Hospital

North Mississippi Health Services-South Marion

North Mississippi Health Services-South Marion in Winfield, AL publishes cash prices for 399 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 276 of 392 procedures and above it for 84. By typical cash price it ranks #18 of 49 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1530 US Highway 43 Winfield, AL 35594 Collected Oct 17, 2026 Source price file Check a bill from this hospital (205) 487-7000

Acute care hospital For-profit hospital Emergency department CMS star rating 4 of 5 CCN 010086 · CMS hospital register NPI 1083402895

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O AND W/DYE - CT ABDOMEN W WO CONTRAST	$1,332.14	$3,098.00	—	3% below	57%
Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS	$211.99	$493.00	—	at median	57%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	$236.93	$551.00	—	1% above	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC PBB NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$347.01	$807.00	—	62% above	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NONINVASIVE ART LIMITED	$347.01	$807.00	—	62% above	57%
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	$1,182.50	$2,750.00	—	25% above	57%
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	$1,182.50	$2,750.00	—	25% above	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW	$285.95	$665.00	—	1% above	57%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY - NM BONE WHOLE BODY	$1,122.73	$2,611.00	—	at median	57%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST COMPLETE	$214.14	$498.00	—	17% below	57%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST LIMITED	$138.89	$323.00	—	46% below	57%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABDANDPELV W/OANDW/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST	$2,900.78	$6,746.00	—	17% above	57%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOHEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST	$1,348.91	$3,137.00	—	8% below	57%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOHEAD COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST	$1,348.91	$3,137.00	—	8% below	57%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIONECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST	$1,348.91	$3,137.00	—	1% below	57%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIONECK COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST	$1,348.91	$3,137.00	—	1% below	57%
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	$1,670.55	$3,885.00	—	22% above	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT CCTA HEART W WO CONT CORONARIES AND FUNCT	$1,819.33	$4,231.00	—	31% above	57%
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	$168.13	$391.00	—	at median	57%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$2,017.13	$4,691.00	—	22% above	57%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELV W/CONTRAST - CT ENTEROGRAPHY	$2,242.02	$5,214.00	—	at median	57%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$2,242.02	$5,214.00	—	at median	57%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD AND PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	$2,568.39	$5,973.00	—	at median	57%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD AND PELV 1/> REGNS - CT UROGRAM	$2,568.39	$5,973.00	—	at median	57%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	$1,179.92	$2,744.00	—	22% below	57%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	$987.28	$2,296.00	—	11% below	57%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	$509.98	$1,186.00	—	65% below	57%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT	$509.98	$1,186.00	—	65% below	57%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST	$889.67	$2,069.00	—	20% below	57%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT CISTERNOGRAM	$985.13	$2,291.00	—	20% below	57%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$1,103.38	$2,566.00	—	10% below	57%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$1,376.86	$3,202.00	—	21% below	57%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCANLUMBAR SPINEW/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$1,158.85	$2,695.00	—	8% below	57%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCANCERVICAL SPINEW/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$1,314.08	$3,056.00	—	5% below	57%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$1,248.72	$2,904.00	—	5% below	57%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX SCAN EXTRACRANIALBILAT - CAROTID DUPLEX	$309.60	$720.00	—	28% below	57%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC PBB DUPLEX SCAN EXTRACRANIALBILAT	$309.60	$720.00	—	28% below	57%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX SCAN EXTRACRANIALBILAT	$309.60	$720.00	—	28% below	57%
Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST	$1,589.28	$3,696.00	—	1% above	57%
Chest X-ray, 2 views both sides CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - DECUB BILAT	$279.93	$651.00	—	—	57%
Chest X-ray, 2 views CPT 71046 HC PB XR CHEST PA AND LAT	$155.66	$362.00	—	22% below	57%
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$155.66	$362.00	—	22% below	57%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST INSPIRATION EXPIRATION	$117.82	$274.00	—	20% below	57%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$186.19	$433.00	—	27% above	57%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE	$146.20	$340.00	—	27% below	57%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC USRETROPERIT B-SCAN/REAL TIMECOMPLETE - US RETROPERITONEUM	$361.20	$840.00	—	9% below	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL - XR BONE DENSITY WITH SPECT LUMBAR	$230.48	$536.00	—	16% below	57%
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	$363.35	$845.00	—	5% above	57%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCANTHORAXW/O CONTRAST - CT CHEST WO CONTRAST	$1,237.11	$2,877.00	—	3% above	57%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST PULMONARY EMBOLISM W IV CONT	$1,248.72	$2,904.00	—	16% below	57%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$146.63	$341.00	—	—	57%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$113.52	$264.00	—	52% below	57%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST POST BIOPSY CLIP	$113.52	$264.00	—	52% below	57%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - CV US DOPPLER ARTERIAL LEGS BILATERAL	$545.24	$1,268.00	—	—	57%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC PBB DUPLEX LO EXTREM ART BILAT	$545.24	$1,268.00	—	—	57%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC EXTREMITY VENOUS BILATERAL	$421.40	$980.00	—	—	57%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC EXTREMITY STUDY - US LOWER EXTREMITY VARICOSE VEINS BILATERAL	$421.40	$980.00	—	—	57%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC PBB DUPLEX EXTREM VENOUSBILAT	$421.40	$980.00	—	32% below	57%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST	$1,055.65	$2,455.00	—	1% below	57%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,055.65	$2,455.00	—	1% below	57%
Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS	$146.63	$341.00	—	9% below	57%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS	$155.66	$362.00	—	22% below	57%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCANORBIT/SELLA/POST FOSSA/EARW/O - CT AUDITORY CANALS WO CONT	$770.13	$1,791.00	—	24% below	57%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCANORBIT/SELLA/POST FOSSA/EARW/O - CT ORBITS/SELLA WO IV CONT	$770.13	$1,791.00	—	24% below	57%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS	$195.22	$454.00	—	21% below	57%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS	$169.85	$395.00	—	at median	57%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION	$1,100.80	$2,560.00	—	at median	57%
Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS	$224.46	$522.00	—	44% above	57%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS	$146.63	$341.00	—	9% below	57%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW RIGHT	$146.63	$341.00	—	9% below	57%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP UNATTENDED	$804.10	$1,870.00	—	144% above	57%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC PSG W/ CPAP TITRATION INCOMPLETE	$1,100.37	$2,559.00	—	61% below	57%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC PSG W/ CPAP TITRATION COMPLETE	$2,200.74	$5,118.00	—	22% below	57%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$152.65	$355.00	—	21% below	57%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS	$239.94	$558.00	—	7% above	57%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCANLOWER EXTREMITYW/O CONTRAST - CT LOWER EXT WO IV CONT	$1,237.11	$2,877.00	—	44% above	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED	$163.40	$380.00	—	55% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED SPLEEN	$326.37	$759.00	—	10% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US GALLBLADDER	$332.39	$773.00	—	9% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED LIVER	$332.39	$773.00	—	9% below	57%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/NONVASC XTR STRUX	$221.88	$516.00	—	11% above	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST LOW DOSE	$762.39	$1,773.00	—	268% above	57%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIB + FIB 2VW - XR TIBIA FIBULA 2 VIEWS	$178.02	$414.00	—	11% below	57%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO HEAD - MR HEAD ANGIO WO IV CONTRAST	$1,569.50	$3,650.00	—	1% below	57%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL W/O /W CON	$2,331.89	$5,423.00	—	at median	57%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LE W/O CONT	$1,550.15	$3,605.00	—	9% below	57%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JNT LE W/O/W CONTR	$2,273.41	$5,287.00	—	10% above	57%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$1,389.76	$3,232.00	—	at median	57%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO - MRI ABDOMEN W WO CONTRAST MRCP	$1,928.55	$4,485.00	—	6% below	57%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$1,604.76	$3,732.00	—	7% below	57%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST	$2,180.96	$5,072.00	—	8% below	57%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,417.71	$3,297.00	—	12% below	57%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST	$2,158.17	$5,019.00	—	12% below	57%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI DORSAL SPINE - MRI COMPLETE SPINE WO CONTRAST	$1,417.71	$3,297.00	—	7% below	57%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$2,107.43	$4,901.00	—	8% below	57%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE - MRI COMPLETE SPINE WO CONTRAST	$1,443.08	$3,356.00	—	13% below	57%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO - MRI PELVIS W WO CONTRAST	$2,088.94	$4,858.00	—	2% below	57%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST - MRI PELVIS WO CONTRAST	$1,498.98	$3,486.00	—	3% below	57%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UE EXT WO	$1,530.37	$3,559.00	—	2% above	57%
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	$230.05	$535.00	—	21% below	57%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST	$1,136.92	$2,644.00	—	19% below	57%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SCANSOFT TISSUE NECKW/O CONTRAST - CT SOFT TISSUE NECK WO CONT	$1,124.45	$2,615.00	—	7% above	57%
Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE	$107.93	$251.00	—	46% below	57%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS AND REST	$1,974.13	$4,591.00	—	7% below	57%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC OCT	$604.58	$1,406.00	—	—	57%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH	$4,472.43	$10,401.00	—	32% above	57%
Pelvic CT scan without contrast CPT 72192 HC CT SCANPELVISW/O CONTRAST - CT PELVIS WO CONTRAST	$1,237.11	$2,877.00	—	15% above	57%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED BLADDER	$355.18	$826.00	—	78% above	57%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED	$355.18	$826.00	—	78% above	57%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHOPELVIC (NONOBSTETRIC) - US PELVIS	$471.71	$1,097.00	—	at median	57%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PBB US OB >/= 14 WKS SNGL FETUS	$464.83	$1,081.00	—	14% above	57%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$464.83	$1,081.00	—	14% above	57%
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	$298.85	$695.00	—	at median	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC PBB US OB < 14 WKS SINGLE FETUS	$298.85	$695.00	—	at median	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$368.08	$856.00	—	45% above	57%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS CHEST 3+ VW - XR RIBS 2 VWS W/ CHEST ANTEROPOSTERIOR	$198.23	$461.00	—	16% below	57%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$137.17	$319.00	—	—	57%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$188.77	$439.00	—	10% below	57%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS	$194.36	$452.00	—	16% below	57%
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS	$226.61	$527.00	—	13% above	57%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRPHY INCOMPLETE	$1,039.74	$2,418.00	—	60% below	57%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRPHY COMPLETE	$2,079.05	$4,835.00	—	20% below	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO AND SPEECH	$201.24	$468.00	—	43% below	57%
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	$176.73	$411.00	—	—	57%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCANTHORACIC SPINEW/O CONTRAST - CT THORACIC SPINE WO CONTRAST	$1,194.54	$2,778.00	—	1% above	57%
Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS	$129.00	$300.00	—	7% below	57%
Toe X-ray, 2 or more views CPT 73660 HC PBB X-RAY TOE(S)	$129.00	$300.00	—	7% below	57%
Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHYTRANSVAGINAL - US PELVIS TRANSVAGINAL	$334.54	$778.00	—	6% below	57%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$202.53	$471.00	—	26% below	57%
Transvaginal ultrasound during pregnancy CPT 76817 HC PBB USPREGNANT UTERUSTRANSVAGINAL	$202.53	$471.00	—	26% below	57%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMB-SCAN AND/OR REAL TIMECOMPLETE - US ABDOMEN	$390.44	$908.00	—	20% below	57%
Ultrasound of the scrotum and testicles CPT 76870 HC ECHOSCROTUM AND CONTENTS - US SCROTUM	$158.67	$369.00	—	59% below	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US THYROID	$380.12	$884.00	—	6% above	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US NECK	$439.89	$1,023.00	—	23% above	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$285.95	$665.00	—	15% below	57%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS - XR HUMERUS	$150.93	$351.00	—	27% below	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC PBB DUPLEX EXTREM VENOUSUNI OR LTD	$332.39	$773.00	—	7% above	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD	$332.39	$773.00	—	7% above	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC EXTREMITY STUDY - US UPPER EXTREMITY VEINS LEFT DIALYSIS	$332.39	$773.00	—	7% above	57%
Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS	$178.02	$414.00	—	37% above	57%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$152.65	$355.00	—	27% below	57%
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	$97.61	$227.00	—	50% below	57%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR COLON MOTILITY	$142.33	$331.00	—	6% below	57%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$178.02	$414.00	—	14% above	57%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	$135.02	$314.00	—	21% below	57%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$145.77	$339.00	—	9% above	57%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$152.65	$355.00	—	26% below	57%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$155.66	$362.00	—	25% below	57%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$145.77	$339.00	—	1% below	57%
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	$201.67	$469.00	—	3% below	57%
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	$269.61	$627.00	—	15% below	57%
