Hospital Tuscaloosa, AL

Dch Regional Medical Center

Listed in its price file as “The DCH Healthcare Authority”.

Dch Regional Medical Center in Tuscaloosa, AL publishes cash prices for 346 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 229 of 344 procedures and above it for 84. By typical cash price it ranks #23 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

809 University Boulevard East, Tuscaloosa, AL 35401 Collected Oct 29, 2026 Source price file Check a bill from this hospital (205) 759-7111

Acute care hospital Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 010092 · CMS hospital register NPI 1841394418

Financial assistance

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

Dch Regional Medical Center 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 Alabama	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN UPR ABD W/WO Contrast	$1,559.00	$3,118.00	$1,247.20–$3,118.00	14% above	50%
Abdominal CT scan without and with contrast CPT 74170 CT ABD UPPER W/WO IV CONT ONLY	$1,568.13	$3,136.25	$1,254.50–$3,136.25	14% above	50%
Abdominal X-ray, 2 views both sides CPT 74019 Abdomen Lat Dec Bilat	$219.25	$438.50	$175.40–$438.50	—	50%
Abdominal X-ray, 2 views CPT 74019 Abdomen Flat Upright	$178.25	$356.50	$104.24–$177.21	11% below	50%
Abdominal X-ray, 2 views CPT 74019 Abdomen AP/Lat	$193.88	$387.75	$155.10–$387.75	3% below	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LEFT	$150.75	$301.50	$51.26–$301.50	28% below	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RIGHT	$150.75	$301.50	$51.26–$301.50	28% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NIV Ankle/Brachial Index Bilat	$252.88	$505.75	$202.30–$505.75	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TCOM/SENSI BILAT ART 1-2 LEVEL	$252.88	$505.75	$132.66–$225.52	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US RAYNAUD'S EVAL	$252.88	$505.75	$202.30–$505.75	8% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 TCOM/SENS UNILAT ART 3+ LEVELS	$252.88	$505.75	$132.66–$225.52	8% above	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER RT	$990.00	$1,980.00	$336.60–$1,980.00	4% above	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER LT	$990.00	$1,980.00	$336.60–$1,980.00	4% above	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM-BA SWAL	$265.88	$531.75	$212.70–$531.75	4% below	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN WHOLE BODY	$1,004.00	$2,008.00	$803.20–$2,008.00	9% below	50%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Exam RT	$259.38	$518.75	$88.19–$518.75	1% above	50%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Lt	$259.38	$518.75	$88.19–$518.75	1% above	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Exam Lt Limited	$168.63	$337.25	$57.33–$337.25	34% below	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast RT Limited	$168.63	$337.25	$57.33–$337.25	34% below	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL	$3,603.50	$7,207.00	$2,882.80–$7,207.00	42% above	50%
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$1,858.50	$3,717.00	$1,486.80–$3,717.00	20% above	50%
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$1,632.25	$3,264.50	$174.89–$297.31	17% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT THORAX FOR PTE	$1,585.50	$3,171.00	$174.89–$297.31	16% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORAX	$1,585.50	$3,171.00	$1,268.40–$3,171.00	16% above	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART wo/w CONTRAST	$1,856.00	$3,712.00	$347.85–$591.35	26% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING	$188.38	$376.75	$86.77–$147.51	at median	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT UPPER ABD/PELVIS NO CONT	$2,148.38	$4,296.75	$237.90–$404.44	7% above	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT UP ABD/PEL ORAL CONT ONLY	$2,219.88	$4,439.75	$237.90–$404.44	10% above	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT UPPER ABD/PEL W/CONT	$2,468.13	$4,936.25	$347.85–$591.35	8% above	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT UP ABD/PEL W/IV CONT ONLY	$2,472.00	$4,944.00	$347.85–$591.35	8% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM 3D	$1,510.25	$3,020.50	$1,208.20–$3,020.50	41% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UP ABD/PEL W/WOIV CONT ONLY	$2,965.75	$5,931.50	$347.85–$591.35	15% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UPPER ABD/PEL W/WO CONT	$3,065.38	$6,130.75	$347.85–$591.35	19% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$3,451.50	$6,903.00	$2,761.20–$6,903.00	34% above	50%
CT scan of the abdomen with contrast CPT 74160 CT SCAN UPR ABD CON ON	$1,228.25	$2,456.50	$174.89–$297.31	11% below	50%
CT scan of the abdomen with contrast CPT 74160 CT ABD UPPER IV CONT ONLY	$1,231.63	$2,463.25	$985.30–$2,463.25	10% below	50%
CT scan of the abdomen with contrast CPT 74160 CT PANCREAS IV CONT ONLY	$1,241.25	$2,482.50	$993.00–$2,482.50	10% below	50%
CT scan of the abdomen with contrast CPT 74160 CT PANCREAS w/contrast	$1,241.75	$2,483.50	$174.89–$297.31	10% below	50%
CT scan of the abdomen without contrast CPT 74150 CT UPPER ABD ORAL ONLY	$1,160.25	$2,320.50	$928.20–$2,320.50	5% above	50%
CT scan of the abdomen without contrast CPT 74150 CT SCAN UPPER ABD	$1,184.38	$2,368.75	$947.50–$2,368.75	7% above	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES	$974.88	$1,949.75	$779.90–$1,949.75	16% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT LTD ALLERGY	$974.88	$1,949.75	$779.90–$1,949.75	16% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES	$974.88	$1,949.75	$779.90–$1,949.75	16% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD	$1,078.75	$2,157.50	$863.00–$2,157.50	1% below	50%
CT scan of the head with contrast CPT 70460 CT SCAN HED CON-ONLY	$1,036.63	$2,073.25	$174.89–$297.31	9% below	50%
CT scan of the head without and with contrast CPT 70470 CT SCAN HEAD W/WO CONTRAST	$1,273.13	$2,546.25	$1,018.50–$2,546.25	24% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE	$1,251.75	$2,503.50	$104.24–$177.21	1% above	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine Mazor	$1,251.75	$2,503.50	$1,001.40–$2,503.50	1% above	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE	$1,252.38	$2,504.75	$104.24–$177.21	4% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine Mazor	$1,252.38	$2,504.75	$1,001.90–$2,504.75	4% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS CONT.ONLY	$1,224.88	$2,449.75	$979.90–$2,449.75	6% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/IV CONT ONLY	$1,224.88	$2,449.75	$979.90–$2,449.75	6% below	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 U-S CAROTID ARTERIES BILAT	$503.50	$1,007.00	$402.80–$1,007.00	—	50%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONT DIAG	$1,591.63	$3,183.25	$174.89–$297.31	at median	50%
Chest X-ray, 2 views both sides CPT 71046 Chest Bilateral Decub	$176.88	$353.75	$86.77–$147.51	—	50%
Chest X-ray, 2 views CPT 71046 PRE-EMP.- CHEST 2 VIEWS-PA/LAT	$47.50	$95.00	$86.77–$147.51	75% below	50%
Chest X-ray, 2 views CPT 71046 AP/Lat Chest	$176.88	$353.75	$141.50–$353.75	7% below	50%
Chest X-ray, 2 views CPT 71046 Chest 2 Views-PA Lat	$176.88	$353.75	$141.50–$353.75	7% below	50%
Chest X-ray, 2 views one side CPT 71046 Chest PA Rt Lateral	$176.88	$353.75	$141.50–$353.75	7% below	50%
Chest X-ray, single view CPT 71045 Chest Apical Lordotic Only	$139.50	$279.00	$86.77–$147.51	2% below	50%
Chest X-ray, single view CPT 71045 Chest 1 for NG Tube Placement	$139.50	$279.00	$86.77–$147.51	2% below	50%
Chest X-ray, single view CPT 71045 Chest 1 view	$139.50	$279.00	$111.60–$279.00	2% below	50%
Chest X-ray, single view one side CPT 71045 Chest Right Lat Dec	$139.50	$279.00	$111.60–$279.00	2% below	50%
Chest X-ray, single view one side CPT 71045 Chest Right Lat	$139.50	$279.00	$111.60–$279.00	2% below	50%
Chest X-ray, single view one side CPT 71045 Chest Left Lat Dec	$139.50	$279.00	$111.60–$279.00	2% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$129.88	$259.75	$44.16–$259.75	18% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$129.88	$259.75	$44.16–$259.75	18% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$397.25	$794.50	$317.80–$794.50	1% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 US RENAL EXAM RT	$397.25	$794.50	$135.07–$794.50	1% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 US RENAL EXAM LT	$397.25	$794.50	$135.07–$794.50	1% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DESITOMETRY	$281.00	$562.00	$104.24–$177.21	at median	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Append Skel	$171.25	$342.50	$137.00–$342.50	78% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN THORAX W/O CON DIAG	$1,169.75	$2,339.50	$935.80–$2,339.50	at median	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN THORAX W CONT DIAG	$1,299.63	$2,599.25	$1,039.70–$2,599.25	6% below	50%
Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Digital Add'l Bilateral	$153.00	$306.00	$122.40–$306.00	—	50%
Diagnostic mammogram, both breasts CPT 77066 Mamm Diagnostic Digitalw/CAD B	$207.75	$415.50	$213.08–$362.24	11% below	50%
Diagnostic mammogram, one breast CPT 77065 Mamm Diag Post Scr Uni	$97.88	$195.75	$78.30–$195.75	53% below	50%
Diagnostic mammogram, one breast one side CPT 77065 Mamm Digital Add'l Unilat	$97.88	$195.75	$78.30–$195.75	53% below	50%
Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Dig/CAD Left	$195.38	$390.75	$66.43–$390.75	7% below	50%
Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Dig/CAD Right	$195.38	$390.75	$66.43–$390.75	7% below	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Bilateral Pseudoaneurysm LE	$277.63	$555.25	$222.10–$555.25	—	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US Art Peripheral FL Lower Ext	$277.63	$555.25	$222.10–$555.25	5% below	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LE BILAT	$508.63	$1,017.25	$406.90–$1,017.25	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UE BILAT	$508.63	$1,017.25	$406.90–$1,017.25	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN INSUFFICIENCY BILAT	$508.63	$1,017.25	$406.90–$1,017.25	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Mapping Bilat	$508.63	$1,017.25	$406.90–$1,017.25	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D + M-MODE W/DOPPLER	$512.13	$1,024.25	$544.82–$926.19	51% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO With DOPPLER	$512.13	$1,024.25	$544.82–$926.19	51% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 93306	$512.13	$1,024.25	$544.82–$926.19	51% below	50%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LEFT	$131.63	$263.25	$44.75–$263.25	10% below	50%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$131.63	$263.25	$44.75–$263.25	10% below	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 4 VIEWS LEFT	$146.25	$292.50	$49.73–$292.50	10% below	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 4 VIEWS RIGHT	$146.25	$292.50	$49.73–$292.50	10% below	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAM	$1,011.25	$2,022.50	$104.24–$177.21	at median	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS	$1,011.25	$2,022.50	$104.24–$177.21	at median	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE	$211.88	$423.75	$169.50–$423.75	13% below	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT	$107.38	$214.75	$36.51–$214.75	33% below	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT	$107.38	$214.75	$36.51–$214.75	33% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SCAN	$867.50	$1,735.00	$694.00–$1,735.00	11% below	50%
Hand X-ray, 2 views one side CPT 73120 HAND RT 2 VIEWS	$146.75	$293.50	$49.90–$293.50	at median	50%
Hand X-ray, 2 views one side CPT 73120 HAND LT 2 VIEWS	$146.75	$293.50	$49.90–$293.50	at median	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis 1 View Left	$140.50	$281.00	$47.77–$281.00	4% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS LEFT	$140.50	$281.00	$47.77–$281.00	4% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS RIGHT	$140.50	$281.00	$47.77–$281.00	4% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis 1 View Right	$140.50	$281.00	$47.77–$281.00	4% below	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY- 4 OR > ADDT'L	$2,247.25	$4,494.50	$1,797.80–$4,494.50	20% below	50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT	$153.50	$307.00	$52.19–$307.00	13% below	50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT	$153.50	$307.00	$52.19–$307.00	13% below	50%
Knee X-ray, 3 views one side CPT 73562 PATELLA LEFT	$153.50	$307.00	$52.19–$307.00	13% below	50%
Knee X-ray, 3 views one side CPT 73562 PATELLA RIGHT	$153.50	$307.00	$52.19–$307.00	13% below	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT COMPLETE 4/> VIEWS	$231.00	$462.00	$78.54–$462.00	3% above	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT COMPLETE 4/> VIEWS	$231.00	$462.00	$78.54–$462.00	3% above	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 MAKO CT HIP	$1,047.88	$2,095.75	$838.30–$2,095.75	18% above	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT HIP	$1,047.88	$2,095.75	$838.30–$2,095.75	18% above	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 MAKO CT EXTREMITY LOWER LT	$1,047.88	$2,095.75	$356.28–$2,095.75	18% above	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 MAKO CT EXTREMITY LOWER RT	$1,047.88	$2,095.75	$356.28–$2,095.75	18% above	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER LT	$1,047.88	$2,095.75	$356.28–$2,095.75	18% above	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER RT	$1,047.88	$2,095.75	$356.28–$2,095.75	18% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER EXAM	$138.88	$277.75	$111.10–$277.75	62% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL ORGAN BX EXAM	$138.88	$277.75	$111.10–$277.75	62% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US COMMON BILE DUCT	$286.63	$573.25	$229.30–$573.25	21% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$298.50	$597.00	$238.80–$597.00	18% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$308.00	$616.00	$246.40–$616.00	15% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$308.00	$616.00	$246.40–$616.00	15% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$318.75	$637.50	$255.00–$637.50	12% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US HEPATIC	$328.25	$656.50	$262.60–$656.50	10% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ	$371.50	$743.00	$297.20–$743.00	2% above	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Limited	$312.00	$624.00	$104.24–$177.21	56% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LD Lung Cancer Screening	$1,170.00	$2,340.00	$104.24–$177.21	441% above	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA-LEFT	$129.38	$258.75	$43.99–$258.75	35% below	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA-RIGHT	$132.13	$264.25	$44.92–$264.25	33% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WITHOUT CONTRAST	$1,459.63	$2,919.25	$237.90–$404.44	8% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRV BRAIN	$1,459.63	$2,919.25	$1,167.70–$2,919.25	8% below	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR TOE	$1,557.50	$3,115.00	$237.90–$404.44	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE RT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP LT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP RT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE LT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE LT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE RT	$1,557.50	$3,115.00	$529.55–$3,115.00	5% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Hip Right wo/w Contrast	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Knee Left wo/w Contrast	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Knee Right wo/w Contrast	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE RT CONT WO/W	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR Hip Left wo/w Contrast	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE LT CONT WO/W	$1,505.13	$3,010.25	$511.74–$3,010.25	27% below	50%
MRI of the abdomen without contrast CPT 74181 MR UPPER ABDOMEN	$1,127.63	$2,255.25	$902.10–$2,255.25	19% below	50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$1,665.38	$3,330.75	$1,332.30–$3,330.75	20% above	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR Abdomen Upper Wo/W Contrast	$1,730.50	$3,461.00	$347.85–$591.35	15% below	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN	$1,697.38	$3,394.75	$237.90–$404.44	1% below	50%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN CONTRAST WO/W	$2,315.38	$4,630.75	$347.85–$591.35	at median	50%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE	$1,516.88	$3,033.75	$1,213.50–$3,033.75	5% below	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LUM SP WWO CONTRAST	$2,397.38	$4,794.75	$347.85–$591.35	1% below	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR DORSAL SPINE	$1,516.38	$3,032.75	$1,213.10–$3,032.75	at median	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERVICAL SP CONT WO/W	$2,218.13	$4,436.25	$347.85–$591.35	at median	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE	$1,494.00	$2,988.00	$1,195.20–$2,988.00	8% below	50%
MRI of the pelvis without and with contrast CPT 72197 MR LUMBAR PLEXUS W/WO	$1,679.88	$3,359.75	$347.85–$591.35	20% below	50%
MRI of the pelvis without and with contrast CPT 72197 MR Pelvis Wo/W Contrast	$1,679.88	$3,359.75	$1,343.90–$3,359.75	20% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MR LUMBAR PLEXUS	$1,370.38	$2,740.75	$1,096.30–$2,740.75	9% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MR Pelvis WO Contrast	$1,370.38	$2,740.75	$237.90–$404.44	9% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR FINGER	$1,463.00	$2,926.00	$237.90–$404.44	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW LT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULDER LT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST LT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST RT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW RT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULDER RT	$1,463.00	$2,926.00	$497.42–$2,926.00	at median	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CER SP COMPLETE	$282.63	$565.25	$226.10–$565.25	at median	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 VIEWS	$282.63	$565.25	$226.10–$565.25	at median	50%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK CONT	$1,265.25	$2,530.50	$1,012.20–$2,530.50	at median	50%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK	$972.63	$1,945.25	$104.24–$177.21	at median	50%
Neck soft tissue X-ray CPT 70360 CROUP SERIES	$163.00	$326.00	$86.77–$147.51	at median	50%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$163.00	$326.00	$130.40–$326.00	at median	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC STRESS TEST EXAM	$1,408.00	$2,816.00	$1,126.40–$2,816.00	33% below	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL to THIGH EXAM	$3,012.13	$6,024.25	$1,425.77–$2,423.81	10% below	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET RESTAGING SKULL/THIGH	$3,012.50	$6,025.00	$1,425.77–$2,423.81	10% below	50%
Pelvic CT scan without contrast CPT 72192 CT PELVIS NO CONTRAST	$1,108.00	$2,216.00	$104.24–$177.21	3% above	50%
