Hospital Jackson, MS

Magee general hospital

Magee general hospital in Magee, MS publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated Aug 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 265 of 309 procedures and below it for 43. By typical cash price it ranks #50 of 56 Mississippi hospitals and #10 of 13 hospitals in the Jackson, MS area, cheapest first. Select a procedure to compare it with other hospitals nearby.

300_third_avenue_se_magee_ms_39111 Collected Oct 8, 2026 Source price file Check a bill from this hospital (601) 849-5070

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 250124 · CMS hospital register NPI 1679553994

The price file shows no self-pay discount

For 908 of the 908 prices listed here, the cash price in Magee general hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Magee general hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Magee general hospital in Magee, MS:

Jul 7, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast	$1,013.00	$1,013.00	$155.20–$1,013.00	15% below	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast	$1,013.00	$1,013.00	$155.20–$1,013.00	—	—
Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Views	$338.00	$338.00	$92.50–$338.00	109% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Views	$338.00	$338.00	$92.50–$338.00	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views	$261.00	$261.00	$77.00–$261.00	111% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views	$261.00	$261.00	$77.00–$261.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Elbow WO IV Contrast	$854.00	$854.00	$92.50–$854.00	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Shoulder WO IV Contrast	$854.00	$854.00	$92.50–$854.00	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext WO IV Contrast	$854.00	$854.00	$92.50–$854.00	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Wrist WO IV Contrast	$854.00	$854.00	$92.50–$854.00	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext Right WO IV Contrast	$854.00	$854.00	$92.50–$854.00	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Shoulder WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Elbow WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Wrist WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext Right WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow	$606.00	$606.00	$155.20–$606.00	159% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow	$606.00	$606.00	$155.20–$606.00	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 HC Ultrasound Breast Complete - US Breast Bilateral Complete	$375.00	$375.00	$92.50–$375.00	—	—
Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete - US Breast Complete	$338.00	$338.00	$92.50–$338.00	81% above	—
Breast ultrasound, complete, one breast one side CPT 76641 HC Ultrasound Breast Complete - US Breast Right Complete	$375.00	$375.00	$92.50–$375.00	101% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC Ultrasound Breast Complete - US Breast Bilateral Complete	$375.00	$375.00	$92.50–$375.00	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 HC Ultrasound Breast Complete - US Breast Complete	$338.00	$338.00	$92.50–$338.00	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Ultrasound Breast Complete - US Breast Right Complete	$375.00	$375.00	$92.50–$375.00	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited - US Breast Limited	$261.00	$261.00	$77.00–$261.00	66% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Ultrasound Breast Limited - US Breast Right Limited	$261.00	$261.00	$77.00–$261.00	66% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC Ultrasound Breast Limited - US Breast Limited	$261.00	$261.00	$77.00–$261.00	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Ultrasound Breast Limited - US Breast Right Limited	$261.00	$261.00	$77.00–$261.00	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast	$1,742.00	$1,742.00	$308.68–$1,742.00	2% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast	$1,742.00	$1,742.00	$308.68–$1,742.00	—	—
CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	10% below	—
CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	10% below	—
CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	—	—
CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angio,Head Combo - CT Head Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	—	—
CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Head Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	8% below	—
CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	8% below	—
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angio,Neck Combo - CT Head Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	—	—
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast	$1,016.00	$1,016.00	$155.20–$1,016.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography Chest Pe	$1,017.00	$1,017.00	$155.20–$1,017.00	10% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont	$1,017.00	$1,017.00	$155.20–$1,017.00	10% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angiography Chest Pe	$1,017.00	$1,017.00	$155.20–$1,017.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont	$1,017.00	$1,017.00	$155.20–$1,017.00	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring WO Contrast	$261.00	$261.00	$77.00–$261.00	192% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring WO Contrast	$261.00	$261.00	$77.00–$261.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$1,722.00	$1,722.00	$211.12–$1,722.00	25% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$1,722.00	$1,722.00	$211.12–$1,722.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Enterography W/ Cont - HC CT Enterography	$1,938.00	$1,938.00	$308.68–$1,938.00	14% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$1,938.00	$1,938.00	$308.68–$1,938.00	14% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$1,938.00	$1,938.00	$308.68–$1,938.00	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Enterography W/ Cont - HC CT Enterography	$1,938.00	$1,938.00	$308.68–$1,938.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$1,997.00	$1,997.00	$308.68–$1,997.00	9% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$1,997.00	$1,997.00	$308.68–$1,997.00	—	—
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast	$925.50	$925.50	$155.20–$925.50	12% below	—
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast	$925.50	$925.50	$155.20–$925.50	—	—
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast	$811.25	$811.25	$92.50–$811.25	2% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast	$811.25	$811.25	$92.50–$811.25	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus Facial Bones WO Cont	$732.00	$732.00	$92.50–$732.00	11% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast	$732.00	$732.00	$92.50–$732.00	11% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast	$732.00	$732.00	$92.50–$732.00	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus Facial Bones WO Cont	$732.00	$732.00	$92.50–$732.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$679.00	$679.00	$92.50–$679.00	12% below	—
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Stroke Protocol	$679.00	$679.00	$92.50–$679.00	12% below	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Stroke Protocol	$679.00	$679.00	$92.50–$679.00	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$679.00	$679.00	$92.50–$679.00	—	—
CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast	$793.25	$793.25	$155.20–$793.25	15% below	—
CT scan of the head with contrast inpatient CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast	$793.25	$793.25	$155.20–$793.25	—	—
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast	$877.75	$877.75	$155.20–$877.75	17% below	—
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast	$877.75	$877.75	$155.20–$877.75	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$815.00	$815.00	$92.50–$815.00	8% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$815.00	$815.00	$92.50–$815.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast	$810.00	$810.00	$92.50–$810.00	9% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast	$810.00	$810.00	$92.50–$810.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$880.75	$880.75	$155.20–$880.75	10% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$880.75	$880.75	$155.20–$880.75	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Cv US Doppler Carotid	$705.00	$705.00	$211.12–$705.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Cv US Doppler Carotid	$705.00	$705.00	$211.12–$705.00	—	—
Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast	$1,010.75	$1,010.75	$155.20–$1,010.75	15% below	—
Chest CT scan without and with contrast inpatient CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast	$1,010.75	$1,010.75	$155.20–$1,010.75	—	—
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$261.00	$261.00	$77.00–$261.00	86% above	—
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest Infant 2 Views Port	$261.00	$261.00	$77.00–$261.00	86% above	—
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest Pa Lat Sanderson Farms	$261.00	$261.00	$77.00–$261.00	86% above	—
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Insper/Expper	$261.00	$261.00	$77.00–$261.00	86% above	—
Chest X-ray, 2 views inpatient CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 HC Radiologic Exam Chest 2 Views - Insper/Expper	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 HC Radiologic Exam Chest Infant 2 Views Port	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, 2 views inpatient CPT 71046 HC Radiologic Exam Chest Pa Lat Sanderson Farms	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus	$261.00	$261.00	$77.00–$261.00	144% above	—
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest 1 View Portable	$261.00	$261.00	$77.00–$261.00	144% above	—
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest 1 View	$261.00	$261.00	$77.00–$261.00	144% above	—
Chest X-ray, single view inpatient CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, single view inpatient CPT 71045 HC Radiologic Exam Chest 1 View Portable	$261.00	$261.00	$77.00–$261.00	—	—
Chest X-ray, single view inpatient CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest 1 View	$261.00	$261.00	$77.00–$261.00	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle	$261.00	$261.00	$77.00–$261.00	133% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-Ray Clavicle - Xr Clavicle	$261.00	$261.00	$77.00–$261.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Renal Complete	$338.00	$338.00	$92.50–$338.00	4% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum	$338.00	$338.00	$92.50–$338.00	4% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Renal Complete	$338.00	$338.00	$92.50–$338.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum	$338.00	$338.00	$92.50–$338.00	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density	$338.00	$338.00	$92.50–$338.00	42% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density	$338.00	$338.00	$92.50–$338.00	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density: Appendicular (Ext)	$261.00	$261.00	$77.00–$261.00	135% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA Bone Density: Appendicular (Ext)	$261.00	$261.00	$77.00–$261.00	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal Anat Sing or 1st Gest	$573.00	$573.00	$211.12–$573.00	34% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal Anat Sing or 1st Gest	$573.00	$573.00	$211.12–$573.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - Ldct Lung Screening	$338.00	$338.00	$92.50–$338.00	59% below	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$811.00	$811.00	$92.50–$811.00	2% below	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Scan,Thorax,W/O Contrast - Ldct Lung Screening	$338.00	$338.00	$92.50–$338.00	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$811.00	$811.00	$92.50–$811.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast	$924.25	$924.25	$155.20–$924.25	9% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast	$924.25	$924.25	$155.20–$924.25	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$362.00	$362.00	$92.27–$362.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mg Breast Bilateral Post Biopsy Clip	$362.00	$362.00	$92.27–$362.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mg Breast Bilateral Post Biopsy Clip	$362.00	$362.00	$92.27–$362.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral	$362.00	$362.00	$92.27–$362.00	—	—
Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Post Biopsy Clip	$342.00	$342.00	$72.43–$342.00	166% above	—
Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views	$342.00	$342.00	$72.43–$342.00	166% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$342.00	$342.00	$72.43–$342.00	166% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right	$342.00	$342.00	$72.43–$342.00	166% above	—
Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Right	$342.00	$342.00	$72.43–$342.00	166% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni - Mg Breast Post Biopsy Clip	$342.00	$342.00	$72.43–$342.00	—	—
Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views	$342.00	$342.00	$72.43–$342.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right	$342.00	$342.00	$72.43–$342.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views Right	$342.00	$342.00	$72.43–$342.00	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left	$342.00	$342.00	$72.43–$342.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Cv US Doppler Arterial Legs Bilateral	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Cv US Doppler Arterial Legs Bilateral	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Extremity Study - US Lower Extremity Varicose Veins Bilateral	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Ext. Veins W/Compress Duplex, Bilat	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US Ven Dop Bil Low	$705.00	$705.00	$211.12–$705.00	60% above	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Ext. Veins W/Compress Duplex, Bilat	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Extremity Study - US Lower Extremity Varicose Veins Bilateral	$705.00	$705.00	$211.12–$705.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US Ven Dop Bil Low	$705.00	$705.00	$211.12–$705.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,553.00	$1,553.00	$483.47–$1,553.00	59% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Transthoracic Echo (Tte) Complete	$1,779.00	$1,779.00	$483.47–$1,779.00	82% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,553.00	$1,553.00	$483.47–$1,553.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Transthoracic Echo (Tte) Complete	$1,779.00	$1,779.00	$483.47–$1,779.00	—	—
Elbow X-ray, 2 views both sides CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views	$261.00	$261.00	$77.00–$261.00	119% above	—
Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Vws Port	$261.00	$261.00	$77.00–$261.00	119% above	—
Elbow X-ray, 2 views inpatient both sides CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, 2 views inpatient CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Vws Port	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, 2 views inpatient CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views	$248.00	$248.00	$77.00–$248.00	114% above	—
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views	$248.00	$248.00	$77.00–$248.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Auditory Canals WO Cont	$766.50	$766.50	$92.50–$766.50	9% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO IV Cont	$766.50	$766.50	$92.50–$766.50	9% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Auditory Canals WO Cont	$766.50	$766.50	$92.50–$766.50	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO IV Cont	$766.50	$766.50	$92.50–$766.50	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$338.00	$338.00	$92.50–$338.00	110% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$338.00	$338.00	$92.50–$338.00	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views	$261.00	$261.00	$77.00–$261.00	116% above	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Vw Port	$261.00	$261.00	$77.00–$261.00	116% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Vw Port	$261.00	$261.00	$77.00–$261.00	—	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views	$338.00	$338.00	$92.50–$338.00	202% above	—
Hand X-ray, 2 views inpatient CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views	$338.00	$338.00	$92.50–$338.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views	$261.00	$261.00	$77.00–$261.00	128% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views Right Portable	$261.00	$261.00	$77.00–$261.00	128% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views Right Portable	$261.00	$261.00	$77.00–$261.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Home Study - Sleep Study Unatt & Resp Efft	$587.00	$587.00	$191.05–$587.00	75% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Home Study - Sleep Study Unatt & Resp Efft	$587.00	$587.00	$191.05–$587.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Night Two - Polysomnography >6 Yr, 4 or More Addl Param Attnd in Lab W/ Int of Cont Post Airway Pressure Therapy/Bilevel Vent	$3,488.00	$3,488.00	$759.82–$3,488.00	133% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Night Two - Polysomnography >6 Yr, 4 or More Addl Param Attnd in Lab W/ Int of Cont Post Airway Pressure Therapy/Bilevel Vent	$3,488.00	$3,488.00	$759.82–$3,488.00	—	—
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views	$261.00	$261.00	$77.00–$261.00	97% above	—
Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views	$261.00	$261.00	$77.00–$261.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views	$339.00	$339.00	$92.50–$339.00	115% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views	$339.00	$339.00	$92.50–$339.00	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Tibia Fibula WO IV Cont	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Foot WO IV Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Knee WO IV Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Femur WO IV Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Ankle WO IV Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Hip WO IV Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Lower Ext W/O Contrast	$854.00	$854.00	$92.50–$854.00	11% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Lower Ext W/O Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Foot WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Femur WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Hip WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Knee WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Ankle WO IV Contrast	$854.00	$854.00	$92.50–$854.00	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Tibia Fibula WO IV Cont	$854.00	$854.00	$92.50–$854.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Pancrease	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Gallbladder	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Liver	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Spleen	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Bile Ducts	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Back Lower Non Vascular	$508.50	$508.50	$92.50–$508.50	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Back Lower Non Vascular	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Gallbladder	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Pancrease	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Bile Ducts	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Spleen	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited	$508.50	$508.50	$92.50–$508.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Liver	$508.50	$508.50	$92.50–$508.50	—	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extremity Non-Vascular Left	$405.00	$405.00	$92.50–$405.00	97% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extremity Non-Vascular Right	$405.00	$405.00	$92.50–$405.00	97% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Extremity Non-Vascular Right	$405.00	$405.00	$92.50–$405.00	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Extremity Non-Vascular Left	$405.00	$405.00	$92.50–$405.00	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Ldct for Lung Ca Screen - Ldct Lung Screening	$1,179.00	$1,179.00	$92.50–$1,179.00	530% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC Ldct for Lung Ca Screen - Ldct Lung Screening	$1,179.00	$1,179.00	$92.50–$1,179.00	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views Portable	$261.00	$261.00	$77.00–$261.00	105% above	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views	$261.00	$261.00	$77.00–$261.00	105% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views Portable	$261.00	$261.00	$77.00–$261.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast	$1,144.25	$1,144.25	$211.12–$1,144.25	6% below	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast	$1,144.25	$1,144.25	$211.12–$1,144.25	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Hip W/O Dye - MR Hip W/O IV Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	8% below	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Knee W/O Dye - MR Knee W/O IV Cono	$1,127.00	$1,127.00	$211.12–$1,127.00	8% below	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint W/O IV Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	8% below	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI Ankle WO Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	8% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint W/O IV Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Hip W/O Dye - MR Hip W/O IV Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI Ankle WO Cont	$1,127.00	$1,127.00	$211.12–$1,127.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Knee W/O Dye - MR Knee W/O IV Cono	$1,127.00	$1,127.00	$211.12–$1,127.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W/O and W - MR Lwr Ext, Jnt W/O and W IV Contrast	$2,202.00	$2,202.00	$308.68–$2,202.00	34% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W/O and W - MR Lwr Ext, Jnt W/O and W IV Contrast	$2,202.00	$2,202.00	$308.68–$2,202.00	—	—
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast	$1,461.00	$1,461.00	$211.12–$1,461.00	5% above	—
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp	$1,461.00	$1,461.00	$211.12–$1,461.00	5% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp	$1,461.00	$1,461.00	$211.12–$1,461.00	—	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast	$1,461.00	$1,461.00	$211.12–$1,461.00	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast	$2,540.25	$2,540.25	$308.68–$2,540.25	32% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast	$2,540.25	$2,540.25	$308.68–$2,540.25	—	—
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast	$1,144.25	$1,144.25	$211.12–$1,144.25	17% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain - MRI Brain WO Contrast	$1,144.25	$1,144.25	$211.12–$1,144.25	—	—
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast	$2,420.25	$2,420.25	$308.68–$2,420.25	15% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast	$2,420.25	$2,420.25	$308.68–$2,420.25	—	—
MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$1,248.75	$1,248.75	$211.12–$1,248.75	7% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$1,248.75	$1,248.75	$211.12–$1,248.75	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast	$2,420.00	$2,420.00	$308.68–$2,420.00	23% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast	$2,420.00	$2,420.00	$308.68–$2,420.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast	$1,266.25	$1,266.25	$211.12–$1,266.25	7% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast	$1,266.25	$1,266.25	$211.12–$1,266.25	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast	$2,443.00	$2,443.00	$308.68–$2,443.00	28% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast	$2,443.00	$2,443.00	$308.68–$2,443.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast	$1,203.00	$1,203.00	$211.12–$1,203.00	11% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast	$1,203.00	$1,203.00	$211.12–$1,203.00	—	—
MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast	$2,455.44	$2,455.44	$308.68–$2,455.44	34% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast	$2,455.44	$2,455.44	$308.68–$2,455.44	—	—
