Holmes County Hospital and Clinics
Listed in its price file as “State of Mississippi University of Mississippi Medical Center”.
Holmes County Hospital and Clinics in Lexington, MS publishes cash prices for 301 common procedures listed here, from its own machine-readable price file updated Sep 8, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Mississippi median for 282 of 299 procedures and above it for 15. By typical cash price it ranks #3 of 56 Mississippi hospitals and #1 of 13 hospitals in the Jackson, MS area, cheapest first. Select a procedure to compare it with other hospitals nearby.
239 BOWLING GREEN ROAD, LEXINGTON, MS 39095 Collected Oct 24, 2026 Source price file Check a bill from this hospital (662) 834-1321
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 251319 · CMS hospital register NPI 1386630705
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Holmes County Hospital and Clinics is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O AND W/DYE | $690.40 | $1,726.00 | $137.20–$1,726.00 | 42% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN EXAM 2 VIEW | $108.40 | $271.00 | $81.77–$271.00 | 33% below | 60% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY EXAM OF ANKLE 3 VIEW | $90.00 | $225.00 | $68.07–$225.00 | 27% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O DYE | $467.60 | $1,169.00 | $81.77–$1,169.00 | 41% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE AND/JOINT IMAGING WHOLE BODY | $399.60 | $999.00 | $312.70–$999.00 | 39% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST | $766.00 | $1,915.00 | $137.20–$1,915.00 | 32% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS W/O CONTRAST | $909.60 | $2,274.00 | $186.64–$2,274.00 | 34% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMENANDPELVIS W/CONTRAST | $957.20 | $2,393.00 | $272.89–$2,393.00 | 44% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMENANDPELVIS W AND W/O CONTRAST | $1,005.20 | $2,513.00 | $272.89–$2,513.00 | 45% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE | $639.20 | $1,598.00 | $137.20–$1,598.00 | 39% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE | $583.20 | $1,458.00 | $81.77–$1,458.00 | 30% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O DYE | $350.00 | $875.00 | $81.77–$875.00 | 47% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O DYE | $448.40 | $1,121.00 | $81.77–$1,121.00 | 42% below | 60% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/DYE | $448.00 | $1,120.00 | $137.20–$1,120.00 | 52% below | 60% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/O AND W/DYE | $586.40 | $1,466.00 | $137.20–$1,466.00 | 45% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O DYE | $596.80 | $1,492.00 | $81.77–$1,492.00 | 33% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE W/O DYE | $745.60 | $1,864.00 | $81.77–$1,864.00 | 16% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/DYE | $594.40 | $1,486.00 | $137.20–$1,486.00 | 39% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC EXTRACRANIAL STUDY | $314.00 | $785.00 | $186.64–$785.00 | 23% below | 60% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/O AND W/DYE | $435.20 | $1,088.00 | $137.20–$1,088.00 | 64% below | 60% |
| Chest X-ray, 2 views CPT 71046 HC CHEST PA AND LAT | $112.40 | $281.00 | $68.07–$281.00 | 20% below | 60% |
| Chest X-ray, single view CPT 71045 HC CHEST SINGLE VIEW | $93.20 | $233.00 | $68.07–$233.00 | 13% below | 60% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY EXAM OF CLAVICLE | $88.80 | $222.00 | $68.07–$222.00 | 21% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US EXAM ABDO BACK WALL COMP | $358.80 | $897.00 | $81.77–$897.00 | 2% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O DYE | $224.40 | $561.00 | $81.77–$561.00 | 73% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W/DYE | $435.20 | $1,088.00 | $137.20–$1,088.00 | 57% below | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMOGRAPHY BILATERAL INCLUDES CAD | $122.80 | $307.00 | $88.17–$307.00 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC DPLX SCAN LWR EXTREM ARTERIES BIL CMPLT | $294.40 | $736.00 | $186.64–$736.00 | 37% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC DUPLEX SCAN EXT VEINS BIL | $301.60 | $754.00 | $186.64–$754.00 | 31% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE | $500.00 | $1,250.00 | $427.41–$1,250.00 | 49% below | 60% |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY EXAM OF ELBOW 2 VIEW | $83.20 | $208.00 | $68.07–$208.00 | 30% below | 60% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY EXAM OF ELBOW 3 VIEW | $79.60 | $199.00 | $68.07–$199.00 | 31% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA W/O DYE | $380.00 | $950.00 | $81.77–$950.00 | 46% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE 3V | $138.40 | $346.00 | $81.77–$346.00 | 14% below | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM MIN 2 VIEWS | $77.20 | $193.00 | $68.07–$193.00 | 36% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $388.80 | $972.00 | $312.70–$972.00 | 39% below | 60% |
| Hand X-ray, 2 views CPT 73120 HC X-RAY EXAM OF HAND 2 VIEW | $92.40 | $231.00 | $81.77–$231.00 | 17% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY EXAM OF HEEL 2 VIEW | $83.20 | $208.00 | $68.07–$208.00 | 27% below | 60% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY EXAM OF KNEE 3 VIEW | $98.40 | $246.00 | $68.07–$246.00 | 26% below | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY EXAM KNEE 4 OR MORE VIEW | $119.60 | $299.00 | $81.77–$299.00 | 24% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O DYE | $537.60 | $1,344.00 | $81.77–$1,344.00 | 30% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US EXAM ABDOMEN LIMITED | $238.00 | $595.00 | $81.77–$595.00 | 13% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON-VASC LMTD | $132.00 | $330.00 | $81.77–$330.00 | 36% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY EXAM OF TIB/FIB 2 VIEW | $92.00 | $230.00 | $68.07–$230.00 | 28% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIOGRAPHY HEAD W/O DYE | $202.00 | $505.00 | $186.64–$505.00 | 83% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE | $739.60 | $1,849.00 | $186.64–$1,849.00 | 40% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LWR EXTR W/OANDW/DYE | $818.00 | $2,045.00 | $272.89–$2,045.00 | 50% below | 60% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O DYE | $862.80 | $2,157.00 | $186.64–$2,157.00 | 38% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O AND W/DYE | $1,040.40 | $2,601.00 | $272.89–$2,601.00 | 46% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE | $910.00 | $2,275.00 | $186.64–$2,275.00 | 34% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O AND W/DYE | $1,521.60 | $3,804.00 | $272.89–$3,804.00 | 27% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $343.60 | $859.00 | $186.64–$2,295.00 | 74% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $918.00 | $2,295.00 | $186.64–$2,295.00 | 31% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O AND W/DYE | $1,407.20 | $3,518.00 | $272.89–$3,518.00 | 29% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI CHEST SPINE W/O DYE LIMITED | $351.20 | $878.00 | $186.64–$2,225.00 | 74% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI CHEST SPINE W/O DYE | $890.00 | $2,225.00 | $186.64–$2,225.00 | 34% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI NECK SPINE W/O AND W/DYE | $1,323.20 | $3,308.00 | $272.89–$3,308.00 | 30% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI NECK SPINE W/O DYE LIMITED | $339.60 | $849.00 | $186.64–$2,336.00 | 75% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI NECK SPINE W/O DYE | $934.40 | $2,336.00 | $186.64–$2,336.00 | 31% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O DYE | $723.60 | $1,809.00 | $186.64–$1,809.00 | 40% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE | $652.40 | $1,631.00 | $186.64–$1,631.00 | 46% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X-RAY EXAM NECK SPINE 4/5 VWS | $138.80 | $347.00 | $81.77–$347.00 | 28% below | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/DYE | $701.60 | $1,754.00 | $137.20–$1,754.00 | 28% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O DYE | $397.60 | $994.00 | $81.77–$994.00 | 49% below | 60% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $56.80 | $142.00 | $68.07–$142.00 | 47% below | 60% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O DYE | $610.40 | $1,526.00 | $81.77–$1,526.00 | 26% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED | $106.80 | $267.00 | $81.77–$267.00 | 53% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM PELVIC COMPLETE | $247.20 | $618.00 | $81.77–$618.00 | 27% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS | $276.80 | $692.00 | $81.77–$692.00 | 22% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS | $318.40 | $796.00 | $81.77–$796.00 | 5% above | 60% |