Pelvic CT scan without contrast CPT 72192 CT SACRUM/COCCYX	$1,108.00	$2,216.00	$104.24–$177.21	3% above	50%
Pelvic CT scan without contrast CPT 72192 CT PELVIS ORAL ONLY	$1,108.00	$2,216.00	$886.40–$2,216.00	3% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$114.63	$229.25	$91.70–$229.25	42% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$347.88	$695.75	$278.30–$695.75	21% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG + 14WKS 0 DAYS	$347.88	$695.75	$278.30–$695.75	9% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND FETAL	$358.00	$716.00	$104.24–$177.21	6% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG - 14WKS 0 DAYS	$331.00	$662.00	$264.80–$662.00	9% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY F/U	$132.75	$265.50	$106.20–$265.50	46% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$132.75	$265.50	$106.20–$265.50	46% below	50%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs RT 2 views	$212.50	$425.00	$72.25–$425.00	2% above	50%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs LT 2 views	$212.50	$425.00	$72.25–$425.00	2% above	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT 3+ views	$188.88	$377.75	$64.22–$377.75	18% below	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT 3+ views	$188.88	$377.75	$64.22–$377.75	18% below	50%
Screening mammogram, both breasts CPT 77067 Mamm Screen Digital w/CAD Bil	$180.75	$361.50	$172.34–$292.98	14% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - 2 VIEWS	$196.13	$392.25	$66.68–$392.25	2% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT - 3 VIEWS	$196.13	$392.25	$66.68–$392.25	2% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT - 2 VIEWS	$196.13	$392.25	$66.68–$392.25	2% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - 3 VIEWS	$196.13	$392.25	$66.68–$392.25	2% below	50%
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES	$214.13	$428.25	$171.30–$428.25	at median	50%
Skull X-ray, fewer than 4 views CPT 70250 SKULL PARTIAL	$182.63	$365.25	$146.10–$365.25	at median	50%
Skull X-ray, fewer than 4 views CPT 70250 AP/LAT SKULL	$182.63	$365.25	$146.10–$365.25	at median	50%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY- 4 OR > SLEEP	$1,732.50	$3,465.00	$1,386.00–$3,465.00	34% below	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FLOURO ESOPHAGRAM VIDEO	$289.50	$579.00	$231.60–$579.00	18% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Right (3 views)	$157.50	$315.00	$53.55–$315.00	16% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Right (2 views)	$157.50	$315.00	$53.55–$315.00	16% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Left (2 views)	$157.50	$315.00	$53.55–$315.00	16% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Left (3 views)	$157.50	$315.00	$53.55–$315.00	16% below	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT DORSAL SPINE	$1,207.88	$2,415.75	$104.24–$177.21	3% above	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine Mazor	$1,207.88	$2,415.75	$966.30–$2,415.75	3% above	50%
Transvaginal pelvic ultrasound CPT 76830 US INTRAVAGINAL ULTRASOUND	$291.75	$583.50	$233.40–$583.50	14% below	50%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$280.38	$560.75	$224.30–$560.75	at median	50%
Ultrasound of the abdomen, complete CPT 76700 US UPPER ABDOMEN	$449.00	$898.00	$359.20–$898.00	6% below	50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$326.50	$653.00	$261.20–$653.00	11% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$302.38	$604.75	$241.90–$604.75	8% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid Exam	$302.38	$604.75	$241.90–$604.75	8% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK/HEAD SOFT TISSUE	$302.38	$604.75	$241.90–$604.75	8% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI and Ba Sw	$515.88	$1,031.75	$174.89–$297.31	45% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper GI	$515.88	$1,031.75	$412.70–$1,031.75	45% above	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$127.13	$254.25	$43.22–$254.25	30% below	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$127.13	$254.25	$43.22–$254.25	30% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEN INSUFFICIENCY UNI	$306.25	$612.50	$245.00–$612.50	at median	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UE UNI	$306.25	$612.50	$245.00–$612.50	at median	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS LE UNI	$306.25	$612.50	$245.00–$612.50	at median	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Mapping Rt	$306.25	$612.50	$104.13–$612.50	at median	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Mapping Lt	$306.25	$612.50	$104.13–$612.50	at median	50%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RIGHT	$127.13	$254.25	$43.22–$254.25	2% below	50%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LEFT	$127.13	$254.25	$43.22–$254.25	2% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RIGHT	$135.50	$271.00	$46.07–$271.00	33% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LEFT	$135.50	$271.00	$46.07–$271.00	33% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Right (2 views)	$179.88	$359.75	$61.16–$359.75	1% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Pediatric Hips unilat 2-3 view	$179.88	$359.75	$86.77–$147.51	1% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat Right 2-3 views	$179.88	$359.75	$61.16–$359.75	1% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat Left 2-3 views	$179.88	$359.75	$61.16–$359.75	1% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Left (2 views)	$179.88	$359.75	$61.16–$359.75	1% below	50%
X-ray of the abdomen, 1 view CPT 74018 KUB	$145.00	$290.00	$116.00–$290.00	at median	50%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 view	$167.50	$335.00	$134.00–$335.00	16% above	50%
X-ray of the abdomen, 1 view one side CPT 74018 Abdomen Lat Dec Rt	$219.25	$438.50	$175.40–$438.50	51% above	50%
X-ray of the abdomen, 1 view one side CPT 74018 Abdomen Lat Dec Lt	$219.25	$438.50	$175.40–$438.50	51% above	50%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT	$138.38	$276.75	$47.05–$276.75	at median	50%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT	$138.38	$276.75	$47.05–$276.75	at median	50%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT	$137.25	$274.50	$46.67–$274.50	2% above	50%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT	$137.25	$274.50	$46.67–$274.50	2% above	50%
X-ray of the foot, 2 views one side CPT 73620 Foot 1 View Right	$137.25	$274.50	$46.67–$274.50	2% above	50%
X-ray of the foot, 2 views one side CPT 73620 Foot 1 View Left	$137.25	$274.50	$46.67–$274.50	2% above	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 4 VIEWS LEFT	$147.88	$295.75	$50.28–$295.75	18% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 4 VIEWS RIGHT	$147.88	$295.75	$50.28–$295.75	18% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RIGHT	$147.88	$295.75	$50.28–$295.75	18% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LEFT	$147.88	$295.75	$50.28–$295.75	18% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT	$154.50	$309.00	$52.53–$309.00	23% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT	$154.50	$309.00	$52.53–$309.00	23% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LEFT	$153.50	$307.00	$52.19–$307.00	5% above	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS RIGHT	$153.50	$307.00	$52.19–$307.00	5% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PRE-EMP LUMBAR SPINE 2-3 VIEWS	$57.50	$115.00	$104.24–$177.21	71% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE PARTIAL	$176.00	$352.00	$104.24–$177.21	13% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBO SAC SPINE OBLQ	$176.00	$352.00	$140.80–$352.00	13% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SP ROUTINE	$176.00	$352.00	$140.80–$352.00	13% below	50%
X-ray of the lower back, 4 or more views CPT 72110 LS SP BENDING	$245.00	$490.00	$196.00–$490.00	15% below	50%
X-ray of the lower back, 4 or more views CPT 72110 LS SP with Obliques 4+ views	$245.00	$490.00	$196.00–$490.00	15% below	50%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 VIEWS	$245.00	$490.00	$196.00–$490.00	15% below	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SP	$188.38	$376.75	$150.70–$376.75	4% below	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SP PARTIAL	$188.38	$376.75	$104.24–$177.21	4% below	50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$140.00	$280.00	$112.00–$280.00	20% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cer.Sp Flex Ext Only 2or3 vw	$199.88	$399.75	$159.90–$399.75	at median	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cer Sp partial 2or3view	$199.88	$399.75	$159.90–$399.75	at median	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS	$151.75	$303.50	$121.40–$303.50	7% below	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 AP LAT	$151.75	$303.50	$121.40–$303.50	7% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$154.50	$309.00	$123.60–$309.00	24% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX	$154.50	$309.00	$123.60–$309.00	24% below	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ACTH blood test CPT 82024 ACTH FASTING	$133.88	$267.75	$38.62–$65.65	at median	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$18.13	$36.25	$14.50–$36.25	34% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 KIDNEY STONE FORMER PRFL PT 19	$10.25	$20.50	$8.20–$20.50	70% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$18.13	$36.25	$14.50–$36.25	47% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST BODY FLUID	$53.50	$107.00	$42.80–$107.00	57% above	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$221.50	$443.00	$47.63–$80.97	at median	50%
