Hospital

Appling Healthcare

Listed in its price file as “The Baxley and Appling County Hospital Authority”.

Appling Healthcare in Baxley, GA publishes cash prices for 183 common procedures listed here, from its own machine-readable price file updated Jul 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 119 of 178 procedures and above it for 55. By typical cash price it ranks #22 of 96 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

163 E. Tollison St., Baxley, GEORGIA 31513 Collected Oct 29, 2026 Source price file Check a bill from this hospital (912) 367-9841

Acute care hospital Government-owned hospital Emergency department CCN 110071 · CMS hospital register NPI 1861615304

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Appling Healthcare 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 Georgia	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,425.00	$1,900.00	$163.81–$1,624.50	25% below	25%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,425.00	$1,900.00	$1,654.90	—	25%
Abdominal X-ray, 2 views CPT 74019 KUB WITH OBLIQUE(S)	$177.75	$237.00	$97.64–$202.64	34% below	25%
Abdominal X-ray, 2 views inpatient CPT 74019 KUB WITH OBLIQUE(S)	$177.75	$237.00	$206.43	—	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 Views LT	$186.00	$248.00	$81.27–$212.04	31% below	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS LT	$195.38	$260.50	$81.27–$222.73	28% below	25%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS RT	$195.38	$260.50	$81.27–$222.73	28% below	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle 3 Views LT	$186.00	$248.00	$216.01	—	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS RT	$195.38	$260.50	$226.90	—	25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS LT	$195.38	$260.50	$226.90	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ART DOPP EXT BI 1-2 LEVELS	$152.63	$203.50	$122.10–$173.99	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ART DOPP EXT UNI LTD	$108.38	$144.50	$86.70–$161.54	67% below	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ART DOPP EXT BI 1-2 LEVELS	$152.63	$203.50	$177.25	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ART DOPP EXT UNI LTD	$108.38	$144.50	$125.86	—	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT W/O CONTRAST	$214.50	$286.00	$97.64–$650.00	80% below	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONT RT	$193.13	$257.50	$97.64–$650.00	82% below	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONT LT	$214.50	$286.00	$97.64–$650.00	80% below	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT W/O CONTRAST	$214.50	$286.00	$249.11	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONT RT	$193.13	$257.50	$224.28	—	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONT LT	$214.50	$286.00	$249.11	—	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$312.00	$416.00	$163.81–$355.68	9% below	25%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$312.00	$416.00	$362.34	—	25%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$501.75	$669.00	$373.36–$572.00	61% below	25%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$501.75	$669.00	$582.70	—	25%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$420.00	$560.00	$97.64–$478.80	at median	25%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$420.00	$560.00	$487.76	—	25%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$661.88	$882.50	$81.27–$754.54	90% above	25%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED	$661.88	$882.50	$768.66	—	25%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD & PELVIS	$2,850.00	$3,800.00	$325.83–$3,249.00	26% above	25%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD & PELVIS	$2,850.00	$3,800.00	$3,309.80	—	25%
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$2,212.88	$2,950.50	$163.81–$2,522.68	40% above	25%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD	$2,212.88	$2,950.50	$2,569.89	—	25%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W	$2,280.00	$3,040.00	$163.81–$2,599.20	35% above	25%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W	$2,280.00	$3,040.00	$2,647.84	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$2,508.00	$3,344.00	$163.81–$2,859.12	69% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$2,508.00	$3,344.00	$2,912.62	—	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING	$64.88	$86.50	$56.23–$650.00	35% below	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CALCIUM SCORING	$64.88	$86.50	$75.34	—	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONT	$5,812.88	$7,750.50	$222.84–$6,626.68	178% above	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONT	$5,812.88	$7,750.50	$6,750.69	—	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONT	$7,341.75	$9,789.00	$325.83–$8,369.60	204% above	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONT	$7,341.75	$9,789.00	$8,526.22	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W/WO CONT	$5,839.50	$7,786.00	$325.83–$6,657.03	99% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W/WO CONT	$5,839.50	$7,786.00	$6,781.61	—	25%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$1,665.30	$2,220.40	$163.81–$1,898.44	1% below	25%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST	$1,665.30	$2,220.40	$1,933.97	—	25%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$930.00	$1,240.00	$97.64–$1,060.20	26% below	25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$930.00	$1,240.00	$1,080.04	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONT	$741.38	$988.50	$97.64–$845.17	28% below	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTRAST	$741.38	$988.50	$97.64–$845.17	28% below	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O CONTRAST	$741.38	$988.50	$860.98	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONT	$741.38	$988.50	$860.98	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST	$311.63	$415.50	$97.64–$650.00	74% below	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTRAST	$311.63	$415.50	$361.90	—	25%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST	$977.25	$1,303.00	$163.81–$1,114.07	31% below	25%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST	$977.25	$1,303.00	$1,134.91	—	25%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$832.13	$1,109.50	$163.81–$948.62	55% below	25%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST	$832.13	$1,109.50	$966.37	—	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$2,620.88	$3,494.50	$97.64–$2,987.80	103% above	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST	$2,620.88	$3,494.50	$3,043.71	—	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST	$1,801.88	$2,402.50	$97.64–$2,054.14	50% above	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTRAST	$1,801.88	$2,402.50	$2,092.58	—	25%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$986.25	$1,315.00	$163.81–$1,124.33	38% below	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$986.25	$1,315.00	$1,145.37	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILAT	$235.50	$314.00	$188.40–$289.69	—	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER BILAT	$235.50	$314.00	$273.49	—	25%
