Hospital Fayetteville-Springdale-Rogers, AR

Siloam Springs Arkansas Hospital

Listed in its price file as “Siloam Springs Arkansas Hospital Company LLC”.

Siloam Springs Arkansas Hospital in Siloam Springs, AR publishes cash prices for 337 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 288 of 328 procedures and below it for 38. By typical cash price it ranks #52 of 57 Arkansas hospitals and #6 of 7 hospitals in the Fayetteville, AR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

603 North Progress Avenue, Siloam Springs, AR 72761 Collected Nov 2, 2026 Source price file Check a bill from this hospital (479) 524-4141

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 040001 · CMS hospital register NPI 1902051816

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$2,431.89	$8,106.30	$152.78–$6,890.35	144% above	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$4,458.47	$8,106.30	$1,775.28–$6,890.35	—	45%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$167.69	$558.98	$21.02–$533.00	25% above	70%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$307.44	$558.98	$122.42–$475.13	—	45%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$212.45	$708.16	$18.00–$601.94	61% above	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$389.49	$708.16	$155.09–$601.94	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$96.00	$320.01	$27.30–$503.00	44% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$312.96	$1,043.21	$27.30–$886.73	84% above	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$176.01	$320.01	$70.08–$272.01	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$573.77	$1,043.21	$228.46–$886.73	—	45%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$1,247.69	$4,158.98	$91.30–$3,535.13	94% above	70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$2,287.44	$4,158.98	$910.82–$3,535.13	—	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$264.96	$883.19	$36.00–$750.71	14% above	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$485.75	$883.19	$193.42–$750.71	—	45%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,368.66	$4,562.20	$59.00–$3,877.87	110% above	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$2,509.21	$4,562.20	$999.12–$3,877.87	—	45%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$193.95	$646.51	$56.98–$549.53	13% above	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$355.58	$646.51	$141.59–$549.53	—	45%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$193.95	$646.51	$44.64–$549.53	27% above	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$355.58	$646.51	$141.59–$549.53	—	45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$4,950.78	$16,502.59	$306.56–$14,027.20	299% above	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$9,076.42	$16,502.59	$3,614.07–$14,027.20	—	45%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$2,405.40	$8,018.00	$152.95–$6,815.30	143% above	70%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$4,409.90	$8,018.00	$1,755.94–$6,815.30	—	45%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,722.08	$5,740.25	$152.95–$4,879.21	105% above	70%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$3,157.14	$5,740.25	$1,257.11–$4,879.21	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$2,026.51	$6,755.02	$152.95–$5,741.77	191% above	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$3,715.26	$6,755.02	$1,479.35–$5,741.77	—	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$2,929.77	$9,765.90	$108.30–$8,301.01	189% above	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$5,371.25	$9,765.90	$2,138.73–$8,301.01	—	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$3,851.05	$12,836.83	$206.27–$10,911.31	170% above	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$7,060.26	$12,836.83	$2,811.27–$10,911.31	—	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$4,458.90	$14,863.00	$272.95–$12,633.55	177% above	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$8,174.65	$14,863.00	$3,255.00–$12,633.55	—	45%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$2,026.51	$6,755.02	$152.78–$5,741.77	119% above	70%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$3,715.26	$6,755.02	$1,479.35–$5,741.77	—	45%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,309.68	$4,365.60	$91.13–$3,710.76	116% above	70%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$2,401.08	$4,365.60	$956.07–$3,710.76	—	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$1,386.15	$4,620.50	$91.41–$3,927.42	100% above	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$2,541.28	$4,620.50	$1,011.89–$3,927.42	—	45%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$1,495.13	$4,983.77	$90.39–$4,236.20	128% above	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$2,741.07	$4,983.77	$1,091.45–$4,236.20	—	45%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,676.58	$5,588.60	$125.54–$4,750.31	92% above	70%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$3,073.73	$5,588.60	$1,223.90–$4,750.31	—	45%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$2,026.51	$6,755.02	$146.48–$5,741.77	111% above	70%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$3,715.26	$6,755.02	$1,479.35–$5,741.77	—	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,519.13	$5,063.75	$91.13–$4,304.19	109% above	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$2,785.06	$5,063.75	$1,108.96–$4,304.19	—	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,328.67	$4,428.89	$91.13–$3,764.56	97% above	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$2,435.89	$4,428.89	$969.93–$3,764.56	—	45%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,824.05	$6,080.15	$152.78–$5,168.13	113% above	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$3,344.08	$6,080.15	$1,331.55–$5,168.13	—	45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$609.35	$2,031.18	$70.00–$1,726.50	66% above	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$1,117.15	$2,031.18	$444.83–$1,726.50	—	45%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,722.08	$5,740.25	$152.95–$4,879.21	90% above	70%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$3,157.14	$5,740.25	$1,257.11–$4,879.21	—	45%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$226.44	$754.80	$21.87–$641.58	59% above	70%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$415.14	$754.80	$165.30–$641.58	—	45%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$147.47	$491.57	$11.86–$533.00	33% above	70%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$270.36	$491.57	$107.65–$417.83	—	45%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$174.46	$581.52	$15.00–$533.00	63% above	70%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$319.84	$581.52	$127.35–$494.29	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$410.90	$1,369.66	$44.00–$1,164.21	25% above	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$753.31	$1,369.66	$299.96–$1,164.21	—	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$140.95	$469.84	$78.47–$533.00	22% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$258.41	$469.84	$102.89–$399.36	—	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$105.66	$352.20	$18.33–$533.00	10% above	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$193.71	$352.20	$77.13–$299.37	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL	$402.39	$1,341.31	$145.14–$1,140.11	at median	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL	$737.72	$1,341.31	$293.75–$1,140.11	—	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$1,405.15	$4,683.84	$91.13–$3,981.26	133% above	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$2,576.11	$4,683.84	$1,025.76–$3,981.26	—	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,743.57	$5,811.90	$152.67–$4,940.11	124% above	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$3,196.55	$5,811.90	$1,272.81–$4,940.11	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$228.44	