Hospital

Evergreen Medical Center

Evergreen Medical Center in Evergreen, AL publishes cash prices for 329 common procedures listed here, from its own machine-readable price file updated Sep 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 245 of 323 procedures and above it for 72. By typical cash price it ranks #12 of 49 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

101 Crestview Ave, Evergreen, AL, 36401 Collected Oct 22, 2026 Source price file Check a bill from this hospital (251) 578-2480

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 010148 · CMS hospital register NPI 1891770368

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 5 actions for a hospital named Evergreen Medical Center in Evergreen, AL:

Sep 19, 2024 Corrective action plan requested
Feb 11, 2025 Corrective action plan requested
Mar 25, 2025 Corrective action plan requested
May 6, 2025 Corrective action plan requested
Aug 18, 2025 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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 Alabama	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W AND W/O CONT 74170	$908.70	$1,398.00	$147.42–$226.66	34% below	35%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W AND W/O CONT 74170	$908.70	$1,398.00	$147.42–$226.66	—	35%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN COMPLETE-2 VIEWS	$131.95	$203.00	$17.93–$88.30	37% below	35%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN COMPLETE-2 VIEWS	$131.95	$203.00	$17.93–$88.30	—	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP 3+ VWS RT,service or procedure performed on right side of the body	$94.25	$145.00	$20.01–$73.50	60% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP 3+ VWS LT,service or procedure performed on left side of the body	$94.25	$145.00	$20.01–$73.50	60% below	35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP 3+ VWS RT,service or procedure performed on right side of the body	$94.25	$145.00	$20.01–$73.50	—	35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP 3+ VWS LT,service or procedure performed on left side of the body	$94.25	$145.00	$20.01–$73.50	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL BILAT	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL BILAT	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE/BRACHIAL INDICES(ABI)-UP OR LOW	$246.35	$379.00	$66.74–$112.38	15% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL RIGHT,service or procedure performed on right side of the body	$163.80	$252.00	$66.74–$112.38	24% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL LEFT,service or procedure performed on left side of the body	$163.80	$252.00	$66.74–$112.38	24% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL LEFT,service or procedure performed on left side of the body	$163.80	$252.00	$66.74–$112.38	24% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL RIGHT,service or procedure performed on right side of the body	$163.80	$252.00	$66.74–$112.38	24% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL BILAT	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL BILAT	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE/BRACHIAL INDICES(ABI)-UP OR LOW	$246.35	$379.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL RIGHT,service or procedure performed on right side of the body	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 US ARTERIAL LOW EXTREM ONE LEVEL LEFT,service or procedure performed on left side of the body	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL RIGHT,service or procedure performed on right side of the body	$163.80	$252.00	$66.74–$112.38	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 US ARTERIAL UP EXTREM ONE LEVEL LEFT,service or procedure performed on left side of the body	$163.80	$252.00	$66.74–$112.38	—	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER RIGHT W/O CONT 73221,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS RIGHT W/O CONTRAST 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	40% below	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS RIGHT W/O CONTRAST 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW LEFT W/O CONT 73200,service or procedure performed on left side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW RIGHT W/O CONT 73200,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER RIGHT W/O CONT 73221,service or procedure performed on right side of the body	$564.85	$869.00	$87.87–$185.31	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS/BA SWALLOW	$166.40	$256.00	$22.68–$148.15	42% below	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS/BA SWALLOW	$166.40	$256.00	$22.68–$148.15	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN	$227.50	$350.00	$107.18–$337.65	80% below	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN	$227.50	$350.00	$107.18–$337.65	—	35%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE	$166.40	$256.00	$58.75–$88.33	36% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE	$166.40	$256.00	$58.75–$88.33	36% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$166.40	$256.00	$58.75–$88.33	36% below	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RIGHT COMPLETE	$166.40	$256.00	$58.75–$88.33	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LEFT COMPLETE	$166.40	$256.00	$58.75–$88.33	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$166.40	$256.00	$58.75–$88.33	—	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$306.15	$471.00	$44.99–$73.79	19% above	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED	$306.15	$471.00	$44.99–$73.79	—	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELV /W DYE 74174	$1,480.70	$2,278.00	$293.23–$416.21	40% below	35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELV /W DYE 74174	$1,480.70	$2,278.00	$293.23–$416.21	—	35%
CT angiography (CTA) of the head CPT 70496 CTA HEAD 70496	$1,495.00	$2,300.00	$147.42–$258.06	2% above	35%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD 70496	$1,495.00	$2,300.00	$147.42–$258.06	—	35%
CT angiography (CTA) of the neck CPT 70498 CTA NECK 70498	$1,495.00	$2,300.00	$147.42–$258.06	10% above	35%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK 70498	$1,495.00	$2,300.00	$147.42–$258.06	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST 71275	$1,049.10	$1,614.00	$147.42–$314.42	23% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST 71275	$1,049.10	$1,614.00	$147.42–$314.42	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO IV CONTRAST 74176	$1,397.50	$2,150.00	$126.84–$201.53	16% below	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO IV CONTRAST 74176	$1,397.50	$2,150.00	$126.84–$201.53	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W IV ONLY 74177	$1,582.75	$2,435.00	$242.07–$294.67	29% below	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W IV CONTRAST 74177	$1,582.75	$2,435.00	$242.07–$294.67	29% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W IV CONTRAST 74177	$1,582.75	$2,435.00	$242.07–$294.67	—	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W IV ONLY 74177	$1,582.75	$2,435.00	$242.07–$294.67	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO/ W IV CONTRAST 74178	$1,686.75	$2,595.00	$293.23–$319.98	35% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WO/ W IV CONTRAST 74178	$1,686.75	$2,595.00	$293.23–$319.98	—	35%
CT scan of the abdomen with contrast CPT 74160 CT RENAL W/CONTRAST 74160	$804.70	$1,238.00	$140.03–$201.50	47% below	35%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST 74160	$804.70	$1,238.00	$140.03–$201.50	47% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 CT RENAL W/CONTRAST 74160	$804.70	$1,238.00	$140.03–$201.50	—	35%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST 74160	$804.70	$1,238.00	$140.03–$201.50	—	35%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONT 74150	$695.50	$1,070.00	$87.87–$143.48	37% below	35%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONT 74150	$695.50	$1,070.00	$87.87–$143.48	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONT 70486	$585.00	$900.00	$87.87–$112.77	60% below	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS 70486	$585.00	$900.00	$87.87–$112.77	60% below	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS 70486	$585.00	$900.00	$87.87–$112.77	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONT 70486	$585.00	$900.00	$87.87–$112.77	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONT 70450	$649.35	$999.00	$87.87–$146.82	41% below	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONT 70450	$649.35	$999.00	$87.87–$146.82	—	35%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONT 70460	$719.55	$1,107.00	$130.76–$148.15	41% below	35%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONT 70460	$719.55	$1,107.00	$130.76–$148.15	—	35%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/O AND W CONT 70470	$838.50	$1,290.00	$147.42–$152.95	52% below	35%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/O AND W CONT 70470	$838.50	$1,290.00	$147.42–$152.95	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SP WO CONTRAST 72131	$643.50	$990.00	$87.87–$146.82	49% below	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SP WO CONTRAST 72131	$643.50	$990.00	$87.87–$146.82	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CSPINE W/O CONT 6202 72125	$643.50	$990.00	$87.87–$148.16	54% below	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CSPINE W/O CONT 6202 72125	$643.50	$990.00	$87.87–$148.16	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT OF PELVIS WITH CONTRAST	$260.00	$400.00	$80.06–$197.33	80% below	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT 72193	$775.45	$1,193.00	$80.06–$197.33	41% below	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT OF PELVIS WITH CONTRAST	$260.00	$400.00	$80.06–$197.33	—	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT 72193	$775.45	$1,193.00	$80.06–$197.33	—	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US EXTRACRANIAL ARTERIES-BILATERAL	$370.50	$570.00	$133.48–$201.53	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US EXTRACRANIAL ARTERIES-BILATERAL	$370.50	$570.00	$133.48–$201.53	—	35%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/O /W 71270	$973.05	$1,497.00	$147.42–$250.93	38% below	35%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/O /W 71270	$973.05	$1,497.00	$147.42–$250.93	—	35%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$107.25	$165.00	$16.14–$73.50	47% below	35%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$107.25	$165.00	$16.14–$73.50	—	35%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW FRONTAL	$86.45	$133.00	$8.74–$73.50	41% below	35%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW FRONTAL	$86.45	$133.00	$8.74–$73.50	—	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RIGHT,service or procedure performed on right side of the body	$87.10	$134.00	$16.16–$73.50	56% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LEFT,service or procedure performed on left side of the body	$87.10	$134.00	$16.16–$73.50	56% below	35%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LEFT,service or procedure performed on left side of the body	$87.10	$134.00	$16.16–$73.50	—	35%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RIGHT,service or procedure performed on right side of the body	$87.10	$134.00	$16.16–$73.50	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL & AORTA	$487.50	$750.00	$56.35–$93.52	23% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL & AORTA	$487.50	$750.00	$56.35–$93.52	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY; AXIAL SKELETON	$217.75	$335.00	$34.42–$88.98	21% below	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY	$237.25	$365.00	$34.42–$88.98	13% below	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY; AXIAL SKELETON	$217.75	$335.00	$34.42–$88.98	—	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STUDY	$237.25	$365.00	$34.42–$88.98	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY/PERIPHERAL	$96.85	$149.00	$25.21–$73.50	1% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY/PERIPHERAL	$96.85	$149.00	$25.21–$73.50	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMPLETE-DETAILED-SINGLE FETUS	$261.95	$403.00	$120.13–$201.53	24% below	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMPLETE-DETAILED-SINGLE FETUS	$261.95	$403.00	$120.13–$201.53	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONT 71250	$683.15	$1,051.00	$87.87–$202.46	43% below	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD/PELVIS WO IV CONTRAST	$1,950.00	$3,000.00	$87.87–$202.46	62% above	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONT 71250	$683.15	$1,051.00	$87.87–$202.46	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST/ABD/PELVIS WO IV CONTRAST	$1,950.00	$3,000.00	$87.87–$202.46	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONT 71260	$754.65	$1,161.00	$146.64–$209.85	49% below	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ABD/PELVIS W IV CONTRAST	$2,275.00	$3,500.00	$146.64–$209.85	53% above	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ABD/PELVIS WO AND W IV CONTRAST	$2,600.00	$4,000.00	$146.64–$209.85	75% above	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONT 71260	$754.65	$1,161.00	$146.64–$209.85	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/ABD/PELVIS W IV CONTRAST	$2,275.00	$3,500.00	$146.64–$209.85	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/ABD/PELVIS WO AND W IV CONTRAST	$2,600.00	$4,000.00	$146.64–$209.85	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG/BILATERAL	$192.40	$296.00	$61.00–$137.82	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG/BILATERAL	$192.40	$296.00	$61.00–$137.82	—	35%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG UNILATERAL	$130.00	$200.00	$49.00–$108.89	45% below	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG UNILATERAL	$130.00	$200.00	$49.00–$108.89	—	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERY-LOWER-BILATERAL	$320.45	$493.00	$105.30–$205.72	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERY-LOWER-BILATERAL	$320.45	$493.00	$105.30–$205.72	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXTREM BILATERAL	$332.15	$511.00	$94.92–$201.53	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREM BILATERAL	$332.15	$511.00	$94.92–$201.53	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UPPER EXTREM BILATERAL	$332.15	$511.00	$94.92–$201.53	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LOWER EXTREM BILATERAL	$332.15	$511.00	$94.92–$201.53	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/SPECTRAL AND COLOR FLOW	$758.55	$1,167.00	$173.70–$461.51	29% below	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W/SPECTRAL