Neshoba County General Hospital
Neshoba County General Hospital in Philadelphia, MS publishes cash prices for 298 common procedures listed here, from its own machine-readable price file updated Jun 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Mississippi median for 210 of 298 procedures and above it for 82. By typical cash price it ranks #12 of 59 Mississippi hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1001 Holland Ave Philadelphia MS 39350 Collected Oct 31, 2026 Source price file Check a bill from this hospital (601) 663-1200
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 251340 · CMS hospital register NPI 1083659734
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Neshoba County General Hospital 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.
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 3 actions for a hospital named Neshoba County General Hospital in Philadelphia, MS:
- Mar 23, 2023 Met requirements
- Feb 26, 2024 Warning notice
- Mar 19, 2024 Case closed
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 Mississippi | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast | $868.00 | $1,240.00 | $145.76–$1,550.00 | 25% below | 30% |
| Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views | $166.60 | $238.00 | $86.88–$297.50 | 3% above | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $174.30 | $249.00 | $124.50–$311.25 | 22% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body | $451.50 | $645.00 | $294.86–$806.25 | 31% below | 30% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast | $449.40 | $642.00 | $289.93–$802.50 | 74% below | 30% |
| CT angiography (CTA) of the head CPT 70496 CT scan of blood vessels of head with contrast | $373.10 | $533.00 | $145.76–$666.25 | 66% below | 30% |
| CT angiography (CTA) of the neck CPT 70498 CT scan of blood vessels of neck with contrast | $373.10 | $533.00 | $145.76–$666.25 | 65% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $1,505.00 | $2,150.00 | $145.76–$2,687.50 | 31% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $1,137.50 | $1,625.00 | $186.66–$2,031.25 | 15% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,409.80 | $2,014.00 | $289.93–$2,517.50 | 13% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $1,773.80 | $2,534.00 | $289.93–$3,167.50 | at median | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $686.00 | $980.00 | $145.76–$1,225.00 | 30% below | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $572.60 | $818.00 | $86.88–$1,022.50 | 29% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $564.20 | $806.00 | $86.88–$1,007.50 | 14% below | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $639.80 | $914.00 | $86.88–$1,142.50 | 16% below | 30% |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $957.60 | $1,368.00 | $145.76–$1,710.00 | 2% above | 30% |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $1,138.90 | $1,627.00 | $145.76–$2,033.75 | 8% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $723.80 | $1,034.00 | $86.88–$1,292.50 | 19% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $704.90 | $1,007.00 | $86.88–$1,258.75 | 19% below | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $723.80 | $1,034.00 | $145.76–$1,292.50 | 26% below | 30% |
| Chest CT scan without and with contrast CPT 71270 CT scan of chest before and after contrast | $252.48 | $360.68 | $145.76–$664.00 | 79% below | 30% |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $95.90 | $137.00 | $63.92–$239.00 | 32% below | 30% |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $72.80 | $104.00 | $52.00–$239.00 | 31% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $149.80 | $214.00 | $86.88–$369.00 | 56% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $189.00 | $270.00 | $86.88–$337.50 | 21% below | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot | $189.00 | $270.00 | $63.92–$664.00 | 70% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $468.30 | $669.00 | $86.88–$836.25 | 43% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $252.48 | $360.68 | $145.76–$664.00 | 75% below | 30% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $158.20 | $226.00 | $113.00–$282.50 | 17% below | 30% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $115.25 | $164.64 | $82.32–$208.00 | 10% below | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $338.41 | $483.44 | $186.66–$604.30 | 23% below | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $338.41 | $483.44 | $186.66–$604.30 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $767.62 | $1,096.60 | $160.00–$1,370.75 | 20% below | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity without contrast | $564.90 | $807.00 | $86.88–$1,008.75 | 20% below | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones, minimum of 3 views | $147.70 | $211.00 | $86.88–$263.75 | 2% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system | $451.50 | $645.00 | $294.86–$806.25 | 25% below | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort | $219.04 | $312.92 | $156.46–$794.00 | 28% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) | $1,316.00 | $1,880.00 | $713.65–$2,350.00 | 12% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $148.88 | $212.68 | $86.88–$265.85 | 44% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen | $148.88 | $212.68 | $86.88–$265.85 | — | 30% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $148.88 | $212.68 | $86.88–$265.85 | 26% below | 30% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $148.88 | $212.68 | $86.88–$265.85 | — | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI scan of blood vessels of head without contrast | $1,031.80 | $1,474.00 | $186.66–$1,842.50 | 13% below | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $1,339.80 | $1,914.00 | $186.66–$2,392.50 | 3% below | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $1,241.80 | $1,774.00 | $289.93–$2,217.50 | 36% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $1,247.40 | $1,782.00 | $186.66–$2,227.50 | 8% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $1,484.00 | $2,120.00 | $289.93–$2,650.00 | 29% below | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $1,232.00 | $1,760.00 | $186.66–$2,200.00 | 5% below | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $1,483.30 | $2,119.00 | $289.93–$2,648.75 | 24% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $1,323.00 | $1,890.00 | $186.66–$2,362.50 | 2% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $1,484.00 | $2,120.00 | $289.93–$2,650.00 | 21% below | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $919.10 | $1,313.00 | $186.66–$1,641.25 | 30% below | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $1,483.30 | $2,119.00 | $289.93–$2,648.75 | 16% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $1,217.30 | $1,739.00 | $186.66–$2,173.75 | 3% above | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray of upper spine, 4-5 views | $171.50 | $245.00 | $86.88–$306.25 | 7% below | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast | $723.80 | $1,034.00 | $145.76–$1,292.50 | 24% below | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT scan of soft tissue of neck without contrast | $564.90 | $807.00 | $86.88–$1,008.75 | 28% below | 30% |
| Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck | $116.90 | $167.00 | $63.92–$239.00 | 8% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $1,827.67 | $2,610.96 | $373.00–$3,263.70 | 3% below | 30% |
| Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast | $564.90 | $807.00 | $86.88–$1,008.75 | 30% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $148.88 | $212.68 | $86.88–$265.85 | 30% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis | $148.88 | $212.68 | $86.88–$265.85 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $193.20 | $276.00 | $86.88–$369.00 | 39% below | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $199.10 | $284.43 | $86.88–$369.00 | 43% below | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $130.90 | $187.00 | $86.88–$369.00 | 57% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus | $141.60 | $202.28 | $86.88–$369.00 | 33% below | 30% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $121.79 | $173.98 | $86.99–$217.48 | 28% below | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $149.10 | $213.00 | $63.92–$266.25 | 9% above | 30% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views | $106.40 | $152.00 | $63.92–$239.00 | 25% below | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, 1-3 views | $103.60 | $148.00 | $74.00–$239.00 | 25% below | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $1,316.00 | $1,880.00 | $713.65–$2,350.00 | 3% above | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $224.70 | $321.00 | $145.76–$401.25 | 6% below | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast | $905.80 | $1,294.00 | $86.88–$1,617.50 | 2% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $193.20 | $276.00 | $86.88–$369.00 | 37% below | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $231.70 | $331.00 | $86.88–$413.75 | 14% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $231.70 | $331.00 | $86.88–$413.75 | 41% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $193.20 | $276.00 | $86.88–$369.00 | 29% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $197.40 | $282.00 | $86.88–$369.00 | 28% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $205.80 | $294.00 | $145.76–$367.50 | 28% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $148.88 | $212.68 | $86.88–$265.85 | 55% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $148.88 | $212.68 | $86.88–$265.85 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $103.60 | $148.00 | $63.92–$239.00 | 20% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $129.50 | $185.00 | $86.88–$239.00 | 9% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $171.50 | $245.00 | $86.88–$306.25 | 19% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $129.50 | $185.00 | $86.88–$239.00 | 1% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $131.60 | $188.00 | $63.92–$239.00 | 4% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $129.50 | $185.00 | $63.92–$239.00 | 5% below | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $103.60 | $148.00 | $74.00–$239.00 | 25% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $126.00 | $180.00 | $63.92–$239.00 | 7% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $39.90 | $57.00 | $4.77–$71.25 | 49% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $28.70 | $41.00 | $4.66–$51.25 | 6% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $147.70 | $211.00 | $42.87–$263.75 | 3% above | 30% |