$761.46	$88.31–$647.24	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$418.80	$761.46	$166.76–$647.24	—	45%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$173.96	$579.85	$69.29–$492.87	8% above	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$318.92	$579.85	$126.99–$492.87	—	45%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$578.86	$1,929.54	$73.00–$1,640.11	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$1,061.25	$1,929.54	$422.57–$1,640.11	—	45%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$578.86	$1,929.54	$42.00–$1,640.11	18% above	70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$1,061.25	$1,929.54	$422.57–$1,640.11	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$1,344.45	$4,481.50	$161.44–$3,809.28	33% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$2,464.83	$4,481.50	$981.45–$3,809.28	—	45%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$105.66	$352.20	$17.25–$533.00	15% above	70%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$193.71	$352.20	$77.13–$299.37	—	45%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$189.96	$633.19	$19.00–$538.21	77% above	70%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$348.25	$633.19	$138.67–$538.21	—	45%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$1,369.66	$4,565.52	$91.30–$3,880.69	98% above	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$2,511.04	$4,565.52	$999.85–$3,880.69	—	45%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$211.94	$706.48	$18.00–$600.51	76% above	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$388.56	$706.48	$154.72–$600.51	—	45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$174.46	$581.52	$17.52–$533.00	63% above	70%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$319.84	$581.52	$127.35–$494.29	—	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$1,164.71	$3,882.37	$237.02–$3,300.01	84% above	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$2,135.30	$3,882.37	$850.24–$3,300.01	—	45%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$161.31	$537.71	$17.00–$533.00	50% above	70%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$295.74	$537.71	$117.76–$457.05	—	45%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$174.46	$581.52	$13.00–$533.00	74% above	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$319.84	$581.52	$127.35–$494.29	—	45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$2,783.66	$9,278.86	$205.37–$7,887.03	58% above	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$5,103.37	$9,278.86	$2,032.07–$7,887.03	—	45%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$201.95	$673.15	$25.61–$572.18	56% above	70%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$370.23	$673.15	$147.42–$572.18	—	45%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$235.94	$786.47	$29.39–$668.50	63% above	70%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$432.56	$786.47	$172.24–$668.50	—	45%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$1,582.61	$5,275.37	$91.13–$4,484.06	160% above	70%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$2,901.45	$5,275.37	$1,155.31–$4,484.06	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$457.39	$1,524.64	$20.00–$1,295.94	89% above	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$838.55	$1,524.64	$333.90–$1,295.94	—	45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$131.47	$438.23	$11.99–$450.00	20% below	70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$241.03	$438.23	$95.97–$372.50	—	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$56.48	$188.28	$41.23–$3,082.00	80% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$103.55	$188.28	$41.23–$160.04	—	45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$157.96	$526.54	$19.41–$533.00	40% above	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$289.60	$526.54	$115.31–$447.56	—	45%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$290.06	$966.88	$180.79–$1,028.79	68% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$290.06	$966.88	$171.28–$897.10	67% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$290.06	$966.88	$165.17–$965.57	68% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$290.06	$966.88	$166.04–$951.40	68% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$290.06	$966.88	$161.72–$1,019.87	67% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$290.06	$966.88	$161.45–$1,052.92	68% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$290.06	$966.88	$161.19–$958.48	69% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$461.16	$838.47	$183.62–$712.70	—	45%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$290.06	$966.88	$191.88–$1,018.19	66% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$531.78	$966.88	$211.75–$821.85	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$290.06	$966.88	$171.55–$897.10	68% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$531.78	$966.88	$211.75–$821.85	—	45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$268.94	$896.46	$32.00–$761.99	60% above	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$493.05	$896.46	$196.32–$761.99	—	45%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,754.57	$5,848.56	$152.67–$4,971.28	119% above	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$3,216.71	$5,848.56	$1,280.83–$4,971.28	—	45%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,309.68	$4,365.60	$91.41–$3,710.76	117% above	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$2,401.08	$4,365.60	$956.07–$3,710.76	—	45%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$150.47	$501.55	$10.00–$533.00	49% above	70%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$275.85	$501.55	$109.84–$426.32	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$3,896.54	$12,988.45	$266.71–$11,040.18	111% above	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$7,143.65	$12,988.45	$2,844.47–$11,040.18	—	45%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$1,620.60	$5,402.01	$91.13–$4,591.71	149% above	70%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$2,971.11	$5,402.01	$1,183.04–$4,591.71	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$185.45	$618.17	$24.00–$525.44	19% above	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$339.99	$618.17	$135.38–$525.44	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$495.88	$1,652.92	$40.00–$1,404.98	73% above	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$909.11	$1,652.92	$361.99–$1,404.98	—	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$451.88	$1,506.27	$56.00–$1,280.33	90% above	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$828.45	$1,506.27	$329.87–$1,280.33	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$232.44	$774.80	$42.75–$658.58	4% above	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$426.14	$774.80	$169.68–$658.58	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$262.94	$876.47	$26.00–$745.00	69% above	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$482.06	$876.47	$191.95–$745.00	—	45%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$230.44	$768.13	$17.00–$652.91	115% above	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$422.47	$768.13	$168.22–$652.91	—	45%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$253.93	$846.43	$17.00–$719.47	103% above	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$465.54	$846.43	$185.37–$719.47	—	45%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$191.95	$639.84	$73.09–$543.86	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$351.91	$639.84	$140.12–$543.86	—	45%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$212.45	$708.16	$20.00–$601.94	87% above	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$389.49	$708.16	$155.09–$601.94	—	45%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$235.94	$786.47	$22.10–$668.50	78% above	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$432.56	$786.47	$172.24–$668.50	