AND COLOR FLOW	$758.55	$1,167.00	$173.70–$461.51	—	35%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEW RIGHT,service or procedure performed on right side of the body	$78.65	$121.00	$17.64–$73.50	51% below	35%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEW LEFT,service or procedure performed on left side of the body	$176.15	$271.00	$17.64–$73.50	10% above	35%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEW RIGHT,service or procedure performed on right side of the body	$78.65	$121.00	$17.64–$73.50	—	35%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEW LEFT,service or procedure performed on left side of the body	$176.15	$271.00	$17.64–$73.50	—	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE RIGHT,service or procedure performed on right side of the body	$98.80	$152.00	$21.61–$73.50	51% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE LEFT,service or procedure performed on left side of the body	$98.80	$152.00	$21.61–$73.50	51% below	35%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPLETE RIGHT,service or procedure performed on right side of the body	$98.80	$152.00	$21.61–$73.50	—	35%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPLETE LEFT,service or procedure performed on left side of the body	$98.80	$152.00	$21.61–$73.50	—	35%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC WO CONT 70480	$680.55	$1,047.00	$87.87–$156.84	33% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA PFOSS WO CONT 70480	$680.55	$1,047.00	$87.87–$156.84	33% below	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA PFOSS WO CONT 70480	$680.55	$1,047.00	$87.87–$156.84	—	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC WO CONT 70480	$680.55	$1,047.00	$87.87–$156.84	—	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE	$120.25	$185.00	$22.24–$88.30	51% below	35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMPLETE	$120.25	$185.00	$22.24–$88.30	—	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM COMPLETE LEFT,service or procedure performed on left side of the body	$88.40	$136.00	$18.20–$73.50	48% below	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM COMPLETE RIGHT,service or procedure performed on right side of the body	$88.40	$136.00	$18.20–$73.50	48% below	35%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM COMPLETE LEFT,service or procedure performed on left side of the body	$88.40	$136.00	$18.20–$73.50	—	35%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM COMPLETE RIGHT,service or procedure performed on right side of the body	$88.40	$136.00	$18.20–$73.50	—	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CAL/HEEL 2+ VWS LT,service or procedure performed on left side of the body	$79.30	$122.00	$20.01–$73.50	51% below	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CAL/HEEL 2+ VWS RT,service or procedure performed on right side of the body	$79.30	$122.00	$20.01–$73.50	51% below	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CAL/HEEL 2+ VWS LT,service or procedure performed on left side of the body	$79.30	$122.00	$20.01–$73.50	—	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CAL/HEEL 2+ VWS RT,service or procedure performed on right side of the body	$79.30	$122.00	$20.01–$73.50	—	35%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT,service or procedure performed on left side of the body	$102.70	$158.00	$35.60–$73.50	47% below	35%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT,service or procedure performed on right side of the body	$102.70	$158.00	$35.60–$73.50	47% below	35%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LEFT,service or procedure performed on left side of the body	$102.70	$158.00	$35.60–$73.50	—	35%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RIGHT,service or procedure performed on right side of the body	$102.70	$158.00	$35.60–$73.50	—	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4+ VWS LT,service or procedure performed on left side of the body	$117.00	$180.00	$24.82–$88.30	48% below	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4+ VWS RT,service or procedure performed on right side of the body	$117.00	$180.00	$24.82–$88.30	48% below	35%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4+ VWS LT,service or procedure performed on left side of the body	$117.00	$180.00	$24.82–$88.30	—	35%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4+ VWS RT,service or procedure performed on right side of the body	$117.00	$180.00	$24.82–$88.30	—	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RIGHT WO CONT RIGHT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	24% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT BIL WO,service or procedure performed on left side of the body	$1,525.55	$2,347.00	$56.03–$115.00	78% above	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP LEFT WO CONT 73700,service or procedure performed on left side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE RIGHT WO CONT RIGHT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE RIGHT WO CONT 73700,service or procedure performed on right side of the body	$654.55	$1,007.00	$56.03–$115.00	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT BIL WO,service or procedure performed on left side of the body	$1,525.55	$2,347.00	$56.03–$115.00	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$228.15	$351.00	$50.03–$88.30	37% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED IMAGE	$228.15	$351.00	$50.03–$88.30	37% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER W KINEVAC	$228.15	$351.00	$50.03–$88.30	37% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$228.15	$351.00	$50.03–$88.30	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER W KINEVAC	$228.15	$351.00	$50.03–$88.30	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED IMAGE	$228.15	$351.00	$50.03–$88.30	—	35%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US EXT NON-VASC LIM BILATERAL	$204.75	$315.00	$9.66–$88.30	—	35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIM LT,service or procedure performed on left side of the body	$102.05	$157.00	$9.66–$88.30	49% below	35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIM RT,service or procedure performed on right side of the body	$102.05	$157.00	$9.66–$88.30	49% below	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US EXT NON-VASC LIM BILATERAL	$204.75	$315.00	$9.66–$88.30	—	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIM RT,service or procedure performed on right side of the body	$102.05	$157.00	$9.66–$88.30	—	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIM LT,service or procedure performed on left side of the body	$102.05	$157.00	$9.66–$88.30	—	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2 VIEW LEFT (LEG),service or procedure performed on left side of the body	$93.60	$144.00	$19.56–$73.50	53% below	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2 VIEW RIGHT,service or procedure performed on right side of the body	$93.60	$144.00	$19.56–$73.50	53% below	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2 VIEW RIGHT,service or procedure performed on right side of the body	$93.60	$144.00	$19.56–$73.50	—	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2 VIEW LEFT (LEG),service or procedure performed on left side of the body	$93.60	$144.00	$19.56–$73.50	—	35%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST	$910.00	$1,400.00	$187.93–$401.93	43% below	35%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST 70544	$1,248.00	$1,920.00	$187.93–$401.93	21% below	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST	$910.00	$1,400.00	$187.93–$401.93	—	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST 70544	$1,248.00	$1,920.00	$187.93–$401.93	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JNT WO CONT 73721	$932.75	$1,435.00	$179.77–$375.14	46% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY JNT WO CONT RIGHT,service or procedure performed on right side of the body	$932.75	$1,435.00	$179.77–$375.14	46% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JNT WO CONT LEFT 73721,service or procedure performed on left side of the body	$932.75	$1,435.00	$179.77–$375.14	46% below	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREMITY JNT WO CONT 73721	$932.75	$1,435.00	$179.77–$375.14	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY JNT WO CONT RIGHT,service or procedure performed on right side of the body	$932.75	$1,435.00	$179.77–$375.14	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JNT WO CONT LEFT 73721,service or procedure performed on left side of the body	$932.75	$1,435.00	$179.77–$375.14	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY JNT WO & W CONT LEFT,service or procedure performed on left side of the body	$1,443.65	$2,221.00	$293.23–$878.02	30% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY JNT WO & W CONT RIGH,service or procedure performed on right side of the body	$1,443.65	$2,221.00	$293.23–$878.02	30% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY JNT WO & W CONT RIGH,service or procedure performed on right side of the body	$1,443.65	$2,221.00	$293.23–$878.02	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY JNT WO & W CONT LEFT,service or procedure performed on left side of the body	$1,443.65	$2,221.00	$293.23–$878.02	—	35%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRASTT 74181	$1,045.20	$1,608.00	$171.02–$318.87	25% below	35%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRASTT 74181	$1,045.20	$1,608.00	$171.02–$318.87	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH & W/O CONTRAST 74183	$1,376.70	$2,118.00	$293.23–$880.98	33% below	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH & W/O CONTRAST 74183	$1,376.70	$2,118.00	$293.23–$880.98	—	35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST 70551	$1,035.45	$1,593.00	$172.43–$305.10	40% below	35%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST 70551	$1,035.45	$1,593.00	$172.43–$305.10	—	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ & W/O CONTRAST 70553	$1,461.20	$2,248.00	$279.31–$697.08	38% below	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/ & W/O CONTRAST 70553	$1,461.20	$2,248.00	$279.31–$697.08	—	35%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST 72148	$1,092.00	$1,680.00	$169.29–$332.86	32% below	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O CONTRAST 72148	$1,092.00	$1,680.00	$169.29–$332.86	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/ & W/O CONTRAST 72158	$1,428.05	$2,197.00	$280.46–$698.56	41% below	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/ & W/O CONTRAST 72158	$1,428.05	$2,197.00	$280.46–$698.56	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST 72146	$1,067.95	$1,643.00	$168.14–$337.42	30% below	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTRAST 72146	$1,067.95	$1,643.00	$168.14–$337.42	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/ & W/O CONTRAST 72156	$1,430.00	$2,200.00	$280.17–$706.85	38% below	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/ & W/O CONTRAST 72156	$1,430.00	$2,200.00	$280.17–$706.85	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST 72141	$1,690.00	$2,600.00	$168.42–$309.63	2% above	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTRAST 72141	$1,690.00	$2,600.00	$168.42–$309.63	—	35%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W CONTRAST 72197	$1,625.00	$2,500.00	$293.23–$880.98	24% below	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W CONTRAST 72197	$1,625.00	$2,500.00	$293.23–$880.98	—	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST 72195	$889.20	$1,368.00	$199.95–$397.48	42% below	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST 72195	$889.20	$1,368.00	$199.95–$397.48	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 CT SHOULDER LEFT W/O CONT 73221,service or procedure performed on left side of the body	$564.85	$869.00	$180.35–$314.40	62% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JNT WO CONT RIGHT,service or procedure performed on right side of the body	$912.60	$1,404.00	$180.35–$314.40	39% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JNT WO CONT LEFT,service or procedure performed on left side of the body	$912.60	$1,404.00	$180.35–$314.40	39% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 CT SHOULDER LEFT W/O CONT 73221,service or procedure performed on left side of the body	$564.85	$869.00	$180.35–$314.40	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JNT WO CONT RIGHT,service or procedure performed on right side of the body	$912.60	$1,404.00	$180.35–$314.40	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JNT WO CONT LEFT,service or procedure performed on left side of the body	$912.60	$1,404.00	$180.35–$314.40	—	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4+ VWS	$146.25	$225.00	$24.90–$88.30	50% below	35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE 4+ VWS	$146.25	$225.00	$24.90–$88.30	—	35%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SFT TISS W/C 70491	$773.50	$1,190.00	$147.42–$163.14	45% below	35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SFT TISS W/C 70491	$773.50	$1,190.00	$147.42–$163.14	—	35%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SFT TISS W/O 70490	$679.90	$1,046.00	$87.87–$235.83	35% below	35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SFT TISS W/O 70490	$679.90	$1,046.00	$87.87–$235.83	—	35%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK	$84.50	$130.00	$14.52–$73.50	58% below	35%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK	$84.50	$130.00	$14.52–$73.50	—	35%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONT 72192	$700.05	$1,077.00	$61.64–$117.34	35% below	35%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONT 72192	$700.05	$1,077.00	$61.64–$117.34	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC-LIMITED-NON OB	$115.05	$177.00	$45.42–$88.30	42% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC-LIMITED-NON OB	$115.05	$177.00	$45.42–$88.30	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC-COMPLETE-NON OB	$231.40	$356.00	$71.19–$92.45	51% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC-COMPLETE-NON OB	$231.40	$356.00	$71.19–$92.45	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB>/= 14 WKS-SINGLE FETUS	$230.10	$354.00	$37.82–$119.83	44% below	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB>/= 14 WKS-SINGLE FETUS	$230.10	$354.00	$37.82–$119.83	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS-SINGLE FETUS	$216.45	$333.00	$35.59–$103.61	28% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS-SINGLE FETUS	$216.45	$333.00	$35.59–$103.61	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED-1 OR MORE FETUSES	$152.10	$234.00	$37.08–$88.30	40% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED-1 OR MORE FETUSES	$152.10	$234.00	$37.08–$88.30	—	35%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS RIGHT,service or procedure performed on right side of the body	$108.55	$167.00	$14.40–$73.50	48% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS LEFT,service or procedure performed on left side of the body	$108.55	$167.00	$14.40–$73.50	48% below	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS RIGHT,service or procedure performed on right side of the body	$108.55	$167.00	$14.40–$73.50	—	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS LEFT,service or procedure performed on left side of the body	$108.55	$167.00	$14.40–$73.50	—	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W PA CXR 3+ VWS LT,service or procedure performed on left side of the body	$125.45	$193.00	$27.57–$88.30	47% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W PA CXR 3+ VWS RT,service or procedure performed on right side of the body	$125.45	$193.00	$27.57–$88.30	47% below	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W PA CXR 3+ VWS LT,service or procedure performed on left side of the body	$125.45	$193.00	$27.57–$88.30	—	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W PA CXR 3+ VWS RT,service or procedure performed on right side of the body	$125.45	$193.00	$27.57–$88.30	—	35%
Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAM - SCREENING BILATERAL	$162.50	$250.00	$51.00–$110.79	—	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAM - SCREENING BILATERAL	$162.50	$250.00	$51.00–$110.79	—	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP 2+ VW LT,service or procedure performed on left side of the body	$96.85	$149.00	$18.40–$73.50	54% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP 2+ VW RT,service or procedure performed on right side of the body	$96.85	$149.00	$18.40–$73.50	54% below	35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP 2+ VW LT,service or procedure performed on left side of the body	$96.85	$149.00	$18.40–$73.50	—	35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP 2+ VW RT,service or procedure performed on right side of the body	$96.85	$149.00	$18.40–$73.50	—	35%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMPLETE	$124.80	$192.00	$22.41–$73.50	46% below	35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES COMPLETE	$124.80	$192.00	$22.41–$73.50	—	35%
Skull X-ray, fewer than 4 views CPT 70250 SKULL <4 VIEWS	$90.35	$139.00	$22.41–$88.30	55% below	35%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4 VIEWS	$90.35	$139.00	$22.41–$88.30	—	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR COMPLETE LEFT,service or procedure performed on left side of the body	$102.70	$158.00	$18.66–$73.50	49% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR COMPLETE RIGHT,service or procedure performed on right side of the body	$102.70	$158.00	$18.66–$73.50	49% below	35%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR COMPLETE RIGHT,service or procedure performed on right side of the body	$102.70	$158.00	$18.66–$73.50	—	35%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR COMPLETE LEFT,service or procedure performed on left side of the body	$102.70	$158.00	$18.66–$73.50	—	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SP W/O CONT 72128	$643.50	$990.00	$87.87–$216.66	45% below	35%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SP W/O CONT 72128	$643.50	$990.00	$87.87–$216.66	—	35%
Toe X-ray, 2 or more views one side CPT 73660 TOES MIN 2 VIEWS RIGHT,service or procedure performed on right side of the body	$80.60	$124.00	$15.21–$73.50	42% below	35%
Toe X-ray, 2 or more views one side CPT 73660 TOES MIN 2 VIEWS LEFT,service or procedure performed on left side of the body	$80.60	$124.00	$15.21–$73.50	42% below	35%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES MIN 2 VIEWS LEFT,service or procedure performed on left side of the body	$80.60	$124.00	$15.21–$73.50	—	35%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES MIN 2 VIEWS RIGHT,service or procedure performed on right side of the body	$80.60	$124.00	$15.21–$73.50	—	35%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL-NON OB	$228.80	$352.00	$42.61–$102.95	36% below	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL-NON OB	$228.80	$352.00	$42.61–$102.95	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL-OB	$181.35	$279.00	$51.70–$88.30	34% below	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL-OB	$181.35	$279.00	$51.70–$88.30	—	35%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$292.50	$450.00	$87.87–$100.58	40% below	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$292.50	$450.00	$87.87–$100.58	—	35%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$223.60	$344.00	$21.41–$88.30	42% below	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$223.60	$344.00	$21.41–$88.30	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK	$211.25	$325.00	$28.47–$94.93	41% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$211.25	$325.00	$28.47–$94.93	41% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$211.25	$325.00	$28.47–$94.93	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD & NECK	$211.25	$325.00	$28.47–$94.93	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO SCOUT	$216.45	$333.00	$32.02–$148.15	35% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W SCOUT	$231.40	$356.00	$32.02–$148.15	31% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO SCOUT	$216.45	$333.00	$32.02–$148.15	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W SCOUT	$231.40	$356.00	$32.02–$148.15	—	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT,service or procedure performed on right side of the body	$86.45	$133.00	$21.85–$73.50	58% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT,service or procedure performed on left side of the body	$86.45	$133.00	$21.85–$73.50	58% below	35%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RIGHT,service or procedure performed on right side of the body	$86.45	$133.00	$21.85–$73.50	—	35%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LEFT,service or procedure performed on left side of the body	$86.45	$133.00	$21.85–$73.50	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER EXTREM LEFT,service or procedure performed on left side of the body	$256.75	$395.00	$87.87–$100.97	17% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER EXTREM RIGHT,service or procedure performed on right side of the body	$256.75	$395.00	$87.87–$100.97	17% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER EXTREM LEFT,service or procedure performed on left side of the body	$256.75	$395.00	$87.87–$100.97	17% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER EXTREM RIGHT,service or procedure performed on right side of the body	$256.75	$395.00	$87.87–$100.97	17% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER EXTREM LEFT,service or procedure performed on left side of the body	$256.75	$395.00	$87.87–$100.97	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UPPER EXTREM RIGHT,service or procedure performed on right side of the body	$256.75	$395.00	$87.87–$100.97	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER EXTREM RIGHT,service or procedure performed on right side of the body	$256.75	$395.00	$87.87–$100.97	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LOWER EXTREM LEFT,service or procedure performed on left side of the body	$256.75	$395.00	$87.87–$100.97	—	35%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEW LEFT,service or procedure performed on left side of the body	$78.00	$120.00	$18.53–$73.50	40% below	35%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEW RIGHT,service or procedure performed on right side of the body	$78.00	$120.00	$18.53–$73.50	40% below	35%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEW RIGHT,service or procedure performed on right side of the body	$78.00	$120.00	$18.53–$73.50	—	35%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEW LEFT,service or procedure performed on left side of the body	$78.00	$120.00	$18.53–$73.50	—	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE RIGHT,service or procedure performed on right side of the body	$95.55	$147.00	$20.01–$73.50	54% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE LEFT,service or procedure performed on left side of the body	$95.55	$147.00	$20.01–$73.50	54% below	35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE RIGHT,service or procedure performed on right side of the body	$95.55	$147.00	$20.01–$73.50	—	35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE LEFT,service or procedure performed on left side of the body	$95.55	$147.00	$20.01–$73.50	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP/PELVIS-INFANT-MIN 2 VIEWS	$74.75	$115.00	$24.54–$73.50	62% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP COMPLETE RIGHT,service or procedure performed on right side of the body	$100.10	$154.00	$24.54–$73.50	49% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP COMPLETE LEFT,service or procedure performed on left side of the body	$100.10	$154.00	$24.54–$73.50	49% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP/PELVIS-INFANT-MIN 2 VIEWS	$74.75	$115.00	$24.54–$73.50	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP COMPLETE LEFT,service or procedure performed on left side of the body	$100.10	$154.00	$24.54–$73.50	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP COMPLETE RIGHT,service or procedure performed on right side of the body	$100.10	$154.00	$24.54–$73.50	—	35%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE AP VIEW	$114.40	$176.00	$14.97–$73.50	25% below	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE AP VIEW	$114.40	$176.00	$14.97–$73.50	—	35%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT,service or procedure performed on left side of the body	$78.00	$120.00	$18.53–$73.50	50% below	35%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT,service or procedure performed on right side of the body	$78.00	$120.00	$18.53–$73.50	50% below	35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LEFT,service or procedure performed on left side of the body	$78.00	$120.00	$18.53–$73.50	—	35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RIGHT,service or procedure performed on right side of the body	$78.00	$120.00	$18.53–$73.50	—	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RIGHT,service or procedure performed on right side of the body	$77.35	$119.00	$16.39–$73.50	55% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LEFT,service or procedure performed on left side of the body	$77.35	$119.00	$16.39–$73.50	55% below	35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS LEFT,service or procedure performed on left side of the body	$77.35	$119.00	$16.39–$73.50	—	35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS RIGHT,service or procedure performed on right side of the body	$77.35	$119.00	$16.39–$73.50	—	35%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT,service or procedure performed on left side of the body	$72.80	$112.00	$18.53–$73.50	46% below	35%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT,service or procedure performed on right side of the body	$72.80	$112.00	$18.53–$73.50	46% below	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LEFT,service or procedure performed on left side of the body	$72.80	$112.00	$18.53–$73.50	—	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RIGHT,service or procedure performed on right side of the body	$72.80	$112.00	$18.53–$73.50	—	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP 3+ VWS RT,service or procedure performed on right side of the body	$92.95	$143.00	$20.01–$73.50	55% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMP 3+ VWS LT,service or procedure performed on left side of the body	$92.95	$143.00	$20.01–$73.50	55% below	35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP 3+ VWS LT,service or procedure performed on left side of the body	$92.95	$143.00	$20.01–$73.50	—	35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMP 3+ VWS RT,service or procedure performed on right side of the body	$92.95	$143.00	$20.01–$73.50	—	35%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMP 3+ VWS LT,service or procedure performed on left side of the body	$92.30	$142.00	$16.83–$73.50	56% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMP 3+ VWS RT,service or procedure performed on right side of the body	$92.30	$142.00	$16.83–$73.50	56% below	35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMP 3+ VWS RT,service or procedure performed on right side of the body	$92.30	$142.00	$16.83–$73.50	—	35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND COMP 3+ VWS LT,service or procedure performed on left side of the body	$92.30	$142.00	$16.83–$73.50	—	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LEFT,service or procedure performed on left side of the body	$90.35	$139.00	$22.53–$73.50	38% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS RIGHT,service or procedure performed on right side of the body	$90.35	$139.00	$22.53–$73.50	38% below	35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS RIGHT,service or procedure performed on right side of the body	$90.35	$139.00	$22.53–$73.50	—	35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS LEFT,service or procedure performed on left side of the body	$90.35	$139.00	$22.53–$73.50	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 3 VIEW	$119.60	$184.00	$26.31–$88.30	43% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 3 VIEW	$119.60	$184.00	$26.31–$88.30	—	35%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$154.70	$238.00	$30.02–$88.30	51% below	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$154.70	$238.00	$30.02–$88.30	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$98.15	$151.00	$20.01–$73.50	51% below	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$98.15	$151.00	$20.01–$73.50	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 VIEWS	$102.70	$158.00	$21.63–$73.50	49% below	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 3 VIEWS	$102.70	$158.00	$21.63–$73.50	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS -1 OR 2 VIEWS	$86.45	$133.00	$20.31–$88.30	49% below	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS -1 OR 2 VIEWS	$86.45	$133.00	$20.31–$88.30	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$99.45	$153.00	$13.27–$73.50	54% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX	$99.45	$153.00	$13.27–$73.50	54% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM	$99.45	$153.00	$13.27–$73.50	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX	$99.45	$153.00	$13.27–$73.50	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ACTH blood test CPT 82024 ACTH	$130.65	$201.00	$27.03–$37.85	6% below	35%