Chest CT scan without and with contrast CPT 71270 CT CH/THORAX W/WO CON DIA	$997.88	$1,330.50	$163.81–$1,137.58	41% below	25%
Chest CT scan without and with contrast inpatient CPT 71270 CT CH/THORAX W/WO CON DIA	$997.88	$1,330.50	$1,158.87	—	25%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$175.88	$234.50	$81.27–$200.50	22% below	25%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$175.88	$234.50	$204.25	—	25%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$64.88	$86.50	$51.90–$105.65	62% below	25%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$64.88	$86.50	$75.34	—	25%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$116.25	$155.00	$81.27–$132.53	52% below	25%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$116.25	$155.00	$81.27–$132.53	52% below	25%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$116.25	$155.00	$135.01	—	25%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$116.25	$155.00	$135.01	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILATERAL	$760.88	$1,014.50	$97.64–$867.40	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL BILATERAL	$760.88	$1,014.50	$883.63	—	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP,PELVIS AND/OR SPINE	$78.75	$105.00	$63.00–$126.93	80% below	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA HIP,PELVIS AND/OR SPINE	$78.75	$105.00	$91.46	—	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CH/THORAX W/O CON DIAG	$1,621.13	$2,161.50	$97.64–$1,848.08	61% above	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CH/THORAX W/O CON DIAG	$1,621.13	$2,161.50	$1,882.67	—	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CH/THORAX W/CONT DIAG	$3,331.50	$4,442.00	$163.81–$3,797.91	116% above	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CH/THORAX W/CONT DIAG	$3,331.50	$4,442.00	$3,868.98	—	25%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT W/CAD	$640.50	$854.00	$512.40–$730.17	—	25%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILAT W/CAD	$640.50	$854.00	$743.83	—	25%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNIL/W CAD	$273.38	$364.50	$218.70–$311.65	12% above	25%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG UNIL/W CAD	$273.38	$364.50	$317.48	—	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART DUPLEX LOW EXT BI COM	$123.75	$165.00	$99.00–$289.69	—	25%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ART DUPLEX LOW EXT BI COM	$123.75	$165.00	$143.72	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX BI COMP	$402.00	$536.00	$222.84–$458.28	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BI COMP	$565.95	$754.60	$222.84–$645.18	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX BI COMP	$402.00	$536.00	$466.86	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER BI COMP	$565.95	$754.60	$657.26	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY COMP	$1,027.50	$1,370.00	$510.32–$1,171.35	34% below	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE	$1,179.75	$1,573.00	$510.32–$1,344.92	24% below	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY COMP	$1,027.50	$1,370.00	$1,193.27	—	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMPLETE	$1,179.75	$1,573.00	$1,370.08	—	25%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$82.50	$110.00	$66.00–$105.65	57% below	25%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT	$82.50	$110.00	$66.00–$105.65	57% below	25%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT	$82.50	$110.00	$95.81	—	25%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT	$82.50	$110.00	$95.81	—	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS LT	$260.25	$347.00	$81.27–$296.69	at median	25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS RT	$260.25	$347.00	$81.27–$296.69	at median	25%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS LT	$260.25	$347.00	$302.24	—	25%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS RT	$260.25	$347.00	$302.24	—	25%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT,SELLA, EAR W/O CONT	$923.25	$1,231.00	$97.64–$1,052.51	14% below	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT,SELLA, EAR W/O CONT	$923.25	$1,231.00	$1,072.20	—	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$192.00	$256.00	$97.64–$218.88	37% below	25%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VIEWS	$192.00	$256.00	$222.98	—	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LT	$260.25	$347.00	$81.27–$296.69	19% above	25%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RT	$260.25	$347.00	$81.27–$296.69	19% above	25%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LT	$260.25	$347.00	$302.24	—	25%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RT	$260.25	$347.00	$302.24	—	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA GALLBLADDER	$1,318.88	$1,758.50	$373.36–$1,503.52	3% above	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA GALLBLADDER	$1,318.88	$1,758.50	$1,531.65	—	25%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$214.50	$286.00	$97.64–$244.53	at median	25%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$214.50	$286.00	$97.64–$244.53	at median	25%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$214.50	$286.00	$249.11	—	25%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$214.50	$286.00	$249.11	—	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2 VIEWS LT	$138.00	$184.00	$81.27–$157.32	33% below	25%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2 VIEWS RT	$138.00	$184.00	$81.27–$157.32	33% below	25%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2 VIEWS RT	$138.00	$184.00	$160.26	—	25%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2 VIEWS LT	$138.00	$184.00	$160.26	—	25%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$416.63	$555.50	$81.27–$474.95	74% above	25%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$416.63	$555.50	$81.27–$474.95	74% above	25%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$416.63	$555.50	$483.84	—	25%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$416.63	$555.50	$483.84	—	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP/4 VIEWS OR MORE RT	$477.00	$636.00	$97.64–$543.78	75% above	25%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP/4 VIEWS OR MORE LT	$477.00	$636.00	$97.64–$543.78	75% above	25%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP/4 VIEWS OR MORE LT	$477.00	$636.00	$553.96	—	25%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP/4 VIEWS OR MORE RT	$477.00	$636.00	$553.96	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix	$300.30	$400.40	$97.64–$342.34	39% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$300.30	$400.40	$97.64–$342.34	39% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$300.30	$400.40	$97.64–$342.34	39% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$480.38	$640.50	$97.64–$547.63	2% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$480.38	$640.50	$97.64–$547.63	2% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$480.38	$640.50	$97.64–$547.63	2% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$300.30	$400.40	$348.75	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$300.30	$400.40	$348.75	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix	$300.30	$400.40	$348.75	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$480.38	$640.50	$557.88	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$480.38	$640.50	$557.88	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$480.38	$640.50	$557.88	—	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US NONVAS EXT LIMITED	$475.50	$634.00	$97.64–$542.07	11% above	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US NONVAS EXT LIMITED	$475.50	$634.00	$552.21	—	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN F-LUNG CA	$116.25	$155.00	$97.64–$650.00	54% below	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT SCAN F-LUNG CA	$116.25	$155.00	$135.01	—	25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA LT	$260.25	$347.00	$81.27–$296.69	9% above	25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA AND FIBULA RT	$260.25	$347.00	$81.27–$296.69	9% above	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA AND FIBULA RT	$260.25	$347.00	$302.24	—	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA AND FIBULA LT	$260.25	$347.00	$302.24	—	25%
MR angiography (MRA) of the head without contrast CPT 70544 MRV, Head w/o Contrast	$1,098.29	$1,464.38	$222.84–$1,252.04	29% below	25%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O CONTRAST	$1,098.29	$1,464.38	$222.84–$1,252.04	29% below	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV, Head w/o Contrast	$1,098.29	$1,464.38	$1,275.48	—	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN W/O CONTRAST	$1,098.29	$1,464.38	$1,275.48	—	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-LOWER EXT JNT WO	$2,376.38	$3,168.50	$222.84–$2,709.07	57% above	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-LOWER EXT JNT WO	$2,376.38	$3,168.50	$2,759.76	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JT W/WO CONT	$1,224.00	$1,632.00	$325.83–$1,395.36	51% below	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXT JT W/WO CONT	$1,224.00	$1,632.00	$1,421.47	—	25%
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONTRAST	$1,936.50	$2,582.00	$222.84–$2,207.61	5% above	25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN W/O CONTRAST	$1,936.50	$2,582.00	$2,248.92	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO	$2,672.25	$3,563.00	$325.83–$3,046.37	26% above	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN W/WO	$2,672.25	$3,563.00	$3,103.37	—	25%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$1,517.63	$2,023.50	$222.84–$1,730.09	1% above	25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$1,517.63	$2,023.50	$1,762.47	—	25%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$4,285.13	$5,713.50	$325.83–$4,885.04	79% above	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$4,285.13	$5,713.50	$4,976.46	—	25%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$2,611.13	$3,481.50	$222.84–$2,976.68	52% above	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONT	$2,611.13	$3,481.50	$3,032.39	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONT	$2,497.50	$3,330.00	$325.83–$2,847.15	5% above	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W/WO CONT	$2,497.50	$3,330.00	$2,900.43	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE CANAL W/O CON	$4,267.13	$5,689.50	$222.84–$4,864.52	142% above	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE CANAL W/O CON	$4,267.13	$5,689.50	$4,955.55	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE CANAL W/WO CON	$2,409.75	$3,213.00	$325.83–$2,747.12	1% above	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE CANAL W/WO CON	$2,409.75	$3,213.00	$2,798.52	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT	$4,390.13	$5,853.50	$222.84–$5,004.74	149% above	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONT	$4,390.13	$5,853.50	$5,098.40	—	25%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$2,465.25	$3,287.00	$325.83–$2,810.39	16% above	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$2,465.25	$3,287.00	$2,862.98	—	25%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,787.25	$2,383.00	$222.84–$2,037.47	4% above	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$1,787.25	$2,383.00	$2,075.59	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPP EXT JNT W/O CONT	$1,568.25	$2,091.00	$222.84–$1,787.81	1% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPP EXT JNT W/O CONT	$1,568.25	$2,091.00	$1,821.26	—	25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE MIN 4 VIEWS	$631.50	$842.00	$97.64–$719.91	50% above	25%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE MIN 4 VIEWS	$631.50	$842.00	$733.38	—	25%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CON	$2,382.38	$3,176.50	$163.81–$2,715.91	56% above	25%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CON	$2,382.38	$3,176.50	$2,766.73	—	25%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CON	$706.88	$942.50	$97.64–$805.84	28% below	25%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CON	$706.88	$942.50	$820.92	—	25%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK	$70.88	$94.50	$56.70–$105.65	65% below	25%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK	$70.88	$94.50	$82.31	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC SPECT	$2,484.75	$3,313.00	$1,209.12–$2,832.62	14% below	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC SPECT	$2,484.75	$3,313.00	$2,885.62	—	25%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$313.50	$418.00	$97.64–$650.00	75% below	25%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$313.50	$418.00	$364.08	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED (NON-OB)	$212.25	$283.00	$97.64–$241.97	36% below	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED (NON-OB)	$212.25	$283.00	$246.49	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE (NON-OB)	$356.63	$475.50	$97.64–$406.55	26% below	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE (NON-OB)	$356.63	$475.50	$414.16	—	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WKS FIRST GEST	$212.25	$283.00	$97.64–$241.97	61% below	25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WKS FIRST GEST	$212.25	$283.00	$246.49	—	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB FIRST TRI SINGLE GEST	$173.63	$231.50	$97.64–$197.93	64% below	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB FIRST TRI SINGLE GEST	$173.63	$231.50	$201.64	—	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$212.25	$283.00	$97.64–$241.97	26% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$212.25	$283.00	$246.49	—	25%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS UNI RT	$64.88	$86.50	$51.90–$105.65	72% below	25%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS UNI LT	$127.88	$170.50	$81.27–$145.78	44% below	25%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS UNI RT	$64.88	$86.50	$75.34	—	25%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS UNI LT	$127.88	$170.50	$148.51	—	25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS MIN 3V W/ PA CHEST LT	$104.63	$139.50	$83.70–$126.93	65% below	25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS MIN 3V W/PA CHEST RT	$147.47	$196.63	$97.64–$168.12	51% below	25%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS MIN 3V W/ PA CHEST LT	$104.63	$139.50	$121.50	—	25%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS MIN 3V W/PA CHEST RT	$147.47	$196.63	$171.26	—	25%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BI W/CAD	$309.00	$412.00	$247.20–$352.26	—	25%