—	45%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$143.47	$478.23	$22.00–$533.00	24% above	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$263.03	$478.23	$104.73–$406.50	—	45%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$2,783.66	$9,278.86	$122.00–$7,887.03	81% above	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$5,103.37	$9,278.86	$2,032.07–$7,887.03	—	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$265.00	$883.34	$29.00–$750.84	27% above	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$485.84	$883.34	$193.45–$750.84	—	45%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$181.46	$604.85	$21.18–$533.00	60% above	70%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$332.67	$604.85	$132.46–$514.12	—	45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,309.68	$4,365.60	$91.13–$3,710.76	89% above	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$2,401.08	$4,365.60	$956.07–$3,710.76	—	45%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$166.46	$554.85	$13.00–$533.00	55% above	70%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$305.17	$554.85	$121.51–$471.62	—	45%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$283.93	$946.43	$68.00–$804.47	21% above	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$520.54	$946.43	$207.27–$804.47	—	45%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$310.42	$1,034.72	$58.50–$879.51	68% above	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$569.10	$1,034.72	$226.60–$879.51	—	45%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$557.87	$1,859.56	$56.00–$1,580.63	48% above	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$1,022.76	$1,859.56	$407.24–$1,580.63	—	45%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$352.91	$1,176.37	$31.00–$999.91	41% above	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$647.00	$1,176.37	$257.63–$999.91	—	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$421.90	$1,406.32	$54.00–$1,195.37	80% above	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$773.48	$1,406.32	$307.98–$1,195.37	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$445.57	$1,485.23	$30.00–$1,262.45	76% above	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$816.88	$1,485.23	$325.27–$1,262.45	—	45%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$174.46	$581.52	$19.68–$533.00	43% above	70%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$319.84	$581.52	$127.35–$494.29	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$391.40	$1,304.68	$73.00–$1,108.98	61% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$717.57	$1,304.68	$285.72–$1,108.98	—	45%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$161.31	$537.71	$19.00–$533.00	50% above	70%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$295.74	$537.71	$117.76–$457.05	—	45%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$204.95	$683.17	$23.00–$580.69	63% above	70%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$375.74	$683.17	$149.61–$580.69	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$172.96	$576.54	$27.84–$533.00	48% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$317.10	$576.54	$126.26–$490.06	—	45%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$175.46	$584.87	$17.25–$533.00	54% above	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$321.68	$584.87	$128.09–$497.14	—	45%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$105.66	$352.20	$19.68–$533.00	1% below	70%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$193.71	$352.20	$77.13–$299.37	—	45%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$142.97	$476.56	$16.00–$533.00	49% above	70%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$262.11	$476.56	$104.37–$405.08	—	45%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$105.66	$352.20	$16.98–$533.00	17% above	70%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$193.71	$352.20	$77.13–$299.37	—	45%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$208.45	$694.83	$21.02–$590.61	59% above	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$382.16	$694.83	$152.17–$590.61	—	45%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$222.45	$741.49	$23.45–$630.27	81% above	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$407.82	$741.49	$162.39–$630.27	—	45%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$181.46	$604.85	$21.02–$533.00	52% above	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$332.67	$604.85	$132.46–$514.12	—	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$154.46	$514.88	$23.45–$533.00	21% above	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$283.18	$514.88	$112.76–$437.65	—	45%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$352.91	$1,176.37	$31.82–$999.91	116% above	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$647.00	$1,176.37	$257.63–$999.91	—	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR	$251.44	$838.12	$18.87–$712.40	89% above	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR	$460.97	$838.12	$183.55–$712.40	—	45%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$198.45	$661.50	$23.00–$562.27	85% above	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$363.83	$661.50	$144.87–$562.27	—	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$213.45	$711.51	$23.45–$604.78	77% above	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$391.33	$711.51	$155.82–$604.78	—	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$157.96	$526.54	$15.90–$533.00	39% above	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$289.60	$526.54	$115.31–$447.56	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$157.96	$526.54	$17.00–$533.00	38% above	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$289.60	$526.54	$115.31–$447.56	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ADRENOCORT ACTH	$140.83	$469.44	$16.22–$399.02	53% above	70%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$258.19	$469.44	$102.81–$399.02	—	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$92.01	$306.69	$2.23–$260.69	336% above	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$168.68	$306.69	$67.17–$260.69	—	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$92.01	$306.69	$2.18–$260.69	397% above	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$168.68	$306.69	$67.17–$260.69	—	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$309.37	$1,031.23	$20.00–$876.55	62% above	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$567.18	$1,031.23	$225.84–$876.55	—	45%
Albumin blood test CPT 82040 ALBUMIN SERUM	$77.46	$258.21	$2.08–$219.48	249% above	70%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$142.02	$258.21	$56.55–$219.48	—	45%
Aldosterone blood test CPT 82088 ALDOSTERONE	$420.16	$1,400.53	$17.11–$1,190.45	320% above	70%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$770.29	$1,400.53	$306.72–$1,190.45	—	45%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE	$78.97	$263.22	$2.18–$223.74	275% above	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$144.77	$263.22	$57.65–$223.74	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$46.95	$156.49	$2.19–$133.02	213% above	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$86.07	$156.49	$34.27–$133.02	—	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$190.60	$635.33	$7.04–$540.03	131% above	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$349.43	$635.33	$139.14–$540.03	—	45%
Ammonia blood test CPT 82140 AMMONIA	$140.83	$469.44	$6.12–$399.02	159% above	70%
Ammonia blood test inpatient CPT 82140 AMMONIA	$258.19	$469.44	$102.81–$399.02	—	45%
Amylase blood test CPT 82150 AMYLASE	$92.01	$306.69	$2.72–$260.69	249% above	70%