ACTH blood test inpatient CPT 82024 ACTH	$130.65	$201.00	$27.03–$37.85	—	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$23.40	$36.00	$3.71–$5.19	28% below	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE	$23.40	$36.00	$3.71–$5.19	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$23.40	$36.00	$3.62–$5.08	37% below	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$23.40	$36.00	$3.62–$5.08	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HAV & HBV PROFILE	$58.18	$89.50	$33.34–$46.68	70% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROF(A,B,C)	$205.76	$316.56	$33.34–$46.68	5% above	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HAV & HBV PROFILE	$58.18	$89.50	$33.34–$46.68	—	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROF(A,B,C)	$205.76	$316.56	$33.34–$46.68	—	35%
Albumin blood test CPT 82040 ALBUMIN	$29.83	$45.89	$3.46–$4.85	14% above	35%
Albumin blood test CPT 82040 ALBUMIN BODY FLUID	$29.83	$45.89	$3.46–$4.85	14% above	35%
Albumin blood test inpatient CPT 82040 ALBUMIN BODY FLUID	$29.83	$45.89	$3.46–$4.85	—	35%
Albumin blood test inpatient CPT 82040 ALBUMIN	$29.83	$45.89	$3.46–$4.85	—	35%
Aldosterone blood test CPT 82088 URINE ALDOSTERONE	$126.13	$194.04	$28.52–$39.94	at median	35%
Aldosterone blood test CPT 82088 ALDOSTERONE/RENIN ACTIVITY RATIO	$126.75	$195.00	$28.52–$39.94	at median	35%
Aldosterone blood test CPT 82088 ALDOSTERONE	$126.75	$195.00	$28.52–$39.94	at median	35%
Aldosterone blood test inpatient CPT 82088 URINE ALDOSTERONE	$126.13	$194.04	$28.52–$39.94	—	35%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/RENIN ACTIVITY RATIO	$126.75	$195.00	$28.52–$39.94	—	35%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$126.75	$195.00	$28.52–$39.94	—	35%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$32.50	$50.00	$3.62–$5.08	25% above	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$32.50	$50.00	$3.62–$5.08	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE RED DYE-COCHINEAL (IGE)	$42.25	$65.00	$3.65–$5.12	103% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GLUTEN IGE	$48.75	$75.00	$3.65–$5.12	135% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GLUTEN IGE	$113.75	$175.00	$3.65–$5.12	447% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL, MOLD	$243.75	$375.00	$3.65–$5.12	1073% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE RED DYE-COCHINEAL (IGE)	$42.25	$65.00	$3.65–$5.12	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, GLUTEN IGE	$48.75	$75.00	$3.65–$5.12	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GLUTEN IGE	$113.75	$175.00	$3.65–$5.12	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL, MOLD	$243.75	$375.00	$3.65–$5.12	—	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETAL PROTEIN,MATERNAL	$75.40	$116.00	$11.73–$16.43	at median	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN,TUMOR MARKER	$75.40	$116.00	$11.73–$16.43	at median	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN,TUMOR MARKER	$75.40	$116.00	$11.73–$16.43	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETAL PROTEIN,MATERNAL	$75.40	$116.00	$11.73–$16.43	—	35%
Ammonia blood test CPT 82140 AMMONIA	$80.93	$124.50	$10.19–$14.28	3% above	35%
Ammonia blood test inpatient CPT 82140 AMMONIA	$80.93	$124.50	$10.19–$14.28	—	35%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$39.04	$60.06	$4.53–$6.35	15% below	35%
Amylase blood test CPT 82150 AMYLASE	$55.67	$85.65	$4.53–$6.35	20% above	35%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$39.04	$60.06	$4.53–$6.35	—	35%
Amylase blood test inpatient CPT 82150 AMYLASE	$55.67	$85.65	$4.53–$6.35	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE,CCP Ab, IgG	$59.48	$91.50	$9.06–$12.69	4% above	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE,CCP Ab, IgG	$59.48	$91.50	$9.06–$12.69	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX TITER	$59.80	$92.00	$8.46–$11.85	36% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ARTHRITIC INFLAMMATORY 1B	$122.85	$189.00	$8.46–$11.85	179% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ARTHRITIC PROFILE	$122.85	$189.00	$8.46–$11.85	179% above	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX TITER	$59.80	$92.00	$8.46–$11.85	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ARTHRITIC INFLAMMATORY 1B	$122.85	$189.00	$8.46–$11.85	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ARTHRITIC PROFILE	$122.85	$189.00	$8.46–$11.85	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$129.55	$199.30	$27.48–$38.47	23% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (REFERENCE)	$130.00	$200.00	$27.48–$38.47	24% above	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$129.55	$199.30	$27.48–$38.47	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (REFERENCE)	$130.00	$200.00	$27.48–$38.47	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- SEMEN	$39.00	$60.00	$6.03–$8.45	32% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PCR - NASAL	$48.75	$75.00	$6.03–$8.45	15% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - NASAL PCR	$48.75	$75.00	$6.03–$8.45	15% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-THROAT & PHARYN 87060	$52.00	$80.00	$6.03–$8.45	10% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- SPUTUM	$52.00	$80.00	$6.03–$8.45	10% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-GENITAL	$53.30	$82.00	$6.03–$8.45	7% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - THROAT	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PCR - AEROBIC	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - WOUND/OTHER 2ND SPECIMEN	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PCR - WOUND/OTHER	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - AEROBIC	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PCR - THROAT	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- CSF	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PCR - WOUND/OTHER 2ND SPECIMEN	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 STERILE FLUID CULTURE/SENSITIVITY	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE - WOUND/OTHER	$70.85	$109.00	$6.03–$8.45	23% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE & SENSITIV 87040	$76.05	$117.00	$6.03–$8.45	32% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, STERILE FLUID	$85.47	$131.49	$6.03–$8.45	48% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CSF	$97.50	$150.00	$6.03–$8.45	69% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPINAL FLUID PROFILE	$152.10	$234.00	$6.03–$8.45	164% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- SEMEN	$39.00	$60.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PCR - NASAL	$48.75	$75.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - NASAL PCR	$48.75	$75.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- SPUTUM	$52.00	$80.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-THROAT & PHARYN 87060	$52.00	$80.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-GENITAL	$53.30	$82.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PCR - WOUND/OTHER 2ND SPECIMEN	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - WOUND/OTHER	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - WOUND/OTHER 2ND SPECIMEN	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PCR - THROAT	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - AEROBIC	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE - THROAT	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PCR - AEROBIC	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PCR - WOUND/OTHER	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- CSF	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 STERILE FLUID CULTURE/SENSITIVITY	$70.85	$109.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE & SENSITIV 87040	$76.05	$117.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, STERILE FLUID	$85.47	$131.49	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CSF	$97.50	$150.00	$6.03–$8.45	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPINAL FLUID PROFILE	$152.10	$234.00	$6.03–$8.45	—	35%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$76.05	$117.00	$5.92–$8.29	27% above	35%
Basic metabolic panel (blood test) CPT 80048 BMP IN THE AM	$76.05	$117.00	$5.92–$8.29	27% above	35%
Basic metabolic panel (blood test) CPT 80048 BMP DAILY	$81.25	$125.00	$5.92–$8.29	35% above	35%
Basic metabolic panel (blood test) CPT 80048 BMP	$82.55	$127.00	$5.92–$8.29	38% above	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$76.05	$117.00	$5.92–$8.29	—	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP IN THE AM	$76.05	$117.00	$5.92–$8.29	—	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP DAILY	$81.25	$125.00	$5.92–$8.29	—	35%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$82.55	$127.00	$5.92–$8.29	—	35%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN	$32.32	$49.73	$3.51–$4.92	24% above	35%
Bilirubin blood test, total CPT 82247 BILIRUBIN (DIRECT& INDIRECT)	$48.75	$75.00	$3.51–$4.92	88% above	35%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN	$32.32	$49.73	$3.51–$4.92	—	35%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN (DIRECT& INDIRECT)	$48.75	$75.00	$3.51–$4.92	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 THORACENTESIS FLUID CELL BLOCK	$159.90	$246.00	$21.24–$62.94	5% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV PATHOLOGY	$276.25	$425.00	$21.24–$62.94	64% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 THORACENTESIS FLUID CELL BLOCK	$159.90	$246.00	$21.24–$62.94	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV PATHOLOGY	$276.25	$425.00	$21.24–$62.94	—	35%
Blood culture for bacteria CPT 87040 CULTURE - BLOOD PEDS (REF)	$39.00	$60.00	$7.22–$10.11	55% below	35%
Blood culture for bacteria CPT 87040 CULTURE - BLOOD ANAEROBIC (REF)	$39.00	$60.00	$7.22–$10.11	55% below	35%
Blood culture for bacteria CPT 87040 CULTURE - BLOOD AEROBIC	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 CULTURE - BLOOD AEROBIC(REF)	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 CULTURE - BLOOD PROFILE	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 CULTURE-BLOOD,PEDS (REF)	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 ANAEROBIC ID/SEN, (POSITIVE BLD CUL /REF	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 CULTURE - BLD PEDS	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria CPT 87040 CULTURE-BLOOD,PEDS	$96.72	$148.80	$7.22–$10.11	12% above	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLOOD PEDS (REF)	$39.00	$60.00	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLOOD ANAEROBIC (REF)	$39.00	$60.00	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE-BLOOD,PEDS	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE-BLOOD,PEDS (REF)	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLD PEDS	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLOOD AEROBIC	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLOOD PROFILE	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 CULTURE - BLOOD AEROBIC(REF)	$96.72	$148.80	$7.22–$10.11	—	35%
Blood culture for bacteria inpatient CPT 87040 ANAEROBIC ID/SEN, (POSITIVE BLD CUL /REF	$96.72	$148.80	$7.22–$10.11	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE G0001	$9.75	$15.00	$2.96–$9.15	39% above	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE G0001	$9.75	$15.00	$2.96–$9.15	—	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$28.08	$43.20	$2.75–$3.85	8% above	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR POST PRANDIAL	$28.08	$43.20	$2.75–$3.85	8% above	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE DAILY	$28.08	$43.20	$2.75–$3.85	8% above	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE DAILY	$28.08	$43.20	$2.75–$3.85	—	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR POST PRANDIAL	$28.08	$43.20	$2.75–$3.85	—	35%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$28.08	$43.20	$2.75–$3.85	—	35%
Blood lead test CPT 83655 LEAD	$42.25	$65.00	$8.47–$11.87	at median	35%
Blood lead test CPT 83655 24 HR URINE FOR LEAD	$45.50	$70.00	$8.47–$11.87	8% above	35%
Blood lead test CPT 83655 URINE LEAD	$61.10	$94.00	$8.47–$11.87	45% above	35%
Blood lead test CPT 83655 URINE (RANDOM) LEAD	$94.25	$145.00	$8.47–$11.87	123% above	35%
Blood lead test CPT 83655 URINE (24HR) LEAD	$94.25	$145.00	$8.47–$11.87	123% above	35%
Blood lead test inpatient CPT 83655 LEAD	$42.25	$65.00	$8.47–$11.87	—	35%
Blood lead test inpatient CPT 83655 24 HR URINE FOR LEAD	$45.50	$70.00	$8.47–$11.87	—	35%
Blood lead test inpatient CPT 83655 URINE LEAD	$61.10	$94.00	$8.47–$11.87	—	35%
Blood lead test inpatient CPT 83655 URINE (RANDOM) LEAD	$94.25	$145.00	$8.47–$11.87	—	35%
Blood lead test inpatient CPT 83655 URINE (24HR) LEAD	$94.25	$145.00	$8.47–$11.87	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST (SERUM)	$40.95	$63.00	$5.26–$7.37	13% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST (SERUM)	$40.95	$63.00	$5.26–$7.37	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE ABO RH & REVERSE	$26.65	$41.00	$2.09–$2.93	57% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LS ABO TYPE	$32.70	$50.31	$2.09–$2.93	47% below	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE ABO RH & REVERSE	$26.65	$41.00	$2.09–$2.93	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LS ABO TYPE	$32.70	$50.31	$2.09–$2.93	—	35%
Blood urea nitrogen (BUN) test CPT 84520 BUN 84520	$29.25	$45.00	$2.76–$3.87	1% above	35%
Blood urea nitrogen (BUN) test CPT 84520 BUN & CREATININE	$61.10	$94.00	$2.76–$3.87	111% above	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN 84520	$29.25	$45.00	$2.76–$3.87	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN & CREATININE	$61.10	$94.00	$2.76–$3.87	—	35%
C-peptide blood test CPT 84681 C-PEPTIDE	$61.75	$95.00	$14.56–$20.39	17% below	35%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$61.75	$95.00	$14.56–$20.39	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$45.16	$69.48	$3.62–$5.08	at median	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$45.16	$69.48	$3.62–$5.08	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS (PROTEUS)	$84.50	$130.00	$35.91–$50.28	54% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS (PROTEUS)	$84.50	$130.00	$35.91–$50.28	—	35%
Calcium blood test, total CPT 82310 CALCIUM	$31.72	$48.80	$3.61–$5.06	2% above	35%
Calcium blood test, total CPT 82310 URINE (RANDOM) CALCIUM	$37.57	$57.80	$3.61–$5.06	21% above	35%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$31.72	$48.80	$3.61–$5.06	—	35%