| Rib X-ray, one side, 2 views CPT 71100 HC RIBS 2 VIEW | $111.20 | $278.00 | $68.07–$278.00 | 8% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS MIN 3 VIEW | $111.20 | $278.00 | $81.77–$278.00 | 35% below | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL (2-VIEW EACH) INCLUDES CAD | $98.80 | $247.00 | $72.74–$222.30 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER COMPLETE 2V | $93.20 | $233.00 | $68.07–$233.00 | 32% below | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES COMPLETE MIN 3 VIEWS | $157.20 | $393.00 | $68.07–$393.00 | 10% above | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4 VIEWS | $85.60 | $214.00 | $81.77–$214.00 | 38% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2 VIEW | $92.00 | $230.00 | $68.07–$230.00 | 26% below | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE W/O DYE | $696.40 | $1,741.00 | $81.77–$1,741.00 | 22% below | 60% |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY EXAM TOE(S) MIN 2 VIEWS | $72.40 | $181.00 | $68.07–$181.00 | 37% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL US NON-OB | $268.80 | $672.00 | $81.77–$672.00 | 12% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC | $268.80 | $672.00 | $81.77–$672.00 | 1% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOM COMPLETE | $356.00 | $890.00 | $81.77–$890.00 | 9% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM | $328.40 | $821.00 | $81.77–$821.00 | 19% above | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK | $186.80 | $467.00 | $81.77–$467.00 | 32% below | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2 VIEW | $88.80 | $222.00 | $68.07–$222.00 | 31% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX SCAN EXT VEINS UNIL/LTD | $260.00 | $650.00 | $81.77–$650.00 | 22% below | 60% |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY EXAM OF WRIST 2 VIEW | $86.80 | $217.00 | $68.07–$217.00 | 27% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY EXAM OF WRIST 3 VIEW | $100.80 | $252.00 | $68.07–$252.00 | 24% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM OF HIP 2-3 VIEWS | $116.00 | $290.00 | $68.07–$290.00 | 4% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM OF ABDOMEN 1 VIEW | $76.80 | $192.00 | $68.07–$192.00 | 43% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY EXAM OF ANKLE 2 VIEW | $83.20 | $208.00 | $68.07–$208.00 | 29% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM FINGER(S) MIN 2 VIEWS | $83.20 | $208.00 | $68.07–$208.00 | 28% below | 60% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY EXAM OF FOOT 2 VIEW | $83.20 | $208.00 | $68.07–$208.00 | 27% below | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY EXAM OF FOOT 3 VIEW | $88.80 | $222.00 | $68.07–$222.00 | 33% below | 60% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY EXAM OF HAND 3 VIEW | $88.80 | $222.00 | $68.07–$222.00 | 29% below | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY EXAM OF KNEE 1 OR 2 VIEW | $83.20 | $208.00 | $68.07–$208.00 | 32% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE L/S 2-3 VIEWS | $111.20 | $278.00 | $81.77–$278.00 | 25% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE L/S COMPLETE 4V | $171.20 | $428.00 | $81.77–$428.00 | 20% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2V | $98.40 | $246.00 | $81.77–$246.00 | 24% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES MIN 3 VW | $118.80 | $297.00 | $68.07–$297.00 | 13% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-RAY EXAM NECK SPINE 2-3 VWS | $103.60 | $259.00 | $68.07–$259.00 | 26% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1-2 VIEWS | $92.00 | $230.00 | $81.77–$230.00 | 38% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM/COCCYX MIN 2 VIEW | $90.00 | $225.00 | $68.07–$225.00 | 34% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINO (ALT) (SGPT) | $11.60 | $29.00 | $4.91–$29.00 | 56% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE (AST) (SGOT) | $11.60 | $29.00 | $4.80–$29.00 | 57% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $77.60 | $194.00 | $44.16–$194.00 | 46% below | 60% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $14.00 | $35.00 | $4.59–$35.00 | 52% below | 60% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $71.20 | $178.00 | $37.78–$178.00 | 34% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $12.80 | $32.00 | $4.80–$32.00 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $20.80 | $52.00 | $4.84–$52.00 | 66% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $16.40 | $41.00 | $15.54–$41.00 | 67% below | 60% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $24.00 | $60.00 | $13.50–$60.00 | 67% below | 60% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $13.60 | $34.00 | $6.00–$34.00 | 66% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $25.20 | $63.00 | $11.21–$63.00 | 58% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $52.80 | $132.00 | $36.39–$132.00 | 55% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER | $33.20 | $83.00 | $7.99–$83.00 | 37% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $26.80 | $67.00 | $7.84–$67.00 | 51% below | 60% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $10.80 | $27.00 | $4.66–$27.00 | 54% below | 60% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $41.20 | $103.00 | $9.57–$103.00 | 55% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE | $4.40 | $11.00 | $3.60–$11.00 | 45% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD TEST | $4.80 | $12.00 | $3.65–$32.00 | 82% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANT | $12.80 | $32.00 | $3.65–$32.00 | 53% below | 60% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $17.60 | $44.00 | $11.23–$44.00 | 57% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN ASSAY QUAL | $19.60 | $49.00 | $6.97–$49.00 | 59% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $74.00 | $185.00 | $5.00–$185.00 | 37% above | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN | $12.00 | $30.00 | $3.67–$30.00 | 61% below | 60% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $20.00 | $50.00 | $19.29–$50.00 | 74% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $30.00 | $75.00 | $4.80–$75.00 | at median | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 | $65.60 | $164.00 | $19.29–$164.00 | 9% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125 | $22.00 | $55.00 | $19.29–$55.00 | 72% below | 60% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM | $12.00 | $30.00 | $4.78–$30.00 | 56% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $47.60 | $119.00 | $17.57–$119.00 | 51% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY | $24.00 | $60.00 | $11.94–$60.00 | 54% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $34.80 | $87.00 | $32.53–$87.00 | 46% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $34.40 | $86.00 | $12.41–$86.00 | 33% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIFF WBC | $52.00 | $130.00 | $7.20–$130.00 | 39% above | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED | $8.00 | $20.00 | $5.99–$20.00 | 77% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $12.00 | $30.00 | $9.79–$30.00 | 85% below | 60% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $32.80 | $82.00 | $15.11–$82.00 | 37% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) | $13.60 | $34.00 | $6.04–$34.00 | 66% below | 60% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE BLOOD | $13.20 | $33.00 | $4.75–$33.00 | 56% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $31.60 | $79.00 | $13.34–$79.00 | 25% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION QUANT | $28.00 | $70.00 | $9.43–$70.00 | 55% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE - S | $22.00 | $55.00 | $20.61–$55.00 | 74% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESUMP CHEM ANALY 1 CLASS | $18.00 | $45.00 | $26.10–$125.00 | 70% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMPTV INSTRMTD CHEM ANLYZR PER DATE SERVICE | $18.40 | $46.00 | $26.10–$125.00 | 69% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $18.40 | $46.00 | $6.50–$46.00 | 71% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA | $28.40 | $71.00 | $16.82–$71.00 | 50% below | 60% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $27.60 | $69.00 | $25.90–$69.00 | 67% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) | $33.20 | $83.00 | $17.22–$83.00 | 56% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $31.20 | $78.00 | $12.64–$78.00 | 54% below | 60% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ASSAY | $22.40 | $56.00 | $9.01–$56.00 | 58% below | 60% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $28.00 | $70.00 | $13.63–$70.00 | 47% below | 60% |