Amylase blood test inpatient CPT 82150 AMYLASE	$168.68	$306.69	$67.17–$260.69	—	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$194.35	$647.84	$5.44–$550.66	331% above	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$356.31	$647.84	$141.88–$550.66	—	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$148.82	$496.05	$5.08–$421.64	230% above	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$272.83	$496.05	$108.63–$421.64	—	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$381.20	$1,270.65	$16.49–$1,080.05	496% above	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$698.86	$1,270.65	$278.27–$1,080.05	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$155.86	$519.53	$3.62–$441.60	305% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$285.74	$519.53	$113.78–$441.60	—	45%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$175.10	$583.68	$3.55–$496.13	86% above	70%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$321.02	$583.68	$127.83–$496.13	—	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$77.46	$258.21	$2.11–$219.48	97% above	70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$142.02	$258.21	$56.55–$219.48	—	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$155.86	$519.53	$20.78–$441.60	101% above	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$285.74	$519.53	$113.78–$441.60	—	45%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$186.84	$622.80	$4.33–$529.38	279% above	70%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$342.54	$622.80	$136.39–$529.38	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LABCORPOUT VENIPNCTR	$3.00	$10.00	$1.26–$13.92	67% below	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$51.64	$172.13	$1.26–$154.92	475% above	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LABCORPOUT VENIPNCTR	$5.50	$10.00	$2.19–$8.50	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$94.67	$172.13	$37.70–$146.31	—	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$77.46	$258.21	$1.65–$219.48	318% above	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$142.02	$258.21	$56.55–$219.48	—	45%
Blood lead test CPT 83655 LEAD	$140.83	$469.44	$5.09–$399.02	374% above	70%
Blood lead test inpatient CPT 83655 LEAD	$258.19	$469.44	$102.81–$399.02	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$18.50	$61.68	$3.16–$52.43	51% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$33.92	$61.68	$13.51–$52.43	—	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$77.46	$258.21	$1.26–$219.48	32% above	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$142.02	$258.21	$56.55–$219.48	—	45%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN	$77.46	$258.21	$1.66–$219.48	206% above	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$142.02	$258.21	$56.55–$219.48	—	45%
C-peptide blood test CPT 84681 C-PEPTIDE	$235.67	$785.56	$8.74–$667.73	278% above	70%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$432.06	$785.56	$172.04–$667.73	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$92.01	$306.69	$2.18–$260.69	221% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$168.68	$306.69	$67.17–$260.69	—	45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$194.35	$647.84	$15.65–$550.66	119% above	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$356.31	$647.84	$141.88–$550.66	—	45%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$231.90	$773.01	$8.74–$657.06	272% above	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$425.16	$773.01	$169.29–$657.06	—	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$249.75	$832.49	$8.74–$707.62	266% above	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$457.87	$832.49	$182.32–$707.62	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 L139900 COVID19 NAA	$61.57	$205.24	$21.55–$174.45	37% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$61.57	$205.24	$21.55–$174.45	37% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Q39448 COVID19	$81.50	$271.66	$21.55–$230.91	16% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 L139900 COVID19 NAA	$112.88	$205.24	$44.95–$174.45	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$112.88	$205.24	$44.95–$174.45	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Q39448 COVID19	$149.41	$271.66	$59.49–$230.91	—	45%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$92.01	$306.69	$2.17–$260.69	366% above	70%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$168.68	$306.69	$67.17–$260.69	—	45%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$214.53	$715.11	$7.96–$607.84	255% above	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$393.31	$715.11	$156.61–$607.84	—	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$178.40	$594.65	$5.41–$505.45	417% above	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$327.06	$594.65	$130.23–$505.45	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$281.67	$938.91	$14.74–$798.07	347% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$516.40	$938.91	$205.62–$798.07	—	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$169.01	$563.35	$5.62–$478.85	136% above	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$309.84	$563.35	$123.37–$478.85	—	45%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$115.96	$386.53	$3.26–$328.55	278% above	70%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$212.59	$386.53	$84.65–$328.55	—	45%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$115.96	$386.53	$2.72–$328.55	385% above	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$212.59	$386.53	$84.65–$328.55	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$195.76	$652.54	$4.44–$554.66	45% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$358.90	$652.54	$142.91–$554.66	—	45%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$188.25	$627.50	$6.85–$533.38	224% above	70%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$345.13	$627.50	$137.42–$533.38	—	45%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$101.40	$338.01	$2.73–$287.31	190% above	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$185.91	$338.01	$74.02–$287.31	—	45%
Creatinine blood test CPT 82565 CREATININE BLOOD	$70.42	$234.73	$2.15–$199.52	245% above	70%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$129.10	$234.73	$51.41–$199.52	—	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$157.27	$524.23	$6.04–$445.60	203% above	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$288.33	$524.23	$114.81–$445.60	—	45%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$85.91	$286.36	$4.28–$243.41	74% above	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$157.50	$286.36	$62.71–$243.41	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$230.03	$766.77	$9.34–$651.75	246% above	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$421.72	$766.77	$167.92–$651.75	—	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$233.78	$779.28	$26.10–$662.39	315% above	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$428.60	$779.28	$170.66–$662.39	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$109.38	$364.61	$2.94–$309.92	89% above	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$200.54	$364.61	$79.85–$309.92	—	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$155.86	$519.53	$7.62–$441.60	228% above	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$285.74	$519.53	$113.78–$441.60	—	45%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$303.95	$1,013.17	$11.73–$861.19	246% above	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$557.24	$1,013.17	$221.88–$861.19	—	45%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$191.54	$638.45	$7.80–$542.68	189% above	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$351.15	$638.45	$139.82–$542.68	—	45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$80.28	$267.60	$8.24–$227.46	15% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$147.18	$267.60	$58.60–$227.46	—	45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$155.86	$519.53	$5.72–$441.60	210% above	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$285.74	$519.53	$113.78–$441.60	—	45%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$115.49	$384.96	$4.08–$327.22	294% above	