Albumin blood test CPT 82040 MS PROFILE PART 1	$19.75	$39.50	$4.95–$8.42	24% below	50%
Albumin blood test CPT 82040 ALBUMIN SERUM	$35.63	$71.25	$4.95–$8.42	37% above	50%
Aldosterone blood test CPT 82088 ALDOSTERONE (BLOOD)	$135.00	$270.00	$108.00–$270.00	4% above	50%
Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE	$140.50	$281.00	$112.40–$281.00	8% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$18.13	$36.25	$14.50–$36.25	30% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUSSEL	$9.13	$18.25	$7.30–$18.25	40% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IgE LATEX	$14.13	$28.25	$5.22–$8.87	7% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-23 IgE EACH	$14.13	$28.25	$5.22–$8.87	7% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IgE DOG HAIR/DANDER	$14.13	$28.25	$5.22–$8.87	7% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IgE CAT HAIR/DANDER	$14.13	$28.25	$5.22–$8.87	7% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE QUANT	$14.13	$28.25	$5.22–$8.87	7% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL ALLERGEN	$39.38	$78.75	$5.22–$8.87	159% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT COMPONENT PANEL	$87.75	$175.50	$70.20–$175.50	477% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW COMPONENT PANEL	$87.75	$175.50	$70.20–$175.50	477% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TETRA PART 1	$39.38	$78.75	$31.50–$78.75	46% below	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP EXTRA PART 1	$48.38	$96.75	$16.77–$28.51	34% below	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL	$86.63	$173.25	$16.77–$28.51	18% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN	$220.38	$440.75	$16.77–$28.51	201% above	50%
Ammonia blood test CPT 82140 KID STONE URINE PROF PART 15	$17.00	$34.00	$13.60–$34.00	77% below	50%
Ammonia blood test CPT 82140 AMMONIA	$55.13	$110.25	$44.10–$110.25	27% below	50%
Amylase blood test CPT 82150 AMYLASE (BODY FLUID) RedPath	$15.25	$30.50	$6.48–$11.02	65% below	50%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$29.88	$59.75	$23.90–$59.75	32% below	50%
Amylase blood test CPT 82150 AMYLASE	$52.88	$105.75	$6.48–$11.02	20% above	50%
Amylase blood test CPT 82150 AMYLASE-URINE	$90.50	$181.00	$72.40–$181.00	106% above	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG/IgA ANTIBODIES	$26.50	$53.00	$12.95–$22.02	49% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN IFA	$36.13	$72.25	$28.90–$72.25	15% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN DIRECT	$54.63	$109.25	$12.09–$20.55	28% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies (RDL)	$83.25	$166.50	$12.09–$20.55	95% above	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$49.63	$99.25	$39.70–$99.25	52% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ROUTINE BACTERIAL	$90.00	$180.00	$8.62–$14.65	72% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE B PERTUSSIS	$131.63	$263.25	$8.62–$14.65	151% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONAIRES CULTURE	$165.25	$330.50	$8.62–$14.65	216% above	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL Ca TOTAL	$105.13	$210.25	$8.46–$14.38	76% above	50%
Bilirubin blood test, total CPT 82247 KIDNEY STONE FORMER PRFL PT 17	$10.25	$20.50	$8.20–$20.50	58% below	50%
Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL	$16.38	$32.75	$5.02–$8.53	33% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE SMALL (LEVEL IV)	$170.63	$341.25	$51.96–$88.33	2% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$174.88	$349.75	$139.90–$349.75	4% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CORE BIOPSY	$174.88	$349.75	$51.96–$88.33	4% above	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$71.50	$143.00	$57.20–$143.00	13% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$7.50	$15.00	$6.00–$15.00	4% above	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD 2-HOUR PC	$16.38	$32.75	$3.93–$6.68	37% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$25.38	$50.75	$3.93–$6.68	3% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$30.38	$60.75	$3.93–$6.68	16% above	50%
Blood glucose (sugar) test CPT 82947 ISTAT-GLU	$64.25	$128.50	$51.40–$128.50	146% above	50%
Blood lead test CPT 83655 ComAP Lead	$18.38	$36.75	$14.70–$36.75	55% below	50%
Blood lead test CPT 83655 HEAVY METALS 24HR URINE PART B	$32.13	$64.25	$25.70–$64.25	22% below	50%
Blood lead test CPT 83655 HEAVY METALS BLOOD PART B	$34.38	$68.75	$27.50–$68.75	17% below	50%
Blood lead test CPT 83655 LEAD RANDOM URINE	$39.38	$78.75	$31.50–$78.75	4% below	50%
Blood lead test CPT 83655 LEAD/ZPP PART A	$40.63	$81.25	$32.50–$81.25	1% below	50%
Blood lead test CPT 83655 LEAD 24 HOUR URINE	$41.13	$82.25	$32.90–$82.25	at median	50%
Blood lead test CPT 83655 LEAD BLOOD (ADULT)	$45.13	$90.25	$36.10–$90.25	9% above	50%
Blood lead test CPT 83655 LEAD BLOOD (PEDIATRIC)	$45.13	$90.25	$36.10–$90.25	9% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$63.63	$127.25	$50.90–$127.25	35% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF LAB FEE ABO	$79.50	$159.00	$132.66–$225.52	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE PRE-TRANSFUSION	$79.50	$159.00	$132.66–$225.52	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE POST-TRANSFUSION	$79.50	$159.00	$132.66–$225.52	22% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$79.50	$159.00	$132.66–$225.52	22% above	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$17.50	$35.00	$3.95–$6.72	38% below	50%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT-BUN	$24.88	$49.75	$19.90–$49.75	11% below	50%
C-peptide blood test CPT 84681 C-PEPTIDE	$94.00	$188.00	$75.20–$188.00	27% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$43.38	$86.75	$34.70–$86.75	1% below	50%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF MOLECULAR	$83.75	$167.50	$37.27–$63.36	15% below	50%
CA 19-9 blood test (tumor marker) CPT 86301 CA19-9 SERUM	$69.75	$139.50	$20.81–$35.38	32% below	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125	$69.75	$139.50	$55.80–$139.50	19% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$73.25	$146.50	$51.31–$87.23	25% above	50%
Calcium blood test, total CPT 82310 CALCIUM	$23.75	$47.50	$5.16–$8.77	13% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA (BODY FLUID) RedPath	$54.13	$108.25	$18.96–$32.23	31% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA (CARCINOEMBRYONIC ANTIGEN)	$64.25	$128.50	$51.40–$128.50	19% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGG AB	$59.63	$119.25	$12.88–$21.90	at median	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGM AB	$72.00	$144.00	$12.88–$21.90	21% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA	$28.13	$56.25	$22.50–$56.25	57% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NAA URINE	$58.00	$116.00	$35.09–$59.65	11% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab Chlamydia	$82.25	$164.50	$35.09–$59.65	27% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 EXEC PROF LIPID	$11.38	$22.75	$13.39–$22.76	78% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE FASTING	$50.13	$100.25	$13.39–$22.76	4% below	50%
Complete blood count (CBC) with differential CPT 85025 EXEC PROF CBC	$11.38	$22.75	$7.77–$13.21	69% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF	$56.25	$112.50	$45.00–$112.50	53% above	50%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$42.25	$84.50	$6.47–$11.00	25% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 EXEC PROF CMP	$15.25	$30.50	$10.56–$17.95	80% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$94.50	$189.00	$10.56–$17.95	24% above	50%
Cortisol blood test, total CPT 82533 CAH-6 PROF - PART B	$42.25	$84.50	$16.30–$27.71	36% below	50%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL-BLOOD	$53.50	$107.00	$42.80–$107.00	19% below	50%
Cortisol blood test, total CPT 82533 CORTISOL SALIVARY	$103.50	$207.00	$16.30–$27.71	57% above	50%
Creatine kinase (CK) blood test, total CPT 82550 CK ISOENZYMES PART II	$20.38	$40.75	$6.51–$11.07	37% below	50%
Creatine kinase (CK) blood test, total CPT 82550 CK	$32.63	$65.25	$6.51–$11.07	at median	50%
Creatinine blood test CPT 82565 FENA PART C	$18.13	$36.25	$14.50–$36.25	37% below	50%