X-ray of the lower back, 4 or more views CPT 72110 HC PBB X-RAY LUMBAR SPINE 4 VW	$269.61	$627.00	—	15% below	57%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$121.26	$282.00	—	39% below	57%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$174.15	$405.00	—	13% below	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$144.91	$337.00	—	28% below	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC PBB RADEX SPINE CERVICAL 2 OR 3 VIEWS	$144.91	$337.00	—	28% below	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-SPINE FLEX AND EXT ONLY	$152.22	$354.00	—	24% below	57%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$169.42	$394.00	—	at median	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM	$263.16	$612.00	—	23% above	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC COCCYX	$263.16	$612.00	—	23% above	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC PBB XR SACRUM COCCYX 2 V MORE	$273.91	$637.00	—	28% above	57%
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	$273.91	$637.00	—	28% above	57%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ACTH blood test CPT 82024 HC ASSAY OF ACTH PLASMA LCA	$20.21	$47.00	—	86% below	57%
ACTH blood test CPT 82024 HC ASSAY OF ACTH - ACTH	$260.15	$605.00	—	86% above	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$9.46	$22.00	—	71% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - POCT ALANINE AMINOTRANS	$19.78	$46.00	—	39% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$9.03	$21.00	—	76% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - POCT AST	$19.78	$46.00	—	47% below	57%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANELACUTE - BUNDLED CHARGE	$66.65	$155.00	—	66% below	57%
Albumin blood test CPT 82040 HC ALBUMIN S IGG SYN RATE	$16.34	$38.00	—	37% below	57%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN IGGI LCA	$16.34	$38.00	—	37% below	57%
Albumin blood test CPT 82040 HC ALBUMIN QTTBF	$26.66	$62.00	—	2% above	57%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN	$57.62	$134.00	—	121% above	57%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE LCMS LCA	$20.64	$48.00	—	84% below	57%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE	$261.44	$608.00	—	107% above	57%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOS LCA	$11.18	$26.00	—	57% below	57%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE	$38.70	$90.00	—	49% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FALL - WEED	$9.89	$23.00	—	52% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LCA	$18.92	$44.00	—	9% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PROFILE	$51.60	$120.00	—	148% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT PANEL	$64.07	$149.00	—	208% above	57%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN MARKER LCA	$20.21	$47.00	—	73% below	57%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC MATERNAL SERUM AFP	$20.64	$48.00	—	73% below	57%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SPINA BIFIDA LCA	$23.22	$54.00	—	69% below	57%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM - ALPHA FETOPROTEIN MATERNAL	$33.11	$77.00	—	56% below	57%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM - ALPHA-FETOPROTEIN MARKER	$98.90	$230.00	—	31% above	57%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA - AMMONIA	$73.96	$172.00	—	6% below	57%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID LCA	$19.78	$46.00	—	57% below	57%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE	$75.68	$176.00	—	64% above	57%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID	$75.68	$176.00	—	64% above	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$18.49	$43.00	—	68% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY (ANTI-CCP) LCA	$21.93	$51.00	—	62% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$18.92	$44.00	—	57% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA BY IFA RFX TITER LCA	$19.35	$45.00	—	56% below	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC CONNECTIVE TISSUE CASCAE	$82.99	$193.00	—	89% above	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE -(PROBNP) LCA	$28.38	$66.00	—	73% below	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - POCT B-TYPE NATRIURETIC PEPTIDE (BNP)	$58.48	$136.00	—	44% below	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$101.05	$235.00	—	4% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL GEN.	$15.05	$35.00	—	74% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPECIAL EYE	$43.43	$101.00	—	25% below	57%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$20.21	$47.00	—	66% below	57%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL	$19.78	$46.00	—	24% below	57%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL	$28.81	$67.00	—	11% above	57%
Bilirubin blood test, total CPT 82247 HC CORD BLOOD TBIL	$98.90	$230.00	—	280% above	57%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID	$98.90	$230.00	—	280% above	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC BONE MARROW W/CLOT	$87.72	$204.00	—	48% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHLEVEL IV - LAB SURG PATHLEVEL IV	$209.84	$488.00	—	25% above	57%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD WITH ARD	$109.65	$255.00	—	27% above	57%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$109.65	$255.00	—	27% above	57%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD PEDIATRIC	$146.63	$341.00	—	70% above	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOODVENIPUNCTURE	$6.45	$15.00	—	8% below	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOODVENIPUNCTURE	$6.45	$15.00	—	8% below	57%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM	$9.03	$21.00	—	65% below	57%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE - GLUCOSE BLOOD GAS	$13.33	$31.00	—	49% below	57%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - POCT GLUCOMETER	$19.78	$46.00	—	24% below	57%
Blood glucose (sugar) test CPT 82947 HC POST PRANDIAL	$71.81	$167.00	—	175% above	57%
Blood lead test CPT 83655 HC LEAD UR (LHVYMU) LCA	$8.60	$20.00	—	80% below	57%
Blood lead test CPT 83655 HC LEAD BLOOD LCA	$19.35	$45.00	—	54% below	57%
Blood lead test CPT 83655 HC LEAD BLOOD	$19.78	$46.00	—	53% below	57%
Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD CAPILLARY BLOOD	$23.22	$54.00	—	45% below	57%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCGBETA SUBUNITQUAL LCA	$19.78	$46.00	—	58% below	57%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY TEST URINE-QUAL	$129.43	$301.00	—	175% above	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN	$65.36	$152.00	—	6% above	57%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN - BLOOD UREA NITROGEN	$48.59	$113.00	—	68% above	57%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE LCA	$19.78	$46.00	—	73% below	57%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE	$110.94	$258.00	—	50% above	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$11.18	$26.00	—	75% below	57%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN GENE NAA LCA	$42.14	$98.00	—	58% below	57%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE QL PCR <2YR	$47.73	$111.00	—	52% below	57%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE BY PCR	$94.60	$220.00	—	5% below	57%
CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19-9 LCA	$20.64	$48.00	—	80% below	57%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9	$106.21	$247.00	—	3% above	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER ANTIGEN 125 LCA	$20.21	$47.00	—	78% below	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125	$44.72	$104.00	—	52% below	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC C125 HOA ONLY	$137.60	$320.00	—	48% above	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NAA LCA	$60.63	$141.00	—	10% above	57%
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	$37.41	$87.00	—	32% below	57%
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL - CALCIUM	$9.03	$21.00	—	71% below	57%
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL - PTH INTACT AND CALCIUM	$65.36	$152.00	—	111% above	57%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) LCA	$19.35	$45.00	—	79% below	57%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN)	$127.71	$297.00	—	42% above	57%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELL-ZOST IGG MMRV LCA	$19.35	$45.00	—	69% below	57%
Chickenpox (varicella) immunity blood test CPT 86787 HC MMRV PROFILE VARICELLA	$38.70	$90.00	—	38% below	57%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG	$90.30	$210.00	—	45% above	57%
Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA ZOSTER LCA	$90.30	$210.00	—	45% above	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACHOMATIS (DNA OR RNA) AMP LCA	$12.47	$29.00	—	82% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH CTT NAA LCA	$17.63	$41.00	—	74% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE - LYMPHOGRANULOMA VENEREUM ANTIBODY	$39.56	$92.00	—	41% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS RNA	$40.85	$95.00	—	39% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$22.36	$52.00	—	58% below	57%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AND AUTO DIFF WBC - ADDITIONAL CHARGE	$12.90	$30.00	—	68% below	57%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - W/O DIFF	$11.18	$26.00	—	67% below	57%
Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM - HGM	$11.18	$26.00	—	67% below	57%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE	$25.37	$59.00	—	73% below	57%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL MS LCA	$29.24	$68.00	—	62% below	57%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR	$30.53	$71.00	—	60% below	57%
Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK	$10.75	$25.00	—	67% below	57%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE - CREATININE FLUID	$57.62	$134.00	—	99% above	57%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE - CREATININE SERUM	$57.62	$134.00	—	99% above	57%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ABS LCA	$12.47	$29.00	—	82% below	57%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG	$125.56	$292.00	—	85% above	57%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUANTITATIVE	$12.47	$29.00	—	80% below	57%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) LCA	$20.64	$48.00	—	80% below	57%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$28.38	$66.00	—	73% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUST TEST PRSMV QUEST	$37.84	$88.00	—	59% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM CONF	$72.24	$168.00	—	22% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR URINE	$80.84	$188.00	—	13% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV ANLYZR	$86.00	$200.00	—	8% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CORD TISSUE NMS	$92.88	$216.00	—	at median	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV QDS9M MECON	$107.07	$249.00	—	15% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - POCT AMPHETAMINES	$147.92	$344.00	—	59% above	57%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$71.38	$166.00	—	22% above	57%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR AB VIRAL CAPSID LCA	$9.03	$21.00	—	84% below	57%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA IGG	$117.82	$274.00	—	106% above	57%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL LCA	$28.81	$67.00	—	72% below	57%
Estradiol blood test CPT 82670 HC ESTRADIOL ULTRASEN PEDS	$59.34	$138.00	—	42% below	57%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$176.73	$411.00	—	73% above	57%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) LCA	$26.23	$61.00	—	71% below	57%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - POCT FOLLICLE STIMULATING HORMONE (FSH)	$31.82	$74.00	—	64% below	57%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH PEDIATRICS	$34.83	$81.00	—	61% below	57%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL LCA	$41.28	$96.00	—	79% below	57%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$144.48	$336.00	—	26% below	57%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$22.36	$52.00	—	62% below	57%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY (LFBNEP) LCA	$16.77	$39.00	—	64% below	57%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY - FIBRINOGENQUANTITATIVE	$55.04	$128.00	—	20% above	57%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM - FOLATE LCA	$20.64	$48.00	—	69% below	57%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$21.50	$50.00	—	67% below	57%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY - T3 FREE LCA	$21.50	$50.00	—	71% below	57%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$27.52	$64.00	—	63% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$16.34	$38.00	—	74% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY FREE T4 BY DIALYSIS LCA	$25.80	$60.00	—	58% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE DIRECT DIALYSIS	$25.80	$60.00	—	58% below	57%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE LCA	$20.21	$47.00	—	73% below	57%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$41.71	$97.00	—	44% below	57%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT QNASH	$19.78	$46.00	—	49% below	57%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - POCT GAMMA GLUTAMYL TRANSFERASE (GGT)	$64.93	$151.00	—	68% above	57%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$35.69	$83.00	—	64% below	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$113.95	$265.00	—	92% above	57%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR	$116.53	$271.00	—	72% above	57%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE	$118.68	$276.00	—	75% above	57%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 4 HOUR	$121.26	$282.00	—	79% above	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE NAA LCA	$12.47	$29.00	—	82% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - GC DNA PCR	$39.56	$92.00	—	43% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE RNA	$147.92	$344.00	—	111% above	57%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGA	$27.09	$63.00	—	38% below	57%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG	$41.71	$97.00	—	5% below	57%
H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL AG EIA LCA	$27.52	$64.00	—	57% below	57%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$108.36	$252.00	—	70% above	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA REAL TIME PCR LCA	$36.98	$86.00	—	84% below	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA PCR VIRAL LOAD	$51.60	$120.00	—	78% below	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA QUANTITATIVE PCR	$113.52	$264.00	—	51% below	57%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	$23.65	$55.00	—	20% below	57%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 ANTIBODY RHICV	$23.65	$55.00	—	20% below	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV AB/AG 4TH GEN	$28.81	$67.00	—	44% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV MRNA HPVR	$41.28	$96.00	—	15% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INF AGNT BY DNA HPVR LCA	$57.19	$133.00	—	17% above	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV DNA HIGH RISK	$57.19	$133.00	—	17% above	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - POCT GLYCATED HEMOGLOBIN TOTAL	$17.63	$41.00	—	49% below	57%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN BLOOD GASES	$10.75	$25.00	—	39% below	57%
Hemoglobin blood test CPT 85018 HC HEMOGLOBINOPATHY EVAL HC	$12.47	$29.00	—	29% below	57%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN	$34.40	$80.00	—	97% above	57%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TEST TOTAL - HEPATITIS B CORE ANTIBODY TOTAL	$18.92	$44.00	—	63% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB LCA	$18.92	$44.00	—	60% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$107.93	$251.00	—	126% above	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$18.06	$42.00	—	46% below	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN LCA	$19.35	$45.00	—	42% below	57%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$20.64	$48.00	—	69% below	57%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT AND REVERSE TRANSCRIPTION - HEPATITIS C BDNA	$159.10	$370.00	—	18% below	57%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT LCA	$36.98	$86.00	—	81% below	57%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV AB TYPE 1 IGG LCA	$11.61	$27.00	—	81% below	57%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY	$19.78	$46.00	—	67% below	57%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM SCREEN QHMIF	$23.65	$55.00	—	61% below	57%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV AB TYPE 2 IGG LCA	$11.61	$27.00	—	82% below	57%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM SCREEN QHMIF	$23.65	$55.00	—	64% below	57%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY	$165.98	$386.00	—	152% above	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CARDIAC LCA	$19.35	$45.00	—	66% below	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSITIVITY CRP	$49.45	$115.00	—	14% below	57%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$129.43	$301.00	—	3% above	57%