70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$211.73	$384.96	$84.31–$327.22	—	45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$151.16	$503.87	$6.17–$428.29	184% above	70%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$277.13	$503.87	$110.35–$428.29	—	45%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$175.10	$583.68	$7.11–$496.13	190% above	70%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$321.02	$583.68	$127.83–$496.13	—	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$184.97	$616.56	$3.79–$524.08	478% above	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$339.11	$616.56	$135.03–$524.08	—	45%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$264.77	$882.58	$10.70–$750.19	266% above	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$485.42	$882.58	$193.29–$750.19	—	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$109.85	$366.17	$3.02–$311.24	190% above	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$201.39	$366.17	$80.19–$311.24	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$281.67	$938.91	$14.74–$798.07	310% above	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$516.40	$938.91	$205.62–$798.07	—	45%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$41.31	$137.71	$6.04–$117.05	23% below	70%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$75.74	$137.71	$30.16–$117.05	—	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$523.91	$1,746.37	$35.74–$1,484.41	211% above	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$960.50	$1,746.37	$382.46–$1,484.41	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$125.81	$419.37	$4.08–$356.46	265% above	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$230.65	$419.37	$91.84–$356.46	—	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$46.95	$156.49	$1.00–$133.02	297% above	70%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$86.07	$156.49	$34.27–$133.02	—	45%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$97.64	$325.48	$5.06–$276.66	191% above	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$179.01	$325.48	$71.28–$276.66	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$140.83	$469.44	$4.51–$399.02	187% above	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$258.19	$469.44	$102.81–$399.02	—	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$140.36	$467.88	$4.34–$397.70	279% above	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$257.33	$467.88	$102.47–$397.70	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$160.08	$533.61	$5.99–$453.57	205% above	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$293.49	$533.61	$116.86–$453.57	—	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$489.64	$1,632.12	$17.99–$1,387.30	273% above	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$897.67	$1,632.12	$357.43–$1,387.30	—	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$140.36	$467.88	$5.54–$397.70	254% above	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$257.33	$467.88	$102.47–$397.70	—	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$309.37	$1,031.23	$8.13–$876.55	478% above	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$567.18	$1,031.23	$225.84–$876.55	—	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$143.66	$478.85	$5.44–$407.02	229% above	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$263.37	$478.85	$104.87–$407.02	—	45%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$231.90	$773.01	$7.53–$657.06	286% above	70%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$425.16	$773.01	$169.29–$657.06	—	45%
Insulin blood test CPT 83525 INSULIN, TOTAL	$127.69	$425.64	$4.80–$361.79	226% above	70%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$234.10	$425.64	$93.22–$361.79	—	45%
Iron blood test (serum iron) CPT 83540 IRON	$92.01	$306.69	$2.72–$260.69	269% above	70%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$168.68	$306.69	$67.17–$260.69	—	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$109.38	$364.61	$3.67–$309.92	310% above	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$200.54	$364.61	$79.85–$309.92	—	45%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$201.39	$671.30	$3.65–$570.60	162% above	70%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$369.22	$671.30	$147.01–$570.60	—	45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$191.54	$638.45	$7.78–$542.68	204% above	70%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$351.15	$638.45	$139.82–$542.68	—	45%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$167.59	$558.64	$4.86–$474.84	293% above	70%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$307.25	$558.64	$122.34–$474.84	—	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$92.01	$306.69	$2.54–$260.69	343% above	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$168.68	$306.69	$67.17–$260.69	—	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$109.38	$364.61	$2.89–$309.92	305% above	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$200.54	$364.61	$79.85–$309.92	—	45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$219.71	$732.35	$3.43–$622.50	242% above	70%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$402.79	$732.35	$160.38–$622.50	—	45%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$56.37	$187.90	$7.15–$159.72	1% below	70%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$103.35	$187.90	$41.15–$159.72	—	45%
Magnesium blood test CPT 83735 MAGNESIUM	$92.01	$306.69	$2.81–$260.69	235% above	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$168.68	$306.69	$67.17–$260.69	—	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$86.38	$287.93	$5.41–$244.74	152% above	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$158.36	$287.93	$63.06–$244.74	—	45%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$100.93	$336.44	$2.18–$285.97	422% above	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$185.04	$336.44	$73.68–$285.97	—	45%
Mumps immunity blood test CPT 86735 MUMPS AB	$143.18	$477.26	$5.48–$405.67	288% above	70%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$262.49	$477.26	$104.52–$405.67	—	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$190.60	$635.33	$7.72–$540.03	247% above	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$349.43	$635.33	$139.14–$540.03	—	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$190.60	$635.33	$7.72–$540.03	226% above	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$349.43	$635.33	$139.14–$540.03	—	45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$186.84	$622.80	$17.34–$529.38	69% above	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$342.54	$622.80	$136.39–$529.38	—	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$92.01	$306.69	$2.52–$260.69	245% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$168.68	$306.69	$67.17–$260.69	—	45%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD	$92.01	$306.69	$1.99–$260.69	237% above	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$168.68	$306.69	$67.17–$260.69	—	45%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$61.97	$206.56	$2.00–$175.58	196% above	70%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$113.61	$206.56	$45.24–$175.58	—	45%
Progesterone blood test CPT 84144 PROGESTERONE	$215.01	$716.70	$8.76–$609.20	285% above	70%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$394.19	$716.70	$156.96–$609.20	—	45%
Prolactin blood test CPT 84146 PROLACTIN	$213.60	$712.00	$8.14–$605.20	266% above	70%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$391.60	$712.00	$155.93–$605.20	—	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$92.01	$306.69	$1.80–$260.69	361% above	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$168.68	$306.69	$67.17–$260.69	—	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$129.10	$430.34	$6.95–$365.79	172% above	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$236.69	$430.34	$94.24–$365.79	—	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$35.04	$116.80	$6.94–$99.28	31% above	70%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$64.24	$116.80	$25.58–$99.28	—	45%