Creatinine blood test CPT 82565 CREATININE	$20.88	$41.75	$5.12–$8.70	28% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG ANTIBODIES	$32.13	$64.25	$14.39–$24.46	53% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Avidity	$337.13	$674.25	$14.39–$24.46	397% above	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$85.00	$170.00	$22.23–$37.79	3% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE TESTING - HAIR	$30.00	$60.00	$24.00–$60.00	63% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DOT DRUG SCREEN - OCC HLTH	$35.63	$71.25	$62.14–$105.64	56% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NONDOT DRUG SCREEN - OCC HLTH	$35.63	$71.25	$62.14–$105.64	56% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (COC)	$35.63	$71.25	$62.14–$105.64	56% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DCH 8-CLASS DRUG SCREEN	$36.63	$73.25	$62.14–$105.64	54% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DCH 5-CLASS DRUG SCREEN	$37.13	$74.25	$62.14–$105.64	54% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DCH DRUG SCREEN-MERCEDES	$37.13	$74.25	$62.14–$105.64	54% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DOT/NONDOT DRUG SCREEN - ED	$39.38	$78.75	$62.14–$105.64	51% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LYSERGIC ACID DIETHYLAMIDE-URN	$45.63	$91.25	$36.50–$91.25	43% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Flunitrazepam Confirmation	$88.25	$176.50	$70.60–$176.50	10% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 7-Aminoflunitrazepam Confirm	$88.25	$176.50	$70.60–$176.50	10% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 VOLATILE BLOOD	$92.75	$185.50	$62.14–$105.64	15% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Srn Per Drug Class	$139.50	$279.00	$111.60–$279.00	74% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLIN URINE INST	$220.38	$440.75	$62.14–$105.64	174% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM INST	$220.38	$440.75	$62.14–$105.64	174% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 10 WB	$241.75	$483.50	$62.14–$105.64	201% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Flunitrazepam Screen	$310.25	$620.50	$248.20–$620.50	286% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GABAPENTIN	$397.88	$795.75	$62.14–$105.64	395% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Sedative Hypnotic Panel Urine	$884.88	$1,769.75	$707.90–$1,769.75	1002% above	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$32.63	$65.25	$26.10–$65.25	34% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR AB PROFILE PT III	$27.63	$55.25	$18.14–$30.84	46% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgM ANTIBODY	$60.75	$121.50	$48.60–$121.50	18% above	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgG	$60.75	$121.50	$48.60–$121.50	18% above	50%
Estradiol blood test CPT 82670 ESTRADIOL	$100.13	$200.25	$27.94–$47.50	at median	50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (BLOOD)	$86.63	$173.25	$69.30–$173.25	at median	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECES	$191.13	$382.25	$19.63–$33.37	2% below	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$41.13	$82.25	$13.63–$23.17	27% below	50%
Fibrinogen blood test CPT 85384 FIBRINOGEN LEVEL	$21.88	$43.75	$17.50–$43.75	53% below	50%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$27.13	$54.25	$9.72–$16.52	41% below	50%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$46.75	$93.50	$37.40–$93.50	24% below	50%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$61.38	$122.75	$49.10–$122.75	11% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$43.88	$87.75	$9.02–$15.33	28% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY EQUILIBRIUM DIALYSI	$83.25	$166.50	$66.60–$166.50	37% above	50%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$113.13	$226.25	$25.47–$43.30	52% above	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$32.63	$65.25	$7.20–$12.24	1% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE- ADDITIONAL	$15.88	$31.75	$4.75–$8.08	61% below	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.6 HR 3 SPECIMENS	$42.25	$84.50	$12.87–$21.88	31% below	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL.5 HR 3 SPECIMENS	$42.25	$84.50	$12.87–$21.88	31% below	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. 3 HR 3 SPECIMENS	$42.25	$84.50	$12.87–$21.88	31% below	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. 4 HR 3 SPECIMENS	$42.25	$84.50	$12.87–$21.88	31% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAA	$28.13	$56.25	$22.50–$56.25	60% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA NAA URINE	$58.00	$116.00	$35.09–$59.65	17% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Nuswab GC	$82.25	$164.50	$35.09–$59.65	18% above	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGA AB	$36.63	$73.25	$16.85–$28.65	9% below	50%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori IGM AB	$36.63	$73.25	$29.30–$73.25	9% below	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG AB	$89.50	$179.00	$16.85–$28.65	122% above	50%
H. pylori antibody blood test CPT 86677 HELICO PYLORI AB SCREEN	$91.13	$182.25	$72.90–$182.25	126% above	50%
H. pylori stool antigen test CPT 87338 HELICO PYLORI STOOL ANTIGEN	$114.13	$228.25	$91.30–$228.25	66% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR	$196.13	$392.25	$85.10–$144.67	15% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV (VIRAL LOAD) QUANTITATIVE	$259.63	$519.25	$207.70–$519.25	12% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIBODIES	$84.38	$168.75	$13.71–$23.31	183% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGEN/ANTIBODY ASSAY	$84.38	$168.75	$24.08–$40.94	39% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$126.50	$253.00	$35.09–$59.65	155% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN TOTAL	$27.63	$55.25	$9.71–$16.51	8% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCO HGB)	$38.88	$77.75	$31.10–$77.75	30% above	50%
Hemoglobin blood test CPT 85018 G6PD HEMOGLOBIN	$5.75	$11.50	$2.37–$4.03	67% below	50%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$19.75	$39.50	$15.80–$39.50	13% above	50%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB (HBcAB)	$77.75	$155.50	$62.20–$155.50	30% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (HBsAB)	$118.63	$237.25	$10.74–$18.26	128% above	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG (HBsAG)	$74.25	$148.50	$59.40–$148.50	99% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$110.88	$221.75	$88.70–$221.75	54% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QUANT	$112.38	$224.75	$42.84–$72.83	42% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA DIAGNOSIS	$307.50	$615.00	$246.00–$615.00	58% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT ULTRA-SENS	$363.13	$726.25	$42.84–$72.83	87% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE-I IgG ANTIBODY	$25.38	$50.75	$13.19–$22.42	57% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE II IgG ANTIBODIES	$25.38	$50.75	$19.35–$32.90	60% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE II Ab SUPPLEMENTAL	$128.25	$256.50	$19.35–$32.90	104% above	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 High Sens C Reactive Protein	$31.13	$62.25	$12.95–$22.02	42% below	50%
Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM	$147.25	$294.50	$117.80–$294.50	14% above	50%
Insulin blood test CPT 83525 INSULIN	$80.00	$160.00	$64.00–$160.00	15% above	50%
Iron blood test (serum iron) CPT 83540 IRON-SERUM	$27.13	$54.25	$6.47–$11.00	5% below	50%
Iron blood test (serum iron) CPT 83540 IRON 24 HOUR URINE	$86.00	$172.00	$68.80–$172.00	202% above	50%
Iron blood test (serum iron) CPT 83540 IRON QUANT-TISSUE	$149.00	$298.00	$6.47–$11.00	424% above	50%
Kidney function blood test panel CPT 80069 KIDNEY STONE FORMER PRFL PT 1	$15.25	$30.50	$8.68–$14.76	80% below	50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$219.75	$439.50	$8.68–$14.76	187% above	50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$125.38	$250.75	$100.30–$250.75	34% above	50%
Lactate (lactic acid) blood test CPT 83605 ISTAT - LACTATE	$58.50	$117.00	$46.80–$117.00	at median	50%
Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID)	$63.00	$126.00	$50.40–$126.00	8% above	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 KIDNEY STONE FORMER PRFL PT 18	$11.38	$22.75	$9.10–$22.75	55% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH ISOENZYMES PT A	$17.50	$35.00	$14.00–$35.00	30% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH - SERUM	$29.88	$59.75	$23.90–$59.75	19% above	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF/BODY FLUID	$40.63	$81.25	$6.04–$10.27	62% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$49.63	$99.25	$6.89–$11.71	at median	50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$102.88	$205.75	$8.17–$13.89	29% above	50%
Lyme disease antibody test CPT 86618 LYME IgG REFLEX	$22.63	$45.25	$18.10–$45.25	69% below	50%
Lyme disease antibody test CPT 86618 LYME IgM REFLEX	$22.63	$45.25	$18.10–$45.25	69% below	50%
Lyme disease antibody test CPT 86618 LYME TOTAL ANTIBODY EIA	$22.63	$45.25	$18.10–$45.25	69% below	50%
Lyme disease antibody test CPT 86618 LYME IGM ANTIBODIES	$73.75	$147.50	$59.00–$147.50	at median	50%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$82.75	$165.50	$17.03–$28.95	13% above	50%
Lyme disease antibody test CPT 86618 Lyme Disease Serology	$220.38	$440.75	$176.30–$440.75	200% above	50%
Magnesium blood test CPT 83735 EXEC PROF MG	$5.00	$10.00	$6.70–$11.39	78% below	50%
Magnesium blood test CPT 83735 KIDNEY STONE FORMER PRFL PT 7	$12.50	$25.00	$6.70–$11.39	44% below	50%
Magnesium blood test CPT 83735 KID STONE URINE PROF PART 9	$17.00	$34.00	$13.60–$34.00	24% below	50%
Magnesium blood test CPT 83735 MAGNESIUM	$40.13	$80.25	$6.70–$11.39	78% above	50%
Magnesium blood test CPT 83735 MAGNESIUM-24 HR URINE	$79.25	$158.50	$63.40–$158.50	252% above	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES IgG	$57.38	$114.75	$45.90–$114.75	30% above	50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IgM	$62.00	$124.00	$49.60–$124.00	41% above	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$38.38	$76.75	$30.70–$76.75	21% below	50%
Mumps immunity blood test CPT 86735 MUMPS AB IgM	$43.88	$87.75	$35.10–$87.75	at median	50%
Mumps immunity blood test CPT 86735 MUMPS AB IgG	$45.13	$90.25	$36.10–$90.25	3% above	50%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$501.25	$1,002.50	$47.81–$81.28	170% above	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$65.25	$130.50	$18.39–$31.26	5% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$80.00	$160.00	$18.39–$31.26	2% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THIN-LAYER DIAG	$69.75	$139.50	$20.26–$34.44	70% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 KIDNEY STONE FORMER PRFL PT 10	$58.00	$116.00	$46.40–$116.00	57% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH HORMONE INTACT	$71.00	$142.00	$56.80–$142.00	48% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH CAP/CIP TOTAL	$116.88	$233.75	$41.28–$70.18	14% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH CAP	$116.88	$233.75	$41.28–$70.18	14% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$42.25	$84.50	$33.80–$84.50	at median	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG DRVVT	$83.75	$167.50	$6.01–$10.22	98% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$112.38	$224.75	$6.01–$10.22	166% above	50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$36.13	$72.25	$4.74–$8.06	48% above	50%
