Hospital Fayetteville-Springdale-Rogers, AR

Washington Regional Medical Center

Washington Regional Medical Center in Fayetteville, AR publishes cash prices for 401 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arkansas median for 335 of 400 procedures and below it for 62. By typical cash price it ranks #54 of 57 Arkansas hospitals and #7 of 7 hospitals in the Fayetteville, AR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

3215 N. North Hills Blvd Fayetteville, AR 72703 Collected Oct 31, 2026 Source price file Check a bill from this hospital (479) 463-5113

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 040004 · CMS hospital register NPI 1083609150

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Washington Regional Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Washington Regional Medical Center in Fayetteville, AR:

Jun 23, 2023 Met requirements
Feb 11, 2025 Warning notice
May 14, 2025 Case closed
Jul 29, 2026 Warning notice

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast	$1,240.50	$1,654.00	$75.19–$2,000.00	25% above	25%
Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus	$394.50	$526.00	$15.80–$526.00	193% above	25%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views	$394.50	$526.00	$12.66–$526.00	199% above	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels (Clinic) - Cv US Ankle Brachial Indices Extrm Cmp	$381.75	$509.00	$16.95–$509.00	124% above	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels - Cv US Ankle Brachial Indices Extrm Cmp	$394.50	$526.00	$16.95–$526.00	132% above	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Wrist WO IV Contrast	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Radius Ulna WO IV Cont	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Shoulder WO IV Contrast	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext WO IV Contrast	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Shoulder Right WO IV Contrast	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Radius Ulna Right WO IV Cont	$639.00	$852.00	$45.83–$2,000.00	1% below	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow	$695.25	$927.00	$48.75–$927.00	200% above	25%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body	$1,592.25	$2,123.00	$61.25–$2,123.00	144% above	25%
Breast ultrasound, complete, one breast both sides CPT 76641 HC Ultrasound Breast Complete - US Breast Bilateral Complete	$459.75	$613.00	$49.69–$613.00	—	25%
Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete - US Breast Complete	$459.75	$613.00	$49.69–$613.00	168% above	25%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited - US Breast Limited	$459.75	$613.00	$39.88–$613.00	202% above	25%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast	$1,917.75	$2,557.00	$148.12–$2,557.00	54% above	25%
CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast	$1,291.50	$1,722.00	$75.19–$2,000.00	30% above	25%
CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast	$1,291.50	$1,722.00	$75.19–$2,000.00	54% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont	$1,291.50	$1,722.00	$75.19–$2,000.00	85% above	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram	$1,875.00	$2,500.00	$75.19–$2,500.00	195% above	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring WO Contrast	$155.25	$207.00	$39.23–$2,000.00	131% above	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast	$1,069.50	$1,426.00	$87.38–$2,000.00	5% above	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast	$1,725.75	$2,301.00	$124.21–$2,301.00	21% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast	$1,725.75	$2,301.00	$136.23–$2,301.00	7% above	25%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast	$1,101.75	$1,469.00	$75.19–$2,000.00	19% above	25%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast	$639.00	$852.00	$45.83–$2,000.00	5% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus Facial Bones WO Cont	$639.00	$852.00	$45.83–$2,000.00	8% below	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast	$639.00	$852.00	$45.83–$2,000.00	8% below	25%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast	$639.00	$852.00	$45.83–$2,000.00	3% below	25%
CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast	$1,101.75	$1,469.00	$75.19–$2,000.00	26% above	25%
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast	$1,240.50	$1,654.00	$75.19–$2,000.00	29% above	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast	$639.00	$852.00	$45.83–$2,000.00	12% below	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast	$639.00	$852.00	$45.83–$2,000.00	5% below	25%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast	$1,101.75	$1,469.00	$75.19–$2,000.00	29% above	25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Duplex Scan Extracranial - Carotid Duplex	$1,071.75	$1,429.00	$57.57–$1,429.00	192% above	25%
Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast	$1,240.50	$1,654.00	$75.19–$2,000.00	37% above	25%
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$384.00	$512.00	$14.86–$512.00	170% above	25%
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest 1 View	$384.00	$512.00	$12.40–$512.00	245% above	25%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle	$394.50	$526.00	$12.13–$526.00	268% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum	$513.00	$684.00	$45.83–$684.00	56% above	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density	$278.25	$371.00	$13.42–$371.00	54% above	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral - Dexa Bone Density Extremity	$252.75	$337.00	$13.85–$337.00	162% above	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal Anat Sing or 1st Gest	$888.75	$1,185.00	$67.18–$1,185.00	121% above	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast	$639.00	$852.00	$45.83–$2,000.00	6% above	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast	$1,101.75	$1,469.00	$75.19–$2,000.00	42% above	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Lower Extremity Arterial Duplex	$1,071.75	$1,429.00	$56.64–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Vasc Duplex Extrem Venous,Bilat	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Upper Extremity Dvt	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Lower Extremity Dvt	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Venous Reflux Duplex	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - US Doppler Venous Arms Bilateral	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Cv US Doppler Venous Legs Bilateral	$1,071.75	$1,429.00	$42.00–$1,429.00	—	25%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US Le Venous Reflux Study	$492.00	$656.00	$49.58–$656.00	at median	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$2,100.00	$2,800.00	$106.55–$2,800.00	108% above	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast	$2,776.50	$3,702.00	$106.55–$3,702.00	176% above	25%
Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views	$394.50	$526.00	$11.60–$526.00	329% above	25%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral	$394.50	$526.00	$12.66–$526.00	—	25%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views	$394.50	$526.00	$12.66–$526.00	268% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO IV Cont	$639.00	$852.00	$45.83–$2,000.00	8% below	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Auditory Canals WO Cont	$639.00	$852.00	$45.83–$2,000.00	8% below	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$621.00	$828.00	$19.35–$828.00	415% above	25%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views	$394.50	$526.00	$12.13–$526.00	268% above	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function	$1,830.75	$2,441.00	$49.76–$2,441.00	188% above	25%
Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views	$394.50	$526.00	$12.13–$526.00	268% above	25%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views	$394.50	$526.00	$11.67–$526.00	294% above	25%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattended in Facility	$1,020.00	$1,360.00	$62.49–$1,360.00	184% above	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography Cpap Bipap Age 6+	$3,633.75	$4,845.00	$183.14–$4,845.00	106% above	25%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views	$394.50	$526.00	$13.68–$526.00	205% above	25%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views	$493.50	$658.00	$16.77–$658.00	241% above	25%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Hip WO IV Contrast	$639.00	$852.00	$45.83–$2,000.00	5% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited	$313.50	$418.00	$39.74–$418.00	30% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Spleen	$513.00	$684.00	$39.74–$684.00	112% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited Liver	$513.00	$684.00	$39.74–$684.00	112% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Gallbladder	$513.00	$684.00	$39.74–$684.00	112% above	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC ED Chg US,Extremity,Nonvascular,Real-Time Image,Limited	$266.25	$355.00	$13.87–$355.00	63% above	25%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Lmtd Jt/Nonvasc Xtr Strux - US Knee Left Limited	$505.50	$674.00	$13.87–$674.00	209% above	25%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views	$394.50	$526.00	$12.02–$526.00	251% above	25%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast	$1,304.25	$1,739.00	$81.65–$2,100.00	44% above	25%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint Rt WO IV Cont	$1,304.25	$1,739.00	$92.55–$2,100.00	50% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip WO IV Contrast	$2,180.25	$2,907.00	$145.76–$2,907.00	111% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip W and WO IV Contrast	$2,180.25	$2,907.00	$145.76–$2,907.00	111% above	25%
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Lumbar Plexus WO Contrast	$651.75	$869.00	$96.86–$2,100.00	29% below	25%
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	43% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Lumbar Plexus W WO Contrast Limited	$1,090.50	$1,454.00	$149.45–$2,100.00	5% below	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast	$2,180.25	$2,907.00	$149.45–$2,907.00	90% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	43% above	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MR Pituitary W/WO IV Contrast	$2,180.25	$2,907.00	$155.01–$2,907.00	43% above	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast	$2,180.25	$2,907.00	$155.01–$2,907.00	43% above	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/Iacs W + WO Contrast	$2,180.25	$2,907.00	$155.01–$2,907.00	43% above	25%
MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Complete Spine WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	46% above	25%
MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	46% above	25%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast	$2,180.25	$2,907.00	$155.01–$2,907.00	63% above	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	45% above	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast	$2,180.25	$2,907.00	$155.01–$2,907.00	58% above	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	40% above	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast	$2,180.25	$2,907.00	$149.45–$2,907.00	103% above	25%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast	$1,304.25	$1,739.00	$96.86–$2,100.00	54% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder WO IV Contrast	$1,304.25	$1,739.00	$92.55–$2,100.00	46% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow WO IV Contrast	$1,304.25	$1,739.00	$92.55–$2,100.00	46% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast	$1,304.25	$1,739.00	$92.55–$2,100.00	46% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Brachial Plexus WO IV Contrast	$1,886.25	$2,515.00	$92.55–$2,515.00	111% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow Left WO IV Contrast	$1,304.25	$1,739.00	$92.55–$2,100.00	46% above	25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4-5 Views	$621.00	$828.00	$22.81–$828.00	271% above	25%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast	$1,101.75	$1,469.00	$75.19–$2,000.00	37% above	25%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck WO Cont	$639.00	$852.00	$45.83–$2,000.00	6% above	25%
Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$394.50	$526.00	$12.20–$526.00	291% above	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect Stress & Rest	$2,927.25	$3,903.00	$107.74–$3,903.00	59% above	25%
Pelvic CT scan without contrast CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast	$639.00	$852.00	$45.83–$2,000.00	2% below	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited	$204.00	$272.00	$19.66–$272.00	31% above	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis (Nonobstetrics), Complete	$513.00	$684.00	$45.83–$684.00	79% above	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest	$570.00	$760.00	$45.83–$760.00	139% above	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC ED OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest	$570.00	$760.00	$45.83–$760.00	154% above	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest	$756.00	$1,008.00	$45.83–$1,008.00	237% above	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses	$370.50	$494.00	$44.36–$494.00	139% above	25%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views	$394.50	$526.00	$16.27–$526.00	268% above	25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior	$607.50	$810.00	$19.74–$810.00	384% above	25%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral	$394.50	$526.00	$13.68–$526.00	—	25%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views	$394.50	$526.00	$13.68–$526.00	247% above	25%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$493.50	$658.00	$18.35–$658.00	273% above	25%
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$394.50	$526.00	$18.28–$526.00	241% above	25%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography Age 6+	$3,633.75	$4,845.00	$122.00–$4,845.00	137% above	25%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Stress Transthorasic, W/ Ekg Monitoring	$2,315.25	$3,087.00	$123.97–$3,087.00	323% above	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$695.25	$927.00	$38.63–$927.00	234% above	25%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt	$414.75	$553.00	$12.01–$553.00	266% above	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Contrast	$639.00	$852.00	$45.83–$2,000.00	8% below	25%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views	$394.50	$526.00	$9.59–$526.00	268% above	25%
Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal	$313.50	$418.00	$45.83–$418.00	34% above	25%
Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal	$756.00	$1,008.00	$45.83–$1,008.00	222% above	25%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal	$370.50	$494.00	$50.71–$494.00	100% above	25%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete	$333.75	$445.00	$45.83–$445.00	11% below	25%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen	$513.00	$684.00	$45.83–$684.00	36% above	25%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum	$513.00	$684.00	$43.42–$684.00	106% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC ED Chg US, Head/Neck	$266.25	$355.00	$38.22–$355.00	14% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue	$756.00	$1,008.00	$38.22–$1,008.00	222% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Fl Upper GI Without Kub	$494.25	$659.00	$50.30–$659.00	96% above	25%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 HC X-Ray Humerus - Xr Humerus Bilateral	$394.50	$526.00	$12.50–$526.00	—	25%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus	$394.50	$526.00	$12.50–$526.00	224% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Dup-Scan Xtr Veins	$266.25	$355.00	$32.31–$409.83	9% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - US Doppler Venous Arm Left	$756.00	$1,008.00	$32.31–$1,008.00	211% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Cv US Doppler Venous Leg Left	$756.00	$1,008.00	$32.31–$1,008.00	211% above	25%
Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views	$394.50	$526.00	$12.13–$526.00	268% above	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views	$394.50	$526.00	$12.66–$526.00	214% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw	$414.75	$553.00	$14.80–$553.00	255% above	25%
X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View	$394.50	$526.00	$12.40–$526.00	247% above	25%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views	$394.50	$526.00	$12.13–$526.00	271% above	25%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Views	$394.50	$526.00	$10.07–$526.00	311% above	25%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views	$394.50	$526.00	$11.21–$526.00	338% above	25%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views	$394.50	$526.00	$12.20–$526.00	202% above	25%
X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views	$394.50	$526.00	$12.66–$526.00	222% above	25%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views	$394.50	$526.00	$12.50–$526.00	230% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$394.50	$526.00	$16.27–$526.00	210% above	25%
X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$621.00	$828.00	$22.81–$828.00	279% above	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$394.50	$526.00	$16.27–$526.00	196% above	25%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones	$394.50	$526.00	$12.66–$526.00	268% above	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views	$394.50	$526.00	$16.27–$526.00	228% above	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$394.50	$526.00	$12.66–$526.00	248% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$394.50	$526.00	$12.66–$526.00	245% above	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 HC Assay of Acth - Acth	$211.50	$282.00	$4.51–$282.00	130% above	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt)	$65.25	$87.00	$0.62–$87.00	210% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot)	$64.50	$86.00	$0.60–$86.00	248% above	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge	$486.75	$649.00	$4.63–$649.00	155% above	25%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin	$62.25	$83.00	$0.58–$83.00	180% above	25%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone	$404.25	$539.00	$3.96–$539.00	304% above	25%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase	$64.50	$86.00	$0.60–$86.00	206% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lamb Ige	$17.25	$23.00	$0.61–$23.00	15% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pork Ige	$17.25	$23.00	$0.61–$23.00	15% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige	$66.00	$88.00	$0.61–$88.00	340% above	25%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker	$207.75	$277.00	$1.96–$277.00	151% above	25%
Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia	$184.50	$246.00	$1.70–$246.00	240% above	25%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase	$80.25	$107.00	$0.76–$107.00	204% above	25%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase Body Fluid	$80.25	$107.00	$0.76–$107.00	204% above	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$161.25	$215.00	$1.51–$215.00	257% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies)	$150.00	$200.00	$1.41–$200.00	233% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp)	$336.00	$448.00	$3.44–$448.00	425% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Sputum	$107.25	$143.00	$1.00–$143.00	179% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture CSF	$107.25	$143.00	$1.00–$143.00	179% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Miscellaneous	$107.25	$143.00	$1.00–$143.00	179% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Throat	$107.25	$143.00	$1.00–$143.00	179% above	25%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Eye or Ear	$109.50	$146.00	$1.00–$146.00	185% above	25%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge	$105.00	$140.00	$0.99–$140.00	12% above	25%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total	$62.25	$83.00	$0.58–$83.00	59% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV	$310.50	$414.00	$27.46–$414.00	301% above	25%
Blood culture for bacteria CPT 87040 HC Culture Blood	$128.25	$171.00	$1.20–$171.00	160% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge	$28.50	$38.00	$3.00–$38.00	217% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood,Venipuncture - Bundled Charge	$28.50	$38.00	$3.00–$38.00	217% above	25%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Gtt Fasting	$48.75	$65.00	$0.46–$65.00	163% above	25%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Timed Urine	$48.75	$65.00	$0.46–$65.00	163% above	25%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting	$48.75	$65.00	$0.46–$65.00	163% above	25%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random	$48.75	$65.00	$0.46–$65.00	163% above	25%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - POCT Glucometer	$48.75	$65.00	$0.46–$65.00	163% above	25%
Blood lead test CPT 83655 HC Assay of Lead - Lead 24hr Urine	$154.50	$206.00	$1.41–$206.00	420% above	25%
Blood lead test CPT 83655 HC Assay of Lead - Lead, Capillary Blood	$154.50	$206.00	$1.41–$206.00	420% above	25%
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood	$154.50	$206.00	$1.41–$206.00	420% above	25%
Blood lead test CPT 83655 HC Assay of Lead - POCT Blood Lead	$154.50	$206.00	$1.41–$206.00	420% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Urine	$93.00	$124.00	$0.88–$124.00	147% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Ab	$37.50	$50.00	$0.35–$232.02	36% below	25%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Blood Urea Nitrogen	$48.75	$65.00	$0.46–$65.00	92% above	25%