Renin blood test CPT 84244 RENIN	$249.75	$832.49	$9.24–$707.62	230% above	70%
Renin blood test inpatient CPT 84244 RENIN	$457.87	$832.49	$182.32–$707.62	—	45%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$77.46	$258.21	$1.26–$219.48	158% above	70%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$142.02	$258.21	$56.55–$219.48	—	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$92.01	$306.69	$2.38–$260.69	219% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$168.68	$306.69	$67.17–$260.69	—	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$186.84	$622.80	$6.04–$529.38	404% above	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$342.54	$622.80	$136.39–$529.38	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$8.92	$29.73	$1.13–$25.27	61% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$16.35	$29.73	$6.51–$25.27	—	45%
Sodium blood test CPT 84295 SODIUM,SER PL OR WB	$61.97	$206.56	$2.02–$175.58	191% above	70%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$113.61	$206.56	$45.24–$175.58	—	45%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$98.12	$327.05	$3.74–$277.99	208% above	70%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$179.88	$327.05	$71.62–$277.99	—	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$43.77	$145.91	$5.56–$124.02	73% above	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$80.25	$145.91	$31.95–$124.02	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$80.28	$267.60	$1.79–$227.46	358% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$147.18	$267.60	$58.60–$227.46	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$380.25	$1,267.51	$26.03–$1,077.38	370% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$697.13	$1,267.51	$277.58–$1,077.38	—	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$265.71	$885.70	$10.84–$752.85	242% above	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$487.14	$885.70	$193.97–$752.85	—	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$165.24	$550.81	$6.11–$468.19	323% above	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$302.95	$550.81	$120.63–$468.19	—	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$155.86	$519.53	$7.06–$441.60	227% above	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH	$155.86	$519.53	$7.06–$441.60	227% above	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$285.74	$519.53	$113.78–$441.60	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH	$285.74	$519.53	$113.78–$441.60	—	45%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$167.59	$558.64	$6.91–$474.84	288% above	70%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$307.25	$558.64	$122.34–$474.84	—	45%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$77.46	$258.21	$1.83–$219.48	186% above	70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$142.02	$258.21	$56.55–$219.48	—	45%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL	$109.38	$364.61	$2.89–$309.92	331% above	70%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$200.54	$364.61	$79.85–$309.92	—	45%
Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL	$175.10	$583.68	$5.96–$496.13	285% above	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$321.02	$583.68	$127.83–$496.13	—	45%
Transferrin blood test CPT 84466 TRANSFERRIN	$143.18	$477.26	$5.36–$405.67	301% above	70%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$262.49	$477.26	$104.52–$405.67	—	45%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$58.32	$194.40	$14.74–$165.24	17% above	70%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$106.92	$194.40	$42.57–$165.24	—	45%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$70.42	$234.73	$2.41–$199.52	201% above	70%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$129.10	$234.73	$51.41–$199.52	—	45%
Troponin test, quantitative CPT 84484 TROPONIN,QNT	$127.22	$424.08	$5.24–$360.47	107% above	70%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$233.24	$424.08	$92.87–$360.47	—	45%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$77.46	$258.21	$1.90–$219.48	197% above	70%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$142.02	$258.21	$56.55–$219.48	—	45%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$70.42	$234.73	$1.33–$199.52	298% above	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$129.10	$234.73	$51.41–$199.52	—	45%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$70.42	$234.73	$0.95–$199.52	402% above	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$129.10	$234.73	$51.41–$199.52	—	45%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$140.36	$467.88	$3.39–$397.70	391% above	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$257.33	$467.88	$102.47–$397.70	—	45%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$59.62	$198.74	$2.43–$168.93	187% above	70%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$109.31	$198.74	$43.52–$168.93	—	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$115.49	$384.96	$3.62–$327.22	302% above	70%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$211.73	$384.96	$84.31–$327.22	—	45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$155.86	$519.53	$6.33–$441.60	189% above	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$285.74	$519.53	$113.78–$441.60	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$334.72	$1,115.73	$12.43–$948.37	352% above	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$613.65	$1,115.73	$244.34–$948.37	—	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$398.56	$1,328.54	$16.17–$1,129.26	296% above	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$730.70	$1,328.54	$290.95–$1,129.26	—	45%
Zinc blood test CPT 84630 ZINC	$100.93	$336.44	$4.78–$285.97	168% above	70%
Zinc blood test inpatient CPT 84630 ZINC	$185.04	$336.44	$73.68–$285.97	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$182.61	$608.71	$6.32–$517.40	359% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$334.79	$608.71	$133.31–$517.40	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$12,566.14	$41,887.12	$297.00–$35,604.05	338% above	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$785.26	$2,617.52	$76.00–$2,224.89	16% above	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$1,439.64	$2,617.52	$573.24–$2,224.89	—	45%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$4,251.08	$14,170.28	$320.00–$12,044.74	71% above	70%
Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY	$3,661.58	$12,205.25	$250.00–$10,374.46	380% above	70%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,502.86	$11,676.20	$250.00–$9,924.77	359% above	70%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$3,117.34	$10,391.12	$250.00–$8,832.45	165% above	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$713.29	$2,377.64	$12.96–$2,020.99	1221% above	70%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$1,555.93	$5,186.42	$42.05–$4,408.46	1605% above	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$4,048.38	$13,494.59	$157.31–$11,470.40	497% above	70%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$9,967.70	$33,225.67	$363.00–$28,241.82	86% above	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$12,546.70	$41,822.32	$363.00–$35,548.97	84% above	70%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$8,017.22	$26,724.05	$250.00–$22,715.44	381% above	70%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY	$6,955.65	$23,185.49	$297.00–$19,707.67	114% above	70%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP REPLACEMENT	$28,688.48	$95,628.26	$320.00–$81,284.02	105% above	70%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$11,644.43	$38,814.76	$297.00–$32,992.55	49% above	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$114.81	$382.71	$83.81–$701.16	49% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$921.83	