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast	$1,146.25	$1,146.25	$211.12–$1,146.25	6% below	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast	$1,146.25	$1,146.25	$211.12–$1,146.25	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast	$1,248.00	$1,248.00	$211.12–$1,248.00	4% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MRI Ue Joint W/O Contrast	$1,248.00	$1,248.00	$211.12–$1,248.00	4% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast	$1,248.00	$1,248.00	$211.12–$1,248.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, Joint Upper Extrem - MRI Ue Joint W/O Contrast	$1,248.00	$1,248.00	$211.12–$1,248.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4-5 Views	$338.00	$338.00	$92.50–$338.00	75% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Cervical Spine 4-5 View	$338.00	$338.00	$92.50–$338.00	75% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4-5 Views	$338.00	$338.00	$92.50–$338.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Cervical Spine 4-5 View	$338.00	$338.00	$92.50–$338.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	$880.25	$880.25	$155.20–$880.25	10% below	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	$880.25	$880.25	$155.20–$880.25	—	—
Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck WO Cont	$766.50	$766.50	$92.50–$766.50	2% below	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck WO Cont	$766.50	$766.50	$92.50–$766.50	—	—
Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$261.00	$261.00	$77.00–$261.00	142% above	—
Neck soft tissue X-ray inpatient CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$261.00	$261.00	$77.00–$261.00	—	—
Pelvic CT scan without contrast CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast	$771.50	$771.50	$92.50–$771.50	7% below	—
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast	$771.50	$771.50	$92.50–$771.50	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited	$338.00	$338.00	$92.50–$338.00	48% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited Bladder	$338.00	$338.00	$92.50–$338.00	48% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Bladder Volume	$338.00	$338.00	$92.50–$338.00	48% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited	$338.00	$338.00	$92.50–$338.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited Bladder	$338.00	$338.00	$92.50–$338.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Bladder Volume	$338.00	$338.00	$92.50–$338.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis	$338.00	$338.00	$92.50–$338.00	at median	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis	$338.00	$338.00	$92.50–$338.00	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest	$407.00	$407.00	$92.50–$407.00	15% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 Wks, Sngl Fetus	$427.00	$427.00	$92.50–$427.00	21% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest	$407.00	$407.00	$92.50–$407.00	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 Wks, Sngl Fetus	$427.00	$427.00	$92.50–$427.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest	$407.00	$407.00	$92.50–$407.00	35% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest	$407.00	$407.00	$92.50–$407.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses	$405.00	$405.00	$92.50–$405.00	85% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses	$405.00	$405.00	$92.50–$405.00	—	—
Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views	$261.00	$261.00	$77.00–$261.00	116% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Rt W/ Chest Anteroposterior	$338.00	$338.00	$92.50–$338.00	98% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior	$338.00	$338.00	$92.50–$338.00	98% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior	$338.00	$338.00	$92.50–$338.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Rt W/ Chest Anteroposterior	$338.00	$338.00	$92.50–$338.00	—	—
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening	$300.00	$300.00	$76.31–$300.00	—	—
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$300.00	$300.00	$76.31–$300.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening	$300.00	$300.00	$76.31–$300.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral	$300.00	$300.00	$76.31–$300.00	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views	$261.00	$261.00	$77.00–$261.00	90% above	—
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 3 Views	$261.00	$261.00	$77.00–$261.00	90% above	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views	$261.00	$261.00	$77.00–$261.00	—	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 3 Views	$261.00	$261.00	$77.00–$261.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$261.00	$261.00	$77.00–$261.00	82% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$261.00	$261.00	$77.00–$261.00	—	—
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$338.00	$338.00	$92.50–$338.00	144% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$338.00	$338.00	$92.50–$338.00	—	—
Sleep study in a lab (polysomnography) CPT 95810 HC Night One - Polysomnography >6 Yr, 4 or More Addl Param Attnd in Lab	$3,473.00	$3,473.00	$759.82–$3,473.00	172% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Night One - Polysomnography >6 Yr, 4 or More Addl Param Attnd in Lab	$3,473.00	$3,473.00	$759.82–$3,473.00	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$584.00	$584.00	$155.20–$584.00	143% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$584.00	$584.00	$155.20–$584.00	—	—
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat	$261.00	$261.00	$77.00–$261.00	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Radiologic Exam Femur 2+ Views Portable	$261.00	$261.00	$77.00–$261.00	110% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Rt	$261.00	$261.00	$77.00–$261.00	110% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt	$261.00	$261.00	$77.00–$261.00	110% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat	$261.00	$261.00	$77.00–$261.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Radiologic Exam Femur 2+ Views Portable	$261.00	$261.00	$77.00–$261.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt	$261.00	$261.00	$77.00–$261.00	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Rt	$261.00	$261.00	$77.00–$261.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Contrast	$810.00	$810.00	$92.50–$810.00	9% below	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Contrast	$810.00	$810.00	$92.50–$810.00	—	—
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views	$261.00	$261.00	$77.00–$261.00	128% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views	$261.00	$261.00	$77.00–$261.00	—	—
Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal	$338.00	$338.00	$92.50–$338.00	10% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal	$338.00	$338.00	$92.50–$338.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal	$405.00	$405.00	$92.50–$405.00	49% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal	$405.00	$405.00	$92.50–$405.00	—	—
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen	$508.50	$508.50	$92.50–$508.50	30% above	—
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete	$508.50	$508.50	$92.50–$508.50	30% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete	$508.50	$508.50	$92.50–$508.50	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen	$508.50	$508.50	$92.50–$508.50	—	—
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum	$338.00	$338.00	$92.50–$338.00	23% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Echo,Scrotum & Contents - US Scrotum	$338.00	$338.00	$92.50–$338.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue	$407.00	$407.00	$92.50–$407.00	48% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Neck	$407.00	$407.00	$92.50–$407.00	48% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Thyroid	$407.00	$407.00	$92.50–$407.00	48% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Thyroid	$407.00	$407.00	$92.50–$407.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Neck	$407.00	$407.00	$92.50–$407.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue	$407.00	$407.00	$92.50–$407.00	—	—
Upper arm X-ray (humerus), 2 views both sides CPT 73060 HC X-Ray Humerus - Xr Humerus Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus	$261.00	$261.00	$77.00–$261.00	104% above	—
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus Port	$261.00	$261.00	$77.00–$261.00	104% above	—
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HC X-Ray Humerus - Xr Humerus Bilateral	$261.00	$261.00	$77.00–$261.00	—	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-Ray Humerus - Xr Humerus	$261.00	$261.00	$77.00–$261.00	—	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-Ray Humerus - Xr Humerus Port	$261.00	$261.00	$77.00–$261.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US Ven Reflux Study Unilater Upper/Lower	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Ven Dop Lt Low	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Ven Dop Rt Up	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Ven Dop Rt Low	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Ven Dop Lt Up	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext. Veins, Unilat/Limited Duplex	$338.00	$338.00	$92.50–$338.00	2% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US Ven Reflux Study Unilater Upper/Lower	$338.00	$338.00	$92.50–$338.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US Ven Dop Lt Low	$338.00	$338.00	$92.50–$338.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Ext. Veins, Unilat/Limited Duplex	$338.00	$338.00	$92.50–$338.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US Ven Dop Rt Up	$338.00	$338.00	$92.50–$338.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US Ven Dop Rt Low	$338.00	$338.00	$92.50–$338.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US Ven Dop Lt Up	$338.00	$338.00	$92.50–$338.00	—	—
Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Vws Portabl	$261.00	$261.00	$77.00–$261.00	119% above	—
Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views	$261.00	$261.00	$77.00–$261.00	119% above	—
Wrist X-ray, 2 views inpatient CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Vws Portabl	$261.00	$261.00	$77.00–$261.00	—	—
Wrist X-ray, 2 views inpatient CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views	$261.00	$261.00	$77.00–$261.00	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views	$261.00	$261.00	$77.00–$261.00	96% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Hip Uni 2-3 Views - HC Xr Hip 2-3 Views W/ or W/O Pelvis	$261.00	$261.00	$77.00–$261.00	116% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw	$261.00	$261.00	$77.00–$261.00	116% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Hip Uni 1-3 Views - HC Hip - 1-3 Views W or W/O Pelvis	$261.00	$261.00	$77.00–$261.00	116% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - HC Xr Hip Portble 2-3 Vw	$261.00	$261.00	$77.00–$261.00	116% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Hip Uni 1-3 Views - HC Hip - 1-3 Views W or W/O Pelvis	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - HC Xr Hip Portble 2-3 Vw	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Hip Uni 2-3 Views - HC Xr Hip 2-3 Views W/ or W/O Pelvis	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen Portable 1 View - Xr Abdomen Portabel 1 View	$261.00	$261.00	$77.00–$261.00	95% above	—
X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$261.00	$261.00	$77.00–$261.00	95% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Radiologic Exam Abdomen Portable 1 View - Xr Abdomen Portabel 1 View	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views Portable	$261.00	$261.00	$77.00–$261.00	121% above	—
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views	$261.00	$261.00	$77.00–$261.00	121% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views Portable	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Vws Portable	$261.00	$261.00	$77.00–$261.00	127% above	—
X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Views	$261.00	$261.00	$77.00–$261.00	127% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Vws Portable	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 2 Views	$261.00	$261.00	$77.00–$261.00	128% above	—
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 2 Views Portable	$261.00	$261.00	$77.00–$261.00	128% above	—
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views	$261.00	$261.00	$77.00–$261.00	128% above	—
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 2 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 2 Views Portable	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views	$261.00	$261.00	$77.00–$261.00	96% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views Portable	$338.00	$338.00	$77.00–$338.00	171% above	—
X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views	$338.00	$338.00	$77.00–$338.00	171% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views	$338.00	$338.00	$77.00–$338.00	—	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views Portable	$338.00	$338.00	$77.00–$338.00	—	—