Potassium blood test CPT 84132 POTASSIUM (K)	$31.13	$62.25	$4.76–$8.09	13% above	50%
Potassium blood test CPT 84132 ISTAT-K	$63.00	$126.00	$50.40–$126.00	129% above	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$894.63	$1,789.25	$759.05–$1,290.39	11% below	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21	$1,121.50	$2,243.00	$759.05–$1,290.39	12% above	50%
Progesterone blood test CPT 84144 CAH-6 PROF - PART G	$55.13	$110.25	$20.86–$35.46	44% below	50%
Progesterone blood test CPT 84144 PROGESTERONE	$81.50	$163.00	$65.20–$163.00	17% below	50%
Prolactin blood test CPT 84146 PROLACTIN	$126.50	$253.00	$101.20–$253.00	22% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN.TIME (PT)	$24.25	$48.50	$19.40–$48.50	2% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$38.38	$76.75	$4.29–$7.29	61% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC Extended Panel Drug Screen	$15.50	$31.00	$12.40–$31.00	67% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$52.38	$104.75	$41.90–$104.75	78% above	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$52.38	$104.75	$41.90–$104.75	78% above	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A STREP TEST	$37.88	$75.75	$30.30–$75.75	12% below	50%
Renin blood test CPT 84244 RENIN ACTIVITY	$125.88	$251.75	$100.70–$251.75	42% above	50%
Rh blood typing CPT 86901 RH TYPE POST-TRANSFUSION	$23.13	$46.25	$37.24–$63.31	7% below	50%
Rh blood typing CPT 86901 RH TYPE PRE-TRANSFUSION	$23.13	$46.25	$37.24–$63.31	7% below	50%
Rh blood typing CPT 86901 REF LAB FEE RH	$37.88	$75.75	$37.24–$63.31	53% above	50%
Rh blood typing CPT 86901 RH TYPE	$37.88	$75.75	$37.24–$63.31	53% above	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUANT	$47.38	$94.75	$5.67–$9.64	5% above	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF)	$79.25	$158.50	$63.40–$158.50	76% above	50%
Rheumatoid factor (RF) test CPT 86431 GAD AUTOANTIBODY	$93.38	$186.75	$5.67–$9.64	108% above	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IgG	$24.88	$49.75	$19.90–$49.75	35% below	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TOTAL	$77.00	$154.00	$61.60–$154.00	103% above	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IgM	$92.25	$184.50	$14.39–$24.46	143% above	50%
Sodium blood test CPT 84295 FENA PART A	$16.38	$32.75	$4.81–$8.18	31% below	50%
Sodium blood test CPT 84295 SODIUM (NA)	$29.38	$58.75	$23.50–$58.75	24% above	50%
Sodium blood test CPT 84295 ISTAT-NA	$64.25	$128.50	$51.40–$128.50	172% above	50%
Stool ova and parasites exam CPT 87177 O P - FECES	$70.25	$140.50	$8.90–$15.13	55% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL ABS TPPA	$11.38	$22.75	$9.10–$22.75	70% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SCRN - TREPONEMA AB	$59.13	$118.25	$13.24–$22.51	56% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$45.63	$91.25	$36.50–$91.25	76% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SCREEN - RPR	$46.13	$92.25	$36.90–$92.25	77% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold (No Incubate)	$68.00	$136.00	$61.98–$105.37	41% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$153.50	$307.00	$122.80–$307.00	34% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$60.75	$121.50	$25.81–$43.88	14% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 CAH-6 PROF - PART H	$68.13	$136.25	$25.81–$43.88	4% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 CAH7-TESTOSTERONE	$72.00	$144.00	$25.81–$43.88	1% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$110.25	$220.50	$88.20–$220.50	55% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL ABS	$50.63	$101.25	$14.55–$24.74	15% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID ANTIBODIES PART II	$74.25	$148.50	$59.40–$148.50	69% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab (RDL)	$83.25	$166.50	$14.55–$24.74	89% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVR/KIDNY MICROSOMAL ABS	$95.13	$190.25	$14.55–$24.74	116% above	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH(THYROID STIMULATING HORMON	$55.13	$110.25	$44.10–$110.25	2% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH HIGH SENSITIVITY	$63.63	$127.25	$50.90–$127.25	14% above	50%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE	$50.63	$101.25	$16.46–$27.98	2% above	50%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$80.50	$161.00	$4.35–$7.40	162% above	50%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4)	$9.75	$19.50	$6.87–$11.68	80% below	50%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$60.75	$121.50	$48.60–$121.50	27% above	50%
Transferrin blood test CPT 84466 TRANSFERRIN	$55.13	$110.25	$12.76–$21.69	at median	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA	$28.13	$56.25	$22.50–$56.25	60% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS NAA URINE	$58.00	$116.00	$35.09–$59.65	17% below	50%
Trichomonas test (NAAT) CPT 87661 Nuswab Trichomonas	$82.25	$164.50	$35.09–$59.65	18% above	50%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$43.38	$86.75	$34.70–$86.75	38% above	50%
Troponin test, quantitative CPT 84484 TROPONIN I	$60.75	$121.50	$48.60–$121.50	13% below	50%
Uric acid blood test CPT 84550 EXEC PROF URIC ACID	$5.00	$10.00	$4.00–$10.00	83% below	50%
Uric acid blood test CPT 84550 KIDNEY STONE FORMER PRFL PT 20	$10.25	$20.50	$8.20–$20.50	66% below	50%
Uric acid blood test CPT 84550 URIC ACID	$36.63	$73.25	$4.52–$7.68	23% above	50%
Urinalysis with microscope exam, automated CPT 81001 EXEC PROF UA	$5.00	$10.00	$4.00–$10.00	84% below	50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MIC	$52.38	$104.75	$3.17–$5.39	69% above	50%
Urinalysis without microscope exam, automated CPT 81003 KIDNEY STONE FORMER PRFL PT 6	$5.75	$11.50	$2.25–$3.83	74% below	50%
Urinalysis without microscope exam, automated CPT 81003 KID STONE URINE PROF PART 14	$17.00	$34.00	$13.60–$34.00	22% below	50%
Urinalysis without microscope exam, automated CPT 81003 ALBUMIN URINE QUAL	$23.75	$47.50	$19.00–$47.50	8% above	50%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS w/o MIC	$27.63	$55.25	$22.10–$55.25	26% above	50%
Urinalysis without microscope exam, automated CPT 81003 URINE GLUCOSE ACETONE	$33.38	$66.75	$26.70–$66.75	52% above	50%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY-URINE	$41.63	$83.25	$33.30–$83.25	90% above	50%
Urinalysis without microscope exam, manual CPT 81002 BILE	$15.88	$31.75	$12.70–$31.75	35% above	50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COL CT	$79.25	$158.50	$63.40–$158.50	49% above	50%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$23.75	$47.50	$19.00–$47.50	42% below	50%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST(URINE)	$36.63	$73.25	$29.30–$73.25	4% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$44.50	$89.00	$35.60–$89.00	16% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$58.50	$117.00	$46.80–$117.00	38% below	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 KIDNEY STONE FORMER PRFL PT 16	$54.63	$109.25	$43.70–$109.25	59% below	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIHYDROXY	$109.13	$218.25	$87.30–$218.25	19% below	50%
Zinc blood test CPT 84630 ZINC RANDOM URINE	$26.50	$53.00	$11.39–$19.36	43% below	50%
Zinc blood test CPT 84630 ZINC	$46.13	$92.25	$36.90–$92.25	at median	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP TETRA PART 3	$33.38	$66.75	$26.70–$66.75	42% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP EXTRA PART 2	$48.38	$96.75	$15.05–$25.59	15% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$83.75	$167.50	$67.00–$167.50	47% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUB UNIT	$133.88	$267.75	$107.10–$267.75	134% above	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERVATION FAC/TRIG/CER	$209.63	$419.25	$122.00–$4,900.00	37% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Breast Core Biopsy Rt Stereo	$1,447.88	$2,895.75	$900.00–$4,900.00	33% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Breast Core Biopsy Lt Stereo	$1,447.88	$2,895.75	$492.28–$2,895.75	33% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP LT	$241.13	$482.25	$81.98–$482.25	11% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP RT	$241.13	$482.25	$81.98–$482.25	11% below	50%
Cardiac catheterization with coronary angiogram CPT 93458 93458 L HRT ARTY/VENTRI ANGIO	$2,842.88	$5,685.75	$3,232.46–$5,495.18	56% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$483.25	$966.50	$386.60–$966.50	38% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 ELECT CARDIOVERSION	$483.25	$966.50	$659.01–$1,120.32	38% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION 92960	$483.25	$966.50	$659.01–$4,900.00	38% below	50%