$3,072.75	$100.79–$2,611.84	308% above	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$210.49	$382.71	$83.81–$325.30	—	45%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION	$6,651.90	$22,172.99	$363.00–$18,847.04	136% above	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY	$8,607.42	$28,691.40	$363.00–$24,387.69	215% above	70%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$4,697.37	$15,657.89	$40.48–$13,309.21	206% above	70%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$1,474.91	$4,916.35	$90.47–$4,178.90	496% above	70%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA	$9,236.44	$30,788.12	$363.00–$26,169.90	99% above	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA	$2,263.70	$7,545.66	$56.66–$6,413.81	467% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$112.78	$375.92	$48.09–$845.00	69% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$206.76	$375.92	$82.33–$319.53	—	45%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$6,105.20	$20,350.66	$297.00–$17,298.06	66% above	70%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$5,950.78	$19,835.93	$297.00–$16,860.54	59% above	70%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$6,365.78	$21,219.26	$297.00–$18,036.37	74% above	70%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY	$13,733.99	$45,779.95	$363.00–$38,912.96	148% above	70%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY	$19,734.89	$65,782.98	$363.00–$55,915.53	140% above	70%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$11,307.05	$37,690.18	$363.00–$32,036.65	21% above	70%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$9,596.60	$31,988.68	$363.00–$27,190.38	97% above	70%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS	$8,481.50	$28,271.65	$297.00–$24,030.90	18% above	70%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA	$8,124.45	$27,081.50	$363.00–$23,019.27	97% above	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S)	$1,631.63	$5,438.78	$223.94–$4,622.96	317% above	70%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$8,344.65	$27,815.51	$297.00–$23,643.18	50% above	70%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,753.25	$15,844.18	$320.00–$13,467.55	122% above	70%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$2,245.22	$7,484.05	$99.01–$6,361.44	942% above	70%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$1,125.07	$3,750.24	$245.24–$3,187.70	58% above	70%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$2,062.63	$3,750.24	$821.30–$3,187.70	—	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,993.85	$6,646.17	$139.24–$5,649.24	248% above	70%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$9,457.87	$31,526.23	$320.00–$26,797.30	208% above	70%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$1,425.17	$4,750.55	$130.44–$4,037.97	305% above	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,982.92	$9,943.05	$291.97–$9,445.90	351% above	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,739.95	$9,133.15	$291.80–$8,676.50	325% above	70%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,537.16	$5,123.87	$59.24–$4,355.29	1050% above	70%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,480.46	$4,934.86	$64.85–$4,194.63	989% above	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$1,322.02	$4,406.74	$80.48–$3,745.73	541% above	70%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$4,975.77	$16,585.90	$105.30–$14,098.02	1798% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC	$7,413.30	$24,710.99	$124.27–$21,004.34	989% above	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S)	$1,585.18	$5,283.93	$98.14–$4,491.34	600% above	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$1,533.74	$5,112.46	$96.27–$4,345.59	657% above	70%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$354.92	$1,183.05	$250.00–$1,051.04	62% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$650.68	$1,183.05	$259.09–$1,005.59	—	45%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$21,734.76	$72,449.21	$320.00–$61,581.83	166% above	70%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT	$26,643.59	$88,811.98	$320.00–$75,490.18	370% above	70%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$3,733.60	$12,445.33	$250.00–$10,578.53	138% above	70%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$934.59	$3,115.31	$45.89–$2,648.01	138% above	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION	$3,517.28	$11,724.27	$363.00–$9,965.63	252% above	70%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY	$3,707.89	$12,359.63	$297.00–$10,505.69	217% above	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY	$3,877.57	$12,925.23	$250.00–$10,986.45	387% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS	$2,745.37	$9,151.23	$244.04–$7,778.55	83% above	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$5,275.34	$17,584.47	$110.79–$14,946.80	759% above	70%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$13,198.27	$43,994.24	$297.00–$37,395.10	285% above	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS	$172.57	$575.22	$35.55–$590.20	63% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS	$256.02	$853.41	$35.55–$743.21	46% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS	$323.39	$1,077.98	$35.55–$916.28	31% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$338.67	$1,128.89	$35.55–$959.56	28% below	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS	$524.62	$1,748.72	$35.55–$1,486.41	12% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 8 10 HR	$524.62	$1,748.72	$35.55–$1,486.41	12% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRAN 10 TO 12HRS	$558.99	$1,863.31	$35.55–$1,583.81	19% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$2,887.57	$9,625.23	$35.55–$8,181.45	514% above	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS	$316.37	$575.22	$125.97–$488.94	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS	$469.38	$853.41	$186.90–$725.40	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS	$592.89	$1,077.98	$236.08–$916.28	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$620.89	$1,128.89	$247.23–$959.56	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 8 10 HR	$961.80	$1,748.72	$382.97–$1,486.41	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS	$961.80	$1,748.72	$382.97–$1,486.41	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRAN 10 TO 12HRS	$1,024.82	$1,863.31	$408.06–$1,583.81	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$70.70	$235.68	$6.00–$235.68	10% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$129.62	$235.68	$51.61–$200.33	—	45%
Critical care, first 30 to 74 minutes one side CPT 99291 ED-CRIT CARE LT 74M	$1,419.35	$4,731.18	$118.09–$5,426.00	20% above	70%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$1,504.52	$5,015.06	$118.09–$5,426.00	27% above	70%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 ED-CRIT CARE LT 74M	$2,602.15	$4,731.18	$1,036.13–$4,021.50	—	45%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$2,758.28	$5,015.06	$1,098.30–$4,262.80	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF	$35.16	$117.21	$5.10–$791.00	54% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$152.57	$508.58	$5.10–$791.00	100% above	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF	$64.47	$117.21	$25.67–$99.63	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$279.72	$508.58	$111.38–$432.29	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-BRIEF ED VISIT	$157.61	$525.37	$10.26–$525.37	12% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$167.07	$556.90	$10.26–$556.90	7% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-BRIEF ED VISIT	$288.95	$525.37	$115.06–$446.56	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$306.30	$556.90	$121.96–$473.36	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED ED VISIT	$288.73	$962.44	$37.88–$962.44	2% below	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$306.06	