.20 | $1.47–$12.78 | 57% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOTAL AB LC | $43.38 | $72.30 | $7.46–$65.07 | 18% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOT LC | $43.38 | $72.30 | $7.46–$65.07 | 18% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB LC | $38.64 | $64.40 | $6.64–$57.96 | 22% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB QL LC | $38.64 | $64.40 | $6.64–$57.96 | 22% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN SCR LC | $37.20 | $62.00 | $6.39–$55.80 | 5% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV AB LC | $51.36 | $85.60 | $8.83–$77.04 | 17% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RTPCR QUANT GRAPH LC | $154.20 | $257.00 | $26.50–$231.30 | 1% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RTPCR QUANT NONGRAPH LC | $154.20 | $257.00 | $26.50–$231.30 | 1% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QN RFX GENO LC | $154.20 | $257.00 | $26.50–$231.30 | 1% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS NAA LC | $154.20 | $257.00 | $26.50–$231.30 | 1% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1SPECIFIC ABGG LC | $47.46 | $79.10 | $8.16–$71.19 | 34% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPES 1 AND 2 SPEC ABSGG LC 164099 | $47.46 | $79.10 | $8.16–$71.19 | 34% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 TYPE SPEC ABGG W/RFX LC | $69.66 | $116.10 | $11.97–$104.49 | 54% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2GG SUPPLEMENTAL 163006 LC | $69.66 | $116.10 | $11.97–$104.49 | 54% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVE PROTEIN CARDIAC LC | $46.62 | $77.70 | $8.01–$69.93 | 13% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE LC | $64.50 | $107.50 | $6.58–$96.75 | 24% above | 40% |
| Insulin blood test CPT 83525 TOTALNSULIN LC | $41.16 | $68.60 | $7.07–$61.74 | 1% below | 40% |
| Insulin blood test CPT 83525 INSULIN LC | $41.16 | $68.60 | $7.07–$61.74 | 1% below | 40% |
| Iron blood test (serum iron) CPT 83540 FE TIBC | $23.28 | $38.80 | $4.01–$34.92 | 21% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $23.28 | $38.80 | $4.01–$34.92 | 21% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 COMPONENT | $31.44 | $52.40 | $5.41–$47.16 | 28% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL PNL | $31.26 | $52.10 | $5.37–$46.89 | 55% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $66.66 | $111.10 | $11.46–$99.99 | 1% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE LH S LC | $66.66 | $111.10 | $11.46–$99.99 | 1% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $41.64 | $69.40 | $6.61–$62.46 | 8% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LC | $21.72 | $36.20 | $3.74–$32.58 | 12% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD BODY FLUID LC | $21.72 | $36.20 | $3.74–$32.58 | 12% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL | $24.78 | $41.30 | $4.26–$37.17 | 41% below | 40% |
| Liver function blood test panel CPT 80076 HEP FNCT PNL | $29.40 | $49.00 | $5.05–$44.10 | 68% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL ANTIBODY WITH REFLEX LC | $61.32 | $102.20 | $10.53–$91.98 | 48% above | 40% |
| Lyme disease antibody test CPT 86618 C6 B. BURGDORFERI LYME LC | $61.32 | $102.20 | $10.53–$91.98 | 48% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $24.12 | $40.20 | $4.14–$36.18 | 17% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM 24HR UR LC | $24.12 | $40.20 | $4.14–$36.18 | 17% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC LC | $24.12 | $40.20 | $4.14–$36.18 | 17% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLAGG AB LC | $46.38 | $77.30 | $7.97–$69.57 | 18% above | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODIESGG LC | $46.38 | $77.30 | $7.97–$69.57 | 18% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCRN | $18.66 | $31.10 | $3.20–$27.99 | 52% below | 40% |