C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide	$257.25	$343.00	$2.43–$343.00	313% above	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$64.50	$86.00	$0.60–$86.00	125% above	25%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe	$347.25	$463.00	$3.41–$463.00	291% above	25%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$257.25	$343.00	$2.43–$343.00	313% above	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$257.25	$343.00	$2.43–$343.00	277% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr	$112.50	$150.00	$34.50–$150.00	16% above	25%
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Calcium	$63.75	$85.00	$0.60–$85.00	223% above	25%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen)	$235.50	$314.00	$2.21–$314.00	289% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$97.50	$130.00	$3.41–$130.00	55% above	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge	$157.50	$210.00	$1.56–$210.00	120% above	25%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge	$96.75	$129.00	$0.91–$129.00	215% above	25%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc	$80.25	$107.00	$0.75–$107.00	235% above	25%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge	$130.50	$174.00	$1.23–$174.00	3% below	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol Am	$201.00	$268.00	$1.90–$268.00	246% above	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol	$201.00	$268.00	$1.90–$268.00	246% above	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Acth Stimulation Baseline	$201.00	$268.00	$1.90–$268.00	246% above	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Acth Stimulation 30 Minutes	$201.00	$268.00	$1.90–$268.00	246% above	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Acth Stimulation 1 Hour	$201.00	$268.00	$1.90–$268.00	246% above	25%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol Pm	$201.00	$268.00	$1.90–$268.00	246% above	25%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK	$81.00	$108.00	$0.76–$108.00	131% above	25%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Fluid	$63.75	$85.00	$0.60–$85.00	212% above	25%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Serum	$63.75	$85.00	$0.60–$85.00	212% above	25%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative	$126.00	$168.00	$1.19–$168.00	156% above	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$283.50	$378.00	$2.59–$378.00	327% above	25%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$99.42	$132.56	$5.66–$186.60	76% above	25%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge	$87.75	$117.00	$0.82–$117.00	52% above	25%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Panel	$225.00	$300.00	$2.12–$300.00	374% above	25%
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol	$356.25	$475.00	$2.72–$475.00	305% above	25%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh	$230.25	$307.00	$2.17–$307.00	247% above	25%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin	$169.50	$226.00	$1.59–$226.00	237% above	25%
Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative	$105.75	$141.00	$1.02–$141.00	261% above	25%
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate	$182.25	$243.00	$1.72–$243.00	242% above	25%
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$209.25	$279.00	$1.98–$279.00	246% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free	$111.75	$149.00	$1.05–$149.00	249% above	25%
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$315.00	$420.00	$2.97–$420.00	336% above	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - POCT Gamma Glutamyl Transferase (Ggt)	$91.50	$122.00	$0.84–$122.00	141% above	25%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt	$91.50	$122.00	$0.84–$122.00	141% above	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge	$344.25	$459.00	$1.60–$459.00	160% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt Fasting	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Gtt 1 Hour	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 1 Hr	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 2 Hr	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 30 Min	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 90 Min	$59.25	$79.00	$0.55–$79.00	130% above	25%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge	$164.25	$219.00	$1.50–$219.00	256% above	25%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour	$164.25	$219.00	$1.50–$219.00	256% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr	$97.50	$130.00	$3.41–$130.00	42% above	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr	$869.25	$1,159.00	$8.27–$1,159.00	415% above	25%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen	$170.25	$227.00	$1.60–$227.00	186% above	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1 Ag/1&2 Ab	$180.60	$240.80	$2.81–$240.80	270% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$120.00	$160.00	$1.13–$160.00	248% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - POCT Glycated Hemoglobin, Total	$120.00	$160.00	$1.13–$160.00	248% above	25%
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin	$29.25	$39.00	$0.28–$39.00	147% above	25%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$148.50	$198.00	$1.41–$198.00	343% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$133.50	$178.00	$1.25–$178.00	172% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$128.25	$171.00	$1.21–$171.00	246% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$177.75	$237.00	$1.66–$237.00	238% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr	$425.25	$567.00	$4.17–$567.00	224% above	25%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody	$326.25	$435.00	$1.54–$435.00	723% above	25%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody	$326.25	$435.00	$2.26–$435.00	509% above	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$161.25	$215.00	$1.51–$215.00	269% above	25%
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Total	$208.50	$278.00	$1.97–$278.00	248% above	25%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron	$80.25	$107.00	$0.75–$107.00	222% above	25%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron,Liver Tissue	$80.25	$107.00	$0.75–$107.00	222% above	25%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr or Pl	$108.00	$144.00	$1.02–$144.00	305% above	25%
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge	$108.00	$144.00	$1.01–$144.00	41% above	25%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$229.50	$306.00	$2.16–$306.00	264% above	25%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid, Arterial, Whole Blood	$132.75	$177.00	$1.25–$177.00	212% above	25%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid, Venous, Whole Blood	$132.75	$177.00	$1.25–$177.00	212% above	25%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid Body Fluid	$132.75	$177.00	$1.25–$177.00	212% above	25%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate	$132.75	$177.00	$1.25–$177.00	212% above	25%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate CSF	$132.75	$177.00	$1.25–$177.00	212% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase, CSF	$74.25	$99.00	$0.70–$99.00	257% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl	$74.25	$99.00	$0.70–$99.00	257% above	25%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase	$74.25	$99.00	$0.70–$99.00	257% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase	$84.75	$113.00	$0.80–$113.00	213% above	25%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase Body Fluid	$84.75	$113.00	$0.80–$113.00	