| Albumin blood test CPT 82040 Albumin (protein) level | $29.40 | $42.00 | $4.46–$52.50 | 2% below | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level, alkaline | $22.40 | $32.00 | $4.66–$40.00 | 25% below | 30% |
| Ammonia blood test CPT 82140 Ammonia level | $42.70 | $61.00 | $13.11–$76.25 | 41% below | 30% |
| Amylase blood test CPT 82150 Amylase (enzyme) level | $40.60 | $58.00 | $5.83–$72.50 | 2% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $60.90 | $87.00 | $35.33–$108.75 | 43% below | 30% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $98.00 | $140.00 | $7.61–$175.00 | 78% above | 30% |
| Bilirubin blood test, total CPT 82247 Bilirubin level, total | $19.60 | $28.00 | $4.52–$35.00 | 17% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $42.56 | $60.80 | $30.40–$87.36 | 47% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $10.50 | $15.00 | $2.70–$18.75 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $20.30 | $29.00 | $3.54–$36.25 | 25% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $36.40 | $52.00 | $6.77–$65.00 | 22% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $79.88 | $114.11 | $2.69–$223.05 | 48% above | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function, quantitative | $18.90 | $27.00 | $3.56–$33.75 | 39% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $39.20 | $56.00 | $4.66–$70.00 | 25% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $52.50 | $75.00 | $37.50–$93.75 | 19% above | 30% |
| Calcium blood test, total CPT 82310 Calcium level, total | $28.00 | $40.00 | $4.64–$50.00 | at median | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $47.60 | $68.00 | $12.05–$85.00 | 11% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $36.40 | $52.00 | $6.99–$65.00 | 7% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $36.40 | $52.00 | $5.82–$65.00 | 4% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $118.30 | $169.00 | $9.50–$211.25 | 43% above | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level, total | $46.90 | $67.00 | $5.86–$83.75 | 16% above | 30% |
| Creatinine blood test CPT 82565 Blood creatinine level | $28.00 | $40.00 | $4.61–$50.00 | 6% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $65.10 | $93.00 | $9.16–$116.25 | 4% above | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers | $30.80 | $44.00 | $22.00–$77.68 | 41% below | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $46.20 | $66.00 | $6.31–$82.50 | 26% below | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid | $73.61 | $105.15 | $16.33–$131.44 | 31% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $30.10 | $43.00 | $12.27–$53.75 | 56% below | 30% |
| Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement | $14.70 | $21.00 | $8.75–$26.25 | 72% below | 30% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $30.10 | $43.00 | $13.23–$53.75 | 42% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $39.90 | $57.00 | $8.12–$71.25 | 15% above | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level | $29.40 | $42.00 | $6.48–$52.50 | at median | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $201.60 | $288.00 | $144.00–$360.00 | 14% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose | $19.60 | $28.00 | $4.28–$35.00 | 43% below | 30% |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $21.00 | $30.00 | $11.58–$37.50 | 68% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $51.10 | $73.00 | $8.74–$91.25 | 14% above | 30% |
| Hemoglobin blood test CPT 85018 Blood count, hemoglobin | $13.30 | $19.00 | $2.13–$23.75 | 18% below | 30% |
| Iron blood test (serum iron) CPT 83540 Iron level | $29.40 | $42.00 | $5.82–$52.50 | 14% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $16.10 | $23.00 | $7.87–$28.75 | 60% below | 30% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $72.10 | $103.00 | $7.81–$128.75 | 6% below | 30% |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $35.70 | $51.00 | $10.41–$63.75 | 37% below | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level | $29.40 | $42.00 | $5.44–$52.50 | at median | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $38.50 | $55.00 | $6.20–$68.75 | at median | 30% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $102.90 | $147.00 | $7.35–$183.75 | 56% above | 30% |
| Magnesium blood test CPT 83735 Magnesium level | $40.60 | $58.00 | $6.03–$72.50 | 15% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $29.40 | $42.00 | $4.66–$52.50 | 7% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $38.50 | $55.00 | $16.55–$68.75 | 51% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $29.40 | $42.00 | $5.41–$52.50 | 25% below | 30% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphate level | $40.60 | $58.00 | $4.27–$72.50 | 50% above | 30% |