| Mumps immunity blood test CPT 86735 MUMPSGG ABS LC | $46.98 | $78.30 | $8.07–$70.47 | 25% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODIESGG LC | $46.98 | $78.30 | $8.07–$70.47 | 25% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA LC | $66.18 | $110.30 | $11.38–$99.27 | 34% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAG | $66.18 | $110.30 | $11.38–$99.27 | 9% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE W/O SERIAL LC | $66.18 | $110.30 | $11.38–$99.27 | 9% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTHNTACT | $148.62 | $247.70 | $25.53–$222.93 | 22% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $21.66 | $36.10 | $3.71–$32.49 | 24% below | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL | $17.04 | $28.40 | $2.93–$25.56 | 45% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM LVL | $17.16 | $28.60 | $2.84–$25.74 | 34% below | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE LVL | $75.12 | $125.20 | $12.91–$112.68 | 18% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE LC | $75.12 | $125.20 | $12.91–$112.68 | 18% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN LC | $69.78 | $116.30 | $11.99–$104.67 | 17% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $69.78 | $116.30 | $11.99–$104.67 | 17% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $15.42 | $25.70 | $2.43–$23.13 | 24% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 FLU AANDB | $59.58 | $99.30 | $7.42–$89.37 | 60% above | 40% |
| Renin blood test CPT 84244 RENIN ACTIVITY LC | $79.14 | $131.90 | $13.61–$118.71 | 26% above | 40% |
| Rh blood typing CPT 86901 RH TYPING | $141.30 | $235.50 | $4.35–$211.95 | 362% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVELSGG LC | $20.40 | $34.00 | $3.51–$30.60 | 34% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS FACTOR LC | $20.40 | $34.00 | $3.51–$30.60 | 34% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIESGG LC | $51.78 | $86.30 | $8.91–$77.67 | 68% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLAGG ABS LC | $51.78 | $86.30 | $8.91–$77.67 | 68% above | 40% |
| Sodium blood test CPT 84295 SODIUM | $17.34 | $28.90 | $2.98–$26.01 | 37% below | 40% |
| Stool ova and parasites exam CPT 87177 OVA PARASITE STATUS LC | $32.04 | $53.40 | $5.50–$48.06 | at median | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB FTAAB LC | $47.64 | $79.40 | $8.19–$71.46 | 45% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC | $15.36 | $25.60 | $2.64–$23.04 | 40% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERONTB GOLD PLUS LC | $223.14 | $371.90 | $38.34–$334.71 | 69% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LC | $92.94 | $154.90 | $15.97–$139.41 | 18% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL TOTAL | $92.94 | $154.90 | $15.97–$139.41 | 18% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVERKIDNEY MICROSOMAL AB LC | $52.38 | $87.30 | $9.00–$78.57 | 28% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES | $52.38 | $87.30 | $9.00–$78.57 | 28% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 COMPONENT | $52.38 | $87.30 | $9.00–$78.57 | 28% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $60.48 | $100.80 | $10.40–$90.72 | 18% above | 40% |
| Total IgE blood test CPT 82785 IGE TOTAL LC | $59.28 | $98.80 | $10.19–$88.92 | 1% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $15.66 | $26.10 | $2.69–$23.49 | 38% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $24.72 | $41.20 | $4.25–$37.08 | 8% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $51.06 | $85.10 | $8.77–$76.59 | 4% above | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN LC | $45.96 | $76.60 | $7.90–$68.94 | 11% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA LC | $126.30 | $210.50 | $21.54–$189.45 | 90% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG NAA LC | $126.30 | $210.50 | $21.54–$189.45 | 90% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $20.64 | $34.40 | $3.56–$30.96 | 14% below | 40% |
| Troponin test, quantitative CPT 84484 TROPI | $44.88 | $74.80 | $6.09–$67.32 | 19% below | 40% |
| Troponin test, quantitative CPT 84484 HS TROPONINI | $44.88 | $74.80 | $6.09–$67.32 | 19% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $16.26 | $27.10 | $2.79–$24.39 | 43% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO | $11.40 | $19.00 | $1.96–$17.10 | 63% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA W MICROFND | $8.10 | $13.50 | $1.39–$12.15 | 25% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE ROUTINE LC | $29.04 | $48.40 | $5.00–$43.56 | 28% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALB/CREAT RATIO LC | $20.82 | $34.70 | $3.58–$34.70 | at median | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN UR LC | $20.82 | $34.70 | $3.58–$34.70 | at median | 40% |