$1,020.20	$37.88–$1,020.20	4% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-LIMITED ED VISIT	$529.34	$962.44	$210.77–$818.07	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$561.11	$1,020.20	$223.42–$867.17	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-INTERMED ED VIST	$423.77	$1,412.56	$64.17–$1,393.00	13% below	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$449.19	$1,497.30	$64.17–$1,393.00	8% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-INTERMED ED VIST	$776.91	$1,412.56	$309.35–$1,200.68	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$823.52	$1,497.30	$327.91–$1,272.70	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENDED ED VISIT	$572.26	$1,907.52	$109.34–$3,441.00	14% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$606.59	$2,021.96	$109.34–$3,441.00	9% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-EXTENDED ED VISIT	$1,049.14	$1,907.52	$417.75–$1,621.39	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$1,112.08	$2,021.96	$442.81–$1,718.67	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 POST AR TRA EM LV 5F	$1,407.10	$4,690.34	$118.09–$3,986.79	34% above	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$1,348.82	$2,452.40	$537.08–$2,084.54	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-COMPREHEN ED VST	$1,348.82	$2,452.40	$537.08–$2,084.54	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 POST AR TRA EM LV 5F	$2,579.69	$4,690.34	$1,027.18–$3,986.79	—	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$476.41	$1,588.03	$30.99–$1,349.83	27% above	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST	$530.37	$1,767.90	$30.99–$1,502.72	41% above	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$873.42	$1,588.03	$347.78–$1,349.83	—	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST	$972.35	$1,767.90	$387.17–$1,502.72	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR	$252.83	$842.76	$26.53–$716.35	76% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$260.81	$869.36	$26.53–$738.96	82% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION 1 HR	$463.52	$842.76	$184.56–$716.35	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$478.15	$869.36	$190.39–$738.96	—	45%
IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR	$252.83	$842.76	$50.30–$716.35	47% above	70%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$260.81	$869.36	$50.30–$738.96	52% above	70%
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY DX 1HR	$463.52	$842.76	$184.56–$716.35	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$478.15	$869.36	$190.39–$738.96	—	45%
IV push of a medicine, first drug CPT 96374 ED-INJ THER IV PUSH	$78.16	$260.52	$29.80–$480.00	35% below	70%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$82.85	$276.16	$29.80–$480.00	31% below	70%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$100.41	$334.70	$29.80–$334.70	17% below	70%
IV push of a medicine, first drug inpatient CPT 96374 ED-INJ THER IV PUSH	$143.29	$260.52	$57.05–$221.44	—	45%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$151.89	$276.16	$60.48–$234.74	—	45%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$184.09	$334.70	$73.30–$284.50	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM	$46.02	$153.41	$12.62–$480.00	5% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$85.40	$284.68	$12.62–$282.00	77% above	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-INJ THER DX SQ IM	$84.38	$153.41	$33.60–$130.40	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$156.57	$284.68	$62.34–$241.98	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN	$20.43	$68.11	$14.92–$128.00	40% below	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN	$37.46	$68.11	$14.92–$57.89	—	45%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$68.16	$227.20	$22.64–$2,355.00	56% below	70%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$124.96	$227.20	$49.76–$193.12	—	45%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$228.83	$762.77	$32.25–$2,355.00	10% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$419.52	$762.77	$167.05–$648.35	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$190.36	$634.53	$30.69–$539.35	135% above	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$348.99	$634.53	$138.96–$539.35	—	45%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IPV INJ	$200.36	$667.86	$68.32–$567.68	10% below	70%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IPV INJ	$367.32	$667.86	$146.26–$567.68	—	45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$53.96	$179.85	$13.12–$161.87	65% above	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$98.92	$179.85	$39.39–$161.87	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine (Recombinant) Susp 5 MCG/0.5ML	$77.34	$257.80	$30.09–$232.02	43% above	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$77.34	$257.80	$30.09–$232.02	43% above	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$141.79	$257.80	$56.46–$232.02	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine (Recombinant) Susp 5 MCG/0.5ML	$141.79	$257.80	$56.46–$232.02	—	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$201.28	$670.93	$34.64–$570.29	35% above	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln	$201.28	$670.93	$34.64–$570.29	35% above	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln	$369.01	$670.93	$146.93–$570.29	—	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$369.01	$670.93	$146.93–$570.29	—	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$530.15	$1,767.16	$241.56–$1,590.44	37% above	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj	$530.15	$1,767.16	$241.56–$1,590.44	37% above	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj	$971.94	$1,767.16	$387.01–$1,590.44	—	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$971.94	$1,767.16	$387.01–$1,590.44	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$181.94	$606.46	$89.15–$545.81	at median	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Polyvalent Inj Soln 25 MCG/0.	$181.94	$606.46	$89.15–$545.81	at median	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$333.55	$606.46	$132.81–$545.81	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine Polyvalent Inj Soln 25 MCG/0.	$333.55	$606.46	$132.81–$545.81	—	45%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$467.04	$1,556.81	$152.77–$1,323.29	47% below	70%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine PCEC For Inj	$467.04	$1,556.81	$152.77–$1,323.29	47% below	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$856.25	$1,556.81	$340.94–$1,323.29	—	45%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine PCEC For Inj	$856.25	$1,556.81	$340.94–$1,323.29	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$87.97	$293.24	$14.00–$249.25	24% above	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LF/0.5ML	$87.97	$293.24	$14.00–$249.25	24% above	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LF/0.5ML	$161.28	$293.24	$64.22–$249.25	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$161.28	$293.24	$64.22–$249.25	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$120.16	$400.52	$28.80–$340.44	60% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-M	$120.16	$400.52	$28.80–$340.44	60% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-M	$220.29	$400.52	$87.71–$340.44	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$220.29	$400.52	$87.71–$340.44	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$35.65	$118.83	$13.14–$118.83	34% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$65.36	$118.83	$26.02–$101.01	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$33.47	$111.57	$12.81–$100.41	40% above	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$61.36	$111.57	$24.43–$94.83	—	45%

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://www.freemanhealth.com/sites/default/files/media-library/263635210_siloam-springs-regional-hospital_standardcharges.csv