| Potassium blood test CPT 84132 Blood potassium level | $18.20 | $26.00 | $4.28–$32.50 | 33% below | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $18.90 | $27.00 | $3.86–$33.75 | 31% below | 30% |
| Renin blood test CPT 84244 Renin (kidney enzyme) level | $35.00 | $50.00 | $19.79–$62.50 | 47% below | 30% |
| Rh blood typing CPT 86901 Blood typing for Rh (D) antigen | $79.88 | $114.11 | $2.69–$142.64 | 115% above | 30% |
| Sodium blood test CPT 84295 Blood sodium level | $18.20 | $26.00 | $4.33–$32.50 | 46% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $14.00 | $20.00 | $3.94–$25.00 | 33% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $25.90 | $37.00 | $15.12–$46.25 | 51% below | 30% |
| Total cholesterol blood test CPT 82465 Cholesterol level | $28.00 | $40.00 | $3.92–$50.00 | 2% above | 30% |
| Triglycerides blood test CPT 84478 Triglycerides level | $28.70 | $41.00 | $5.17–$51.25 | 14% below | 30% |
| Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative | $24.50 | $35.00 | $11.22–$43.75 | 69% below | 30% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $40.60 | $58.00 | $4.07–$72.50 | 29% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $24.50 | $35.00 | $2.85–$43.75 | 21% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $11.20 | $16.00 | $2.03–$20.00 | 26% below | 30% |
| Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level | $18.90 | $27.00 | $5.20–$33.75 | 39% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $60.20 | $86.00 | $13.57–$107.50 | 5% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $46.20 | $66.00 | $13.55–$82.50 | 38% below | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Removal of ruptured infected appendix | $1,154.01 | $1,648.58 | $684.88–$2,060.73 | 47% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope | $1,390.59 | $1,986.56 | $993.28–$12,164.39 | 80% below | 30% |
| Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $196.70 | $281.00 | $54.86–$252.90 | 29% below | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle | $615.30 | $879.00 | $172.73–$1,098.75 | 227% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot | $257.19 | $367.42 | $172.73–$459.28 | 17% above | 30% |
| Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve | $554.18 | $791.68 | $395.84–$3,273.57 | 76% below | 30% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $2,554.09 | $3,648.70 | $1,619.48–$4,560.88 | 21% below | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days) | $315.00 | $450.00 | $225.00–$3,504.35 | 76% below | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device | $280.00 | $400.00 | $200.00–$3,504.35 | 56% below | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 Removal of foreskin (28 days or younger) | $280.00 | $400.00 | $200.00–$1,168.95 | 43% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $289.81 | $414.02 | $172.73–$517.53 | 41% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $408.84 | $584.06 | $172.73–$730.08 | 98% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $289.81 | $414.02 | $172.73–$517.53 | — | 30% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $865.20 | $1,236.00 | $618.00–$2,006.06 | 42% below | 30% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $671.30 | $959.00 | $479.50–$2,006.06 | 48% below | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $610.40 | $872.00 | $436.00–$1,559.00 | 38% below | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth | $88.90 | $127.00 | $63.50–$336.35 | 29% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $18.10 | $25.86 | $12.93–$98.90 | 68% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $80.50 | $115.00 | $44.06–$143.75 | 1% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance | $307.30 | $439.00 | $81.31–$395.10 | 42% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level | $211.40 | $302.00 | $68.82–$678.43 | 69% below | 30% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length | $746.27 | $1,066.10 | $533.05–$10,852.77 | 85% below | 30% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length | $1,004.14 | $1,434.48 | $717.24–$10,852.77 | 88% below | 30% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length | $444.40 | $634.86 | $317.43–$6,002.22 | 90% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $166.60 | $238.00 | $119.00–$1,559.00 | 78% below | 30% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $2,003.40 | $2,862.00 | $1,431.00–$10,134.78 | 38% below | 30% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile ducts using an endoscope | $1,549.10 | $2,213.00 | $1,106.50–$10,134.78 | 72% below | 30% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder | $1,385.99 | $1,979.98 | $838.19–$2,474.98 | 48% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $252.81 | $361.16 | $139.96–$451.45 | 30% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $252.81 | $361.16 | $139.96–$451.45 | 30% above | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess | $252.81 | $361.16 | $139.96–$451.45 | — | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $938.00 | $1,340.00 | $670.00–$6,002.22 | 69% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament | $48.09 | $68.70 | $23.29–$61.83 | 74% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $79.60 | $113.72 | $33.54–$224.95 | 68% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $413.27 | $590.38 | $209.67–$737.98 | 69% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint | $413.27 | $590.38 | $209.67–$737.98 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $45.15 | $64.50 | $23.03–$58.05 | 79% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $43.90 | $62.72 | $26.71–$224.95 | 82% below | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $705.63 | $1,008.04 | $504.02–$5,485.22 | 80% below | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope | $1,440.60 | $2,058.00 | $1,029.00–$10,134.78 | 67% below | 30% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser | $926.80 | $1,324.00 | $406.04–$1,655.00 | 46% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $185.35 | $264.78 | $132.39–$681.48 | 22% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $522.51 | $746.44 | $255.92–$933.05 | 121% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $522.51 | $746.44 | $255.92–$933.05 | — | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $301.73 | $431.04 | $75.83–$387.94 | 36% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $323.40 | $462.00 | $84.24–$678.43 | 46% below | 30% |
| Mastectomy (total removal of the breast) CPT 19303 Simple complete removal of breast | $1,302.66 | $1,860.94 | $930.47–$11,131.64 | 64% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less | $161.00 | $230.00 | $115.00–$1,187.12 | 58% below | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less | $168.00 | $240.00 | $120.00–$1,187.12 | 56% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $66.86 | $95.52 | $41.76–$151.42 | 60% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $252.81 | $361.16 | $139.96–$451.45 | 52% above | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $252.81 | $361.16 | $139.96–$451.45 | — | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $90.92 | $129.88 | $28.72–$116.89 | 67% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $126.11 | $180.16 | $78.91–$304.46 | 67% below | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $515.21 | $736.02 | $146.55–$739.94 | 58% below | 30% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $711.20 | $1,016.00 | $508.00–$6,563.87 | 61% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $129.50 | $185.00 | $82.29–$166.50 | 54% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $522.30 | $746.14 | $255.92–$932.68 | 87% above | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $522.30 | $746.14 | $255.92–$932.68 | — | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $610.40 | $872.00 | $436.00–$1,559.00 | 37% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $610.40 | $872.00 | $436.00–$1,559.00 | 36% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | $233.46 | $333.52 | $124.52–$416.90 | 86% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $55.50 | $79.28 | $36.93–$151.42 | 70% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $252.81 | $361.16 | $139.96–$451.45 | 38% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $252.81 | $361.16 | $139.96–$451.45 | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $57.64 | $82.34 | $32.56–$304.46 | 76% below | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less | $210.00 | $300.00 | $150.00–$1,187.12 | 42% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $108.50 | $155.00 | $77.50–$336.35 | 17% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $902.08 | $1,288.68 | $500.65–$1,610.85 | 96% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $902.08 | $1,288.68 | $500.65–$1,610.85 | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $138.63 | $198.04 | $99.02–$336.35 | 26% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $252.81 | $361.16 | $139.96–$451.45 | 35% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $252.81 | $361.16 | $139.96–$451.45 | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $68.84 | $98.34 | $49.17–$336.35 | 63% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $252.81 | $361.16 | $139.96–$451.45 | 38% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $252.81 | $361.16 | $139.96–$451.45 | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth | $46.44 | $66.34 | $25.75–$151.42 | 74% below | 30% |
| Trigger finger release surgery CPT 26055 Incision of tendon covering of finger | $397.07 | $567.24 | $283.62–$2,695.65 | 74% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $309.40 | $442.00 | $209.67–$641.00 | 23% above | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $501.90 | $717.00 | $358.50–$1,520.48 | 57% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | $649.60 | $928.00 | $464.00–$3,216.87 | 59% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope | $521.50 | $745.00 | $372.50–$1,520.48 | 58% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $432.60 | $618.00 | $309.00–$1,520.48 | 56% below | 30% |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $127.40 | $182.00 | $91.00–$336.35 | 22% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $153.30 | $219.00 | $109.50–$681.48 | 57% below | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $1,222.20 | $1,746.00 | $106.00–$2,182.50 | 209% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $28.00 | $40.00 | $20.00–$367.10 | 55% below | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $983.50 | $1,405.00 | $247.98–$1,756.25 | 175% above | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $776.30 | $1,109.00 | $533.98–$2,122.00 | 25% below | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $776.30 | $1,109.00 | $533.98–$2,122.00 | — | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy | $378.41 | $540.58 | $179.44–$794.00 | 19% above | 30% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $31.50 | $45.00 | $12.55–$56.25 | 25% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $86.10 | $123.00 | $44.06–$197.00 | 6% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $105.13 | $150.18 | $55.76–$212.00 | 3% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional | $105.13 | $150.18 | $55.76–$212.00 | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $195.57 | $279.38 | $102.49–$424.00 | 1% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making | $195.57 | $279.38 | $102.49–$424.00 | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $343.11 | $490.16 | $178.89–$649.00 | 5% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making | $343.11 | $490.16 | $178.89–$649.00 | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $534.25 | $763.22 | $281.78–$1,239.00 | 3% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making | $534.25 | $763.22 | $281.78–$1,239.00 | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $767.35 | $1,096.22 | $404.11–$1,697.00 | 5% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making | $767.35 | $1,096.22 | $404.11–$1,697.00 | — | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $246.40 | $352.00 | $176.00–$440.00 | 28% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $142.48 | $203.54 | $101.77–$297.56 | 10% below | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $137.21 | $196.02 | $98.01–$297.56 | at median | 30% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $129.50 | $185.00 | $62.91–$231.25 | 10% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $56.00 | $80.00 | $40.00–$356.58 | 69% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $141.40 | $202.00 | $101.00–$356.58 | 22% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $141.40 | $202.00 | $101.00–$356.58 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $98.00 | $140.00 | $70.00–$356.58 | 57% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $212.80 | $304.00 | $147.17–$380.00 | 7% below | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $212.80 | $304.00 | $147.17–$380.00 | — | 30% |
| IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein | $59.50 | $85.00 | $42.50–$356.58 | 56% below | 30% |
| IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein | $212.80 | $304.00 | $147.17–$380.00 | 58% above | 30% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into vein | $212.80 | $304.00 | $147.17–$380.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $33.60 | $48.00 | $24.00–$120.71 | 43% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $63.00 | $90.00 | $45.00–$120.71 | 7% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle | $63.00 | $90.00 | $45.00–$120.71 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $190.32 | $271.88 | $105.22–$339.85 | 10% above | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction, 7-8 studies | $378.41 | $540.58 | $202.73–$675.73 | 16% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $137.41 | $196.30 | $61.49–$245.38 | 20% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $206.82 | $295.46 | $100.58–$369.33 | 31% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $273.01 | $390.02 | $137.54–$487.53 | 39% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $58.94 | $84.20 | $35.47–$105.25 | 24% below | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $122.50 | $175.00 | $87.50–$218.75 | at median | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $128.10 | $183.00 | $91.50–$228.75 | 3% below | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial new patient preventive medicine evaluation (65 years or older) | $38.50 | $55.00 | $27.50–$68.75 | 71% below | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) | $102.90 | $147.00 | $73.50–$183.75 | 3% above | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) | $107.80 | $154.00 | $77.00–$192.50 | 4% below | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) | $133.00 | $190.00 | $95.00–$237.50 | 7% above | 30% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $218.12 | $311.60 | $105.22–$389.50 | 22% above | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $181.33 | $259.04 | $129.52–$323.80 | 24% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $94.89 | $135.56 | $67.78–$297.56 | 3% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $127.25 | $181.78 | $90.89–$297.56 | 9% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $187.52 | $267.88 | $105.22–$334.85 | 48% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes | $25.20 | $36.00 | $18.00–$62.81 | 24% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $223.43 | $319.18 | $94.31–$398.98 | 20% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $112.08 | $160.12 | $43.29–$200.15 | 3% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $105.00 | $150.00 | $66.75–$187.50 | 21% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $41.65 | $59.50 | $21.65–$74.38 | 44% below | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $137.41 | $196.30 | $91.11–$176.67 | 7% above | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $206.82 | $295.46 | $171.84–$265.91 | 30% above | 30% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $219.04 | $312.92 | $110.82–$391.15 | 63% above | 30% |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $435.96 | $622.80 | $202.73–$778.50 | 75% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $58.80 | $84.00 | $28.98–$134.00 | 9% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem | $163.10 | $233.00 | $87.33–$345.00 | 55% above | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza vaccine, inactivated | $123.04 | $175.77 | $59.53–$219.71 | at median | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use | $194.40 | $277.72 | $138.86–$347.15 | 45% above | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine | $80.50 | $115.00 | $57.50–$146.28 | 46% below | 30% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Diphtheria, tetanus, acellular pertussis, and polio vaccine | $52.50 | $75.00 | $37.50–$93.75 | 31% above | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years) | $35.00 | $50.00 | $25.00–$62.50 | 12% below | 30% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Diphtheria, tetanus, acellular pertussis, hepatitis B, and polio vaccine | $63.00 | $90.00 | $45.00–$112.50 | 17% below | 30% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria, tetanus, acellular pertussis, polio, and Haemophilus influenzae type b vaccine | $56.00 | $80.00 | $40.00–$100.00 | at median | 30% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Diphtheria, tetanus, acellular pertussis, polio, Haemophilus influenzae type b, and hepatitis B vaccine | $245.00 | $350.00 | $175.00–$437.50 | 140% above | 30% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent | $299.60 | $428.00 | $214.00–$535.00 | 77% above | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage | $73.50 | $105.00 | $52.50–$131.25 | 1% above | 30% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A vaccine pediatric or adolescent dosage | $32.90 | $47.00 | $23.50–$58.75 | 18% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine, adult dosage (3 dose schedule) | $84.00 | $120.00 | $60.00–$150.00 | 12% above | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule) | $35.00 | $50.00 | $25.00–$62.50 | 61% below | 30% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus influenzae type b vaccine, PRP-OMP conjugate | $29.40 | $42.00 | $21.00–$52.50 | 11% below | 30% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus influenzae type b vaccine, PRP-T conjugate | $29.40 | $42.00 | $21.00–$52.50 | 41% above | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine | $49.00 | $70.00 | $35.00–$87.50 | 17% below | 30% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles, mumps, rubella, and varicella vaccine | $119.00 | $170.00 | $85.00–$212.50 | 28% above | 30% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B | $292.84 | $418.34 | $198.75–$522.93 | 182% above | 30% |
| Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B | $56.00 | $80.00 | $40.00–$160.20 | 20% below | 30% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal vaccine, 13-valent | $355.72 | $508.17 | $214.62–$635.21 | 2% above | 30% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $362.82 | $518.31 | $259.16–$647.89 | 36% above | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $431.20 | $616.00 | $308.00–$770.00 | 6% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent | $196.69 | $280.99 | $114.21–$351.24 | 2% above | 30% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine | $30.80 | $44.00 | $22.00–$55.00 | 23% below | 30% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle | $831.60 | $1,188.00 | $594.00–$1,485.00 | 40% above | 30% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus antibody, 0.5 mL dosage for injection into muscle | $831.60 | $1,188.00 | $594.00–$1,485.00 | 55% above | 30% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $387.86 | $554.08 | $277.04–$692.60 | 76% above | 30% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle | $695.37 | $993.38 | $277.82–$1,241.73 | 150% above | 30% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus vaccine, pentavalent | $77.00 | $110.00 | $55.00–$137.50 | 27% above | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) | $43.47 | $62.10 | $31.05–$77.63 | 34% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $45.50 | $65.00 | $32.50–$81.25 | 50% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $28.00 | $40.00 | $20.00–$120.71 | 48% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $28.00 | $40.00 | $13.01–$50.00 | 7% below | 30% |
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://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNCGHPHILADELPHIAMS&type=CDMWithoutLabel&fileType=CSV