Calcium blood test, total inpatient CPT 82310 URINE (RANDOM) CALCIUM	$37.57	$57.80	$3.61–$5.06	—	35%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA(PLEURAL FLUID)	$59.15	$91.00	$13.27–$18.58	34% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$73.45	$113.00	$13.27–$18.58	19% below	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA(PLEURAL FLUID)	$59.15	$91.00	$13.27–$18.58	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$73.45	$113.00	$13.27–$18.58	—	35%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IgM	$27.30	$42.00	$9.01–$12.62	56% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IgG	$27.30	$42.00	$9.01–$12.62	56% below	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IgM	$27.30	$42.00	$9.01–$12.62	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IgG	$27.30	$42.00	$9.01–$12.62	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 VAGINITIS PLUS NU SWAB	$27.30	$42.00	$24.56–$34.39	60% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA (URINE)	$87.10	$134.00	$24.56–$34.39	29% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PCR - GC/CHLAMYDIA (URINE)	$87.10	$134.00	$24.56–$34.39	29% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA (GEN PROBE)	$87.10	$134.00	$24.56–$34.39	29% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 VAGINITIS PLUS NU SWAB	$27.30	$42.00	$24.56–$34.39	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 PCR - GC/CHLAMYDIA (URINE)	$87.10	$134.00	$24.56–$34.39	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA (URINE)	$87.10	$134.00	$24.56–$34.39	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA (GEN PROBE)	$87.10	$134.00	$24.56–$34.39	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE IN THE AM	$81.25	$125.00	$9.37–$13.12	54% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE 80061	$83.66	$128.70	$9.37–$13.12	59% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE IN THE AM	$81.25	$125.00	$9.37–$13.12	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE 80061	$83.66	$128.70	$9.37–$13.12	—	35%
Complete blood count (CBC), no differential CPT 85027 CBC IN THE AM	$33.80	$52.00	$4.52–$6.34	at median	35%
Complete blood count (CBC), no differential CPT 85027 CBC (REF)	$44.51	$68.47	$4.52–$6.34	32% above	35%
Complete blood count (CBC), no differential CPT 85027 CBC	$44.53	$68.50	$4.52–$6.34	32% above	35%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC IN THE AM	$33.80	$52.00	$4.52–$6.34	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC (REF)	$44.51	$68.47	$4.52–$6.34	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$44.53	$68.50	$4.52–$6.34	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 CP 27 IN AM	$105.30	$162.00	$7.39–$10.35	14% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$111.15	$171.00	$7.39–$10.35	20% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 CMP (REF)	$111.15	$171.00	$7.39–$10.35	20% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL IN AM	$111.15	$171.00	$7.39–$10.35	20% above	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CP 27 IN AM	$105.30	$162.00	$7.39–$10.35	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP (REF)	$111.15	$171.00	$7.39–$10.35	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$111.15	$171.00	$7.39–$10.35	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL IN AM	$111.15	$171.00	$7.39–$10.35	—	35%
Cortisol blood test, total CPT 82533 AM CORTISOL (7-9 AM)	$42.90	$66.00	$11.41–$15.97	44% below	35%
Cortisol blood test, total CPT 82533 PM CORTISOL (3-5PM)	$42.90	$66.00	$11.41–$15.97	44% below	35%
Cortisol blood test, total CPT 82533 CORTISOL BASELINE 82533	$43.55	$67.00	$11.41–$15.97	43% below	35%
Cortisol blood test, total inpatient CPT 82533 AM CORTISOL (7-9 AM)	$42.90	$66.00	$11.41–$15.97	—	35%
Cortisol blood test, total inpatient CPT 82533 PM CORTISOL (3-5PM)	$42.90	$66.00	$11.41–$15.97	—	35%
Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE 82533	$43.55	$67.00	$11.41–$15.97	—	35%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$46.80	$72.00	$4.55–$6.38	44% above	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$46.80	$72.00	$4.55–$6.38	—	35%
Creatinine blood test CPT 82565 CREATININE	$31.85	$49.00	$3.58–$5.02	10% above	35%
Creatinine blood test CPT 82565 TEST CREATININE (GFR)	$36.40	$56.00	$3.58–$5.02	26% above	35%
Creatinine blood test inpatient CPT 82565 CREATININE	$31.85	$49.00	$3.58–$5.02	—	35%
Creatinine blood test inpatient CPT 82565 TEST CREATININE (GFR)	$36.40	$56.00	$3.58–$5.02	—	35%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$28.93	$44.50	$10.07–$14.10	57% below	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$28.93	$44.50	$10.07–$14.10	—	35%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$88.86	$136.70	$7.12–$9.98	46% above	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$88.86	$136.70	$7.12–$9.98	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$119.28	$183.50	$15.56–$21.79	15% above	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$119.28	$183.50	$15.56–$21.79	—	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE METHADONE	$29.90	$46.00	$43.49–$45.08	68% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE	$32.50	$50.00	$43.49–$49.00	65% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SERUM DRUG SCREEN	$65.00	$100.00	$43.49–$60.90	30% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT UDS (REF), URINE	$97.50	$150.00	$43.49–$60.90	5% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN COMP (REF), URINE	$195.00	$300.00	$43.49–$60.90	109% above	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE METHADONE	$29.90	$46.00	$43.49–$45.08	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE	$32.50	$50.00	$43.49–$49.00	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SERUM DRUG SCREEN	$65.00	$100.00	$43.49–$60.90	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MGMT UDS (REF), URINE	$97.50	$150.00	$43.49–$60.90	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN COMP (REF), URINE	$195.00	$300.00	$43.49–$60.90	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$57.51	$88.48	$4.90–$6.87	2% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$57.51	$88.48	$4.90–$6.87	—	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRAL TITER	$60.29	$92.75	$12.69–$17.78	6% above	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR PANEL	$146.25	$225.00	$12.69–$17.78	156% above	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRAL TITER	$60.29	$92.75	$12.69–$17.78	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR PANEL	$146.25	$225.00	$12.69–$17.78	—	35%
Estradiol blood test CPT 82670 ESTROGEN LEVEL	$97.50	$150.00	$19.55–$27.38	4% below	35%
Estradiol blood test CPT 82670 ESTRADIOL	$107.90	$166.00	$19.55–$27.38	6% above	35%
Estradiol blood test inpatient CPT 82670 ESTROGEN LEVEL	$97.50	$150.00	$19.55–$27.38	—	35%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$107.90	$166.00	$19.55–$27.38	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$53.30	$82.00	$13.00–$18.21	41% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 FSH & LH	$115.05	$177.00	$13.00–$18.21	28% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$53.30	$82.00	$13.00–$18.21	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH & LH	$115.05	$177.00	$13.00–$18.21	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN-STOOL	$68.58	$105.50	$13.74–$19.24	65% below	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN-STOOL	$68.58	$105.50	$13.74–$19.24	—	35%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$74.29	$114.29	$9.54–$13.36	27% above	35%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$74.29	$114.29	$9.54–$13.36	—	35%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$65.00	$100.00	$6.80–$9.53	41% above	35%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$65.00	$100.00	$6.80–$9.53	41% above	35%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$65.00	$100.00	$6.80–$9.53	—	35%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$65.00	$100.00	$6.80–$9.53	—	35%
Folate (folic acid) blood test CPT 82746 COENZYME Q10	$72.80	$112.00	$10.29–$14.41	10% above	35%
Folate (folic acid) blood test CPT 82746 FOLATE & B12	$74.10	$114.00	$10.29–$14.41	12% above	35%
Folate (folic acid) blood test inpatient CPT 82746 COENZYME Q10	$72.80	$112.00	$10.29–$14.41	—	35%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE & B12	$74.10	$114.00	$10.29–$14.41	—	35%
Free T3 thyroid hormone test CPT 84481 T3 & T4	$33.15	$51.00	$11.85–$16.60	55% below	35%
Free T3 thyroid hormone test CPT 84481 FREE T3	$82.71	$127.25	$11.85–$16.60	12% above	35%
Free T3 thyroid hormone test inpatient CPT 84481 T3 & T4	$33.15	$51.00	$11.85–$16.60	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$82.71	$127.25	$11.85–$16.60	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$63.05	$97.00	$6.31–$8.84	2% above	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$63.05	$97.00	$6.31–$8.84	—	35%
Free testosterone test CPT 84402 TESTOSTERONE,FREE	$84.50	$130.00	$17.82–$24.96	14% above	35%
Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE	$84.50	$130.00	$17.82–$24.96	—	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$44.85	$69.00	$5.04–$7.06	16% above	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$44.85	$69.00	$5.04–$7.06	—	35%
Glucose tolerance test, 3 samples CPT 82951 3 HOUR GLUCOSE TOLERANCE TEST	$74.75	$115.00	$9.00–$12.61	10% above	35%
Glucose tolerance test, 3 samples CPT 82951 2 HR GTT 82951	$74.76	$115.02	$9.00–$12.61	10% above	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 3 HOUR GLUCOSE TOLERANCE TEST	$74.75	$115.00	$9.00–$12.61	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 2 HR GTT 82951	$74.76	$115.02	$9.00–$12.61	—	35%
H. pylori antibody blood test CPT 86677 H PYLORI SCREEN	$73.45	$113.00	$11.79–$16.51	67% above	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI (IgG)	$73.45	$113.00	$11.79–$16.51	67% above	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIGEN	$78.65	$121.00	$11.79–$16.51	79% above	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$78.65	$121.00	$11.79–$16.51	79% above	35%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI(IgA)	$78.65	$121.00	$11.79–$16.51	79% above	35%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI SCREEN	$73.45	$113.00	$11.79–$16.51	—	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI (IgG)	$73.45	$113.00	$11.79–$16.51	—	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$78.65	$121.00	$11.79–$16.51	—	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI(IgA)	$78.65	$121.00	$11.79–$16.51	—	35%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIGEN	$78.65	$121.00	$11.79–$16.51	—	35%
H. pylori stool antigen test CPT 87338 H PYLORI BREATH TEST	$55.25	$85.00	$10.06–$14.09	13% below	35%
H. pylori stool antigen test CPT 87338 H-PYLORI ANTIGEN IN STOOL	$78.65	$121.00	$10.06–$14.09	24% above	35%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI BREATH TEST	$55.25	$85.00	$10.06–$14.09	—	35%
H. pylori stool antigen test inpatient CPT 87338 H-PYLORI ANTIGEN IN STOOL	$78.65	$121.00	$10.06–$14.09	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-I RNA, QUANTITATIVE, bDNA	$235.92	$362.95	$59.57–$83.40	1% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-I VIRAL LOAD	$235.92	$362.95	$59.57–$83.40	1% above	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-I RNA, QUANTITATIVE, bDNA	$235.92	$362.95	$59.57–$83.40	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-I VIRAL LOAD	$235.92	$362.95	$59.57–$83.40	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV I & II	$64.35	$99.00	$9.59–$13.44	117% above	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV I & II	$64.35	$99.00	$9.59–$13.44	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, DNA	$48.75	$75.00	$24.56–$34.39	at median	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV, DNA	$48.75	$75.00	$24.56–$34.39	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1c	$55.84	$85.90	$6.79–$9.52	62% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1c	$55.84	$85.90	$6.79–$9.52	—	35%
Hemoglobin blood test CPT 85018 HGB AND HCT	$21.27	$32.73	$1.65–$2.32	22% above	35%
Hemoglobin blood test CPT 85018 HGB & HCT DAILY	$21.27	$32.73	$1.65–$2.32	22% above	35%
Hemoglobin blood test inpatient CPT 85018 HGB & HCT DAILY	$21.27	$32.73	$1.65–$2.32	—	35%
Hemoglobin blood test inpatient CPT 85018 HGB AND HCT	$21.27	$32.73	$1.65–$2.32	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIR DNA,QUANT PCR	$32.50	$50.00	$7.51–$10.53	32% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB	$57.85	$89.00	$7.51–$10.53	21% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$57.85	$89.00	$7.51–$10.53	21% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B VIR DNA,QUANT PCR	$32.50	$50.00	$7.51–$10.53	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$57.85	$89.00	$7.51–$10.53	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB	$57.85	$89.00	$7.51–$10.53	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$55.25	$85.00	$7.23–$10.12	66% above	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$55.25	$85.00	$7.23–$10.12	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$72.49	$111.52	$9.98–$13.98	9% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$72.49	$111.52	$9.98–$13.98	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA(QUAL)	$211.25	$325.00	$29.98–$41.98	8% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C / REFLEX VIRAL LOAD	$211.25	$325.00	$29.98–$41.98	8% above	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA(QUAL)	$211.25	$325.00	$29.98–$41.98	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C / REFLEX VIRAL LOAD	$211.25	$325.00	$29.98–$41.98	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES ZOSTER (SHINGLES)	$40.95	$63.00	$9.23–$12.93	32% below	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES ZOSTER (SHINGLES)	$40.95	$63.00	$9.23–$12.93	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVE	$58.50	$90.00	$9.06–$12.69	1% above	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVE	$58.50	$90.00	$9.06–$12.69	—	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$94.25	$145.00	$12.54–$17.56	25% below	35%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$94.25	$145.00	$12.54–$17.56	—	35%
Insulin blood test CPT 83525 INSULIN	$48.75	$75.00	$8.00–$11.20	12% below	35%
Insulin blood test inpatient CPT 83525 INSULIN	$48.75	$75.00	$8.00–$11.20	—	35%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$40.95	$63.00	$4.52–$6.34	37% above	35%