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 2 Views Portable	$261.00	$261.00	$77.00–$261.00	113% above	—
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views	$261.00	$261.00	$77.00–$261.00	113% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 2 Views Portable	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$339.00	$339.00	$92.50–$339.00	130% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$339.00	$339.00	$92.50–$339.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$338.00	$338.00	$92.50–$338.00	59% above	—
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumb 4v or More	$338.00	$338.00	$92.50–$338.00	59% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumb 4v or More	$338.00	$338.00	$92.50–$338.00	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$338.00	$338.00	$92.50–$338.00	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$338.00	$338.00	$92.50–$338.00	161% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$338.00	$338.00	$92.50–$338.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones 3+ Views	$261.00	$261.00	$77.00–$261.00	90% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones 3+ Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views	$261.00	$261.00	$77.00–$261.00	86% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spine Cervical 2 or 3 Views	$261.00	$261.00	$77.00–$261.00	86% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Spine Cervical 2 or 3 Views	$261.00	$261.00	$77.00–$261.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$357.00	$357.00	$92.50–$357.00	142% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views Portable	$357.00	$357.00	$92.50–$357.00	142% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$357.00	$357.00	$92.50–$357.00	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views Portable	$357.00	$357.00	$92.50–$357.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$261.00	$261.00	$77.00–$261.00	90% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$261.00	$261.00	$77.00–$261.00	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ACTH blood test CPT 82024 HC Assay of Acth - Acth	$277.00	$277.00	$38.62–$277.00	98% above	—
ACTH blood test inpatient CPT 82024 HC Assay of Acth - Acth	$277.00	$277.00	$38.62–$277.00	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$45.00	$45.00	$5.30–$45.00	70% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$45.00	$45.00	$5.30–$45.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$45.00	$45.00	$5.18–$45.00	69% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$45.00	$45.00	$5.18–$45.00	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge	$295.00	$295.00	$47.63–$295.00	106% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge	$295.00	$295.00	$47.63–$295.00	—	—
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin	$36.00	$36.00	$4.95–$36.00	23% above	—
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin - Albumin	$36.00	$36.00	$4.95–$36.00	—	—
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone	$292.00	$292.00	$40.75–$292.00	173% above	—
Aldosterone blood test inpatient CPT 82088 HC Assay of Aldosterone - Aldosterone	$292.00	$292.00	$40.75–$292.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase	$41.00	$41.00	$5.18–$41.00	33% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase	$41.00	$41.00	$5.18–$41.00	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergy Panel - Measurement of Antibody (Ige) to Allergic Substance	$38.00	$38.00	$5.22–$38.00	203% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergy Panel - Measurement of Antibody (Ige) to Allergic Substance	$38.00	$38.00	$5.22–$38.00	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker	$84.00	$84.00	$16.77–$84.00	67% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha Fetoprotein, Maternal	$84.00	$84.00	$16.77–$84.00	67% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha Fetoprotein, Maternal	$84.00	$84.00	$16.77–$84.00	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker	$84.00	$84.00	$16.77–$84.00	—	—
Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia	$88.00	$88.00	$14.57–$88.00	20% above	—
Ammonia blood test inpatient CPT 82140 HC Assay of Ammonia - Ammonia	$88.00	$88.00	$14.57–$88.00	—	—
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase	$51.25	$51.25	$6.48–$51.25	29% above	—
Amylase blood test inpatient CPT 82150 HC Assay of Amylase - Amylase	$51.25	$51.25	$6.48–$51.25	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$93.00	$93.00	$12.95–$93.00	103% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$93.00	$93.00	$12.95–$93.00	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$71.00	$71.00	$12.09–$71.00	18% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$71.00	$71.00	$12.09–$71.00	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$244.00	$244.00	$39.26–$244.00	109% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$244.00	$244.00	$39.26–$244.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Spec, Bacteria, Not Urine,Stool,Blood	$62.00	$62.00	$8.62–$62.00	18% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic	$62.00	$62.00	$8.62–$62.00	18% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Spec, Bacteria, Not Urine,Stool,Blood	$62.00	$62.00	$8.62–$62.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Othr Specimn Aerobic	$62.00	$62.00	$8.62–$62.00	—	—
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel - Bundled Charge	$62.00	$62.00	$8.46–$62.00	14% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel - Bundled Charge	$62.00	$62.00	$8.46–$62.00	—	—
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total	$37.00	$37.00	$5.02–$37.00	57% above	—
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total - Bilirubin Total	$37.00	$37.00	$5.02–$37.00	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV	$227.00	$227.00	$46.11–$227.00	177% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV	$227.00	$227.00	$46.11–$227.00	—	—
Blood culture for bacteria CPT 87040 HC Blood Culture for Bacteria	$74.00	$74.00	$10.32–$74.00	19% below	—
Blood culture for bacteria inpatient CPT 87040 HC Blood Culture for Bacteria	$74.00	$74.00	$10.32–$74.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture	$43.00	$43.00	$9.34–$43.00	438% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge	$43.00	$43.00	$9.34–$43.00	438% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Chg Collection Venous Blood,Venipuncture	$43.00	$43.00	$9.34–$43.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge	$43.00	$43.00	$9.34–$43.00	—	—
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose	$29.00	$29.00	$3.93–$29.00	7% above	—
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - POCT Glucometer	$29.00	$29.00	$3.93–$29.00	7% above	—
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Gtt Fasting	$29.00	$29.00	$3.93–$29.00	7% above	—
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting	$37.00	$37.00	$3.93–$37.00	36% above	—
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random	$37.00	$37.00	$3.93–$37.00	36% above	—
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - POCT Glucometer	$29.00	$29.00	$3.93–$29.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Gtt Fasting	$29.00	$29.00	$3.93–$29.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose	$29.00	$29.00	$3.93–$29.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting	$37.00	$37.00	$3.93–$37.00	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random	$37.00	$37.00	$3.93–$37.00	—	—
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood	$87.00	$87.00	$12.11–$87.00	113% above	—
Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead Blood	$87.00	$87.00	$12.11–$87.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Serum	$54.00	$54.00	$7.52–$54.00	12% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Serum	$54.00	$54.00	$7.52–$54.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$50.00	$50.00	$50.00–$117.72	7% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen	$50.00	$50.00	$50.00–$117.72	7% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo	$66.00	$66.00	$66.00–$117.72	22% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen	$50.00	$50.00	$50.00–$117.72	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$50.00	$50.00	$50.00–$117.72	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo	$66.00	$66.00	$66.00–$117.72	—	—
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Blood Urea Nitrogen	$29.00	$29.00	$3.95–$29.00	7% below	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay Urea Nitrogen, Quan - Blood Urea Nitrogen	$29.00	$29.00	$3.95–$29.00	—	—
C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide	$148.00	$148.00	$20.81–$148.00	95% above	—
C-peptide blood test inpatient CPT 84681 HC Assay of C-Peptide - C-Peptide	$148.00	$148.00	$20.81–$148.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$44.00	$44.00	$5.18–$44.00	47% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$44.00	$44.00	$5.18–$44.00	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. Diff, Molecular	$240.00	$240.00	$37.27–$240.00	332% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. Diff, Molecular	$240.00	$240.00	$37.27–$240.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$113.00	$113.00	$20.81–$113.00	57% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$113.00	$113.00	$20.81–$113.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$126.00	$126.00	$20.81–$126.00	58% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$126.00	$126.00	$20.81–$126.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr	$500.00	$500.00	$51.31–$500.00	1047% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr	$500.00	$500.00	$51.31–$500.00	—	—
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Calcium	$37.00	$37.00	$5.16–$37.00	36% above	—
Calcium blood test, total inpatient CPT 82310 HC Assay of Calcium, Total - Calcium	$37.00	$37.00	$5.16–$37.00	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen)	$136.00	$136.00	$18.96–$136.00	40% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen)	$136.00	$136.00	$18.96–$136.00	—	—
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm	$114.00	$114.00	$12.88–$114.00	119% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg	$114.00	$114.00	$12.88–$114.00	119% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg & Igm	$114.00	$114.00	$12.88–$114.00	119% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm	$114.00	$114.00	$12.88–$114.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg & Igm	$114.00	$114.00	$12.88–$114.00	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg	$114.00	$114.00	$12.88–$114.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$252.00	$252.00	$35.09–$252.00	290% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$252.00	$252.00	$35.09–$252.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge	$126.00	$126.00	$13.39–$126.00	146% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Bundled Charge	$126.00	$126.00	$13.39–$126.00	—	—
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge	$56.00	$56.00	$7.77–$56.00	49% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge	$56.00	$56.00	$7.77–$56.00	—	—
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc	$54.00	$54.00	$6.47–$54.00	57% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc - Cbc	$54.00	$54.00	$6.47–$54.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge	$93.50	$93.50	$10.56–$93.50	14% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge	$93.50	$93.50	$10.56–$93.50	—	—
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol Am	$117.00	$117.00	$16.30–$117.00	125% above	—
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol	$117.00	$117.00	$16.30–$117.00	125% above	—
Cortisol blood test, total inpatient CPT 82533 HC Total Cortisol - Cortisol	$117.00	$117.00	$16.30–$117.00	—	—
Cortisol blood test, total inpatient CPT 82533 HC Total Cortisol - Cortisol Am	$117.00	$117.00	$16.30–$117.00	—	—
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK	$51.25	$51.25	$6.51–$51.25	27% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Assay of CK (Cpk) - CK	$51.25	$51.25	$6.51–$51.25	—	—
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Serum	$37.00	$37.00	$5.12–$37.00	23% above	—