Screening mammogram, both breasts CPT 77067 MAMMO SCREEN SPECIAL	$193.20	$257.60	$154.56–$220.25	14% below	25%
Screening mammogram, both breasts CPT 77067 CAD SCREENING MAMMO	$193.20	$257.60	$154.56–$220.25	14% below	25%
Screening mammogram, both breasts one side CPT 77067 MAMMO 2D SCREENING RT	$270.00	$360.00	$216.00–$307.80	20% above	25%
Screening mammogram, both breasts one side CPT 77067 MAMMO 2D SCREENING LT	$270.00	$360.00	$216.00–$307.80	20% above	25%
Screening mammogram, both breasts one side CPT 77067 MAMMO 3D SCREENING LT	$292.50	$390.00	$234.00–$333.45	30% above	25%
Screening mammogram, both breasts one side CPT 77067 MAMMO 3D SCREENING RT	$292.50	$390.00	$234.00–$333.45	30% above	25%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING BI W/CAD	$309.00	$412.00	$358.85	—	25%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN SPECIAL	$193.20	$257.60	$224.37	—	25%
Screening mammogram, both breasts inpatient CPT 77067 CAD SCREENING MAMMO	$193.20	$257.60	$224.37	—	25%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO 2D SCREENING LT	$270.00	$360.00	$313.56	—	25%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO 2D SCREENING RT	$270.00	$360.00	$313.56	—	25%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO 3D SCREENING RT	$292.50	$390.00	$339.69	—	25%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO 3D SCREENING LT	$292.50	$390.00	$339.69	—	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEW RT	$416.63	$555.50	$81.27–$474.95	92% above	25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS LT	$416.63	$555.50	$81.27–$474.95	92% above	25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEW RT	$416.63	$555.50	$483.84	—	25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEWS LT	$416.63	$555.50	$483.84	—	25%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEWS	$392.25	$523.00	$81.27–$447.17	17% above	25%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEWS	$392.25	$523.00	$455.53	—	25%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LTD LESS THAN 4 VIEWS	$165.00	$220.00	$97.64–$188.10	22% below	25%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LTD LESS THAN 4 VIEWS	$165.00	$220.00	$191.62	—	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW (MODIFIED)	$210.75	$281.00	$163.81–$240.26	35% below	25%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW (MODIFIED)	$210.75	$281.00	$244.75	—	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT	$82.50	$110.00	$66.00–$105.65	63% below	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LT	$82.50	$110.00	$66.00–$105.65	63% below	25%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LT	$82.50	$110.00	$95.81	—	25%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT	$82.50	$110.00	$95.81	—	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$2,637.00	$3,516.00	$97.64–$3,006.18	105% above	25%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST	$2,637.00	$3,516.00	$3,062.44	—	25%
Toe X-ray, 2 or more views one side CPT 73660 TOES(S) MIN 2 VIEWS LT	$116.25	$155.00	$81.27–$132.53	36% below	25%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) MIN 2 VIEWS RT	$116.25	$155.00	$81.27–$132.53	36% below	25%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) MIN 2 VIEWS RT	$116.25	$155.00	$135.01	—	25%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES(S) MIN 2 VIEWS LT	$116.25	$155.00	$135.01	—	25%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL (NON-OB)	$339.75	$453.00	$97.64–$387.32	30% below	25%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL (NON-OB)	$339.75	$453.00	$394.56	—	25%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$122.25	$163.00	$97.64–$139.37	68% below	25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$122.25	$163.00	$141.97	—	25%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$356.63	$475.50	$97.64–$406.55	51% below	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$356.63	$475.50	$414.16	—	25%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$403.13	$537.50	$97.64–$459.56	33% below	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$403.13	$537.50	$468.16	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID OR SOFT TISS NECK/H	$360.38	$480.50	$97.64–$410.83	41% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID OR SOFT TISS NECK/H	$360.38	$480.50	$418.52	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST W/KUB	$389.25	$519.00	$163.81–$443.75	1% below	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST W/SBFT	$453.75	$605.00	$163.81–$517.28	16% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTRAST W/KUB	$389.25	$519.00	$452.05	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTRAST W/SBFT	$453.75	$605.00	$526.96	—	25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$127.88	$170.50	$81.27–$145.78	46% below	25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$127.88	$170.50	$81.27–$145.78	46% below	25%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$127.88	$170.50	$148.51	—	25%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$127.88	$170.50	$148.51	—	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DUPLEX UNI OR LTD	$1,131.75	$1,509.00	$97.64–$1,290.20	90% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS DUPLEX UNI OR LTD	$1,131.75	$1,509.00	$1,314.34	—	25%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT	$104.63	$139.50	$81.27–$119.27	45% below	25%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT	$116.25	$155.00	$81.27–$132.53	39% below	25%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT	$104.63	$139.50	$121.50	—	25%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT	$116.25	$155.00	$135.01	—	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$115.50	$154.00	$81.27–$131.67	51% below	25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$115.50	$154.00	$81.27–$131.67	51% below	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS RT	$115.50	$154.00	$134.13	—	25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS LT	$115.50	$154.00	$134.13	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP MIN 2 VIEWS	$184.88	$246.50	$81.27–$210.76	2% below	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 INFANT PELVIS/HIP MIN 2 VIEWS	$260.40	$347.20	$81.27–$296.86	38% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS LT	$184.88	$246.50	$81.27–$210.76	2% below	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP MIN 2 VIEWS	$184.88	$246.50	$214.70	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 INFANT PELVIS/HIP MIN 2 VIEWS	$260.40	$347.20	$302.41	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS LT	$184.88	$246.50	$214.70	—	25%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN ONE VIEW	$65.75	$87.66	$52.60–$105.65	69% below	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN ONE VIEW	$65.75	$87.66	$76.35	—	25%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$116.25	$155.00	$81.27–$132.53	45% below	25%