| Free T3 thyroid hormone test CPT 84481 HC FREE ASSAY (FT-3) | $28.80 | $72.00 | $15.71–$72.00 | 47% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $32.00 | $80.00 | $8.36–$80.00 | 10% below | 60% |
| Free testosterone test CPT 84402 HC ASSAY OF FREE TESTOSTERONE | $136.00 | $340.00 | $23.61–$340.00 | 78% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT | $14.00 | $35.00 | $6.67–$35.00 | 54% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $25.20 | $63.00 | $11.93–$63.00 | 63% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $39.20 | $98.00 | $32.53–$98.00 | 31% below | 60% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - ANTIBODY | $50.80 | $127.00 | $15.63–$127.00 | 3% below | 60% |
| H. pylori stool antigen test CPT 87338 HC HPYLORI STOOL EIA - ANTIGEN | $81.20 | $203.00 | $13.33–$203.00 | 14% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT AND REVERSE TRANSCRIPTION | $155.20 | $388.00 | $78.89–$388.00 | 25% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY | $43.20 | $108.00 | $12.71–$108.00 | 2% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $18.80 | $47.00 | $9.00–$47.00 | 57% below | 60% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $8.80 | $22.00 | $2.19–$22.00 | 46% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL | $15.60 | $39.00 | $11.18–$39.00 | 65% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE ANTIBODY | $16.80 | $42.00 | $9.96–$42.00 | 61% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA | $12.80 | $32.00 | $9.58–$32.00 | 71% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $48.80 | $122.00 | $13.23–$122.00 | 17% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C REVERSE TRANSCRIPTION | $73.20 | $183.00 | $39.72–$183.00 | 55% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 | $24.80 | $62.00 | $12.23–$62.00 | 24% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 | $19.60 | $49.00 | $17.94–$49.00 | 49% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HS | $34.00 | $85.00 | $12.01–$85.00 | 12% above | 60% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $21.60 | $54.00 | $10.60–$54.00 | 55% below | 60% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $14.80 | $37.00 | $5.99–$37.00 | 56% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $19.20 | $48.00 | $8.11–$48.00 | 50% below | 60% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) | $32.00 | $80.00 | $17.17–$80.00 | 62% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $13.60 | $34.00 | $10.72–$34.00 | 76% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $13.60 | $34.00 | $5.60–$34.00 | 56% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $14.00 | $35.00 | $6.39–$35.00 | 64% below | 60% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $23.60 | $59.00 | $7.57–$59.00 | 64% below | 60% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $44.80 | $112.00 | $15.79–$112.00 | 11% below | 60% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $13.60 | $34.00 | $6.21–$34.00 | 59% below | 60% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $18.00 | $45.00 | $11.94–$45.00 | 53% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN | $24.80 | $62.00 | $4.80–$62.00 | 22% below | 60% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY | $20.00 | $50.00 | $12.10–$50.00 | 60% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PSA TOTAL | $44.00 | $110.00 | $17.05–$110.00 | 45% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $57.20 | $143.00 | $38.26–$143.00 | 58% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $16.80 | $42.00 | $5.57–$42.00 | 56% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS | $11.60 | $29.00 | $4.40–$29.00 | 56% below | 60% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $13.20 | $33.00 | $4.41–$33.00 | 51% below | 60% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $34.00 | $85.00 | $19.33–$85.00 | 61% below | 60% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $32.40 | $81.00 | $17.96–$81.00 | 65% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $16.40 | $41.00 | $3.98–$41.00 | 40% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $50.00 | $125.00 | $15.35–$125.00 | 73% above | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $14.00 | $35.00 | $15.33–$35.00 | 59% below | 60% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $36.80 | $92.00 | $20.38–$92.00 | 41% below | 60% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) | $22.40 | $56.00 | $5.00–$56.00 | 38% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $27.20 | $68.00 | $5.25–$68.00 | 14% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $31.20 | $78.00 | $13.34–$78.00 | 24% below | 60% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $12.40 | $31.00 | $4.46–$31.00 | 64% below | 60% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $20.80 | $52.00 | $8.25–$52.00 | 48% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES | $24.40 | $61.00 | $4.06–$61.00 | 12% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL | $15.20 | $38.00 | $3.96–$38.00 | 36% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $40.00 | $100.00 | $23.93–$100.00 | 52% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $61.60 | $154.00 | $13.49–$154.00 | 125% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $29.60 | $74.00 | $15.57–$74.00 | 50% below | 60% |
| Total IgE blood test CPT 82785 HC ASSAY OF IGE | $25.60 | $64.00 | $15.25–$64.00 | 49% below | 60% |
| Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL | $13.20 | $33.00 | $4.04–$33.00 | 51% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE | $16.00 | $40.00 | $6.37–$40.00 | 55% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY TRIIODOTHYRONINE (T3) | $32.80 | $82.00 | $13.14–$82.00 | 32% below | 60% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $14.80 | $37.00 | $11.82–$37.00 | 69% below | 60% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $16.40 | $41.00 | $5.33–$41.00 | 51% below | 60% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT | $16.80 | $42.00 | $11.56–$42.00 | 79% below | 60% |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID | $14.40 | $36.00 | $4.19–$36.00 | 51% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTO W/SCOPE | $17.60 | $44.00 | $3.73–$44.00 | 12% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $14.00 | $35.00 | $2.09–$35.00 | 7% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT | $32.00 | $80.00 | $7.48–$80.00 | 21% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE | $20.00 | $50.00 | $5.36–$50.00 | 34% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $22.40 | $56.00 | $7.98–$56.00 | 45% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $26.40 | $66.00 | $13.98–$66.00 | 59% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $67.60 | $169.00 | $27.44–$169.00 | 1% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D 1 25-DIHYDROXY | $38.00 | $95.00 | $35.69–$95.00 | 69% below | 60% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $26.80 | $67.00 | $10.56–$67.00 | 53% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN TEST QUANT | $20.80 | $52.00 | $13.96–$52.00 | 72% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLSD TX DIST FIB FX W/O MAN | $196.40 | $491.00 | $192.94–$491.00 | 11% above | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLSD TX METATAR FX W/O MAN | $154.40 | $386.00 | $192.94–$386.00 | 30% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $359.60 | $899.00 | $516.99–$899.00 | 39% below | 60% |
| Cervical biopsy CPT 57500 HC BIOPSY(S) OF CERVIX | $94.40 | $236.00 | $136.88–$236.00 | 90% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD TX DISTAL RADIAL FX W/O MAN | $199.20 | $498.00 | $192.94–$498.00 | 3% below | 60% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY(S) | $664.00 | $1,660.00 | $665.99–$1,660.00 | 49% below | 60% |
| Colonoscopy, diagnostic CPT 45378 HC DX COLONOSCOPY BRUSH WASH | $640.00 | $1,600.00 | $506.60–$1,600.00 | 39% below | 60% |