Creatinine blood test inpatient CPT 82565 HC Assay of Creatinine - Creatinine Serum	$37.00	$37.00	$5.12–$37.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative	$51.00	$51.00	$10.18–$51.00	18% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative	$51.00	$51.00	$10.18–$51.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$160.00	$160.00	$22.23–$160.00	86% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$160.00	$160.00	$22.23–$160.00	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum	$311.00	$311.00	$62.14–$311.00	425% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen Urine	$311.00	$311.00	$62.14–$311.00	425% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Oxycodone Screen Urine	$315.00	$315.00	$62.14–$315.00	432% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen Urine	$311.00	$311.00	$62.14–$311.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum	$311.00	$311.00	$62.14–$311.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Oxycodone Screen Urine	$315.00	$315.00	$62.14–$315.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge	$59.75	$59.75	$7.01–$59.75	5% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel - Bundled Charge	$59.75	$59.75	$7.01–$59.75	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm	$115.00	$115.00	$18.14–$115.00	104% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg	$124.00	$124.00	$18.14–$124.00	120% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm	$115.00	$115.00	$18.14–$115.00	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg	$124.00	$124.00	$18.14–$124.00	—	—
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol	$204.00	$204.00	$27.94–$204.00	143% above	—
Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol	$204.00	$204.00	$27.94–$204.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh	$134.00	$134.00	$18.58–$134.00	78% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin (Fsh) - Fsh	$134.00	$134.00	$18.58–$134.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal Lc	$134.00	$134.00	$19.63–$134.00	7% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal Lc	$134.00	$134.00	$19.63–$134.00	—	—
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin	$98.00	$98.00	$13.63–$98.00	43% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin - Ferritin	$98.00	$98.00	$13.63–$98.00	—	—
Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative	$61.00	$61.00	$9.72–$61.00	14% above	—
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative	$61.00	$61.00	$9.72–$61.00	—	—
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate	$90.00	$90.00	$14.70–$90.00	70% above	—
Folate (folic acid) blood test inpatient CPT 82746 HC Blood Folic Acid Serum - Folate	$90.00	$90.00	$14.70–$90.00	—	—
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$122.00	$122.00	$16.94–$122.00	126% above	—
Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$122.00	$122.00	$16.94–$122.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free	$65.00	$65.00	$9.02–$65.00	84% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine - T4 Free	$65.00	$65.00	$9.02–$65.00	—	—
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$183.00	$183.00	$25.47–$183.00	140% above	—
Free testosterone test inpatient CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$183.00	$183.00	$25.47–$183.00	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt	$54.00	$54.00	$7.20–$54.00	78% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Ggt - Gamma Gt	$54.00	$54.00	$7.20–$54.00	—	—
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour	$152.00	$152.00	$12.87–$152.00	125% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour	$152.00	$152.00	$12.87–$152.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr	$252.00	$252.00	$35.09–$252.00	345% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr	$252.00	$252.00	$35.09–$252.00	—	—
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga	$152.00	$152.00	$16.85–$152.00	190% above	—
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga	$152.00	$152.00	$16.85–$152.00	—	—
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$103.00	$103.00	$14.38–$103.00	45% above	—
H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$103.00	$103.00	$14.38–$103.00	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr	$576.00	$576.00	$85.10–$576.00	178% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr	$576.00	$576.00	$85.10–$576.00	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia Sgl	$134.00	$134.00	$24.08–$134.00	235% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1&-2 Ab Ag Ia Sgl	$134.00	$134.00	$24.08–$134.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$70.00	$70.00	$9.71–$70.00	61% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$70.00	$70.00	$9.71–$70.00	—	—
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin	$18.00	$18.00	$2.37–$18.00	10% above	—
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin and Hematocrit	$18.00	$18.00	$2.37–$18.00	10% above	—
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin - Hemoglobin and Hematocrit	$18.00	$18.00	$2.37–$18.00	—	—
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin - Hemoglobin	$18.00	$18.00	$2.37–$18.00	—	—
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$60.00	$60.00	$12.05–$60.00	36% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$60.00	$60.00	$12.05–$60.00	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$77.00	$77.00	$10.74–$77.00	79% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$77.00	$77.00	$10.74–$77.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$67.00	$67.00	$10.33–$67.00	49% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$67.00	$67.00	$10.33–$67.00	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$84.00	$84.00	$14.27–$84.00	44% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$84.00	$84.00	$14.27–$84.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr	$249.00	$249.00	$42.84–$249.00	54% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr	$249.00	$249.00	$42.84–$249.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody	$95.00	$95.00	$13.19–$95.00	192% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody	$95.00	$95.00	$13.19–$95.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody	$139.00	$139.00	$19.35–$139.00	259% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody	$139.00	$139.00	$19.35–$139.00	—	—
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Total	$140.00	$140.00	$17.92–$140.00	52% above	—
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine	$140.00	$140.00	$17.92–$140.00	52% above	—
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine - Homocysteine Total	$140.00	$140.00	$17.92–$140.00	—	—
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine - Homocysteine	$140.00	$140.00	$17.92–$140.00	—	—
Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Random	$82.00	$82.00	$11.43–$82.00	70% above	—
Insulin blood test inpatient CPT 83525 HC Assay of Insulin,Total - Insulin, Random	$82.00	$82.00	$11.43–$82.00	—	—
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron	$47.00	$47.00	$6.47–$47.00	39% above	—
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron	$47.00	$47.00	$6.47–$47.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc	$63.00	$63.00	$8.74–$63.00	64% above	—
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr or Pl	$63.00	$63.00	$8.74–$63.00	64% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr or Pl	$63.00	$63.00	$8.74–$63.00	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc	$63.00	$63.00	$8.74–$63.00	—	—
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge	$63.00	$63.00	$8.68–$63.00	18% below	—
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel - Bundled Charge	$63.00	$63.00	$8.68–$63.00	—	—
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$133.00	$133.00	$18.52–$133.00	59% above	—
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$133.00	$133.00	$18.52–$133.00	—	—
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate CSF	$90.00	$90.00	$11.57–$90.00	56% above	—
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate	$95.00	$95.00	$11.57–$95.00	65% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid - Lactate CSF	$90.00	$90.00	$11.57–$90.00	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid - Lactate	$95.00	$95.00	$11.57–$95.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase	$45.00	$45.00	$6.04–$45.00	47% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase	$45.00	$45.00	$6.04–$45.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase	$50.00	$50.00	$6.89–$50.00	30% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Lipase	$50.00	$50.00	$6.89–$50.00	—	—
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge	$101.75	$101.75	$8.17–$101.75	55% above	—
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel - Bundled Charge	$101.75	$101.75	$8.17–$101.75	—	—
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antibodies (Borrelia Burg)	$147.00	$147.00	$17.03–$147.00	191% above	—
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antibodies (Borrelia Burg)	$147.00	$147.00	$17.03–$147.00	—	—
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium	$54.00	$54.00	$6.70–$54.00	64% above	—
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium	$54.00	$54.00	$6.70–$54.00	—	—
Measles (rubeola) antibody test CPT 86765 HC Rubeola Measels Ab Igm or Igg	$72.00	$72.00	$12.88–$72.00	90% above	—
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Measels Ab Igm or Igg	$72.00	$72.00	$12.88–$72.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen	$45.00	$45.00	$5.18–$45.00	42% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen	$45.00	$45.00	$5.18–$45.00	—	—
Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igm Antibody	$122.00	$122.00	$13.05–$122.00	146% above	—
Mumps immunity blood test CPT 86735 HC Mumps Abs- Igg/ Igm	$122.00	$122.00	$13.05–$122.00	146% above	—
Mumps immunity blood test inpatient CPT 86735 HC Mumps - Mumps Igm Antibody	$122.00	$122.00	$13.05–$122.00	—	—
Mumps immunity blood test inpatient CPT 86735 HC Mumps Abs- Igg/ Igm	$122.00	$122.00	$13.05–$122.00	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa	$113.00	$113.00	$18.39–$113.00	41% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa	$113.00	$113.00	$18.39–$113.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact	$296.00	$296.00	$41.28–$296.00	117% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Intact	$296.00	$296.00	$41.28–$296.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt	$45.00	$45.00	$6.01–$45.00	17% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial - Aptt	$45.00	$45.00	$6.01–$45.00	—	—
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus	$34.00	$34.00	$4.74–$34.00	28% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus	$34.00	$34.00	$4.74–$34.00	—	—
Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium	$33.00	$33.00	$4.76–$33.00	22% above	—
Potassium blood test inpatient CPT 84132 HC Assay of Serum Potassium - Potassium	$33.00	$33.00	$4.76–$33.00	—	—
Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone	$150.00	$150.00	$20.86–$150.00	73% above	—
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone - Progesterone	$150.00	$150.00	$20.86–$150.00	—	—
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin	$139.00	$139.00	$19.38–$139.00	49% above	—
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Prolactin	$139.00	$139.00	$19.38–$139.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr	$35.00	$35.00	$4.29–$35.00	28% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Protime-Inr	$35.00	$35.00	$4.29–$35.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen, Urine	$105.00	$105.00	$12.60–$105.00	168% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen, Urine	$105.00	$105.00	$12.60–$105.00	—	—
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POCT Influenza A	$53.00	$53.00	$16.55–$53.00	83% above	—
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu	$88.00	$88.00	$16.55–$88.00	204% above	—
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POCT Influenza B	$88.00	$88.00	$16.55–$88.00	204% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POCT Influenza A	$53.00	$53.00	$16.55–$53.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu	$88.00	$88.00	$16.55–$88.00	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POCT Influenza B	$88.00	$88.00	$16.55–$88.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen	$86.00	$86.00	$16.53–$86.00	149% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - POCT Rapid Strep A	$86.00	$86.00	$16.53–$86.00	149% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic - POCT Rapid Strep A	$86.00	$86.00	$16.53–$86.00	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen	$86.00	$86.00	$16.53–$86.00	—	—
Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay	$158.00	$158.00	$21.99–$158.00	153% above	—
Renin blood test inpatient CPT 84244 HC Assay of Renin - Renin Direct Assay	$158.00	$158.00	$21.99–$158.00	—	—
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type	$50.00	$50.00	$33.05–$50.00	38% above	—
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D)	$50.00	$50.00	$33.05–$50.00	38% above	—
Rh blood typing inpatient CPT 86901 HC Blood Typing Serologic Rh (D)	$50.00	$50.00	$33.05–$50.00	—	—
Rh blood typing inpatient CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type	$50.00	$50.00	$33.05–$50.00	—	—
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor	$51.00	$51.00	$5.67–$51.00	62% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor	$51.00	$51.00	$5.67–$51.00	—	—
Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm	$104.00	$104.00	$14.39–$104.00	155% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Rubella Antibody, Igm	$104.00	$104.00	$14.39–$104.00	—	—
Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium	$35.00	$35.00	$4.81–$35.00	3% above	—
Sodium blood test inpatient CPT 84295 HC Assay of Serum Sodium - Sodium	$35.00	$35.00	$4.81–$35.00	—	—
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination	$65.00	$65.00	$8.90–$65.00	62% above	—
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination	$65.00	$65.00	$8.90–$65.00	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld	$28.00	$28.00	$4.38–$28.00	29% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Feces - POCT Occult Blood Stool	$28.00	$28.00	$4.38–$28.00	29% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood Feces - POCT Occult Blood Stool	$28.00	$28.00	$4.38–$28.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld	$28.00	$28.00	$4.38–$28.00	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm	$95.00	$95.00	$13.24–$95.00	147% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm	$95.00	$95.00	$13.24–$95.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp	$41.25	$41.25	$4.27–$41.25	74% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF	$41.25	$41.25	$4.27–$41.25	74% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp	$41.25	$41.25	$4.27–$41.25	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF	$41.25	$41.25	$4.27–$41.25	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test	$437.00	$437.00	$61.98–$437.00	316% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test	$437.00	$437.00	$61.98–$437.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone	$185.00	$185.00	$25.81–$185.00	121% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone - Testosterone	$185.00	$185.00	$25.81–$185.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab	$79.00	$79.00	$14.55–$79.00	188% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody	$79.00	$79.00	$14.55–$79.00	188% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody	$79.00	$79.00	$14.55–$79.00	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab	$79.00	$79.00	$14.55–$79.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$117.00	$117.00	$16.80–$117.00	97% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$117.00	$117.00	$16.80–$117.00	—	—
Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige	$104.00	$104.00	$16.46–$104.00	105% above	—
Total IgE blood test inpatient CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige	$104.00	$104.00	$16.46–$104.00	—	—
Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total	$45.00	$45.00	$4.35–$45.00	65% above	—
Total cholesterol blood test inpatient CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total	$45.00	$45.00	$4.35–$45.00	—	—
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)	$63.00	$63.00	$6.87–$63.00	79% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)	$63.00	$63.00	$6.87–$63.00	—	—
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)	$102.00	$102.00	$14.18–$102.00	111% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)	$102.00	$102.00	$14.18–$102.00	—	—
Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin	$73.00	$73.00	$12.76–$73.00	53% above	—
Transferrin blood test inpatient CPT 84466 HC Assay of Transferrin - Transferrin	$73.00	$73.00	$12.76–$73.00	—	—
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis, Naa, Dna, Amp Probe	$180.00	$180.00	$35.09–$180.00	279% above	—
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis, Naa, Dna, Amp Probe	$180.00	$180.00	$35.09–$180.00	—	—
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides	$45.00	$45.00	$5.74–$45.00	33% above	—
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides - Triglycerides	$45.00	$45.00	$5.74–$45.00	—	—
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin I	$143.50	$143.50	$12.47–$143.50	81% above	—
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T	$143.50	$143.50	$12.47–$143.50	81% above	—
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin, Quant - Troponin I	$143.50	$143.50	$12.47–$143.50	—	—
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin, Quant - Troponin T	$143.50	$143.50	$12.47–$143.50	—	—
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid	$33.00	$33.00	$4.52–$33.00	11% above	—
Uric acid blood test inpatient CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid	$33.00	$33.00	$4.52–$33.00	—	—
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$26.75	$26.75	$3.17–$26.75	20% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$26.75	$26.75	$3.17–$26.75	—	—
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$17.00	$17.00	$2.25–$17.00	12% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$17.00	$17.00	$2.25–$17.00	—	—
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio	$97.00	$97.00	$5.78–$97.00	222% above	—
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine	$97.00	$97.00	$5.78–$97.00	222% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine	$97.00	$97.00	$5.78–$97.00	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio	$97.00	$97.00	$5.78–$97.00	—	—
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - POCT Pregnancy, Urine	$54.00	$54.00	$8.61–$54.00	33% above	—
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine	$54.00	$54.00	$8.61–$54.00	33% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test - POCT Pregnancy, Urine	$54.00	$54.00	$8.61–$54.00	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine	$54.00	$54.00	$8.61–$54.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12	$108.00	$108.00	$15.08–$108.00	70% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 - Vitamin B12	$108.00	$108.00	$15.08–$108.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25	$212.00	$212.00	$29.60–$212.00	210% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25	$212.00	$212.00	$29.60–$212.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin D 1	$276.00	$276.00	$38.50–$276.00	124% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin D 1	$276.00	$276.00	$38.50–$276.00	—	—
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc	$82.00	$82.00	$11.39–$82.00	43% above	—
Zinc blood test inpatient CPT 84630 HC Assay of Zinc - Zinc	$82.00	$82.00	$11.39–$82.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$90.00	$90.00	$15.05–$90.00	20% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$90.00	$90.00	$15.05–$90.00	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Rx Dist Fibula Fx	$500.00	$500.00	$218.25–$500.00	182% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Closed Rx Dist Fibula Fx	$500.00	$500.00	$218.25–$500.00	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext - Cardioversion External	$313.00	$313.00	$313.00–$584.81	47% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion, Elective;Extern	$1,765.00	$1,765.00	$584.81–$1,765.00	200% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER-Cardioversion	$1,765.00	$1,765.00	$584.81–$1,765.00	200% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric Ext - Cardioversion External	$313.00	$313.00	$313.00–$584.81	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion, Elective;Extern	$1,765.00	$1,765.00	$584.81–$1,765.00	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ER-Cardioversion	$1,765.00	$1,765.00	$584.81–$1,765.00	—	—
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy	$3,668.00	$3,668.00	$1,058.79–$3,668.00	131% above	—
Colonoscopy with polyp removal inpatient CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy	$3,668.00	$3,668.00	$1,058.79–$3,668.00	—	—
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy	$1,518.00	$1,518.00	$1,058.79–$1,518.00	18% above	—
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy	$1,518.00	$1,518.00	$1,058.79–$1,518.00	—	—
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy	$1,177.00	$1,177.00	$822.83–$1,177.00	12% above	—
Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy	$1,177.00	$1,177.00	$822.83–$1,177.00	—	—
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$94.00	$94.00	$52.20–$94.00	14% above	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$94.00	$94.00	$52.20–$94.00	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC or 5694 Level 4 Drug Administration	$933.00	$933.00	$292.26–$933.00	142% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC or 5694 Level 4 Drug Administration	$933.00	$933.00	$292.26–$933.00	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple	$275.00	$275.00	$177.52–$275.00	43% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC ER Drain Skin Abscess Simple	$542.00	$542.00	$177.52–$542.00	181% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Drain Skin Abscess Simple	$275.00	$275.00	$177.52–$275.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ER Drain Skin Abscess Simple	$542.00	$542.00	$177.52–$542.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$94.00	$94.00	$94.00–$271.59	57% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Medium	$816.00	$816.00	$271.59–$816.00	271% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$94.00	$94.00	$94.00–$271.59	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Medium	$816.00	$816.00	$271.59–$816.00	—	—
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate	$542.00	$542.00	$177.52–$542.00	216% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate	$542.00	$542.00	$177.52–$542.00	—	—
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$2,480.00	$2,480.00	$802.50–$2,480.00	247% above	—
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$2,480.00	$2,480.00	$802.50–$2,480.00	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed	$381.00	$381.00	$359.69–$381.00	1% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed	$381.00	$381.00	$359.69–$381.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple	$994.00	$994.00	$359.69–$994.00	256% above	—
Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body, Simple	$1,120.00	$1,120.00	$359.69–$1,120.00	301% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove Foreign Body Simple	$994.00	$994.00	$359.69–$994.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove Foreign Body, Simple	$1,120.00	$1,120.00	$359.69–$1,120.00	—	—
Short arm cast (elbow to hand) CPT 29075 HC Application Forearm Cast	$720.00	$720.00	$247.47–$720.00	357% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Forearm Cast	$720.00	$720.00	$247.47–$720.00	—	—
Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint,Static	$349.00	$349.00	$117.72–$349.00	148% above	—
Short arm splint (forearm and hand) CPT 29125 HC Application Forearm Splint, Static	$349.00	$349.00	$117.72–$349.00	148% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Forearm Splint, Static	$349.00	$349.00	$117.72–$349.00	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint,Static	$349.00	$349.00	$117.72–$349.00	—	—
Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast	$438.00	$438.00	$247.47–$438.00	143% above	—
Short leg cast (below the knee) inpatient CPT 29405 HC Application Short Leg Cast	$438.00	$438.00	$247.47–$438.00	—	—
Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint	$139.00	$139.00	$139.00–$143.78	4% below	—
Short leg splint (calf to foot) CPT 29515 HC Application Lower Leg Splint	$438.00	$438.00	$143.78–$438.00	202% above	—
Short leg splint (calf to foot) inpatient CPT 29515 HC Apply Lower Leg Splint	$139.00	$139.00	$139.00–$143.78	—	—