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 Views RT	$116.25	$155.00	$81.27–$132.53	45% below	25%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$116.25	$155.00	$81.27–$132.53	45% below	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$116.25	$155.00	$135.01	—	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$116.25	$155.00	$135.01	—	25%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle 2 Views RT	$116.25	$155.00	$135.01	—	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$260.25	$347.00	$81.27–$296.69	32% above	25%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS(S) MIN 2 VIEWS LT	$260.25	$347.00	$81.27–$296.69	32% above	25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS(S) MIN 2 VIEWS LT	$260.25	$347.00	$302.24	—	25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$260.25	$347.00	$302.24	—	25%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$104.63	$139.50	$81.27–$119.27	44% below	25%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$116.25	$155.00	$81.27–$132.53	37% below	25%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$104.63	$139.50	$121.50	—	25%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT	$116.25	$155.00	$135.01	—	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS RT	$416.63	$555.50	$81.27–$474.95	61% above	25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS LT	$416.63	$555.50	$81.27–$474.95	61% above	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS LT	$416.63	$555.50	$483.84	—	25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS RT	$416.63	$555.50	$483.84	—	25%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS LT	$195.38	$260.50	$81.27–$222.73	8% below	25%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS RT	$195.38	$260.50	$81.27–$222.73	8% below	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS RT	$195.38	$260.50	$226.90	—	25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS LT	$195.38	$260.50	$226.90	—	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LT	$260.25	$347.00	$81.27–$296.69	32% above	25%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RT	$260.25	$347.00	$81.27–$296.69	32% above	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT	$260.25	$347.00	$302.24	—	25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT	$260.25	$347.00	$302.24	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS	$645.00	$860.00	$97.64–$735.30	89% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS	$645.00	$860.00	$749.06	—	25%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEWS	$870.75	$1,161.00	$97.64–$992.66	87% above	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4 VIEWS	$870.75	$1,161.00	$1,011.23	—	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS	$204.75	$273.00	$97.64–$233.42	23% below	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS	$204.75	$273.00	$237.78	—	25%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$151.50	$202.00	$81.27–$172.71	36% below	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VIEWS	$151.50	$202.00	$175.94	—	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS	$499.88	$666.50	$81.27–$569.86	75% above	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2-3 VIEWS	$499.88	$666.50	$580.52	—	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS	$78.75	$105.00	$63.00–$126.93	62% below	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS	$78.75	$105.00	$91.46	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 3 VIEWS	$398.25	$531.00	$81.27–$454.01	52% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 3 VIEWS	$398.25	$531.00	$462.50	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT)P5P/Nash #13	$12.00	$16.00	$9.60–$13.68	62% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCV COMP #6	$12.00	$16.00	$9.60–$13.68	62% below	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(SGPT)P5P/Nash #13	$12.00	$16.00	$13.94	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCV COMP #6	$12.00	$16.00	$13.94	—	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST,SGPT,P5P/Nash #14	$69.00	$92.00	$55.20–$78.66	121% above	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST,SGPT,P5P/Nash #14	$69.00	$92.00	$80.13	—	25%
Aldosterone blood test CPT 82088 ALDOSTERONE/RENIN RATIO PT 1	$191.25	$255.00	$153.00–$218.03	17% above	25%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/RENIN RATIO PT 1	$191.25	$255.00	$222.11	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 6	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 EON2-IGE MOUSE URINE	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COMPONENT 23	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COMPONENT 22	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COMPONENT 21	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COMPONENT 20	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F253-IgE PINE NUT,PIGNOLES	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE PISTACHIO NUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE WALNUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE CASHEW NUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE PECAN NUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE ALMOND	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F018-IgE BRAZIL NUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE HAZELNUT(FILBERT)	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE PEANUT	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGEN COMP 13	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 12	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 11	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGEN COMP 10	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 9	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 8	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 7	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 6	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 5	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 4	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 3	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 SEASONAL ALLERGENS COMP 2	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ANTIPROTHROMBIN ANTIBODYD, IGG	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COMPONENT 19	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 