Iron blood test (serum iron) inpatient CPT 83540 IRON LEVEL	$40.95	$63.00	$4.52–$6.34	—	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON + TIBC	$47.45	$73.00	$6.11–$8.57	16% above	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON + UIBC	$47.45	$73.00	$6.11–$8.57	16% above	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON + TIBC	$47.45	$73.00	$6.11–$8.57	—	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON + UIBC	$47.45	$73.00	$6.11–$8.57	—	35%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$74.10	$114.00	$6.07–$8.51	12% below	35%
Kidney function blood test panel CPT 80069 RENAL PANEL	$74.10	$114.00	$6.07–$8.51	12% below	35%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$74.10	$114.00	$6.07–$8.51	—	35%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$74.10	$114.00	$6.07–$8.51	—	35%
LH (luteinizing hormone) test CPT 83002 LH	$61.75	$95.00	$12.96–$18.15	33% below	35%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$61.75	$95.00	$12.96–$18.15	—	35%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$33.15	$51.00	$8.09–$11.34	34% below	35%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$33.15	$51.00	$8.09–$11.34	—	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID	$18.85	$29.00	$4.22–$5.92	57% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH 83615	$29.25	$45.00	$4.22–$5.92	34% below	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID	$18.85	$29.00	$4.22–$5.92	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH 83615	$29.25	$45.00	$4.22–$5.92	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$44.85	$69.00	$4.82–$6.75	14% below	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$44.85	$69.00	$4.82–$6.75	—	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$84.50	$130.00	$5.71–$8.01	6% above	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL IN THE AM	$84.50	$130.00	$5.71–$8.01	6% above	35%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$84.50	$130.00	$5.71–$8.01	—	35%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL IN THE AM	$84.50	$130.00	$5.71–$8.01	—	35%
Lyme disease antibody test CPT 86618 LYME TITER	$59.80	$92.00	$11.92–$16.69	28% below	35%
Lyme disease antibody test inpatient CPT 86618 LYME TITER	$59.80	$92.00	$11.92–$16.69	—	35%
Magnesium blood test CPT 83735 URINE (24HR) MAGNESIUM	$23.40	$36.00	$4.69–$6.57	9% below	35%
Magnesium blood test CPT 83735 MAGNESIUM IN THE AM	$37.05	$57.00	$4.69–$6.57	43% above	35%
Magnesium blood test CPT 83735 MAGNESIUM	$37.05	$57.00	$4.69–$6.57	43% above	35%
Magnesium blood test CPT 83735 URINE (RANDOM) MAGNESIUM	$42.25	$65.00	$4.69–$6.57	64% above	35%
Magnesium blood test inpatient CPT 83735 URINE (24HR) MAGNESIUM	$23.40	$36.00	$4.69–$6.57	—	35%
Magnesium blood test inpatient CPT 83735 MAGNESIUM IN THE AM	$37.05	$57.00	$4.69–$6.57	—	35%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$37.05	$57.00	$4.69–$6.57	—	35%
Magnesium blood test inpatient CPT 83735 URINE (RANDOM) MAGNESIUM	$42.25	$65.00	$4.69–$6.57	—	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA GROUP	$32.50	$50.00	$9.01–$12.62	21% below	35%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA GROUP	$32.50	$50.00	$9.01–$12.62	—	35%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGG	$31.20	$48.00	$9.13–$12.79	30% below	35%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM	$35.75	$55.00	$9.13–$12.79	20% below	35%
Mumps immunity blood test CPT 86735 MEASLES, MUMPS, RUBELLA PROFILE	$97.50	$150.00	$9.13–$12.79	118% above	35%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGG	$31.20	$48.00	$9.13–$12.79	—	35%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM	$35.75	$55.00	$9.13–$12.79	—	35%
Mumps immunity blood test inpatient CPT 86735 MEASLES, MUMPS, RUBELLA PROFILE	$97.50	$150.00	$9.13–$12.79	—	35%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 1	$195.00	$300.00	$33.46–$46.85	5% above	35%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 1	$195.00	$300.00	$33.46–$46.85	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC Ag(FREE&TOTAL)	$61.75	$95.00	$12.87–$18.02	11% below	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATIC SPECIFIC Ag(FREE&TOTAL)	$61.75	$95.00	$12.87–$18.02	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE	$83.20	$128.00	$12.87–$18.02	3% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE & TOTAL	$115.05	$177.00	$12.87–$18.02	34% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE	$83.20	$128.00	$12.87–$18.02	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE & TOTAL	$115.05	$177.00	$12.87–$18.02	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 PTH	$134.55	$207.00	$28.89–$40.45	1% below	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH	$134.55	$207.00	$28.89–$40.45	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 85730	$40.95	$63.00	$4.20–$5.89	at median	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT HEPARIN PROTOCOL	$40.95	$63.00	$4.20–$5.89	at median	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT DAILY	$47.66	$73.32	$4.20–$5.89	16% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT HEPARIN PROTOCOL	$40.95	$63.00	$4.20–$5.89	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT 85730	$40.95	$63.00	$4.20–$5.89	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT DAILY	$47.66	$73.32	$4.20–$5.89	—	35%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS	$37.05	$57.00	$3.31–$4.65	57% above	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS	$37.05	$57.00	$3.31–$4.65	—	35%
Potassium blood test CPT 84132 POTASSIUM	$29.90	$46.00	$3.33–$4.66	15% above	35%
Potassium blood test CPT 84132 POTASSIUM IN THE AM	$29.90	$46.00	$3.33–$4.66	15% above	35%
Potassium blood test inpatient CPT 84132 POTASSIUM	$29.90	$46.00	$3.33–$4.66	—	35%
Potassium blood test inpatient CPT 84132 POTASSIUM IN THE AM	$29.90	$46.00	$3.33–$4.66	—	35%
Progesterone blood test CPT 84144 PROGESTERONE (SERUM)	$49.40	$76.00	$14.60–$20.44	51% below	35%
Progesterone blood test inpatient CPT 84144 PROGESTERONE (SERUM)	$49.40	$76.00	$14.60–$20.44	—	35%
Prolactin blood test CPT 84146 PROLACTIN	$56.55	$87.00	$13.56–$18.99	45% below	35%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$56.55	$87.00	$13.56–$18.99	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$35.03	$53.89	$3.00–$4.20	57% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PT DAILY	$35.03	$53.89	$3.00–$4.20	57% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 ANTIPHOSPHOLIPID SYNDROME PANEL	$113.75	$175.00	$3.00–$4.20	409% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS (SLE) ANTIBODY PANEL	$113.75	$175.00	$3.00–$4.20	409% above	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT DAILY	$35.03	$53.89	$3.00–$4.20	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$35.03	$53.89	$3.00–$4.20	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ANTIPHOSPHOLIPID SYNDROME PANEL	$113.75	$175.00	$3.00–$4.20	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS (SLE) ANTIBODY PANEL	$113.75	$175.00	$3.00–$4.20	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PCP CONFIRMATION	$68.25	$105.00	$8.82–$12.35	30% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN MEDICAL (URINE)	$88.37	$135.96	$8.82–$12.35	68% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN COMP (REF), GASTRIC	$195.00	$300.00	$8.82–$12.35	270% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PCP CONFIRMATION	$68.25	$105.00	$8.82–$12.35	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN MEDICAL (URINE)	$88.37	$135.96	$8.82–$12.35	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN COMP (REF), GASTRIC	$195.00	$300.00	$8.82–$12.35	—	35%
Rapid flu test (influenza antigen) CPT 87804 FLU A CONFIRMATION (STATE LAB)	$32.50	$50.00	$11.58–$16.22	13% above	35%
Rapid flu test (influenza antigen) CPT 87804 FLU A	$55.99	$86.14	$11.58–$16.22	94% above	35%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B (REF)	$111.98	$172.28	$11.58–$16.22	288% above	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A CONFIRMATION (STATE LAB)	$32.50	$50.00	$11.58–$16.22	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A	$55.99	$86.14	$11.58–$16.22	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B (REF)	$111.98	$172.28	$11.58–$16.22	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A	$47.45	$73.00	$11.57–$16.20	8% above	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A	$47.45	$73.00	$11.57–$16.20	—	35%
Renin blood test CPT 84244 RENIN 84244	$59.15	$91.00	$15.39–$21.55	22% below	35%
Renin blood test inpatient CPT 84244 RENIN 84244	$59.15	$91.00	$15.39–$21.55	—	35%
Rh blood typing CPT 86901 ABO & RH TYPE	$24.05	$37.00	$2.09–$2.93	9% below	35%
Rh blood typing CPT 86901 LS Rh TYPE	$32.50	$50.00	$2.09–$2.93	23% above	35%
Rh blood typing CPT 86901 BB ABO/RH AND ANTIBODY SCREEN	$61.10	$94.00	$2.09–$2.93	131% above	35%
Rh blood typing inpatient CPT 86901 ABO & RH TYPE	$24.05	$37.00	$2.09–$2.93	—	35%
Rh blood typing inpatient CPT 86901 LS Rh TYPE	$32.50	$50.00	$2.09–$2.93	—	35%
Rh blood typing inpatient CPT 86901 BB ABO/RH AND ANTIBODY SCREEN	$61.10	$94.00	$2.09–$2.93	—	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER/MEASLES	$65.00	$100.00	$10.07–$14.10	71% above	35%
Rubella antibody test (immunity check) CPT 86762 MEASLES TITER	$65.00	$100.00	$10.07–$14.10	71% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 MEASLES TITER	$65.00	$100.00	$10.07–$14.10	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER/MEASLES	$65.00	$100.00	$10.07–$14.10	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHROCYTE SEDIMENTATION RATE	$32.31	$49.71	$1.89–$2.65	37% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHROCYTE SEDIMENTATION RATE	$32.31	$49.71	$1.89–$2.65	—	35%
Sodium blood test CPT 84295 SODIUM	$33.15	$51.00	$3.36–$4.71	14% above	35%
Sodium blood test inpatient CPT 84295 SODIUM	$33.15	$51.00	$3.36–$4.71	—	35%
Stool ova and parasites exam CPT 87177 PINWORMS	$16.90	$26.00	$6.23–$8.72	62% below	35%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES 87177	$44.20	$68.00	$6.23–$8.72	at median	35%
Stool ova and parasites exam CPT 87177 PARASITE ID	$44.20	$68.00	$6.23–$8.72	at median	35%
Stool ova and parasites exam inpatient CPT 87177 PINWORMS	$16.90	$26.00	$6.23–$8.72	—	35%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES 87177	$44.20	$68.00	$6.23–$8.72	—	35%
Stool ova and parasites exam inpatient CPT 87177 PARASITE ID	$44.20	$68.00	$6.23–$8.72	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD 82270	$32.50	$50.00	$3.06–$4.29	146% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD (X3) PANEL	$70.20	$108.00	$3.06–$4.29	432% above	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD 82270	$32.50	$50.00	$3.06–$4.29	—	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD (X3) PANEL	$70.20	$108.00	$3.06–$4.29	—	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS ANTIBODY	$26.00	$40.00	$12.98–$25.66	32% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY	$48.75	$75.00	$12.98–$25.66	28% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA (AB5)	$55.90	$86.00	$12.98–$25.66	47% above	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS ANTIBODY	$26.00	$40.00	$12.98–$25.66	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ANTIBODY	$48.75	$75.00	$12.98–$25.66	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA (AB5)	$55.90	$86.00	$12.98–$25.66	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,VDRL (CSF)	$26.00	$40.00	$2.98–$4.18	2% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,VDRL (SERUM)	$34.83	$53.58	$2.98–$4.18	37% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,VDRL (CSF)	$26.00	$40.00	$2.98–$4.18	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,VDRL (SERUM)	$34.83	$53.58	$2.98–$4.18	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$162.50	$250.00	$43.38–$60.74	33% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$162.50	$250.00	$43.38–$60.74	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL	$65.00	$100.00	$18.06–$25.29	13% below	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL	$65.00	$100.00	$18.06–$25.29	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES	$30.55	$47.00	$10.18–$14.26	30% below	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES	$30.55	$47.00	$10.18–$14.26	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH3	$49.40	$76.00	$11.76–$16.46	14% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH IN THE AM	$49.40	$76.00	$11.76–$16.46	14% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$49.40	$76.00	$11.76–$16.46	14% below	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH3	$49.40	$76.00	$11.76–$16.46	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH IN THE AM	$49.40	$76.00	$11.76–$16.46	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$49.40	$76.00	$11.76–$16.46	—	35%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$78.00	$120.00	$11.52–$16.13	63% above	35%
Total IgE blood test CPT 82785 RAST(REGION 6)	$106.60	$164.00	$11.52–$16.13	123% above	35%
Total IgE blood test CPT 82785 ALLERGY RESPIRATORY PROFILE, REGION VI	$455.00	$700.00	$11.52–$16.13	851% above	35%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$78.00	$120.00	$11.52–$16.13	—	35%
Total IgE blood test inpatient CPT 82785 RAST(REGION 6)	$106.60	$164.00	$11.52–$16.13	—	35%
Total IgE blood test inpatient CPT 82785 ALLERGY RESPIRATORY PROFILE, REGION VI	$455.00	$700.00	$11.52–$16.13	—	35%
Total cholesterol blood test CPT 82465 CHOLESTEROL 82465	$31.20	$48.00	$3.04–$4.26	2% above	35%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL 82465	$31.20	$48.00	$3.04–$4.26	—	35%
Total thyroxine (T4) blood test CPT 84436 HYPERTHYROID PROFILE	$34.45	$53.00	$4.80–$6.73	33% below	35%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$34.45	$53.00	$4.80–$6.73	33% below	35%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$34.45	$53.00	$4.80–$6.73	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HYPERTHYROID PROFILE	$34.45	$53.00	$4.80–$6.73	—	35%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3	$22.75	$35.00	$9.92–$13.90	52% below	35%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 (REFERENCE)	$29.25	$45.00	$9.92–$13.90	38% below	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3	$22.75	$35.00	$9.92–$13.90	—	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 (REFERENCE)	$29.25	$45.00	$9.92–$13.90	—	35%
Transferrin blood test CPT 84466 TRANSFERRIN	$27.95	$43.00	$8.93–$12.50	51% below	35%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$27.95	$43.00	$8.93–$12.50	—	35%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$23.40	$36.00	$4.01–$5.63	25% below	35%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$23.40	$36.00	$4.01–$5.63	—	35%
Troponin test, quantitative CPT 84484 TROPONIN hS	$66.30	$102.00	$8.72–$12.22	22% below	35%
Troponin test, quantitative CPT 84484 TROPONIN I	$66.30	$102.00	$8.72–$12.22	22% below	35%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$66.30	$102.00	$8.72–$12.22	—	35%
Troponin test, quantitative inpatient CPT 84484 TROPONIN hS	$66.30	$102.00	$8.72–$12.22	—	35%