| Urine pregnancy test, read by color change CPT 81025 U BHCG QL | $31.02 | $51.70 | $3.92–$46.53 | 22% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL | $54.30 | $90.50 | $9.32–$81.45 | 8% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY LEVEL | $106.56 | $177.60 | $18.32–$159.84 | 43% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL 125 DIOH VIT D LC | $138.60 | $231.00 | $23.81–$207.90 | 26% above | 40% |
| Zinc blood test CPT 84630 ZINC SERUM OR PLASMA LC | $40.98 | $68.30 | $7.04–$61.47 | 5% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE | $54.18 | $90.30 | $9.32–$81.27 | 16% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL TECHFEE | $1,177.86 | $1,963.10 | $130.97–$1,766.79 | 69% above | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVALMPACTED CERUMEN USINGRRIGATION/LAVAGE | $106.92 | $178.20 | $48.02–$160.38 | 57% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVEMPACTED CERUMEN TECHFEE | $106.92 | $178.20 | $48.02–$160.38 | 45% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE ABSCESS SIMPLE/SINGLE TECHFEE | $357.66 | $596.10 | $160.63–$536.49 | 62% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550NJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TECHFEE | $531.36 | $885.60 | $238.64–$797.04 | 126% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIRAND/INJ MAJOR JT/BURSA W/O US TECHFEE | $531.36 | $885.60 | $238.64–$797.04 | 56% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIRATION AND/ORNJECTIONNTERMEDIATE JOINT OR BURSA | $531.36 | $885.60 | $238.64–$797.04 | 82% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIRATION AND/ORNJECTION SMALL JOINT OR BURSA | $531.36 | $885.60 | $238.64–$797.04 | 82% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ TECHFEE | $719.16 | $1,198.60 | $322.98–$1,078.74 | 123% above | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TECHFEE | $357.66 | $596.10 | $160.63–$536.49 | 139% above | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 ER NJECTION OF ANESTHETIC AGENT GREATER OCCIPITAL NERVE TECHFEE | $531.36 | $885.60 | $238.64–$797.04 | 75% above | 40% |
| Paracentesis with imaging guidance CPT 49083 49083NCISION PROCEDURES ON THE ABDOMEN PERITONEUM AND OMENTUM TECHFEE | $1,687.62 | $2,812.70 | $757.93–$2,531.43 | 188% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TECHFEE | $719.16 | $1,198.60 | $322.98–$1,078.74 | 84% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TECHFEE | $719.16 | $1,198.60 | $322.98–$1,078.74 | 138% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TECHFEE | $478.02 | $796.70 | $214.69–$717.03 | 198% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARMHAND STATIC TECHFEE | $232.02 | $386.70 | $104.20–$348.03 | 50% above | 40% |
| Short leg cast (below the knee) CPT 29405 29405 APPLICATION SHORT LEG CAST BELOW KNEETOE TECHFEE | $478.02 | $796.70 | $214.69–$717.03 | 198% above | 40% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TECHFEE | $284.04 | $473.40 | $127.57–$426.06 | 77% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL | $357.66 | $596.10 | $160.63–$536.49 | 64% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION | $719.16 | $1,198.60 | $322.98–$1,078.74 | 328% above | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TECHFEE | $357.66 | $596.10 | $160.63–$536.49 | 132% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIAGNOST TECHFEE | $1,246.56 | $2,077.60 | $559.85–$1,869.84 | 210% above | 40% |
| 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 SCALP/NECK/AX/GENIT/TRUNK 2.67.5CM TECHFEE | $357.66 | $596.10 | $160.63–$536.49 | 54% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS AND | $357.66 | $596.10 | $160.63–$536.49 | 53% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE TECHFEE | $1,112.88 | $1,854.80 | $499.81–$1,669.32 | 76% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552NJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TECHFEE | $531.36 | $885.60 | $238.64–$797.04 | 111% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST W/PLACEMENT OF BREAST LOCALIZATION DEVICE 1ST LEISION | $3,888.60 | $6,481.00 | $1,746.42–$5,832.90 | 293% above | 40% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT BENIGN LESION OTHER THAN SKIN TAG UP TO 14 LESION TECHFEE | $357.66 | $596.10 | $160.63–$536.49 | 197% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/ TECHFEE | $719.16 | $1,198.60 | $322.98–$1,078.74 | 75% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION | $786.90 | $1,311.50 | $353.41–$1,180.35 | 90% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE FRESH FROZEN PLASMA | $786.90 | $1,311.50 | $353.41–$1,180.35 | 90% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT METER DOSENHALER SUBSEQUENT CHARGE | $366.12 | $610.20 | $12.53–$549.18 | 272% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT AEROSOL SUBSEQUENT CHARGE | $366.12 | $610.20 | $12.53–$549.18 | 272% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE 3074 | $1,516.68 | $2,527.80 | $426.00–$2,275.02 | 25% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM 12 LEAD | $106.92 | $178.20 | $12.00–$160.38 | 1% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG RT | $106.92 | $178.20 | $12.00–$160.38 | 1% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 LEVEL 1 | $158.52 | $264.20 | $33.83–$237.78 | 16% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 LEVEL 2 | $285.06 | $475.10 | $33.83–$427.59 | 24% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 LEVEL 3 | $498.42 | $830.70 | $74.42–$747.63 | 12% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 LEVEL 4 | $766.50 | $1,277.50 | $115.01–$1,149.75 | 9% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 LEVEL 5 | $1,103.58 | $1,839.30 | $216.48–$1,655.37 | 12% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING CHARGE | $560.52 | $934.20 | $51.25–$840.78 | 33% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/NUCLEAR STRESS TEST | $560.52 | $934.20 | $51.25–$840.78 | 33% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 MCG US ECHOCARDIOGRAM COMPLETE W/ COLOR EO | $560.52 | $934.20 | $51.25–$840.78 | 33% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 HYDRATION FIRST HOUR | $379.26 | $632.10 | $33.61–$568.89 | 156% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360V HYDRATIONNITIAL 1ST HR | $379.26 | $632.10 | $33.61–$568.89 | 156% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 96365V TX FIRST HOUR | $379.26 | $632.10 | $53.47–$568.89 | 139% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV DRUGNFUSION CHARGE | $379.26 | $632.10 | $53.47–$568.89 | 139% above | 40% |
| IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE ORNITIAL CHARGE | $379.26 | $632.10 | $17.61–$568.89 | 239% above | 40% |
| IV push of a medicine, first drug CPT 96374 96374VNJECTION SINGLE/INITIAL | $379.26 | $632.10 | $17.61–$568.89 | 239% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372M/SUBQNJECTION | $128.10 | $213.50 | $16.71–$192.15 | 129% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 SUBQ/IMNJECTION | $128.10 | $213.50 | $16.71–$192.15 | 129% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION THERAPYNTIAL 15 MIN CHARGE | $60.42 | $100.70 | $14.70–$90.63 | 127% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITIONNDIVIDUAL 15 MIN CHARGE | $60.42 | $100.70 | $14.70–$90.63 | 127% above | 40% |
| Spirometry (breathing test) CPT 94010 RT PEAK FLOW PROCEDURE CHARGE | $281.64 | $469.40 | $12.81–$422.46 | 80% above | 40% |
| Spirometry (breathing test) CPT 94010 RTNCENTIVE SPIROMETRYNITIAL CHARGE | $281.64 | $469.40 | $12.81–$422.46 | 80% above | 40% |
| Spirometry (breathing test) CPT 94010 SIMPLE PFT CHARGE | $281.64 | $469.40 | $12.81–$422.46 | 80% above | 40% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATOR RESPONSE CHARGE | $560.52 | $934.20 | $28.35–$840.78 | 69% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THER PHLEB | $464.04 | $773.40 | $13.42–$696.06 | 368% above | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $128.10 | $213.50 | $4.47–$192.15 | 253% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQD SUBQ/IM NJXS 1 VACCINE TECHFEE | $128.10 | $213.50 | $4.47–$192.15 | 253% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION EACH ADDITIONAL | $23.64 | $39.40 | $4.57–$35.46 | 29% below | 40% |
Source file: https://maconcommunityhospital.com/wp-content/uploads/2026/03/620988604_macon-community-hospital_standardcharges.csv