18	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 17	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 16	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 15	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 14	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 13	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 12	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 11	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 10	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 9	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COM 8	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 7	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 5	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 4	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 3	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 2	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS COMP 1	$12.00	$16.00	$9.60–$13.68	57% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FLAVUS AB,IgE	$33.75	$45.00	$27.00–$38.48	20% above	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 11	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 3	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 3	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 4	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 4	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 5	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 6	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 5	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 7	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 8	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 6	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 9	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EON2-IGE MOUSE URINE	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGEN COMP 10	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE PECAN NUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COMPONENT 19	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE CASHEW NUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COMPONENT 23	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 7	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COMPONENT 22	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 11	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 12	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COM 8	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGEN COMP 13	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 14	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COMPONENT 21	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANTIPROTHROMBIN ANTIBODYD, IGG	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE PEANUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 9	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE HAZELNUT(FILBERT)	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 15	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 16	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 2	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 17	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 1	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COMPONENT 20	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 13	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F253-IgE PINE NUT,PIGNOLES	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 18	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE PISTACHIO NUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 12	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE WALNUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F018-IgE BRAZIL NUT	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS COMP 10	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE ALMOND	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEASONAL ALLERGENS COMP 2	$12.00	$16.00	$13.94	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FLAVUS AB,IgE	$33.75	$45.00	$39.20	—	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PROBNP	$73.61	$98.15	$58.89–$83.92	39% below	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP	$73.61	$98.15	$85.49	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, MOUTH	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPINAL FLUID	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$20.25	$27.00	$16.20–$23.09	74% below	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NOSE	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPINAL FLUID	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, MOUTH	$20.25	$27.00	$23.52	—	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR	$20.25	$27.00	$23.52	—	25%
Bilirubin blood test, total CPT 82247 Bilirubin, Total/Nash #11	$11.25	$15.00	$9.00–$12.83	74% below	25%
Bilirubin blood test, total CPT 82247 HCV COMP #2	$11.25	$15.00	$9.00–$12.83	74% below	25%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total/Nash #11	$11.25	$15.00	$13.07	—	25%
Bilirubin blood test, total inpatient CPT 82247 HCV COMP #2	$11.25	$15.00	$13.07	—	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY LEVEL IV	$83.63	$111.50	$48.67–$95.33	1% below	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY LEVEL IV	$83.63	$111.50	$97.12	—	25%
Blood glucose (sugar) test CPT 82947 Glucose/Nash#16	$16.50	$22.00	$13.20–$18.81	55% below	25%
Blood glucose (sugar) test inpatient CPT 82947 Glucose/Nash#16	$16.50	$22.00	$19.16	—	25%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFFICILE TOXIN GENE NAA,PCR	$60.75	$81.00	$48.60–$69.26	31% below	25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFFICILE TOXIN GENE NAA,PCR	$60.75	$81.00	$70.55	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS(COVID-19)NAA	$38.63	$51.50	$30.90–$44.03	55% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIR(COVID-19)NAA (LC)	$48.34	$64.45	$38.67–$55.10	44% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIR(COVID-19)NAA	$75.00	$100.00	$60.00–$85.50	13% below	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS(COVID-19)NAA	$38.63	$51.50	$44.86	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIR(COVID-19)NAA (LC)	$48.34	$64.45	$56.14	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIR(COVID-19)NAA	$75.00	$100.00	$87.10	—	25%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$12.00	$16.00	$9.60–$13.68	60% below	25%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM	$12.00	$16.00	$13.94	—	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 TRIGLYCERIDES NMR DERIVED	$25.11	$33.48	$20.09–$28.63	67% below	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 TRIGLYCERIDES NMR DERIVED	$25.11	$33.48	$29.16	—	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone	$30.00	$40.00	$24.00–$34.20	77% below	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine, Urine	$47.25	$63.00	$37.80–$53.87	63% below	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone	$30.00	$40.00	$34.84	—	25%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine, Urine	