Catheter ablation for atrial fibrillation CPT 93656 CMP EVAL ABL AFIB PULMVEIN ISO	$14,157.38	$28,314.75	$11,325.90–$28,314.75	44% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIUS/ULNA FX 25600	$274.13	$548.25	$219.30–$548.25	at median	50%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$11,853.50	$23,707.00	$9,482.80–$23,707.00	1% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$710.75	$1,421.50	$695.26–$1,181.94	56% below	50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EARWAX 69209LT	$64.75	$129.50	$22.02–$129.50	35% below	50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EARWAX 69209RT	$64.75	$129.50	$22.02–$129.50	35% below	50%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX 69210	$64.75	$129.50	$51.80–$129.50	34% below	50%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EARWAX 69210LT	$64.75	$129.50	$22.02–$129.50	34% below	50%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EARWAX 69210RT	$64.75	$129.50	$22.02–$129.50	34% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ SPINE CERVICAL WITH FLUORO	$1,134.88	$2,269.75	$703.82–$4,900.00	7% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ SPINE THORACIC WITH FLUORO	$1,134.88	$2,269.75	$703.82–$4,900.00	7% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUM. FACET #1	$876.50	$1,753.00	$825.00–$4,900.00	18% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJECTION	$876.50	$1,753.00	$825.00–$4,900.00	18% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEVEL	$876.50	$1,753.00	$825.00–$4,900.00	18% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR FACET 1	$876.50	$1,753.00	$825.00–$4,900.00	18% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG INJECTION	$46.38	$92.75	$1,500.00–$4,900.00	78% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN SUBCU	$251.25	$502.50	$122.00–$4,900.00	10% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS 10060	$251.25	$502.50	$200.05–$340.08	10% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I/D Abscess Simple/Single	$251.25	$502.50	$122.00–$4,900.00	10% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament Sgl	$96.25	$192.50	$306.05–$4,900.00	74% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Sheath/Liga TC	$170.00	$340.00	$306.05–$4,900.00	55% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGAMEN	$191.13	$382.25	$306.05–$4,900.00	49% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj/Drain Major Jt/Bursa wo US	$141.75	$283.50	$306.05–$4,900.00	63% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj Large Joint wo US TC	$251.50	$503.00	$306.05–$4,900.00	35% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JT	$282.63	$565.25	$306.05–$4,900.00	27% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION LARGE JOINT W/O US	$282.63	$565.25	$306.05–$4,900.00	27% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ. JNT/BURSA 20610	$282.63	$565.25	$226.10–$565.25	27% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Inj Major Jt LT	$282.63	$565.25	$1,500.00–$4,900.00	27% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROGRAM HIP INJ RT	$282.63	$565.25	$96.09–$565.25	27% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj/Drain Intrmd Jt/Bursa woUS	$131.00	$262.00	$306.05–$4,900.00	61% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Intermediate Jnt wo US TC	$169.00	$338.00	$306.05–$4,900.00	50% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ. JNT/BURSA 20605	$217.00	$434.00	$306.05–$520.29	35% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION INTERME JOINT W/O US	$261.88	$523.75	$306.05–$4,900.00	22% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROSENTESIS INTERM JT	$304.63	$609.25	$306.05–$4,900.00	9% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj/Drain Small Jt/Bursa wo US	$131.00	$262.00	$306.05–$4,900.00	66% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection Small Jnt wo US TC	$169.00	$338.00	$306.05–$4,900.00	56% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION SMALL JOINT W/O US	$261.88	$523.75	$306.05–$4,900.00	32% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROSENTESIS SM JT	$304.63	$609.25	$306.05–$4,900.00	21% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND 12031	$276.88	$553.75	$221.50–$553.75	28% below	50%
Left heart catheterization, diagnostic one side CPT 93452 93452 LT HRT CATH W/VENTRGRPHY	$2,843.38	$5,686.75	$3,232.46–$5,495.18	39% below	50%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ SPINE CAUDAL WITH FLUORO	$1,134.88	$2,269.75	$703.82–$4,900.00	16% below	50%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ SPINE LUMBAR WITH FLUORO	$1,134.88	$2,269.75	$703.82–$4,900.00	16% below	50%
Lower-back epidural injection, with imaging guidance CPT 62323 NM Cisternogram inj w/imaging	$1,134.88	$2,269.75	$703.82–$4,900.00	16% below	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Anes Foramen Epidural L/S	$438.38	$876.75	$825.00–$4,900.00	65% below	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPID L/S 1 LEVEL	$876.50	$1,753.00	$825.00–$4,900.00	30% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$607.50	$1,215.00	$486.00–$1,215.00	31% below	50%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE 11730	$150.13	$300.25	$120.10–$300.25	33% below	50%
Occipital nerve block (injection for headaches) CPT 64405 Injection Occipital Nerve TC	$573.00	$1,146.00	$306.05–$4,900.00	20% above	50%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIP NERVE	$644.00	$1,288.00	$306.05–$4,900.00	35% above	50%
Pacemaker implant (dual chamber) CPT 33208 33208 INSERT/REPL PACER ATRLV	$7,047.63	$14,095.25	$1,600.00–$17,716.48	44% below	50%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAG 49083	$904.63	$1,809.25	$723.70–$1,809.25	at median	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ASPIRATION	$904.63	$1,809.25	$900.00–$4,900.00	at median	50%
Paracentesis with imaging guidance CPT 49083 ANGIO US PARACENTESIS	$904.63	$1,809.25	$900.00–$4,900.00	at median	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED 11750	$345.63	$691.25	$276.50–$691.25	38% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,114.50	$2,229.00	$1,000.00–$4,900.00	34% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CHEMODENERVATION L/S	$2,227.63	$4,455.25	$1,000.00–$4,900.00	32% above	50%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY 10120	$291.13	$582.25	$405.33–$689.06	44% below	50%
Short arm splint (forearm and hand) CPT 29125 Apply short arm splint	$104.13	$208.25	$83.30–$208.25	40% below	50%
Short leg splint (calf to foot) CPT 29515 Apply short leg splint	$104.13	$208.25	$162.03–$275.44	38% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFIC WOUND/S 12001	$168.63	$337.25	$134.90–$337.25	24% below	50%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS<15 LESIONS 11200	$126.50	$253.00	$101.20–$253.00	57% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGN 62270	$674.88	$1,349.75	$703.82–$1,196.49	at median	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOS	$674.88	$1,349.75	$703.82–$4,900.00	at median	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFIC WOUND 12002	$195.38	$390.75	$156.30–$390.75	15% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SUPERFIC WOUND 12011	$220.63	$441.25	$176.50–$441.25	1% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING	$1,236.00	$2,472.00	$625.47–$4,900.00	17% above	50%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,236.00	$2,472.00	$625.47–$1,063.30	17% above	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger pt inj 1-2 muscles TC	$170.00	$340.00	$306.05–$4,900.00	46% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNT 1/2 MUSC 20552	$191.13	$382.25	$152.90–$382.25	40% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ. (1-2 MUSCLE)	$191.13	$382.25	$306.05–$4,900.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Lt	$1,447.88	$2,895.75	$900.00–$4,900.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Rt	$1,447.88	$2,895.75	$900.00–$4,900.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Vacuum Assist Bx Rt	$1,447.88	$2,895.75	$492.28–$2,895.75	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Vacuum Assist Bx Lt	$1,447.88	$2,895.75	$900.00–$4,900.00	40% below	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UGI BALLOON DIL ESOPH <30 MM	$2,167.25	$4,334.50	$1,733.80–$4,334.50	18% below	50%
Upper endoscopy (EGD) with biopsy CPT 43239 UGI W BX. SGL/MULTIPLE 43239	$664.63	$1,329.25	$531.70–$1,329.25	66% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$679.38	$1,358.75	$543.50–$1,358.75	62% below	50%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$477.63	$955.25	$200.05–$340.08	39% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid Subq Tissue 20 SQ CM/<	$604.00	$1,208.00	$405.33–$4,900.00	5% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SKIN/TISSUE 20SQ CM< 11042	$604.00	$1,208.00	$483.20–$1,208.00	5% above	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$309.00	$618.00	$439.89–$747.81	21% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION	$309.00	$618.00	$439.89–$747.81	21% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION	$309.00	$618.00	$247.20–$618.00	21% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/DPI TREATMENT 1ST DAILY	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL-O2/AIR DAY 1	$138.88	$277.75	$111.10–$277.75	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INTRAPULMONARY PERCUSS SUBSEQ	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 POSITIVE AIRWAY PRESSURE TX	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN 1ST DAILY	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN SUBSEQUENT	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN WITH BAN SUBSEQUENT	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI>9PUFF PRE/POST PF SUBSEQ	$138.88	$277.75	$218.34–$371.17	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT 1ST DAILY	$138.88	$277.75	$111.10–$277.75	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT	$138.88	$277.75	$111.10–$277.75	11% above	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION FIRST HOUR	