Insulin blood test CPT 83525 HC ASSAY OF INSULINTOTAL LCA	$19.35	$45.00	—	65% below	57%
Insulin blood test CPT 83525 HC ASSAY OF INSULINTOTAL - INSULIN FASTING	$21.07	$49.00	—	62% below	57%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON	$11.18	$26.00	—	63% below	57%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC	$15.05	$35.00	—	63% below	57%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$76.54	$178.00	—	9% below	57%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$25.80	$60.00	—	72% below	57%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINZING HORMONE (LH) LCA	$26.23	$61.00	—	72% below	57%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - POCT LUTEINIZING HORMONE (LH)	$142.76	$332.00	—	54% above	57%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE WHOLE BLOOD	$45.15	$105.00	—	11% below	57%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID	$65.79	$153.00	—	30% above	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH) LCA	$10.75	$25.00	—	76% below	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID LCA	$18.92	$44.00	—	57% below	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH TOTAL QLDHI	$28.81	$67.00	—	35% below	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH FLD OTHER	$57.62	$134.00	—	30% above	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE	$59.34	$138.00	—	34% above	57%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE	$12.90	$30.00	—	75% below	57%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$24.08	$56.00	—	70% below	57%
Lyme disease antibody test CPT 86618 HC LYME DISEASE AB W/REFLEX LCA	$32.68	$76.00	—	61% below	57%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - POCT LYME DISEASE ANTIBODIES (BORRELIA BURG)	$131.15	$305.00	—	58% above	57%
Magnesium blood test CPT 83735 HC MAGNESIUM 24 HOUR QUROD	$4.73	$11.00	—	82% below	57%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$10.75	$25.00	—	58% below	57%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA MMRV LCA	$6.02	$14.00	—	85% below	57%
Measles (rubeola) antibody test CPT 86765 HC MMRV PROFILE MEASLES	$38.70	$90.00	—	6% below	57%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN LCA	$20.21	$47.00	—	62% below	57%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN	$83.42	$194.00	—	58% above	57%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS (IGG/M) MMRV LCA	$6.02	$14.00	—	87% below	57%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS (IGG/M) LCA	$13.76	$32.00	—	69% below	57%
Mumps immunity blood test CPT 86735 HC MMRV PROFILE MUMPS	$39.56	$92.00	—	11% below	57%
Mumps immunity blood test CPT 86735 HC MUMPS VIRUS ABS QMUMP	$77.40	$180.00	—	73% above	57%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL - BUNDLED CHARGE	$196.08	$456.00	—	5% above	57%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE LCA	$65.36	$152.00	—	6% below	57%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE AND TOTAL	$65.36	$152.00	—	6% below	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL LCA	$20.21	$47.00	—	76% below	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL - PSA	$27.09	$63.00	—	68% below	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA	$114.38	$266.00	—	33% above	57%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP IG (IMAGE GUIDED) LCA	$25.37	$59.00	—	29% below	57%
Pap test (liquid-based, automated screening with review) CPT 88175 HC THIN PREP PAP W/REFLEX	$133.73	$311.00	—	275% above	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH MANUAL PAP RFLX LCA	$15.91	$37.00	—	48% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER PAP LB LCA	$24.94	$58.00	—	18% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$87.72	$204.00	—	189% above	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THINPREP PAP MNL INTRP	$109.65	$255.00	—	261% above	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THINPREP PAP MANUAL	$133.73	$311.00	—	340% above	57%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$70.95	$165.00	—	48% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$43.00	$100.00	—	5% above	57%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS	$9.03	$21.00	—	62% below	57%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS FECES	$40.85	$95.00	—	73% above	57%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - ORGANOPHOSPHATE PESTICIDES	$59.34	$138.00	—	151% above	57%
Potassium blood test CPT 84132 HC NEO/PED POTASSIUM	$13.33	$31.00	—	49% below	57%
Potassium blood test CPT 84132 HC POTASSIUM - POTASSIUM BLOOD GAS	$13.33	$31.00	—	49% below	57%
Potassium blood test CPT 84132 HC POTASSIUM	$65.36	$152.00	—	150% above	57%
Progesterone blood test CPT 84144 HC PROGESTERONE LC/MS/MS LCA	$26.23	$61.00	—	74% below	57%
Progesterone blood test CPT 84144 HC PROGESTERONE LC/MS/MS	$39.56	$92.00	—	61% below	57%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$31.82	$74.00	—	69% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR FINGERSTICK	$9.46	$22.00	—	58% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$39.13	$91.00	—	75% above	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PBB PROTHROMBIN TIME	$39.13	$91.00	—	75% above	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$43.00	$100.00	—	93% above	57%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST FENTYL	$47.30	$110.00	—	10% below	57%
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	$67.51	$157.00	—	28% above	57%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A/B	$19.78	$46.00	—	31% below	57%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$20.21	$47.00	—	54% below	57%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC PBB STREP A ASSAY W/OPTIC	$20.21	$47.00	—	54% below	57%
Renin blood test CPT 84244 HC ASSAY OF RENIN LCA	$19.78	$46.00	—	74% below	57%
Renin blood test CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY	$133.30	$310.00	—	76% above	57%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE	$42.14	$98.00	—	59% above	57%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$9.89	$23.00	—	78% below	57%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR LCA	$19.78	$46.00	—	56% below	57%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT - RHEUMATOID FACTOR	$92.45	$215.00	—	105% above	57%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA MMRV LCA	$6.02	$14.00	—	84% below	57%
Rubella antibody test (immunity check) CPT 86762 HC MMRV PROFILE RUBELLA	$38.70	$90.00	—	2% above	57%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGM	$139.75	$325.00	—	268% above	57%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATED	$9.03	$21.00	—	62% below	57%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF - SEMEN ANALYSIS	$109.65	$255.00	—	26% above	57%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM	$53.32	$124.00	—	84% above	57%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE DIRECT-ID LCA	$10.75	$25.00	—	76% below	57%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$80.41	$187.00	—	81% above	57%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SCREEN - FECAL IMM	$34.83	$81.00	—	164% above	57%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FIT-FECAL IMMUNO OCCULT	$17.20	$40.00	—	69% below	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC AB TREPONEMA PALLIDUM LCA	$34.40	$80.00	—	9% below	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM CONFIRMATORY	$78.69	$183.00	—	107% above	57%