$47.25	$63.00	$54.87	—	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRAL ANTIG IgM	$16.50	$22.00	$13.20–$18.81	77% below	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$34.50	$46.00	$27.60–$39.33	52% below	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA COMP #2	$34.50	$46.00	$27.60–$39.33	52% below	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA #2CO	$34.50	$46.00	$27.60–$39.33	52% below	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRAL ANTIG IgM	$16.50	$22.00	$19.16	—	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA COMP #2	$34.50	$46.00	$40.07	—	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA #2CO	$34.50	$46.00	$40.07	—	25%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA	$34.50	$46.00	$40.07	—	25%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,FECAL	$49.50	$66.00	$39.60–$56.43	78% below	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,FECAL	$49.50	$66.00	$57.49	—	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$25.50	$34.00	$20.40–$29.07	66% below	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$25.50	$34.00	$29.61	—	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCV COMP #3	$16.50	$22.00	$13.20–$18.81	65% below	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/Nash #12	$18.75	$25.00	$15.00–$21.38	60% below	25%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCV COMP #3	$16.50	$22.00	$19.16	—	25%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT/Nash #12	$18.75	$25.00	$21.78	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 #2 Neiss.gonor, NAA	$26.25	$35.00	$21.00–$29.93	68% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 #2 Neiss.gonor, NAA	$26.25	$35.00	$30.49	—	25%
H. pylori antibody blood test CPT 86677 H.PYLORI,IgG ABS	$33.75	$45.00	$27.00–$38.48	74% below	25%
H. pylori antibody blood test CPT 86677 H.PYLORI,IgM ABS	$33.75	$45.00	$27.00–$38.48	74% below	25%
H. pylori antibody blood test CPT 86677 H.PYLORI,IgA ABS	$33.75	$45.00	$27.00–$38.48	74% below	25%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI,IgM ABS	$33.75	$45.00	$39.20	—	25%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI,IgG ABS	$33.75	$45.00	$39.20	—	25%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI,IgA ABS	$33.75	$45.00	$39.20	—	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 QUANT, RNA PCR REFLEX	$159.56	$212.75	$127.65–$181.90	53% below	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,PCR(GRAPH)RFX/GEN	$236.25	$315.00	$189.00–$269.33	31% below	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 QUANT, RNA PCR REFLEX	$159.56	$212.75	$185.31	—	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA,PCR(GRAPH)RFX/GEN	$236.25	$315.00	$274.37	—	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 QUAL RNA REFLEX	$80.25	$107.00	$64.20–$91.49	26% below	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 QUAL RNA REFLEX	$80.25	$107.00	$93.20	—	25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus Scr HPV	$30.00	$40.00	$24.00–$34.20	74% below	25%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papillomavirus Scr HPV	$30.00	$40.00	$34.84	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C WITH eAG ESTIMATION	$22.50	$30.00	$18.00–$25.65	58% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C WITH eAG ESTIMATION	$22.50	$30.00	$26.13	—	25%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1(COMPONENT)	$30.75	$41.00	$24.60–$35.06	54% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG ANTIBODIES	$30.75	$41.00	$24.60–$35.06	54% below	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG ANTIBODIES	$30.75	$41.00	$35.71	—	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1(COMPONENT)	$30.75	$41.00	$35.71	—	25%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2IgG (COMP)	$57.75	$77.00	$46.20–$65.84	7% below	25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG ANTIBODIES	$57.75	$77.00	$46.20–$65.84	7% below	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG ANTIBODIES	$57.75	$77.00	$67.07	—	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 1/2IgG (COMP)	$57.75	$77.00	$67.07	—	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH ISOENZYME COMP #1	$9.80	$13.06	$7.84–$11.17	80% below	25%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH ISOENZYME COMP #1	$9.80	$13.06	$11.38	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE,BODY FLUID	$96.08	$128.10	$76.86–$109.53	at median	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE,BODY FLUID	$96.08	$128.10	$111.58	—	25%
Lyme disease antibody test CPT 86618 LYME TOTAL ANTIBODY CIA	$31.94	$42.58	$25.55–$36.41	69% below	25%
Lyme disease antibody test CPT 86618 LYME IGM REFLEX CHG	$31.94	$42.58	$25.55–$36.41	69% below	25%
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL ANTIBODY CIA	$31.94	$42.58	$37.09	—	25%
Lyme disease antibody test inpatient CPT 86618 LYME IGM REFLEX CHG	$31.94	$42.58	$37.09	—	25%
Magnesium blood test CPT 83735 MAGNESIUM,RBC	$8.12	$10.83	$6.50–$9.26	82% below	25%
Magnesium blood test inpatient CPT 83735 MAGNESIUM,RBC	$8.12	$10.83	$9.43	—	25%
Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOAL ABs IgG	$24.15	$32.20	$19.32–$27.53	70% below	25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB - MMR PART 3	$27.00	$36.00	$21.60–$30.78	66% below	25%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES RUBEOAL ABs IgG	$24.15	$32.20	$28.05	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB - MMR PART 3	$27.00	$36.00	$31.36	—	25%
Mumps immunity blood test CPT 86735 Mumps Antibodies IgG	$24.47	$32.62	$19.57–$27.89	56% below	25%
Mumps immunity blood test CPT 86735 MUMPS AB - MMR PART 1	$30.75	$41.00	$24.60–$35.06	44% below	25%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG	$24.47	$32.62	$28.41	—	25%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB - MMR PART 1	$30.75	$41.00	$35.71	—	25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap smear (LB) liquid based pr	$51.00	$68.00	$40.80–$58.14	at median	25%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap smear (LB) liquid based pr	$51.00	$68.00	$59.23	—	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOSPHOLIPID COMP 5	$14.25	$19.00	$11.40–$16.25	71% below	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOSPHOLIPID COMP 5	$14.25	$19.00	$16.55	—	25%
Renin blood test CPT 84244 ALDOSTERONE/RENIN RATIO PT 2	$118.50	$158.00	$94.80–$135.09	13% above	25%
Renin blood test inpatient CPT 84244 ALDOSTERONE/RENIN RATIO PT 2	$118.50	$158.00	$137.62	—	25%
Rheumatoid factor (RF) test CPT 86431 SLE PART 7	$13.50	$18.00	$10.80–$15.39	82% below	25%