213% above	25%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge	$100.50	$134.00	$0.95–$134.00	57% above	25%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Lyme Disease (Borrelia Burgdorferi), Quant	$210.75	$281.00	$1.99–$281.00	270% above	25%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine	$82.50	$110.00	$0.78–$110.00	201% above	25%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium	$82.50	$110.00	$0.78–$110.00	201% above	25%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Urine	$84.75	$113.00	$0.78–$113.00	209% above	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen	$64.50	$86.00	$0.60–$86.00	234% above	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free	$228.00	$304.00	$2.15–$304.00	315% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa	$228.00	$304.00	$2.15–$304.00	290% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Total and Free	$228.00	$304.00	$2.15–$304.00	290% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa, Ultrasensitive	$228.00	$304.00	$2.15–$304.00	290% above	25%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact	$408.75	$545.00	$4.01–$545.00	270% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt	$74.25	$99.00	$0.70–$99.00	179% above	25%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus	$59.25	$79.00	$0.55–$79.00	117% above	25%
Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium	$57.00	$76.00	$0.54–$76.00	172% above	25%
Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone	$266.25	$355.00	$2.43–$355.00	376% above	25%
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin	$239.25	$319.00	$2.26–$319.00	310% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr	$48.75	$65.00	$0.46–$65.00	144% above	25%
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu	$33.75	$45.00	$2.03–$45.00	29% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen	$111.75	$149.00	$2.02–$149.00	319% above	25%
Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay	$272.25	$363.00	$2.57–$363.00	260% above	25%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Rh Type	$37.50	$50.00	$0.35–$70.65	25% above	25%
Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm	$183.00	$244.00	$1.68–$244.00	393% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated	$33.75	$45.00	$0.32–$45.00	48% above	25%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis	$225.00	$300.00	$1.41–$300.00	107% above	25%
Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium	$60.00	$80.00	$0.56–$80.00	182% above	25%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination	$109.50	$146.00	$1.04–$146.00	244% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld	$18.00	$24.00	$0.46–$24.00	14% below	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - T. Pallidum Confirmatory	$168.00	$224.00	$1.54–$224.00	562% above	25%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm	$168.00	$224.00	$1.54–$224.00	562% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp	$52.50	$70.00	$0.50–$70.00	200% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF	$56.25	$75.00	$0.50–$75.00	221% above	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test	$613.50	$818.00	$6.03–$818.00	658% above	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone	$319.50	$426.00	$3.01–$426.00	311% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody	$180.75	$241.00	$1.70–$241.00	363% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$207.75	$277.00	$1.96–$277.00	335% above	25%
Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total	$54.00	$72.00	$0.51–$72.00	99% above	25%
Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Fluid	$55.50	$74.00	$0.51–$74.00	105% above	25%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)	$87.75	$117.00	$0.80–$117.00	245% above	25%
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)	$174.75	$233.00	$1.65–$233.00	284% above	25%
Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin	$157.50	$210.00	$1.49–$210.00	341% above	25%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides	$71.25	$95.00	$0.67–$95.00	204% above	25%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T	$121.50	$162.00	$1.31–$162.00	98% above	25%
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid	$56.25	$75.00	$0.53–$75.00	116% above	25%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$39.00	$52.00	$0.37–$52.00	121% above	25%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Bundled Charge	$44.25	$59.00	$0.37–$59.00	150% above	25%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only	$27.75	$37.00	$0.26–$37.00	98% above	25%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope	$26.25	$35.00	$0.37–$35.00	125% above	25%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Urine	$99.75	$133.00	$0.94–$133.00	249% above	25%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin Random Urine	$72.00	$96.00	$0.67–$96.00	246% above	25%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine	$73.50	$98.00	$0.67–$98.00	253% above	25%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine	$64.50	$86.00	$0.90–$86.00	125% above	25%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12	$187.50	$250.00	$1.76–$250.00	248% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25	$302.25	$403.00	$2.88–$403.00	308% above	25%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin D 1	$393.00	$524.00	$3.74–$524.00	290% above	25%
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc	$145.50	$194.00	$1.33–$194.00	286% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$190.50	$254.00	$2.05–$254.00	379% above	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PR ADENOIDECTOMY PRIMARY <AGE 12	$2,799.48	$3,732.64	$193.42–$6,000.00	12% above	25%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ	$5,874.71	$7,832.94	$917.53–$12,858.71	105% above	25%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$3,344.75	$4,459.66	$1,001.22–$12,858.71	34% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Tx Lat Malleolus W/O Manip	$438.75	$585.00	$86.76–$2,000.00	33% above	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fx W/O Manip	$438.75	$585.00	$86.76–$2,000.00	7% above	25%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT	$2,052.97	$2,737.29	$491.83–$5,840.30	44% below	25%
Bunion correction with removal of part of the big toe joint CPT 28292 PR CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$2,052.97	$2,737.29	$460.92–$5,840.30	17% above	25%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography	$9,490.50	$12,654.00	$676.76–$12,654.00	110% above	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion, Elective;Extern	$2,169.75	$2,893.00	$105.31–$2,893.00	219% above	25%
Carpal tunnel release, open surgery CPT 64721 PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,086.82	$1,449.09	$333.29–$3,514.99	56% below	25%
Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$3,672.19	$4,896.25	$509.90–$8,400.00	54% above	25%
Catheter ablation for atrial fibrillation CPT 93656 HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$48,114.00	$64,152.00	$530.95–$64,152.00	268% above	25%
Cervical biopsy CPT 57500 HC Biopsy, Cervix	$2,503.50	$3,338.00	$71.06–$3,338.00	33% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Closed Tx Colles Fx W/O Manip	$438.75	$585.00	$86.76–$975.00	101% above	25%
Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$1,875.00	$2,500.00	$244.76–$2,500.00	146% above	25%
Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$1,125.00	$1,500.00	$192.60–$2,500.00	47% above	25%
Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$1,200.00	$1,600.00	$177.44–$2,500.00	2% above	25%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$64.07	$85.43	$19.65–$2,503.00	88% below	25%
Complex cataract surgery with lens implant CPT 66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP	$2,325.00	$3,100.00	$700.10–$8,400.00	4% above	25%
Coronary stent placement, one artery CPT 92928 HC Cath Prq Trluml Coronary Stent W/Angio One Art/Brnch	$23,346.00	$31,128.00	$557.73–$31,128.00	170% above	25%
Coronary stent placement, one artery CPT 92928 HC Prq Trluml Coronary Stent W/Angio One Art/Brnch-De	$28,299.00	$37,732.00	$557.73–$37,732.00	228% above	25%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 PR TYMPANOSTOMY GENERAL ANESTHESIA	$1,421.72	$1,895.63	$145.69–$3,000.00	28% below	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Cerumen Irrigation/Lavage	$168.75	$225.00	$12.27–$884.00	212% above	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Cerumen Irrigation/Lvg Uni	$194.25	$259.00	$12.27–$884.00	260% above	25%
Earwax removal with instruments, one ear CPT 69210 HC Remove Cerumen W/Instrument	$156.75	$209.00	$31.76–$2,000.00	72% above	25%
Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Cerumen Instrument Uni	$194.25	$259.00	$31.76–$2,000.00	113% above	25%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY	$2,396.65	$3,195.53	$308.24–$12,460.45	4% below	25%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS	$2,396.65	$3,195.53	$359.91–$12,460.45	11% below	25%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 PR NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY	$1,476.77	$1,969.03	$170.85–$6,636.51	10% below	25%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS	$1,875.00	$2,500.00	$252.04–$12,460.45	27% below	25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$1,762.50	$2,350.00	$103.52–$2,503.00	135% above	25%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$900.00	$1,200.00	$86.13–$2,503.00	1% below	25%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$4,112.64	$5,483.52	$1,206.37–$11,231.55	9% below	25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$4,112.64	$5,483.52	$1,206.37–$6,352.31	3% above	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD	$417.15	$556.20	$52.84–$2,503.00	38% below	25%
Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$2,865.29	$3,820.38	$617.69–$10,501.85	47% below	25%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$2,865.29	$3,820.38	$672.55–$10,501.85	58% below	25%
Hammertoe correction surgery CPT 28285 PR CORRECTION HAMMERTOE	$1,322.31	$1,763.08	$360.91–$5,840.30	21% below	25%
Hemorrhoid banding (rubber band ligation) CPT 46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$180.65	$240.86	$55.40–$3,000.00	78% below	25%
Hemorrhoidectomy (internal and external), one area CPT 46255 PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP	$1,499.37	$1,999.16	$333.20–$4,936.30	54% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram	$237.75	$317.00	$54.16–$1,903.00	5% above	25%
Hysteroscopy with endometrial ablation CPT 58563 PR HYSTEROSCOPY ENDOMETRIAL ABLATION	$3,487.50	$4,650.00	$237.03–$8,885.61	24% above	25%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$1,384.83	$1,846.44	$222.35–$5,723.15	49% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I+D Simple Skin Abscess	$403.50	$538.00	$64.17–$975.00	63% above	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple	$567.75	$757.00	$64.17–$975.00	130% above	25%
Incision and drainage of a simple or single skin abscess CPT 10060 PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$2,700.00	$3,600.00	$64.17–$3,600.00	992% above	25%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$2,041.58	$2,722.11	$487.73–$6,352.31	56% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC US Tendon Sheath/Ligament Injection	$1,057.50	$1,410.00	$23.21–$1,903.00	155% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Major Joint	$510.75	$681.00	$27.57–$2,000.00	28% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$1,310.25	$1,747.00	$27.57–$2,000.00	228% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Intermediate Joint	$1,079.25	$1,439.00	$23.21–$1,439.00	201% above	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$1,962.00	$2,616.00	$23.21–$2,616.00	446% above	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$1,206.75	$1,609.00	$22.39–$1,903.00	290% above	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,875.00	$2,500.00	$22.39–$2,503.00	506% above	25%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,692.93	$2,257.24	$519.17–$5,840.30	46% below	25%
Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$2,917.50	$3,890.00	$502.79–$6,000.00	21% below	25%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$1,692.93	$2,257.24	$519.17–$6,000.00	55% below	25%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG	$1,692.93	$2,257.24	$519.17–$6,000.00	54% below	25%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA	$2,865.29	$3,820.38	$401.45–$10,501.85	41% below	25%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 PR LAPS SURG RPR RECURRENT INGUINAL HERNIA	$2,865.29	$3,820.38	$523.18–$10,501.85	56% below	25%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES	$2,865.29	$3,820.38	$620.47–$10,501.85	31% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Intermed Rep Scalp Etc 2.5cmorles	$695.25	$927.00	$142.16–$975.00	78% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$750.00	$1,000.00	$142.16–$2,503.00	92% above	25%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,321.25	$3,095.00	$95.62–$3,095.00	210% above	25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,681.25	$3,575.00	$106.98–$3,575.00	198% above	25%
Lumpectomy (partial mastectomy) CPT 19301 PR MASTECTOMY PARTIAL	$1,550.45	$2,067.27	$475.47–$6,892.70	20% below	25%
Mastectomy (total removal of the breast) CPT 19303 PR MASTECTOMY SIMPLE COMPLETE	$2,085.51	$2,780.68	$639.56–$11,738.63	34% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$839.76	$1,119.68	$75.47–$2,503.00	60% above	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$96.11	$128.14	$29.47–$2,503.00	86% below	25%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Single Nail Plate	$372.75	$497.00	$51.00–$975.00	73% above	25%
Nail removal (partial or complete), one nail CPT 11730 PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$1,875.00	$2,500.00	$52.91–$2,503.00	770% above	25%
Pacemaker implant (dual chamber) CPT 33208 HC Ep Inser Hart Pacer Xvenous Atr/Ventr	$5,315.25	$7,087.00	$489.34–$18,837.59	38% below	25%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$2,265.75	$3,021.00	$104.39–$3,021.00	217% above	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR EXCISION NAIL MATRIX PERMANENT REMOVAL	$262.50	$350.00	$80.50–$2,503.00	54% below	25%
Prostate biopsy CPT 55700 HC Biopsy of Prostate,Needle/Punch	$3,541.50	$4,722.00	$126.17–$4,722.00	61% above	25%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$2,625.00	$3,500.00	$212.44–$3,656.30	58% above	25%
Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,550.45	$2,067.27	$385.18–$6,892.70	49% below	25%