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	$9.03	$21.00	—	64% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST VDRL LCA	$19.35	$45.00	—	24% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$71.38	$166.00	—	181% above	57%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSEGAMMA INTERFRON - TB TEST	$43.00	$100.00	—	65% below	57%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON - TB GOLD LCA	$43.00	$100.00	—	65% below	57%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL LCA	$20.21	$47.00	—	73% below	57%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$43.00	$100.00	—	43% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$18.92	$44.00	—	57% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER-KIDNEY MICROSOMAL AB LCA	$21.07	$49.00	—	52% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CHRONIC URTICARIA P TPOT	$73.53	$171.00	—	68% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$113.09	$263.00	—	158% above	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY TSH	$27.09	$63.00	—	53% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC METDS-TSH	$129.43	$301.00	—	126% above	57%
Total IgE blood test CPT 82785 HC IMMUNOGLOBUBIN E LCA	$20.21	$47.00	—	58% below	57%
Total IgE blood test CPT 82785 HC IMMUNOGLOBUBIN E	$124.70	$290.00	—	161% above	57%
Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID	$19.78	$46.00	—	36% below	57%
Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	$47.30	$110.00	—	54% above	57%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE)	$71.81	$167.00	—	40% above	57%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 LCA	$19.35	$45.00	—	59% below	57%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY TT-3 - T3 (THYROID HORMONE)	$21.93	$51.00	—	54% below	57%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN LCA	$20.21	$47.00	—	65% below	57%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN	$44.29	$103.00	—	23% below	57%
Trichomonas test (NAAT) CPT 87661 HC TRICH VAG BY NAA LCA	$28.38	$66.00	—	59% below	57%
Trichomonas test (NAAT) CPT 87661 HC T VAGINALIS RNA	$78.69	$183.00	—	12% above	57%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES BODY FLUID LCA	$18.92	$44.00	—	40% below	57%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - POCT TRIGLYCERIDE	$84.28	$196.00	—	169% above	57%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES	$84.28	$196.00	—	169% above	57%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN T	$40.85	$95.00	—	52% below	57%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN I	$85.14	$198.00	—	at median	57%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID BLOOD	$17.63	$41.00	—	42% below	57%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - BUNDLED CHARGE	$9.03	$21.00	—	72% below	57%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC	$49.88	$116.00	—	56% above	57%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY	$15.48	$36.00	—	33% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONLY	$18.92	$44.00	—	18% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC PBB URINALYSIS AUTO W/O SCOPE	$18.92	$44.00	—	18% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS W/O MICROSCOPY	$46.87	$109.00	—	104% above	57%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$13.33	$31.00	—	73% below	57%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE SUPRAPUBIC	$85.14	$198.00	—	74% above	57%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMINUR LCA	$10.75	$25.00	—	74% below	57%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE - MICROALBUMIN 24HR URINE	$11.61	$27.00	—	72% below	57%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE - MICROALBUMIN RANDOM URINE	$11.61	$27.00	—	72% below	57%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$89.87	$209.00	—	100% above	57%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$25.37	$59.00	—	54% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-HYDROXY LCA	$21.07	$49.00	—	78% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D LCMS D2+D3 LCA	$21.93	$51.00	—	77% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT DCALCIFEDIOL W FRACTIONS IF PERFORMED - VITAMIN D 25	$50.74	$118.00	—	47% below	57%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC CALCITRIOL(125 DI-OH VIT D) LCA	$24.08	$56.00	—	84% below	57%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D W/FRACTIONS IF PERFORMED - VITAMIN D 1	$46.44	$108.00	—	70% below	57%
Zinc blood test CPT 84630 ZINC PLASMA OR SERUM LCA	$19.78	$46.00	—	64% below	57%
Zinc blood test CPT 84630 HC ZINC	$53.32	$124.00	—	3% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAD SCREEN QAFPX	$12.90	$30.00	—	78% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE BLOOD	$21.07	$49.00	—	64% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG LCA	$21.93	$51.00	—	62% below	57%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 HC ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2	$9,436.35	$21,945.00	—	43% below	57%
Botox injections for chronic migraine both sides CPT 64615 HC PBB CHMDRV FCL/TRG/CRV MGRN BILATERAL	$333.68	$776.00	—	—	57%
Botox injections for chronic migraine CPT 64615 HC CHMDRV FCL/TRG/CRV MGRN	$333.68	$776.00	—	18% below	57%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$1,757.84	$4,088.00	—	32% below	57%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO IMG SUPER/INTERPW LEFT HEART VENTRICULOGRAPHY	$6,174.80	$14,360.00	—	5% below	57%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC EP CARDIOVERSION ELECTIVE EXTERN	$1,992.19	$4,633.00	—	155% above	57%
Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$18,021.30	$41,910.00	—	37% below	57%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$1,122.30	$2,610.00	—	53% below	57%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$232.20	$540.00	—	89% below	57%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$205.97	$479.00	—	30% below	57%
Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$1,328.70	$3,090.00	—	33% below	57%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$1,291.72	$3,004.00	—	33% below	57%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$984.70	$2,290.00	—	38% below	57%
Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$10,003.95	$23,265.00	—	15% below	57%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$751.21	$1,747.00	—	54% below	57%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION PREMALIGNANT LESION 1ST	$237.36	$552.00	—	at median	57%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$99.33	$231.00	—	at median	57%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$106.64	$248.00	—	8% above	57%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$258.00	$600.00	—	40% below	57%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$1,182.50	$2,750.00	—	7% below	57%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC PBB INJ CER/THRX W/ IMAG GUI	$1,560.90	$3,630.00	—	23% above	57%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$405.49	$943.00	—	at median	57%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINTIMG GUIDELUMBAR/SAC 1ST LEVEL	$1,074.14	$2,498.00	—	at median	57%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PBB INJ DX/THER AGNT PARAVERT FACET JOINTIMG GUIDELUMBAR/SAC 1ST LEVEL	$1,611.21	$3,747.00	—	50% above	57%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID	$871.18	$2,026.00	—	12% below	57%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$208.55	$485.00	—	13% below	57%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$279.07	$649.00	—	5% below	57%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$331.96	$772.00	—	19% below	57%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PBB INJECT TENDON SHEATH/LIGAMENT	$331.96	$772.00	—	19% below	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIRAND/INJ MAJOR JT/BURSA W/O US	$410.22	$954.00	—	at median	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PBB ARTHROCENTESIS ASPIRAND/INJ MAJOR JT/BURSA W/O US	$410.22	$954.00	—	at median	57%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIRAND/INJ INTERM JT/BURS W/O US	$294.55	$685.00	—	16% below	57%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PBB ARTHROCENTESIS ASPIRAND/INJ INTERM JT/BURS W/O US	$294.55	$685.00	—	16% below	57%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIRAND/INJ SMALL JT/BURSA W/O US	$273.05	$635.00	—	29% below	57%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNKARMLEG <2.5 CM	$531.48	$1,236.00	—	33% above	57%
Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP	$4,732.15	$11,005.00	—	1% above	57%