Rheumatoid factor (RF) test inpatient CPT 86431 SLE PART 7	$13.50	$18.00	$15.68	—	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES,IgG	$26.98	$35.97	$21.58–$30.75	61% below	25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB - MMR PART 2	$30.00	$40.00	$24.00–$34.20	57% below	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES,IgG	$26.98	$35.97	$31.33	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB - MMR PART 2	$30.00	$40.00	$34.84	—	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES SCREEN	$9.00	$12.00	$7.20–$10.26	76% below	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES SCREEN	$9.00	$12.00	$10.45	—	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR FTA-ABS REFLEX	$24.83	$33.10	$19.86–$28.30	63% below	25%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR FTA-ABS REFLEX	$24.83	$33.10	$28.83	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD Plus	$57.38	$76.50	$45.90–$65.41	65% below	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD Plus	$57.38	$76.50	$66.63	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 CAH-TESTOSTER,SERUM(TOTAL)	$211.68	$282.24	$169.34–$241.32	61% above	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CAH-TESTOSTER,SERUM(TOTAL)	$211.68	$282.24	$245.83	—	25%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E,TOTAL	$27.00	$36.00	$21.60–$30.78	64% below	25%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E,TOTAL	$27.00	$36.00	$31.36	—	25%
Total cholesterol blood test CPT 82465 Cholesterol, Total/Nash#16	$25.50	$34.00	$20.40–$29.07	11% below	25%
Total cholesterol blood test inpatient CPT 82465 Cholesterol, Total/Nash#16	$25.50	$34.00	$29.61	—	25%
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA	$65.25	$87.00	$52.20–$74.39	28% below	25%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA	$65.25	$87.00	$75.78	—	25%
Triglycerides blood test CPT 84478 Triglycerides/Nash #17	$89.25	$119.00	$71.40–$101.75	124% above	25%
Triglycerides blood test inpatient CPT 84478 Triglycerides/Nash #17	$89.25	$119.00	$103.65	—	25%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY,URINALYSIS	$13.50	$18.00	$10.80–$15.39	63% below	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY,URINALYSIS	$13.50	$18.00	$15.68	—	25%
Urinalysis without microscope exam, manual CPT 81002 ACETONE,BLOOD	$13.50	$18.00	$10.80–$15.39	63% below	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE,BLOOD	$13.50	$18.00	$15.68	—	25%
Urine culture for bacteria, with colony count CPT 87086 COLONY COUNT	$11.60	$15.47	$9.28–$13.23	86% below	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 COLONY COUNT	$11.60	$15.47	$13.47	—	25%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN,RANDOM URINE	$12.75	$17.00	$10.20–$14.54	77% below	25%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN,RANDOM URINE	$12.75	$17.00	$14.81	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY, D2+D3	$75.08	$100.10	$60.06–$85.59	19% below	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY, D2+D3	$75.08	$100.10	$87.19	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Incision and drainage of a simple or single skin abscess CPT 10060 ABCESS DRAINAGE,SIMPLE	$225.00	$300.00	$187.38–$1,100.00	63% below	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABCESS DRAINAGE,SIMPLE	$225.00	$300.00	$261.30	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT	$459.00	$612.00	$286.68–$579.00	49% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION MAJOR JOINT	$459.00	$612.00	$533.05	—	25%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/ IMAGE GUID	$658.50	$878.00	$570.70–$1,233.42	58% below	25%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/ IMAGE GUID	$658.50	$878.00	$764.74	—	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$501.75	$669.00	$434.85–$857.01	60% below	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$501.75	$669.00	$582.70	—	25%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis w/Imag Guidance	$771.75	$1,029.00	$585.86–$879.80	45% below	25%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis w/Imag Guidance	$771.75	$1,029.00	$896.26	—	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy Breast W/ USG Clip (1)	$2,528.25	$3,371.00	$900.00–$2,882.21	15% above	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy Breast W/ USG Clip (1)	$2,528.25	$3,371.00	$2,936.14	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$81.00	$108.00	$64.80–$262.16	94% below	25%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$81.00	$108.00	$94.07	—	25%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE EDUCATION 15 MIN	$32.48	$43.31	$28.15–$90.00	50% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED 15 MIN	$39.00	$52.00	$33.80–$90.00	40% below	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE EDUCATION 15 MIN	$32.48	$43.31	$37.72	—	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED 15 MIN	$39.00	$52.00	$45.29	—	25%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL,LOW COMPLEX,30 MIN	$170.63	$227.50	$90.00–$194.51	at median	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL,LOW COMPLEX,30 MIN	$170.63	$227.50	$198.15	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL, HIGH COMPLEX,45 MIN	$121.17	$161.56	$90.00–$138.13	42% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL, HIGH COMPLEX,45 MIN	$121.17	$161.56	$140.72	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL, LOW COMPLEX,20 MIN	$101.63	$135.50	$88.08–$115.85	42% below	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL, LOW COMPLEX,20 MIN	$101.63	$135.50	$118.02	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL, MODER COMP, 30MIN	$78.38	$104.50	$67.93–$90.00	56% below	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL, MODER COMP, 30MIN	$78.38	$104.50	$91.02	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN	$119.63	$159.50	$90.00–$136.37	23% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN	$119.63	$159.50	$138.92	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROC 15 MIN	$60.75	$81.00	$52.65–$90.00	20% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX 15 MIN	$102.00	$136.00	$88.40–$116.28	35% above	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROC 15 MIN	$60.75	$81.00	$70.55	—	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX 15 MIN	$102.00	$136.00	$118.46	—	25%
Speech and language evaluation CPT 92523 EVAL LANGUAGE COMPREH	$414.75	$553.00	$90.00–$472.82	70% above	25%
Speech and language evaluation inpatient CPT 92523 EVAL LANGUAGE COMPREH	$414.75	$553.00	$481.66	—	25%
Speech therapy session, individual CPT 92507 SPEECH HEARING THERAPY	$150.38	$200.50	$90.00–$171.43	8% above	25%
Speech therapy session, individual inpatient CPT 92507 SPEECH HEARING THERAPY	$150.38	$200.50	$174.64	—	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15	$33.65	$44.86	$29.16–$90.00	53% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN	$64.50	$86.00	$55.90–$90.00	10% below	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15	$33.65	$44.86	$39.07	—	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN	$64.50	$86.00	$74.91	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL INJECTION	$42.75	$57.00	$34.20–$48.74	56% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL INJECTION	$42.75	$57.00	$49.65	—	25%

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://ahcs.org/wp-content/uploads/2026/10/586002659_the-baxley-and-appling-county-hospital-authority_standardcharges-3-1.csv