| Earwax removal with instruments, one ear one side CPT 69210 HC RMV IMPACTED EAR WAX REQ INST UNILAT | $45.60 | $114.00 | $46.14–$114.00 | 44% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DX SIGMOIDOSCOPY BRUSH WASH | $592.40 | $1,481.00 | $717.89–$1,481.00 | 23% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE | $118.40 | $296.00 | $156.93–$296.00 | 39% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $74.40 | $186.00 | $107.88–$186.00 | 59% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJ JNT/BURSA MAJOR WO US | $171.60 | $429.00 | $240.09–$429.00 | 32% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ JNT/BURSA INTERMED WO US | $171.60 | $429.00 | $240.09–$429.00 | 22% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ JNT/BURSA SMALL WO US | $56.00 | $140.00 | $81.20–$140.00 | 79% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR INTERM WND S/AX/T/EXT 2.5 < CM | $180.80 | $452.00 | $262.16–$452.00 | 26% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 < CM | $125.60 | $314.00 | $182.12–$314.00 | 68% below | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC B9+MARG F/E/E/N/L/MM 0.5 < CM | $125.60 | $314.00 | $182.12–$314.00 | 67% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $99.20 | $248.00 | $143.84–$248.00 | 42% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $162.80 | $407.00 | $236.06–$407.00 | 58% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABRANT BRST TISS OP 1+ LES | $777.20 | $1,943.00 | $1,126.94–$1,943.00 | 66% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SUBQ TISSUE SIMPLE | $82.00 | $205.00 | $118.90–$205.00 | 71% below | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND | $640.00 | $1,600.00 | $506.60–$1,600.00 | 34% below | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN HI RISK IND | $640.00 | $1,600.00 | $506.60–$1,600.00 | 34% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST | $85.20 | $213.00 | $123.54–$213.00 | 46% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT STATIC | $73.60 | $184.00 | $104.07–$184.00 | 48% below | 60% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $79.20 | $198.00 | $114.84–$198.00 | 56% below | 60% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT | $94.80 | $237.00 | $127.10–$237.00 | 35% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SPRFCL WND S/N/AX/GEN/T/EXT 2.5 < CM | $133.20 | $333.00 | $156.93–$333.00 | 27% below | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC SKIN MALIG <5MM TRUNKARMLEG | $252.40 | $631.00 | $365.98–$631.00 | 58% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAGS UP TO 15 LESIONS | $65.20 | $163.00 | $94.54–$163.00 | 50% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE-DIAGNOSTIC | $96.40 | $241.00 | $139.78–$953.00 | 79% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC | $381.20 | $953.00 | $139.78–$953.00 | 17% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SPRFCL WND S/N/AX/GEN/T/EXT 2.6-7.5 CM | $184.80 | $462.00 | $156.93–$462.00 | 6% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR SPRFCL WND F/E/E/N/L/MM 2.5 < CM | $151.60 | $379.00 | $156.93–$379.00 | 24% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $116.00 | $290.00 | $168.20–$290.00 | 35% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY BIOPSY(S) | $664.00 | $1,660.00 | $521.22–$1,660.00 | 43% below | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPE DX BRUSH WASH | $664.00 | $1,660.00 | $521.22–$1,660.00 | 32% below | 60% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC REMOVAL OF SPERM DUCT(S) | $683.20 | $1,708.00 | $990.64–$1,708.00 | 56% below | 60% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LESION 1-14 | $32.80 | $82.00 | $47.56–$82.00 | 80% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $218.00 | $545.00 | $316.10–$545.00 | 39% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $263.20 | $658.00 | $345.08–$658.00 | 34% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MINUTES | $514.40 | $1,286.00 | $646.12–$1,286.00 | 53% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $58.00 | $145.00 | $46.14–$145.00 | 37% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT LEVEL I | $83.20 | $208.00 | $65.96–$208.00 | 20% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT LEVEL II | $158.80 | $397.00 | $120.10–$397.00 | 21% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT LEVEL III | $253.20 | $633.00 | $213.52–$633.00 | 30% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT LEVEL IV | $442.80 | $1,107.00 | $326.39–$1,107.00 | 22% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT LEVEL V | $550.40 | $1,376.00 | $465.82–$1,376.00 | 32% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 50 MIN | $78.00 | $195.00 | $113.10–$195.00 | 51% below | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 50 MIN | $63.60 | $159.00 | $92.22–$159.00 | 53% below | 60% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $50.80 | $127.00 | $73.66–$127.00 | 57% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION 31-60 MIN | $154.00 | $385.00 | $166.38–$385.00 | 17% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 HC INFUSION UP TO 1 HR THERAPY | $154.00 | $385.00 | $166.38–$385.00 | 34% below | 60% |
| IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH INITIAL DRUG | $134.40 | $336.00 | $166.38–$336.00 | 4% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM | $47.20 | $118.00 | $56.32–$118.00 | 23% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $148.80 | $372.00 | $138.83–$372.00 | 14% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION 15 MIN GO | $26.00 | $65.00 | $27.49–$65.00 | 51% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION 15 MIN GP | $28.00 | $70.00 | $27.49–$70.00 | 47% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW LEVEL III | $82.40 | $206.00 | $63.33–$206.00 | 28% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW LEVEL IV | $112.00 | $280.00 | $103.60–$280.00 | 29% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW LEVEL V | $137.60 | $344.00 | $127.94–$344.00 | 27% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW LEVEL II | $71.20 | $178.00 | $36.53–$178.00 | 15% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVALUATION LOW COMPLEXITY - GO | $66.80 | $167.00 | $86.18–$167.00 | 48% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEXITY - GP | $62.00 | $155.00 | $84.14–$155.00 | 59% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEXITY - GP | $62.00 | $155.00 | $84.14–$155.00 | 51% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MODERATE COMPLEXITY - GP | $62.00 | $155.00 | $84.14–$155.00 | 52% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15 MIN GP | $26.00 | $65.00 | $23.34–$65.00 | 56% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES 15 MIN GP | $26.00 | $65.00 | $24.71–$65.00 | 53% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES 15 MIN GO | $26.00 | $65.00 | $24.71–$65.00 | 53% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT 30 MIN | $43.20 | $108.00 | $62.64–$108.00 | 52% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PT 45 MIN | $62.80 | $157.00 | $91.06–$157.00 | 55% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEVEL V | $125.60 | $314.00 | $111.49–$314.00 | 32% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEVEL III | $82.00 | $205.00 | $51.11–$205.00 | 25% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEVEL IV | $97.60 | $244.00 | $75.18–$244.00 | 27% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEVEL II | $58.00 | $145.00 | $27.58–$145.00 | 28% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULT-LEVEL 3 | $27.20 | $68.00 | $39.44–$68.00 | 79% below | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT-LEVEL 4 | $34.00 | $85.00 | $49.30–$85.00 | 79% below | 60% |
| Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND W LANGUAGE COMP GN | $160.00 | $400.00 | $160.00–$400.00 | 15% below | 60% |
| Speech therapy session, individual CPT 92507 HC SPEECH/LANG/VOICE THERAPY GN | $58.40 | $146.00 | $64.96–$146.00 | 54% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MIN GO | $34.00 | $85.00 | $29.26–$85.00 | 37% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MIN GP | $40.00 | $100.00 | $29.26–$100.00 | 26% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE | $32.12 | $80.29 | $17.22–$80.29 | 45% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA TRIVALENT VACCINE PF 0.5 ML SUSY 0.5 ML SYRINGE | $32.12 | $80.29 | $17.22–$80.29 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DEPHTHERIA TOXOIDS (ADULT) 5-2 LF/0.5ML SUSP 0.5 ML VIAL | $65.76 | $164.39 | $31.20–$164.39 | at median | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DEPHTHERIA TOXOIDS (ADULT) 5-2 LF/0.5ML SUSP 0.5 ML VIAL | $65.76 | $164.39 | $31.20–$164.39 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSY 0.5 ML SYRINGE | $71.66 | $179.16 | $70.98–$179.16 | 37% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSY 0.5 ML SYRINGE | $71.66 | $179.16 | $70.98–$179.16 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNE ADMIN 1 VAX/TOX | $40.80 | $102.00 | $56.32–$102.00 | 26% below | 60% |