Removal of a foreign object under the skin, simple CPT 10120 HC Rem of Foreign Body-Simple	$607.50	$810.00	$85.20–$975.00	73% above	25%
Removal of a foreign object under the skin, simple CPT 10120 PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$900.00	$1,200.00	$85.20–$2,503.00	156% above	25%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PR TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY	$3,120.47	$4,160.62	$662.86–$10,501.85	52% below	25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PR COLON CA SCRN NOT HI RSK IND	$507.91	$677.21	$155.76–$2,500.00	23% below	25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PR COLORECTAL SCRN; HI RISK IND	$507.91	$677.21	$155.76–$2,500.00	21% below	25%
Septoplasty to straighten the nasal septum CPT 30520 PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF	$1,499.65	$1,999.53	$459.89–$6,000.00	41% below	25%
Short arm splint (forearm and hand) CPT 29125 HC Appl Splint Short Arm	$286.50	$382.00	$36.47–$382.00	114% above	25%
Short leg cast (below the knee) CPT 29405 HC Short Leg Cast	$597.00	$796.00	$38.50–$796.00	257% above	25%
Short leg splint (calf to foot) CPT 29515 HC Appl Splint Lower Leg	$253.50	$338.00	$33.86–$338.00	87% above	25%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$3,344.75	$4,459.66	$628.23–$6,500.00	16% above	25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$3,344.75	$4,459.66	$164.86–$4,459.66	73% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Lac Repair 2.5cm or Less	$211.50	$282.00	$42.74–$975.00	3% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm	$211.50	$282.00	$42.74–$1,750.00	3% above	25%
Skin tag removal, up to 15 tags CPT 11200 PR REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15	$56.99	$75.99	$17.48–$2,503.00	75% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Diagnostic Lumbar Puncture	$1,653.00	$2,204.00	$59.74–$2,204.00	143% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$1,653.00	$2,204.00	$59.74–$2,204.00	143% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm	$211.50	$282.00	$56.74–$1,750.00	7% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Simp Repair Scalp Etc 2.6-7.5cm	$211.50	$282.00	$51.00–$975.00	7% below	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simp Repair Face 2.5cm or Less	$211.50	$282.00	$51.00–$975.00	4% above	25%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$2,265.75	$3,021.00	$109.05–$3,021.00	145% above	25%
Tonsil and adenoid removal, age 12 or older CPT 42821 PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/>	$2,210.24	$2,946.98	$282.09–$6,500.00	18% below	25%
Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$2,741.24	$3,654.98	$270.58–$10,648.19	at median	25%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>	$1,910.17	$2,546.89	$234.90–$6,000.00	29% below	25%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12	$2,799.48	$3,732.64	$245.13–$10,648.19	6% below	25%
Total thyroid removal (thyroidectomy) CPT 60240 PR THYROIDECTOMY TOTAL/COMPLETE	$3,120.47	$4,160.62	$863.49–$10,501.85	69% below	25%
Trigger finger release surgery CPT 26055 PR TENDON SHEATH INCISION	$982.15	$1,309.53	$266.61–$2,880.74	37% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED Trigger Pt(S) Inject, 1 or 2 Musc	$576.75	$769.00	$22.94–$975.00	47% above	25%
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$900.00	$1,200.00	$22.94–$2,503.00	130% above	25%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 PR LAPAROSCOPY FULGURATION OVIDUCTS	$2,865.29	$3,820.38	$350.12–$10,501.85	14% above	25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,125.00	$1,500.00	$146.82–$3,414.58	13% above	25%
Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,536.39	$2,048.52	$132.44–$2,500.00	31% above	25%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$526.55	$702.06	$132.56–$2,500.00	72% below	25%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$795.59	$1,060.78	$188.24–$3,414.58	at median	25%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS	$526.55	$702.06	$159.08–$2,500.00	16% below	25%
Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,282.50	$1,710.00	$117.20–$2,000.00	14% below	25%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST	$1,125.00	$1,500.00	$345.00–$10,715.06	2% above	25%
Wart removal, up to 14 warts CPT 17110 PR DESTRUCTION BENIGN LESIONS UP TO 14	$65.77	$87.69	$20.17–$2,503.00	62% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$854.25	$1,139.00	$57.92–$2,500.00	39% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<	$2,025.00	$2,700.00	$57.92–$2,700.00	230% above	25%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 PR OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP	$4,227.95	$5,637.27	$683.91–$12,858.71	23% above	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service	$936.75	$1,249.00	$30.31–$2,000.00	99% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pep Therapy (Accupap)	$240.00	$320.00	$6.00–$355.93	206% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment	$229.50	$306.00	$6.00–$355.93	192% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Mdi/Dpi	$240.00	$320.00	$6.00–$355.93	206% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Hand Held Nebulizer	$240.00	$320.00	$6.00–$355.93	206% above	25%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr	$636.75	$849.00	$122.78–$849.00	123% above	25%
Critical care, first 30 to 74 minutes CPT 99291 HC ER Critical Care	$1,800.00	$2,400.00	$51.00–$2,400.00	52% above	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable	$1,173.75	$1,565.00	$25.00–$1,565.00	240% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing	$221.25	$295.00	$7.31–$295.00	190% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ekg Pediatric Routine	$221.25	$295.00	$7.31–$295.00	190% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob	$318.75	$425.00	$21.67–$779.00	78% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity	$543.75	$725.00	$41.76–$1,375.00	85% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity	$810.00	$1,080.00	$51.00–$1,620.00	66% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity	$1,200.00	$1,600.00	$51.00–$2,200.00	80% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func	$1,425.00	$1,900.00	$51.00–$2,425.00	35% above	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only	$1,016.25	$1,355.00	$29.32–$1,355.00	171% above	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min	$267.75	$357.00	$30.38–$357.00	87% above	25%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$435.00	$580.00	$62.46–$580.00	153% above	25%
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug	$267.75	$357.00	$35.08–$357.00	121% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED Injection Subq or Im	$154.50	$206.00	$13.14–$206.00	220% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut	$154.50	$206.00	$13.14–$206.00	220% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$171.00	$228.00	$30.35–$228.00	272% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$171.00	$228.00	$30.35–$228.00	272% above	25%
New patient office visit, about 30 minutes CPT 99203 HC New Patient Intermediate	$351.75	$469.00	$71.98–$469.00	252% above	25%
New patient office visit, about 45 minutes CPT 99204 HC New Patient Extended	$466.50	$622.00	$123.14–$622.00	214% above	25%