Lower-back epidural injection, with imaging guidance CPT 62323 HC PBB NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,182.50	$2,750.00	—	19% below	57%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,560.90	$3,630.00	—	6% above	57%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$818.72	$1,904.00	—	27% below	57%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PBB LUMBAR EPIDURAL INJ	$1,210.45	$2,815.00	—	7% below	57%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL	$1,210.45	$2,815.00	—	7% below	57%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS 1 STAGE HEAD NECK HANDS FEET OR GENITALS UP TO 5 BLOCKS	$688.00	$1,600.00	—	—	57%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISION OF LESION OTHER THAN SKIN TAG TRNK LMB BNGN >0.5 CM	$432.15	$1,005.00	—	51% below	57%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXCISION OF BENIGN LESION OTHER THAN SKIN TAG >/= 0.5 CM	$432.15	$1,005.00	—	47% below	57%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$278.21	$647.00	—	21% above	57%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCKGREAT OCCIPTL	$273.48	$636.00	—	40% below	57%
Occipital nerve block (injection for headaches) CPT 64405 HC PBB INJECT NERV BLCKGREAT OCCIPTL	$273.48	$636.00	—	40% below	57%
Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$8,751.36	$20,352.00	—	34% below	57%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,100.80	$2,560.00	—	24% above	57%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$531.48	$1,236.00	—	6% below	57%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE	$1,885.12	$4,384.00	—	32% below	57%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC PBB DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,683.45	$3,915.00	—	at median	57%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION AND REMOVE FOREIGN BODY SIMPLE	$531.48	$1,236.00	—	3% above	57%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$531.48	$1,236.00	—	3% above	57%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC SCREENING COLONOSCOPY	$966.21	$2,247.00	—	30% below	57%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLON SCREENING HIGH RISK	$966.21	$2,247.00	—	29% below	57%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT STATIC	$208.12	$484.00	—	16% above	57%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINTSTATIC	$208.12	$484.00	—	16% above	57%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$227.47	$529.00	—	33% above	57%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$278.21	$647.00	—	22% above	57%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SNGL LESION	$237.79	$553.00	—	30% below	57%
Skin biopsy, punch, one lesion CPT 11104 HC PBB PUNCH BX SKIN SNGL LESION	$237.79	$553.00	—	30% below	57%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$278.21	$647.00	—	9% below	57%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURELUMBARDIAGNOSTIC	$990.72	$2,304.00	—	39% above	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	$283.80	$660.00	—	22% above	57%
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	$278.21	$647.00	—	23% above	57%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN	$239.08	$556.00	—	23% below	57%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,265.06	$2,942.00	—	23% above	57%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT 1 OR 2	$274.34	$638.00	—	15% below	57%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$1,758.70	$4,090.00	—	28% below	57%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD	$1,935.00	$4,500.00	—	23% below	57%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$1,162.29	$2,703.00	—	42% below	57%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD	$1,162.29	$2,703.00	—	71% below	57%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD	$1,746.23	$4,061.00	—	27% below	57%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD	$1,228.51	$2,857.00	—	43% below	57%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$972.66	$2,262.00	—	48% below	57%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$237.36	$552.00	—	31% below	57%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM	$709.50	$1,650.00	—	28% above	57%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$514.71	$1,197.00	—	31% above	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SUB IPPB	$36.55	$85.00	—	69% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SUB MDI	$86.43	$201.00	—	26% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INIT IPPB	$236.93	$551.00	—	102% above	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ADMIN FEE-IPPB NEBULIZER	$236.93	$551.00	—	102% above	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT SVN TREATMENT SUBQ	$36.55	$85.00	—	69% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT SVN TREATMENT INIT	$39.56	$92.00	—	66% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI	$89.87	$209.00	—	23% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER	$150.07	$349.00	—	28% above	57%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER IV INFUSION 1 HR	$507.40	$1,180.00	—	9% above	57%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EYE EXAM NEW PATIENT MINOR	$156.52	$364.00	—	at median	57%
Comprehensive eye exam, returning patient CPT 92014 HC PBB EYE EXAM AND TX ESTAB PT 1/>V	$129.00	$300.00	—	at median	57%
Comprehensive eye exam, returning patient CPT 92014 HC EYE EXAM AND TX ESTAB PT 1/>V	$135.45	$315.00	—	5% above	57%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES	$1,135.20	$2,640.00	—	2% above	57%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEGW/AWAKE AND DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE	$627.37	$1,459.00	—	at median	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING	$128.14	$298.00	—	2% above	57%
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	$102.34	$238.00	—	28% below	57%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	$184.90	$430.00	—	28% below	57%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$363.35	$845.00	—	2% above	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$569.75	$1,325.00	—	at median	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITYANDTHREAT FUNC	$807.54	$1,878.00	—	at median	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING	$250.26	$582.00	—	59% below	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - REGADENOSON W MYOCARDIAL PERFUSION MULT	$250.26	$582.00	—	59% below	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - ECHOCARDIOGRAM DOBUTAMINE STRESS TEST	$250.26	$582.00	—	59% below	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - ELECTROCARDIOGRAM EXERCISE STRESS TEST	$250.26	$582.00	—	59% below	57%
Eye exam, returning patient, intermediate CPT 92012 HC EYE EXAM ESTABLISH PATIENT	$129.00	$300.00	—	at median	57%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT	$159.10	$370.00	—	8% below	57%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCH TX W/O PT	$138.03	$321.00	—	7% below	57%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$118.25	$275.00	—	8% below	57%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$296.70	$690.00	—	16% above	57%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOUR	$297.13	$691.00	—	at median	57%
IV push of a medicine, first drug CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL DRUG	$297.56	$692.00	—	114% above	57%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$88.15	$205.00	—	26% above	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PBB PSYCHIATRIC DIAGNOSTIC EVALUATION	$68.37	$159.00	—	48% below	57%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC PBB NERVE CONDUCT STUDY 7-8	$1,117.57	$2,599.00	—	at median	57%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCT STUDY 7-8	$1,117.57	$2,599.00	—	at median	57%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$52.89	$123.00	—	43% below	57%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$52.89	$123.00	—	43% below	57%
Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$121.26	$282.00	—	41% below	57%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$150.93	$351.00	—	34% below	57%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$95.89	$223.00	—	45% below	57%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$123.41	$287.00	—	42% below	57%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH1+REGIONSEA 15 MIN	$67.51	$157.00	—	40% below	57%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH1+REGIONSEA 15 MIN	$67.51	$157.00	—	40% below	57%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES	$53.75	$125.00	—	13% below	57%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES	$53.75	$125.00	—	13% below	57%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST/EVALU 1ST HOUR	$135.88	$316.00	—	—	57%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS PSYCHTHERPY 60 MIN	$239.08	$556.00	—	at median	57%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT AND/ FAMILY 30 MINUTES	$76.97	$179.00	—	29% below	57%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT AND/ FAMILY 45 MINUTES	$139.75	$325.00	—	7% below	57%