Uric acid blood test CPT 84550 URIC ACID	$20.80	$32.00	$3.16–$4.43	31% below	35%
Uric acid blood test CPT 84550 SYNOVIAL FLUID ANALYSIS	$167.70	$258.00	$3.16–$4.43	454% above	35%
Uric acid blood test inpatient CPT 84550 URIC ACID	$20.80	$32.00	$3.16–$4.43	—	35%
Uric acid blood test inpatient CPT 84550 SYNOVIAL FLUID ANALYSIS	$167.70	$258.00	$3.16–$4.43	—	35%
Urinalysis with microscope exam, automated CPT 81001 UA W/O MICRO CHARGE	$22.75	$35.00	$2.21–$3.11	29% below	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/O MICRO CHARGE	$22.75	$35.00	$2.21–$3.11	—	35%
Urinalysis without microscope exam, automated CPT 81003 UA W/MICRO CHG ONLY	$39.00	$60.00	$1.57–$2.20	70% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/MICRO CHG ONLY	$39.00	$60.00	$1.57–$2.20	—	35%
Urine culture for bacteria, with colony count CPT 87086 PCR - URINE	$56.74	$87.29	$5.64–$7.91	16% above	35%
Urine culture for bacteria, with colony count CPT 87086 CULTURE - URINE	$56.74	$87.29	$5.64–$7.91	16% above	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 PCR - URINE	$56.74	$87.29	$5.64–$7.91	—	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE - URINE	$56.74	$87.29	$5.64–$7.91	—	35%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (URINE,24HR)	$13.65	$21.00	$4.04–$5.66	68% below	35%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (URINE) RANDOM	$19.50	$30.00	$4.04–$5.66	54% below	35%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN (URINE,24HR)	$13.65	$21.00	$4.04–$5.66	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN (URINE) RANDOM	$19.50	$30.00	$4.04–$5.66	—	35%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$39.65	$61.00	$6.02–$8.44	12% below	35%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$39.65	$61.00	$6.02–$8.44	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$74.35	$114.39	$10.55–$14.78	36% above	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$74.35	$114.39	$10.55–$14.78	—	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 25-HYDROXY	$65.00	$100.00	$26.95–$37.73	58% below	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25 DIHYDROXY	$65.00	$100.00	$26.95–$37.73	58% below	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1, 25 VIT D	$118.30	$182.00	$26.95–$37.73	23% below	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 25-HYDROXY	$65.00	$100.00	$26.95–$37.73	—	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1,25 DIHYDROXY	$65.00	$100.00	$26.95–$37.73	—	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1, 25 VIT D	$118.30	$182.00	$26.95–$37.73	—	35%
Zinc blood test CPT 84630 ZINC	$32.50	$50.00	$7.97–$11.16	41% below	35%
Zinc blood test CPT 84630 ZINC URINE	$94.25	$145.00	$7.97–$11.16	71% above	35%
Zinc blood test CPT 84630 URINE (24HR) ZINC	$94.25	$145.00	$7.97–$11.16	71% above	35%
Zinc blood test inpatient CPT 84630 ZINC	$32.50	$50.00	$7.97–$11.16	—	35%
Zinc blood test inpatient CPT 84630 ZINC URINE	$94.25	$145.00	$7.97–$11.16	—	35%
Zinc blood test inpatient CPT 84630 URINE (24HR) ZINC	$94.25	$145.00	$7.97–$11.16	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG	$57.20	$88.00	$10.53–$14.75	2% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANT BETA HCG	$57.20	$88.00	$10.53–$14.75	2% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (TUMOR MARKER, MALE)	$57.20	$88.00	$10.53–$14.75	2% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG	$57.20	$88.00	$10.53–$14.75	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANT BETA HCG	$57.20	$88.00	$10.53–$14.75	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG (TUMOR MARKER, MALE)	$57.20	$88.00	$10.53–$14.75	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TR DISTAL FIBULA FRACTURE	$239.85	$369.00	$207.32–$306.73	27% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TR DISTAL FIBULA FRACTURE	$239.85	$369.00	$207.32–$306.73	—	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TR METATARSAL FRACTURE W/O MANIPI	$207.35	$319.00	$207.32–$208.52	6% below	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TR METATARSAL FRACTURE W/O MANIPI	$207.35	$319.00	$207.32–$208.52	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$763.75	$1,175.00	$139.07–$558.25	2% below	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$763.75	$1,175.00	$139.07–$558.25	—	35%
Carpal tunnel release, open surgery CPT 64721 OPEN CARPAL TUNNEL RELEASE	$2,225.60	$3,424.00	$383.49–$1,649.30	50% below	35%
Carpal tunnel release, open surgery inpatient CPT 64721 OPEN CARPAL TUNNEL RELEASE	$2,225.60	$3,424.00	$383.49–$1,649.30	—	35%
Cataract surgery with lens implant CPT 66984 CATARACT SURG W/IOL 1 STAGE	$2,377.70	$3,658.00	$420.56–$1,949.22	2% above	35%
Cataract surgery with lens implant inpatient CPT 66984 CATARACT SURG W/IOL 1 STAGE	$2,377.70	$3,658.00	$420.56–$1,949.22	—	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION/SURGICAL/OLDER THAN 28 DAYS	$2,674.75	$4,115.00	$164.25–$1,765.57	22% below	35%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION/SURGICAL/OLDER THAN 28 DAYS	$2,674.75	$4,115.00	$164.25–$1,765.57	—	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TR DISTAL RADIAL FX	$227.50	$350.00	$207.32–$336.04	22% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TR DISTAL RADIAL FX	$227.50	$350.00	$207.32–$336.04	—	35%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REM BY SNARE	$1,357.85	$2,089.00	$383.49–$1,010.70	32% below	35%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REM BY SNARE	$1,357.85	$2,089.00	$383.49–$1,010.70	—	35%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$1,439.75	$2,215.00	$383.49–$1,010.70	25% below	35%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$1,439.75	$2,215.00	$383.49–$1,010.70	—	35%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY; FLEXIBLE DIAGNOSTIC	$1,400.75	$2,155.00	$333.08–$785.46	12% below	35%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY; FLEXIBLE DIAGNOSTIC	$1,400.75	$2,155.00	$333.08–$785.46	—	35%
Complex cataract surgery with lens implant CPT 66982 CATARACT SURGERY COMPLEX/W LENS	$2,275.00	$3,500.00	$573.63–$1,949.22	40% below	35%
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT SURGERY COMPLEX/W LENS	$2,275.00	$3,500.00	$573.63–$1,949.22	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION LESION; 1ST LESION	$72.80	$112.00	$58.80–$168.63	69% below	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION LESION; 1ST LESION	$72.80	$112.00	$58.80–$168.63	—	35%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$55.25	$85.00	$42.66–$85.00	44% below	35%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$55.25	$85.00	$42.66–$85.00	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ. PARAVERT F JNT. L/S LEVEL 1	$975.00	$1,500.00	$167.89–$747.03	9% below	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ. PARAVERT F JNT. L/S LEVEL 1	$975.00	$1,500.00	$167.89–$747.03	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$953.55	$1,467.00	$186.59–$785.46	3% below	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$953.55	$1,467.00	$186.59–$785.46	—	35%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$3,178.50	$4,890.00	$440.80–$5,081.12	47% below	35%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$3,178.50	$4,890.00	$440.80–$5,081.12	—	35%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$3,648.45	$5,613.00	$440.80–$5,106.14	50% below	35%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$3,648.45	$5,613.00	$440.80–$5,106.14	—	35%
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER/IP ONLY	$2,683.20	$4,128.00	$892.12	—	35%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 REMOVAL OF GALLBLADDER/IP ONLY	$2,683.20	$4,128.00	$892.12	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS; SIMPLE/SINGLE	$217.75	$335.00	$113.83–$286.51	26% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE/SIMPLE	$217.75	$335.00	$113.83–$286.51	26% below	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS; SIMPLE/SINGLE	$217.75	$335.00	$113.83–$286.51	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE/SIMPLE	$217.75	$335.00	$113.83–$286.51	—	35%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$3,532.10	$5,434.00	$446.65–$3,024.05	5% below	35%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR	$3,532.10	$5,434.00	$446.65–$3,024.05	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION; SINGLE TENDON, SHEATH	$157.30	$242.00	$53.92–$257.98	62% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION; SINGLE TENDON, SHEATH	$157.30	$242.00	$53.92–$257.98	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$200.85	$309.00	$60.84–$286.51	51% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT JOINT/BURSE	$200.85	$309.00	$60.84–$286.51	51% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$200.85	$309.00	$60.84–$286.51	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT JOINT/BURSE	$200.85	$309.00	$60.84–$286.51	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/ASPIRATION/INJECT; INTERM	$191.75	$295.00	$50.87–$286.51	46% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMEDIATE	$191.75	$295.00	$50.87–$286.51	46% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMEDIATE	$191.75	$295.00	$50.87–$286.51	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/ASPIRATION/INJECT; INTERM	$191.75	$295.00	$50.87–$286.51	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT JOINT/BURSA	$163.80	$252.00	$49.93–$257.98	57% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS/ASPIRATION/INJECT; SMALL	$163.80	$252.00	$49.93–$257.98	57% below	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT JOINT/BURSA	$163.80	$252.00	$49.93–$257.98	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS/ASPIRATION/INJECT; SMALL	$163.80	$252.00	$49.93–$257.98	—	35%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LARAPOSCOPY APPENDECTOMY	$4,050.80	$6,232.00	$509.39–$5,106.14	66% below	35%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LARAPOSCOPY APPENDECTOMY	$4,050.80	$6,232.00	$509.39–$5,106.14	—	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INITIAL	$3,449.55	$5,307.00	$372.63–$5,106.14	53% below	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INITIAL	$3,449.55	$5,307.00	$372.63–$5,106.14	—	35%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECURRENT	$3,003.65	$4,621.00	$483.40–$5,081.12	66% below	35%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECURRENT	$3,003.65	$4,621.00	$483.40–$5,081.12	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR LAC INTERMEDIATE 2.5 CM OR <	$286.65	$441.00	$228.48–$343.35	28% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR/SCALP/AXILLAE/TRUNK/EXT;2.5cm OR<	$286.65	$441.00	$228.48–$343.35	28% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR LAC INTERMEDIATE 2.5 CM OR <	$286.65	$441.00	$228.48–$343.35	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR/SCALP/AXILLAE/TRUNK/EXT;2.5cm OR<	$286.65	$441.00	$228.48–$343.35	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ. FORAMEN EPIDURAL L/S W/IMAGING GUID	$1,034.15	$1,591.00	$232.98–$747.03	21% below	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ. FORAMEN EPIDURAL L/S W/IMAGING GUID	$1,034.15	$1,591.00	$232.98–$747.03	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES; TRUNK/ARM/LEG; 0.5 CM OR <	$408.85	$629.00	$112.18–$598.09	54% below	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES; TRUNK/ARM/LEG; 0.5 CM OR <	$408.85	$629.00	$112.18–$598.09	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES;FC/EAR/EYELID/NOSE;0.5CM OR<	$367.90	$566.00	$124.78–$595.16	55% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES;FC/EAR/EYELID/NOSE;0.5CM OR<	$367.90	$566.00	$124.78–$595.16	—	35%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE;PARTIAL/COMPLETE;SIN	$128.70	$198.00	$99.03–$198.00	44% below	35%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$128.70	$198.00	$99.03–$198.00	44% below	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$128.70	$198.00	$99.03–$198.00	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE;PARTIAL/COMPLETE;SIN	$128.70	$198.00	$99.03–$198.00	—	35%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OCCIPITAL NERVE	$425.75	$655.00	$69.24–$286.51	7% below	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION OCCIPITAL NERVE	$425.75	$655.00	$69.24–$286.51	—	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$856.70	$1,318.00	$249.60–$766.06	3% below	35%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$856.70	$1,318.00	$249.60–$766.06	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & NAIL MATRIX;PARTIAL/COMPLETE	$346.45	$533.00	$140.07–$343.35	39% below	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & NAIL MATRIX;PARTIAL/COMPLETE	$346.45	$533.00	$140.07–$343.35	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 NEUROLYTIC FACET LUMBAR/SACRAL; SINGLE	$1,422.20	$2,188.00	$286.51–$1,649.30	16% below	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 NEUROLYTIC FACET LUMBAR/SACRAL; SINGLE	$1,422.20	$2,188.00	$286.51–$1,649.30	—	35%
Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST LESION; OPEN	$2,063.75	$3,175.00	$440.80–$3,290.82	48% below	35%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION BREAST LESION; OPEN	$2,063.75	$3,175.00	$440.80–$3,290.82	—	35%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY/SIMPLE	$270.40	$416.00	$138.36–$343.35	48% below	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY/SIMPLE	$270.40	$416.00	$138.36–$343.35	—	35%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONOSCOPY	$1,350.05	$2,077.00	$333.27–$785.46	2% below	35%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREENING COLONOSCOPY	$1,350.05	$2,077.00	$333.27–$785.46	—	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONOSCOPY - HIGH RISK	$1,361.10	$2,094.00	$333.08–$785.46	at median	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCREENING COLONOSCOPY - HIGH RISK	$1,361.10	$2,094.00	$333.08–$785.46	—	35%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$170.95	$263.00	$54.44–$112.38	5% below	35%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$170.95	$263.00	$54.44–$112.38	—	35%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$174.20	$268.00	$54.44–$137.25	2% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$174.20	$268.00	$54.44–$137.25	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SM SUP SCLP/NCK/EXT/TK/HDS&FT <2.5CM)	$219.70	$338.00	$99.21–$169.46	4% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SM SUP SCLP/NCK/EXT/TK/HDS&FT <2.5CM)	$219.70	$338.00	$99.21–$169.46	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES/TK/ARM/LEG; 0.5 CM OR <	$712.40	$1,096.00	$174.51–$598.09	4% above	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES/TK/ARM/LEG; 0.5 CM OR <	$712.40	$1,096.00	$174.51–$598.09	—	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS; UP TO 15	$76.70	$118.00	$81.52–$168.63	75% below	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS; UP TO 15	$76.70	$118.00	$81.52–$168.63	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE	$484.90	$746.00	$143.42–$596.19	32% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE/DIAGNOSTIC	$484.90	$746.00	$143.42–$596.19	32% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$484.90	$746.00	$143.42–$596.19	32% below	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE/DIAGNOSTIC	$484.90	$746.00	$143.42–$596.19	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$484.90	$746.00	$143.42–$596.19	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE	$484.90	$746.00	$143.42–$596.19	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SM SUP SCALP/NCK/INC HDS&FT 2.6-7.5CM	$230.75	$355.00	$121.55–$286.51	at median	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SM SUP SCALP/NCK/INC HDS&FT 2.6-7.5CM	$230.75	$355.00	$121.55–$286.51	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR LACERATION-SIMPLE 2.5CM OR <	$228.80	$352.00	$121.65–$286.51	1% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR LACERATION-SIMPLE 2.5CM OR <	$228.80	$352.00	$121.65–$286.51	—	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY;SKIN/SQ TISSUE/MUCOUS MEM; SINGLE	$137.80	$212.00	$83.93–$341.67	56% below	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY;SKIN/SQ TISSUE/MUCOUS MEM; SINGLE	$137.80	$212.00	$83.93–$341.67	—	35%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING	$601.25	$925.00	$273.47–$529.83	42% below	35%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING	$601.25	$925.00	$273.47–$529.83	—	35%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS & ADENOIDS >12 YO	$2,386.80	$3,672.00	$244.65–$2,800.28	64% below	35%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS & ADENOIDS >12 YO	$2,386.80	$3,672.00	$244.65–$2,800.28	—	35%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS & ADENOIDS <12 YO	$2,314.65	$3,561.00	$234.53–$4,975.47	56% below	35%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS & ADENOIDS <12 YO	$2,314.65	$3,561.00	$234.53–$4,975.47	—	35%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS >12 YO	$2,184.65	$3,361.00	$207.38–$2,800.28	69% below	35%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS >12 YO	$2,184.65	$3,361.00	$207.38–$2,800.28	—	35%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS <12 YO	$2,424.50	$3,730.00	$217.93–$4,975.47	55% below	35%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 REMOVAL OF TONSILS <12 YO	$2,424.50	$3,730.00	$217.93–$4,975.47	—	35%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (A1 PULLEY)	$1,292.20	$1,988.00	$383.49–$1,358.13	57% below	35%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION (A1 PULLEY)	$1,292.20	$1,988.00	$383.49–$1,358.13	—	35%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION	$267.15	$411.00	$46.30–$259.26	17% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ; SINGLE/MULT TRIGGER PTS; 1-2 MUSCLE	$267.15	$411.00	$46.30–$259.26	17% below	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ; SINGLE/MULT TRIGGER PTS; 1-2 MUSCLE	$267.15	$411.00	$46.30–$259.26	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION	$267.15	$411.00	$46.30–$259.26	—	35%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY	$1,233.70	$1,898.00	$365.96–$766.06	39% below	35%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY	$1,233.70	$1,898.00	$365.96–$766.06	—	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,287.00	$1,980.00	$383.49–$1,620.73	47% below	35%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE	$1,287.00	$1,980.00	$383.49–$1,620.73	—	35%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,192.75	$1,835.00	$282.59–$766.06	36% below	35%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,192.75	$1,835.00	$282.59–$766.06	—	35%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY	$1,621.75	$2,495.00	$286.51–$1,765.57	72% below	35%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY	$1,621.75	$2,495.00	$286.51–$1,765.57	—	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION LESION; UP TO 14 LESIONS	$178.75	$275.00	$97.45–$275.00	48% below	35%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION LESION; UP TO 14 LESIONS	$178.75	$275.00	$97.45–$275.00	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT; SKIN & SUBCUTANEOUS TISSUE	$426.40	$656.00	$116.40–$343.35	23% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT; SKIN & SUBCUTANEOUS TISSUE	$426.40	$656.00	$116.40–$343.35	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD AMINISTRATION FEE	$516.10	$794.00	$40.37–$372.63	31% above	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD AMINISTRATION FEE	$516.10	$794.00	$40.37–$372.63	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OXYGEN IN E.R.	$18.20	$28.00	$7.35–$184.05	84% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUB HEATED AEROSOL PER TR.	$29.25	$45.00	$7.35–$184.05	75% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HEATED AEROSOL INITIAL	$29.25	$45.00	$7.35–$184.05	75% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUB HAND HELD NEB PRN	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB MEDICATIONS EACH	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUB HAND HELD NEBULIZER TR	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUB HAND HELD NEB 2ND DRUG	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SUB HAND HELD NEB 3RD DRUG	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEBULIZER INITIAL	$48.10	$74.00	$7.35–$184.05	59% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OXYGEN IN E.R.	$18.20	$28.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HEATED AEROSOL INITIAL	$29.25	$45.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUB HEATED AEROSOL PER TR.	$29.25	$45.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUB HAND HELD NEB PRN	$48.10	$74.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUB HAND HELD NEB 2ND DRUG	$48.10	$74.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUB HAND HELD NEBULIZER TR	$48.10	$74.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEBULIZER INITIAL	$48.10	$74.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SUB HAND HELD NEB 3RD DRUG	$48.10	$74.00	$7.35–$184.05	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB MEDICATIONS EACH	$48.10	$74.00	$7.35–$184.05	—	35%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES/99291	$1,353.30	$2,082.00	$278.69–$697.67	22% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES/99291	$1,353.30	$2,082.00	$278.69–$697.67	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TOMORROW A.M.	$88.40	$136.00	$5.91–$49.82	30% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$88.40	$136.00	$5.91–$49.82	30% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (NS PERFORMED AFTER HOUR)	$88.40	$136.00	$5.91–$49.82	30% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (RT PERFORMED)	$88.40	$136.00	$5.91–$49.82	30% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$88.40	$136.00	$5.91–$49.82	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TOMORROW A.M.	$88.40	$136.00	$5.91–$49.82	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (RT PERFORMED)	$88.40	$136.00	$5.91–$49.82	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (NS PERFORMED AFTER HOUR)	$88.40	$136.00	$5.91–$49.82	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, 31 MIN - 1 HOUR	$167.05	$257.00	$29.23–$179.65	35% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER HYDRATION IV INFUSION, 31 MIN -1 HR	$217.75	$335.00	$29.23–$179.65	15% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, 31 MIN - 1 HOUR	$167.05	$257.00	$29.23–$179.65	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER HYDRATION IV INFUSION, 31 MIN -1 HR	$217.75	$335.00	$29.23–$179.65	—	35%
IV infusion of a medicine, first hour CPT 96365 IV INF INITIAL/THER/PROPH/DIAG	$243.75	$375.00	$48.00–$179.65	18% below	35%
IV infusion of a medicine, first hour CPT 96365 ER IV INF INITIAL/THER/PRO/DIAG	$244.40	$376.00	$48.00–$179.65	18% below	35%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF INITIAL/THER/PROPH/DIAG	$243.75	$375.00	$48.00–$179.65	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INF INITIAL/THER/PRO/DIAG	$244.40	$376.00	$48.00–$179.65	—	35%
IV push of a medicine, first drug CPT 96374 TX/DX IV PUSH	$117.65	$181.00	$32.90–$179.65	15% below	35%
IV push of a medicine, first drug CPT 96374 ER TX/DX IV PUSH	$117.65	$181.00	$32.90–$179.65	15% below	35%
IV push of a medicine, first drug inpatient CPT 96374 ER TX/DX IV PUSH	$117.65	$181.00	$32.90–$179.65	—	35%
IV push of a medicine, first drug inpatient CPT 96374 TX/DX IV PUSH	$117.65	$181.00	$32.90–$179.65	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM	$63.70	$98.00	$13.45–$60.81	9% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRACTABLE MIGRAINE INJECTION	$63.70	$98.00	$13.45–$60.81	9% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION SQ OR IM	$63.70	$98.00	$13.45–$60.81	9% below	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ OR IM	$63.70	$98.00	$13.45–$60.81	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJECTION SQ OR IM	$63.70	$98.00	$13.45–$60.81	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INTRACTABLE MIGRAINE INJECTION	$63.70	$98.00	$13.45–$60.81	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$45.50	$70.00	$29.66–$30.02	51% below	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION	$45.50	$70.00	$29.66–$30.02	—	35%
New patient office visit, about 30 minutes CPT 99203 NEW PT EVALUATION & MGT LEVEL3 -BJE	$63.70	$98.00	$96.04	67% below	35%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT EVALUATION & MGT LEVEL3 -BJE	$63.70	$98.00	$96.04	—	35%
New patient office visit, about 45 minutes CPT 99204 NEW PT EVALUATION & MGT LEVEL4 -BJE	$90.35	$139.00	$136.22	64% below	35%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT EVALUATION & MGT LEVEL4 -BJE	$90.35	$139.00	$136.22	—	35%
New patient office visit, about 60 minutes CPT 99205 NEW PT EVALUATION & MGT LEVEL5 -BJE	$126.10	$194.00	$190.12	64% below	35%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT EVALUATION & MGT LEVEL5 -BJE	$126.10	$194.00	$190.12	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT EVALUATION & MGT LEVEL2 -BJE	$43.55	$67.00	$65.66	66% below	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT EVALUATION & MGT LEVEL2 -BJE	$43.55	$67.00	$65.66	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION HIGH	$114.40	$176.00	$71.74–$90.12	50% below	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVALUATION HIGH	$114.40	$176.00	$71.74–$90.12	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION LOW	$101.40	$156.00	$71.74–$90.12	42% below	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVALUATION LOW	$101.40	$156.00	$71.74–$90.12	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION MODERATE	$107.90	$166.00	$71.74–$90.12	50% below	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVALUATION MODERATE	$107.90	$166.00	$71.74–$90.12	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES	$42.90	$66.00	$25.43–$28.17	62% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUES	$42.90	$66.00	$25.43–$28.17	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE	$48.75	$75.00	$22.24–$26.66	21% below	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE	$48.75	$75.00	$22.24–$26.66	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT EVALUATION & MGT LEVEL5 -BJE	$99.45	$153.00	$149.94	54% below	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT EVALUATION & MGT LEVEL5 -BJE	$99.45	$153.00	$149.94	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT EVALUATION & MGT LEVEL3 -BJE	$51.35	$79.00	$77.42	65% below	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT EVALUATION & MGT LEVEL3 -BJE	$51.35	$79.00	$77.42	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT EVALUATION & MGT LEVEL4 -BJE	$77.35	$119.00	$116.62	60% below	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT EVALUATION & MGT LEVEL4 -BJE	$77.35	$119.00	$116.62	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT EVALUATION & MGT LEVEL2 -BJE	$31.85	$49.00	$48.02	61% below	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT EVALUATION & MGT LEVEL2 -BJE	$31.85	$49.00	$48.02	—	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION LEVEL3 -BJE	$89.70	$138.00	—	30% below	35%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION LEVEL3 -BJE	$89.70	$138.00	—	—	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTATION LEVEL4 -BJE	$112.45	$173.00	—	30% below	35%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULTATION LEVEL4 -BJE	$112.45	$173.00	—	—	35%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETER INITIAL	$48.75	$75.00	$17.79–$181.48	75% below	35%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETER INITIAL	$48.75	$75.00	$17.79–$181.48	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC/FUNCTIONAL ACTIVITIES	$42.25	$65.00	$16.61–$31.77	31% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC/FUNCTIONAL ACTIVITIES W/MOD	$42.25	$65.00	$16.61–$31.77	31% below	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC/FUNCTIONAL ACTIVITIES	$42.25	$65.00	$16.61–$31.77	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC/FUNCTIONAL ACTIVITIES W/MOD	$42.25	$65.00	$16.61–$31.77	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$50.05	$77.00	$66.74–$75.46	56% below	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$50.05	$77.00	$66.74–$75.46	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B (HEP B RECOMB) PEDIATRIC:10MCG	$110.50	$170.00	$31.67–$32.54	53% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B (HEP B RECOMB) PEDIATRIC:10MCG	$110.50	$170.00	$31.67–$32.54	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 IMMUNIZATION ADMINISTRATION	$39.00	$60.00	$37.37–$37.98	21% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 IMMUNIZATION ADMINISTRATION	$39.00	$60.00	$37.37–$37.98	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS ANTIBODY	$59.80	$92.00	$38.69–$39.81	56% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (Tdap) INJ : 0.5 ML	$183.95	$283.00	$38.69–$39.81	34% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS ANTIBODY	$59.80	$92.00	$38.69–$39.81	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (Tdap) INJ : 0.5 ML	$183.95	$283.00	$38.69–$39.81	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$39.00	$60.00	$8.00–$60.52	38% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$39.00	$60.00	$8.00–$60.52	—	35%

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://irp.cdn-website.com/1a9867e2/files/uploaded/208057151_evergreenmedicalcenter_standardcharges.csv