New patient office visit, about 60 minutes CPT 99205 HC New Patient Complex	$638.25	$851.00	$12.00–$851.00	239% above	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP New Patient Eval	$232.50	$310.00	$47.96–$1,750.00	187% above	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC WC New Patient Limited	$267.75	$357.00	$47.96–$357.00	230% above	25%
Occupational therapy evaluation, low complexity CPT 97165 HC Nicu Occupational Therapy Eval Low Complex 30 Mins	$420.75	$561.00	$85.47–$561.00	302% above	25%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Occupational Therapy Eval Low Complex 30 Mins	$420.75	$561.00	$85.47–$561.00	302% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins	$484.50	$646.00	$80.82–$646.00	240% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Nicu Pt Physical Therapy Evaluation High Complex 45 Min	$484.50	$646.00	$80.82–$646.00	240% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins	$420.75	$561.00	$80.82–$561.00	300% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Nicu Pt Physical Therapy Evaluation Low Complex 20 Mins	$420.75	$561.00	$80.82–$561.00	300% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Nicu Pt Physical Therapy Evaluation Mod Complex 30 Mins	$450.75	$601.00	$80.82–$601.00	257% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex 30 Mins	$450.75	$601.00	$80.82–$601.00	257% above	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min	$69.00	$92.00	$21.16–$152.00	65% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises	$150.00	$200.00	$21.76–$200.00	131% above	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises	$150.00	$200.00	$21.76–$200.00	131% above	25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes	$90.00	$120.00	$11.82–$255.00	185% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Minutes	$466.50	$622.00	$106.56–$622.00	180% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Labor Triage Level One	$780.00	$1,040.00	$12.80–$1,040.00	368% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes	$267.75	$357.00	$48.91–$357.00	168% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Labor Triage Level Three	$405.00	$540.00	$12.80–$540.00	305% above	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes	$351.75	$469.00	$75.42–$469.00	164% above	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Labor Triage Level Two	$596.25	$795.00	$12.80–$795.00	348% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Oupt Visit, Estab Pt 10min or Less	$232.50	$310.00	$24.46–$1,750.00	216% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes	$232.50	$310.00	$24.46–$310.00	216% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Labor Triage Level Four	$243.75	$325.00	$12.80–$325.00	232% above	25%
Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension	$444.00	$592.00	$136.16–$592.00	157% above	25%
Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual	$318.75	$425.00	$21.76–$425.00	160% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$195.75	$261.00	$21.76–$261.00	212% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$210.00	$280.00	$21.76–$280.00	235% above	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy	$225.00	$300.00	$69.00–$402.00	114% above	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 mRNA vaccine (Moderna 2025-2026) 50 MCG/0.5ML suspension prefilled syringe 0.5 mL Syringe	$440.35	$587.13	$44.03–$587.13	132% above	25%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Sars-Cov-2 (Covid-19) Mrna-Lnp Vaccine Pf 50 Mcg/0.5 Ml Inj	$472.20	$629.60	$47.22–$629.60	149% above	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella 1350 PFU/0.5ML reconstituted suspension 1 each Vial	$877.44	$1,169.92	$72.53–$1,169.92	261% above	25%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP 25-58-10 LF-MCG/0.5 suspension 0.5 mL Syringe	$163.69	$218.25	$29.59–$218.25	102% above	25%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTaP-hepatitis B recombinant-IPV suspension prefilled syringe 0.5 mL Syringe	$492.76	$657.01	$21.00–$657.01	194% above	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vacc Split PF 0.5 ML suspension prefilled syringe 0.5 mL Syringe	$83.63	$111.50	$8.36–$111.50	156% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vac Recombinant 20 Mcg/Ml Ij Susy	$221.59	$295.45	$22.16–$295.45	103% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B 20 MCG/ML suspension prefilled syringe 1 mL Syringe	$345.46	$460.61	$34.55–$460.61	217% above	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Antigen 10mcg/.5ml In	$95.29	$127.05	$9.53–$127.05	76% above	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B 10 MCG/0.5ML suspension prefilled syringe 0.5 mL Syringe	$162.15	$216.20	$16.22–$216.20	199% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate 10 MCG reconstituted solution 1 each Vial	$78.77	$105.02	$13.17–$105.02	94% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate 10 MCG reconstituted solution 1 each Box	$80.33	$107.11	$13.17–$107.11	98% above	25%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate reconstituted solution 1 each Vial	$81.42	$108.56	$8.14–$108.56	100% above	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Fluzone Influenza Vac High Dose Pf Sr	$253.58	$338.10	$13.80–$338.10	93% above	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza vac split high-dose 0.5 ML suspension prefilled syringe 0.5 mL Syringe	$264.42	$352.56	$13.80–$352.56	102% above	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella reconstituted solution 1 each Vial	$427.94	$570.59	$55.64–$570.59	187% above	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B, OMV suspension prefilled syringe 0.5 mL Syringe	$1,060.70	$1,414.27	$106.07–$1,414.27	233% above	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pneumococcal 20-Valent Conjugate Vaccine	$845.21	$1,126.95	$84.52–$1,126.95	48% above	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal conjugate 20-valent 0.5 ML suspension prefilled syringe 0.5 mL Syringe	$1,260.36	$1,680.48	$126.04–$1,680.48	120% above	25%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC Pneumococcal Conj Vaccine 0.5ml Prefilled Syr	$183.54	$244.72	$18.35–$373.79	26% below	25%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 pneumococcal conjugate 21-valent 0.5 ML solution prefilled syringe 0.5 mL Syringe	$1,074.65	$1,432.86	$107.46–$1,432.86	331% above	25%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 MG/0.5ML solution prefilled syringe 0.5 mL Syringe	$2,392.55	$3,190.06	$239.25–$3,190.06	110% above	25%
Rabies vaccine, one dose CPT 90675 rabies vaccine (from purified chicken embryo cells) reconstituted suspension 1 each Vial	$1,315.46	$1,753.94	$266.20–$1,753.94	50% above	25%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus pentavalent live vaccine solution 2 mL Plas Cont	$405.19	$540.25	$102.74–$540.25	118% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Years Im	$155.78	$207.70	$15.58–$207.70	108% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 5-2.5-18.5 LF-MCG/0.5 suspension prefilled syringe 0.5 mL Syringe	$238.54	$318.05	$23.85–$318.05	218% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid	$154.50	$206.00	$13.14–$206.00	482% above	25%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://washingtonregionalmedicalcenter.pg.revenuemasters.com/cdm-files/710664687_washington-regional-medical-center_standardcharges.csv