Short leg splint (calf to foot) inpatient CPT 29515 HC Application Lower Leg Splint	$438.00	$438.00	$143.78–$438.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Superficial Wound Body <2.5 Cm	$542.00	$542.00	$177.52–$542.00	195% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm	$542.00	$542.00	$177.52–$542.00	195% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Superficial Wound Body <2.5 Cm	$542.00	$542.00	$177.52–$542.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Resuperf Wnd Body <2.5cm	$542.00	$542.00	$177.52–$542.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$220.00	$220.00	$220.00–$624.57	52% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$220.00	$220.00	$220.00–$624.57	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm	$542.00	$542.00	$177.52–$542.00	176% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repair Superf Wound 2.6-7.5 Cm	$542.00	$542.00	$177.52–$542.00	176% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repair Superf Wound 2.6-7.5 Cm	$542.00	$542.00	$177.52–$542.00	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm	$542.00	$542.00	$177.52–$542.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm	$542.00	$542.00	$177.52–$542.00	172% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Superficial Wound Face <2.5 Cm	$542.00	$542.00	$177.52–$542.00	172% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Resuperf Wnd Face <2.5 Cm	$542.00	$542.00	$177.52–$542.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Superficial Wound Face <2.5 Cm	$542.00	$542.00	$177.52–$542.00	—	—
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$1,860.00	$1,860.00	$555.04–$1,860.00	113% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$1,860.00	$1,860.00	$555.04–$1,860.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2	$816.00	$816.00	$271.59–$816.00	224% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point, 1 or 2	$816.00	$816.00	$271.59–$816.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide	$4,499.00	$4,499.00	$1,461.34–$4,499.00	168% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide	$4,499.00	$4,499.00	$1,461.34–$4,499.00	—	—
Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf, 1st Vein	$8,756.00	$8,756.00	$2,793.75–$8,756.00	293% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf, 1st Vein	$8,756.00	$8,756.00	$2,793.75–$8,756.00	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$1,286.00	$1,286.00	$359.69–$1,286.00	258% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$1,286.00	$1,286.00	$359.69–$1,286.00	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service	$89.00	$89.00	$89.00–$390.35	78% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service	$89.00	$89.00	$89.00–$390.35	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol Trmnt Sub (Press/N-Press)	$576.00	$576.00	$193.75–$576.00	818% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Hand Held Nebulizer	$576.00	$576.00	$193.75–$576.00	818% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment	$576.00	$576.00	$193.75–$576.00	818% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Aerosol Trmnt Sub (Press/N-Press)	$576.00	$576.00	$193.75–$576.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Hand Held Nebulizer	$576.00	$576.00	$193.75–$576.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Treatment	$576.00	$576.00	$193.75–$576.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes	$2,304.00	$2,304.00	$730.87–$2,304.00	110% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care, E/M 30-74 Minutes	$2,304.00	$2,304.00	$730.87–$2,304.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead	$273.00	$273.00	$52.20–$273.00	195% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing	$273.00	$273.00	$52.20–$273.00	195% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead	$273.00	$273.00	$52.20–$273.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram, Tracing	$273.00	$273.00	$52.20–$273.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob	$226.00	$226.00	$74.61–$226.00	116% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob	$226.00	$226.00	$74.61–$226.00	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity	$395.00	$395.00	$135.86–$395.00	97% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity	$395.00	$395.00	$135.86–$395.00	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity	$736.00	$736.00	$241.53–$736.00	103% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity	$736.00	$736.00	$241.53–$736.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity	$1,145.00	$1,145.00	$369.20–$1,145.00	101% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity	$1,145.00	$1,145.00	$369.20–$1,145.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,645.00	$1,645.00	$526.93–$1,645.00	104% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,645.00	$1,645.00	$526.93–$1,645.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min	$620.00	$620.00	$188.20–$620.00	235% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ER-IV for Hydration Initial - 31 Min to 1 Hour	$620.00	$620.00	$188.20–$620.00	235% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infusion, Hydration, 31-60 Min	$620.00	$620.00	$188.20–$620.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ER-IV for Hydration Initial - 31 Min to 1 Hour	$620.00	$620.00	$188.20–$620.00	—	—
IV infusion of a medicine, first hour CPT 96365 INFUVITE ADULT IV SOLN	$92.29	$92.29	$92.29–$188.20	61% below	—
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$620.00	$620.00	$188.20–$620.00	164% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 INFUVITE ADULT IV SOLN	$92.29	$92.29	$92.29–$188.20	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$620.00	$620.00	$188.20–$620.00	—	—
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug	$611.00	$611.00	$188.20–$611.00	338% above	—
IV push of a medicine, first drug inpatient CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug	$611.00	$611.00	$188.20–$611.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut	$203.00	$203.00	$63.71–$203.00	230% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut	$203.00	$203.00	$63.71–$203.00	—	—
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$94.00	$94.00	$29.65–$94.00	78% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$94.00	$94.00	$29.65–$94.00	78% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$94.00	$94.00	$29.65–$94.00	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$94.00	$94.00	$29.65–$94.00	—	—
New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes	$348.00	$348.00	$74.74–$348.00	205% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Outpatient New 30 Minutes	$348.00	$348.00	$74.74–$348.00	—	—
New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes	$348.00	$348.00	$121.76–$348.00	120% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Outpatient New 45 Minutes	$348.00	$348.00	$121.76–$348.00	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 20 Minutes	$348.00	$348.00	$42.84–$348.00	314% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office Outpatient New 20 Minutes	$348.00	$348.00	$42.84–$348.00	—	—
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Occupational Therapy Eval Low Complex 30 Mins	$275.00	$275.00	$92.97–$275.00	114% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Occupational Therapy Eval Low Complex 30 Mins	$275.00	$275.00	$92.97–$275.00	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins	$275.00	$275.00	$90.77–$275.00	82% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins	$275.00	$275.00	$90.77–$275.00	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$275.00	$275.00	$90.77–$275.00	119% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$275.00	$275.00	$90.77–$275.00	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$275.00	$275.00	$90.77–$275.00	114% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$275.00	$275.00	$90.77–$275.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min	$85.00	$85.00	$25.18–$85.00	44% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min	$85.00	$85.00	$25.18–$85.00	44% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min	$85.00	$85.00	$25.18–$85.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min	$85.00	$85.00	$25.18–$85.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises Ea 15min	$91.00	$91.00	$26.65–$91.00	65% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises Ea 15min	$91.00	$91.00	$26.65–$91.00	65% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercises Ea 15min	$91.00	$91.00	$26.65–$91.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercises Ea 15min	$91.00	$91.00	$26.65–$91.00	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes	$348.00	$348.00	$60.24–$348.00	216% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office Outpatient Visit 15 Minutes	$348.00	$348.00	$60.24–$348.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 30 Minutes	$348.00	$348.00	$88.71–$348.00	160% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office Outpatient Visit 30 Minutes	$348.00	$348.00	$88.71–$348.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes	$348.00	$348.00	$32.15–$348.00	335% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office Outpatient Visit 10 Minutes	$348.00	$348.00	$32.15–$348.00	—	—
Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension	$628.00	$628.00	$208.55–$628.00	234% above	—
Speech and language evaluation inpatient CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension	$628.00	$628.00	$208.55–$628.00	—	—
Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual	$227.00	$227.00	$70.08–$227.00	80% above	—
Speech therapy session, individual inpatient CPT 92507 HC Slp Speech/Hearing Therapy, Individual	$227.00	$227.00	$70.08–$227.00	—	—
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Breathing Capacity Test	$484.00	$484.00	$191.05–$484.00	261% above	—
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Spirometry Without Bronchodilator	$484.00	$484.00	$191.05–$484.00	261% above	—
Spirometry (breathing test) one side CPT 94010 HC Rt Breathing Capacity Test	$484.00	$484.00	$191.05–$484.00	261% above	—
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test - Breathing Capacity Test	$484.00	$484.00	$191.05–$484.00	—	—
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test - Spirometry Without Bronchodilator	$484.00	$484.00	$191.05–$484.00	—	—
Spirometry (breathing test) inpatient one side CPT 94010 HC Rt Breathing Capacity Test	$484.00	$484.00	$191.05–$484.00	—	—
Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator	$841.00	$841.00	$330.17–$841.00	237% above	—
Spirometry before and after a bronchodilator one side CPT 94060 HC Rt Eval of Bronchospasm	$841.00	$841.00	$330.17–$841.00	237% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator	$841.00	$841.00	$330.17–$841.00	—	—
Spirometry before and after a bronchodilator inpatient one side CPT 94060 HC Rt Eval of Bronchospasm	$841.00	$841.00	$330.17–$841.00	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$100.00	$100.00	$31.57–$100.00	86% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$100.00	$100.00	$31.57–$100.00	86% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$100.00	$100.00	$31.57–$100.00	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$100.00	$100.00	$31.57–$100.00	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy, Therapeutic (Separate Procedure)	$405.00	$405.00	$117.72–$405.00	292% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy, Therapeutic (Separate Procedure)	$405.00	$405.00	$117.72–$405.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$180.64	$180.64	$180.64	103% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$180.64	$180.64	$180.64	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,436.46	$1,436.46	$1,436.46	202% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,436.46	$1,436.46	$1,436.46	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$562.00	$562.00	$562.00	196% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$562.00	$562.00	$562.00	—	—
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 IM SUSY	$268.74	$268.74	$268.74	138% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$275.82	$275.82	$275.82	144% above	—
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 IM SUSY	$268.74	$268.74	$268.74	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$275.82	$275.82	$275.82	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid	$203.00	$203.00	$63.71–$203.00	269% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid	$203.00	$203.00	$63.71–$203.00	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl	$78.00	$78.00	$78.00	148% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immuniz,Admin,Each Addl	$78.00	$78.00	$78.00	—	—