Psychotherapy session, 60 minutes CPT 90837 HC IND PSYCH TX 60 MIN	$100.62	$234.00	—	48% below	57%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$36.12	$84.00	—	11% below	57%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PAT 40 MIN OFFICE (ARIA)	$189.20	$440.00	—	12% below	57%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PAT 15 MIN OFFICE (ARIA)	$189.20	$440.00	—	30% above	57%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC O/PT CONSULT LEVEL THREE	$128.14	$298.00	—	at median	57%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PBB O/PT CONSULT LEVEL THREE	$128.14	$298.00	—	at median	57%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC O/PT CONSULT LEVEL FOUR	$160.39	$373.00	—	at median	57%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC PBB O/PT CONSULT LEVEL FOUR	$160.39	$373.00	—	at median	57%
Speech and language evaluation CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$187.91	$437.00	—	49% below	57%
Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL 15 MINS	$47.30	$110.00	—	56% below	57%
Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL 30 MINS	$77.40	$180.00	—	29% below	57%
Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL 45 MIN	$113.09	$263.00	—	4% above	57%
Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL 60 MINS	$159.96	$372.00	—	47% above	57%
Spirometry (breathing test) CPT 94010 HC PBB BREATHING CAPACITY TEST	$136.74	$318.00	—	29% below	57%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - OFFICE SPIROMETRY	$136.74	$318.00	—	29% below	57%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR	$249.83	$581.00	—	30% below	57%
Spirometry before and after a bronchodilator CPT 94060 HC PBB EVAL OF BRONCHOSPASM	$249.83	$581.00	—	30% below	57%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$53.75	$125.00	—	12% below	57%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$53.75	$125.00	—	12% below	57%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY	$127.28	$296.00	—	11% above	57%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM	$89.87	$209.00	—	27% below	57%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP 25-58-10 LF-MCG/0.5 SUSPENSION 0.5 ML SYRINGE	$93.47	$217.37	—	24% below	57%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM	$89.87	$209.00	—	—	57%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP 25-58-10 LF-MCG/0.5 SUSPENSION 0.5 ML SYRINGE	$93.47	$217.37	—	—	57%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV SUSPENSION PREFILLED SYRINGE 0.5 ML SYRINGE	$329.50	$766.28	—	at median	57%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV SUSPENSION PREFILLED SYRINGE 0.5 ML SYRINGE	$329.50	$766.28	—	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$62.35	$145.00	—	15% above	57%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML SUSPENSION PREFILLED SYRINGE 0.5 ML SYRINGE	$62.72	$145.86	—	16% above	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$62.35	$145.00	—	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML SUSPENSION PREFILLED SYRINGE 0.5 ML SYRINGE	$62.72	$145.86	—	—	57%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM	$402.91	$937.00	—	55% above	57%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VACCINE HEPA-HEPB ADULT IM	$402.91	$937.00	—	—	57%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A 1440 EL U/ML SUSPENSION 1 ML SYRINGE	$275.21	$640.03	—	29% above	57%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A 1440 EL U/ML SUSPENSION 1 ML SYRINGE	$275.21	$640.03	—	—	57%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$74.82	$174.00	—	47% below	57%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML SUSPENSION PREFILLED SYRINGE 1 ML SYRINGE	$230.71	$536.54	—	63% above	57%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$74.82	$174.00	—	—	57%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML SUSPENSION PREFILLED SYRINGE 1 ML SYRINGE	$230.71	$536.54	—	—	57%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$452.36	$1,052.00	—	at median	57%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$452.36	$1,052.00	—	—	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B 5 MCG/0.5ML SUSPENSION 0.5 ML VIAL	$88.88	$206.70	—	23% above	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML SUSPENSION PREFILLED 0.5 ML	$93.18	$216.70	—	29% above	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B 5 MCG/0.5ML SUSPENSION 0.5 ML VIAL	$88.88	$206.70	—	—	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML SUSPENSION PREFILLED 0.5 ML	$93.18	$216.70	—	—	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 0.5 ML VIAL	$20.86	$48.51	—	48% below	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 1 EACH VIAL	$40.56	$94.33	—	1% above	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 1 EACH BOX	$41.72	$97.02	—	3% above	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$93.31	$217.00	—	131% above	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 0.5 ML VIAL	$20.86	$48.51	—	—	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 1 EACH VIAL	$40.56	$94.33	—	—	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJUGATE 10 MCG RECONSTITUTED SOLUTION 1 EACH BOX	$41.72	$97.02	—	—	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$93.31	$217.00	—	—	57%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A / C / Y AND W-135 DIPHTHERIA CONJUGATE RECONSTITUTED SOL	$219.68	$510.88	—	13% below	57%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A / C / Y AND W-135 DIPHTHERIA CONJUGATE RECONSTITUTED SOL	$219.68	$510.88	—	—	57%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE	$520.30	$1,210.00	—	at median	57%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE	$520.30	$1,210.00	—	—	57%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE FOR INTRAMUSCULAR USE	$497.94	$1,158.00	—	at median	57%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCV13 VACCINE FOR INTRAMUSCULAR USE	$497.94	$1,158.00	—	—	57%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE	$821.73	$1,911.00	—	at median	57%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE	$821.73	$1,911.00	—	—	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$218.01	$507.00	—	44% above	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE 25 MCG/0.5ML INJECTION 0.5 ML SYRINGE	$374.57	$871.10	—	148% above	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$218.01	$507.00	—	—	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE 25 MCG/0.5ML INJECTION 0.5 ML SYRINGE	$374.57	$871.10	—	—	57%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	$106.64	$248.00	—	at median	57%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	$106.64	$248.00	—	—	57%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$461.39	$1,073.00	—	at median	57%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX	$461.39	$1,073.00	—	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) 5-2 LFU INJECTION 0.5 ML SYRINGE	$128.15	$298.02	—	158% above	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) 5-2 LFU INJECTION 0.5 ML SYRINGE	$128.15	$298.02	—	—	57%
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 SUSPENSION PREF 0.5 ML	$154.75	$359.88	—	13% above	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 5-2.5-18.5 LF-MCG/0.5 SUSPENSION 0.5 ML VIAL	$154.75	$359.88	—	13% above	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 5-2.5-18.5 LF-MCG/0.5 SUSPENSION 0.5 ML VIAL	$154.75	$359.88	—	—	57%
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 SUSPENSION PREF 0.5 ML	$154.75	$359.88	—	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID	$88.15	$205.00	—	40% above	57%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZADMINEACH ADDL	$88.15	$205.00	—	64% above	57%

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://apps.nmhs.net/files/pt_mrf/334053320_marion-regional-health-winfield,-inc_standardcharges.json