$310.25	$620.50	$329.34–$559.88	31% below	50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE > 30 MIN	$1,067.50	$2,135.00	$1,067.50–$2,135.00	3% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG WITH MAGNET	$86.00	$172.00	$58.82–$99.99	22% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$160.75	$321.50	$58.82–$99.99	46% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PEDIATRIC EKG B'HAM	$160.75	$321.50	$58.82–$99.99	46% above	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I - may not req phy/qhp	$112.38	$224.75	$84.08–$450.00	21% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II	$168.63	$337.25	$153.10–$450.00	33% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III	$281.00	$562.00	$272.18–$650.00	20% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV	$449.50	$899.00	$416.04–$950.00	21% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V	$674.25	$1,348.50	$450.00–$1,575.00	17% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE TEST	$504.63	$1,009.25	$215.29–$366.00	17% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/TRACING EXT PHAR	$504.63	$1,009.25	$403.70–$1,009.25	17% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUT ECHO PART B	$504.63	$1,009.25	$215.29–$366.00	17% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 PERSANTIN ECHO PART B	$504.63	$1,009.25	$215.29–$366.00	17% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE TEST/STRESS	$504.63	$1,009.25	$215.29–$366.00	17% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION UP TO 1HR	$232.50	$465.00	$186.00–$465.00	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION 1st HOUR	$232.50	$465.00	$212.08–$360.54	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION; INITIAL HR	$232.50	$465.00	$186.00–$465.00	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION FIRST HOUR	$232.50	$465.00	$186.00–$465.00	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION UP TO 1 HOUR	$232.50	$465.00	$186.00–$465.00	1% below	50%
IV infusion of a medicine, first hour CPT 96365 IV Infusion 1st hr 16-60 mins	$232.50	$465.00	$212.08–$360.54	20% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1st HOUR	$232.50	$465.00	$212.08–$360.54	20% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY; INITIAL	$232.50	$465.00	$186.00–$465.00	20% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF I HR(NON CHEMO/NON HYD)	$232.50	$465.00	$186.00–$465.00	20% below	50%
IV infusion of a medicine, first hour CPT 96365 IV Infusion 1st hr 16-60 mins	$232.50	$465.00	$186.00–$465.00	20% below	50%
IV push of a medicine, first drug CPT 96374 IV PUSH NONCHEMO; INITIAL DRUG	$172.25	$344.50	$137.80–$344.50	20% above	50%
IV push of a medicine, first drug CPT 96374 IV/PUSH 1ST DRUG (NON CHEMO)	$172.25	$344.50	$137.80–$344.50	20% above	50%
IV push of a medicine, first drug CPT 96374 INJECTION IV/PUSH 1st DRUG	$172.25	$344.50	$212.08–$360.54	20% above	50%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH1st	$172.25	$344.50	$212.08–$360.54	20% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$42.00	$84.00	$33.60–$84.00	36% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBOTIC	$47.38	$94.75	$37.90–$94.75	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM	$47.38	$94.75	$71.79–$122.04	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ IM	$47.38	$94.75	$37.90–$94.75	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ANTIBIOTIC INJECTION	$47.38	$94.75	$37.90–$94.75	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ. IM	$47.38	$94.75	$37.90–$94.75	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ. SUBCU/INTRAMUSCULAR	$47.38	$94.75	$37.90–$94.75	28% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHOGAM IM INJ ADMINISTRATION	$47.38	$94.75	$71.79–$122.04	28% below	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NVR CNDJ TST 7-8 STUDIES	$629.25	$1,258.50	$503.40–$1,258.50	44% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 15 MIN	$42.25	$84.50	$35.63–$60.57	18% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 30 MIN	$84.38	$168.75	$67.50–$168.75	63% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 45 MIN	$126.50	$253.00	$35.63–$60.57	144% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 60 MIN	$168.63	$337.25	$35.63–$60.57	226% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 75 MIN	$210.75	$421.50	$35.63–$60.57	307% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL VISIT 90 MIN	$252.88	$505.75	$35.63–$60.57	388% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING COUNSEL 3 TO 10 MIN	$27.38	$54.75	$21.90–$54.75	24% below	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 min	$28.13	$56.25	$37.36–$63.51	22% below	50%
Spirometry (breathing test) CPT 94010 BEDSIDE FV LOOP	$165.88	$331.75	$215.29–$366.00	4% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$165.88	$331.75	$215.29–$366.00	4% below	50%
Spirometry (breathing test) CPT 94010 PFT LAB SPIROMETRY	$165.88	$331.75	$132.70–$331.75	4% below	50%
Spirometry before and after a bronchodilator CPT 94060 BEDSIDE FV LOOP PRE/POST	$244.50	$489.00	$195.60–$489.00	22% below	50%
Spirometry before and after a bronchodilator CPT 94060 PFT LAB SPIROMETRY PRE/POST	$244.50	$489.00	$195.60–$489.00	22% below	50%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY BEFORE AFTER TEST	$244.50	$489.00	$372.07–$632.51	22% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$79.50	$159.00	$63.60–$159.00	28% below	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC24-25(12+)30mcg/0.3ml	$376.07	$752.13	$127.86–$752.13	55% below	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC24-25(12+)30mcg/0.3ml	$376.07	$752.13	$127.86–$752.13	—	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE INJ	$526.27	$1,052.54	$178.93–$1,052.54	7% above	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX 0.5ML INJ	$75.19	$150.37	$25.56–$150.37	32% below	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vacc TS 25-26(6m-64y)0.5ml	$55.36	$110.72	$18.82–$110.72	3% above	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX HEP A and B Vaccine	$31.50	$63.00	$10.71–$63.00	91% below	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A-B vaccine (per1)	$360.06	$720.12	$122.42–$720.12	at median	50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE	$37.50	$75.00	$12.75–$75.00	75% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE - W.C.	$92.25	$184.50	$31.37–$184.50	39% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B vacc adult 3 dose IM	$196.60	$393.20	$66.84–$393.20	31% above	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B vac 20mcg/0.5ml (1)	$428.32	$856.63	$145.63–$856.63	3% below	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Heplisav-B vac 20mcg/0.5ml (1)	$428.32	$856.63	$145.63–$856.63	—	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb vacc ped/adol 3 dose IM	$78.38	$156.75	$26.65–$156.75	4% above	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B 5MCG INJ	$78.43	$156.86	$26.67–$156.86	4% above	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC-W/C AGE 11-19	$84.75	$169.50	$28.82–$169.50	13% above	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HiB TITER PF INJ	$36.19	$72.38	$12.30–$72.38	9% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc HD TS 25-26(65+)0.5ml	$235.07	$470.14	$79.92–$470.14	82% above	50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAP ENCEPH 6 MCG/0.5 ML SYR	$811.47	$1,622.94	$275.90–$1,622.94	at median	50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAP ENCEPH 6 MCG/0.5 ML SYR	$811.47	$1,622.94	$275.90–$1,622.94	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE INJ	$263.29	$526.57	$89.52–$526.57	65% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW-135 0.5ML INJ	$456.50	$913.00	$155.21–$913.00	35% above	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW-135 0.5ML INJ	$456.50	$913.00	$155.21–$913.00	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menningococcal B Vac 0.5 ml vl	$650.05	$1,300.09	$221.02–$1,300.09	3% below	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menningococcal B Vac 0.5 ml vl	$650.05	$1,300.09	$221.02–$1,300.09	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Val Vac 0.5ml	$776.77	$1,553.53	$264.10–$1,553.53	5% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Val Vac 0.5ml	$776.77	$1,553.53	$264.10–$1,553.53	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE	$321.97	$643.94	$109.47–$643.94	67% above	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VAC INJ	$1,294.18	$2,588.36	$440.02–$2,588.36	857% above	50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VAC INJ	$1,294.18	$2,588.36	$440.02–$2,588.36	—	50%
Rabies vaccine, one dose CPT 90675 Rabies vaccine IM	$1,290.33	$2,580.66	$1,032.26–$2,580.66	92% above	50%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine IM	$1,290.33	$2,580.66	$1,032.26–$2,580.66	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD INJECTION	$19.50	$39.00	$6.63–$39.00	65% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP/TET TOX PF >=7 IM inj	$122.13	$244.26	$41.52–$244.26	119% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP INJECTION - PRE EMP	$19.50	$39.00	$6.63–$39.00	85% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im	$132.64	$265.27	$45.10–$265.27	at median	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MENING VACCINE ADMINISTRATION	$42.00	$84.00	$33.60–$84.00	30% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$47.38	$94.75	$71.79–$122.04	21% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC	$33.88	$67.75	$11.52–$67.75	32% below	50%

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://dch.pt.panaceainc.com/MRFDownload/dch/rmc