Dental

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC D Periodont Scal & Root Plan-4+Teeth/Qua	$1,325.00	$1,325.00	$1,325.00–$2,933.53	28% above	—
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC D Periodont Scal & Root Plan-4+Teeth/Qua	$1,325.00	$1,325.00	$1,325.00–$2,933.53	—	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC D Sx Removal of Impacted Tooth-Soft Tiss	$1,325.00	$1,325.00	$1,325.00–$2,933.53	91% above	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC D Sx Removal of Impacted Tooth-Soft Tiss	$1,325.00	$1,325.00	$1,325.00–$2,933.53	—	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC D Endodontic Therapy, Molar	$1,325.00	$1,325.00	$1,325.00–$2,933.53	12% below	—
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC D Endodontic Therapy, Molar	$1,325.00	$1,325.00	$1,325.00–$2,933.53	—	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC D Extraction, Erupted Tooth/Exposed Root	$1,325.00	$1,325.00	$1,325.00–$2,933.53	at median	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC D Extraction, Erupted Tooth/Exposed Root	$1,325.00	$1,325.00	$1,325.00–$2,933.53	—	—

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

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

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

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

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

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

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

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

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

Source file: https://mghosp.org/wp-content/uploads/2025/01/640324402_magee-benevolent-association_standardcharges.csv