Hospital

Ashley County Medical Center

Listed in its price file as “Crossett Health Foundation”.

Ashley County Medical Center in Crossett, AR publishes cash prices for 281 common procedures listed here, from its own machine-readable price file updated May 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 231 of 279 procedures and above it for 45. By typical cash price it ranks #19 of 57 Arkansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1015 Unity Rd, Crossett, AR 71635 Collected Nov 3, 2026 Source price file Check a bill from this hospital (870) 364-4111

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 041323 · CMS hospital register NPI 1952308215

Financial assistance

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

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

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

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

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 W/O and W/DYE-74170	$904.00	$2,260.00	$174.94–$904.00	9% below	60%
Abdominal CT scan without and with contrast CPT 74170 CT TRIPLE PHASE LIVER SCAN	$904.00	$2,260.00	$174.94–$904.00	9% below	60%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O and W/DYE-74170	$904.00	$2,260.00	$174.94–$904.00	—	60%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT TRIPLE PHASE LIVER SCAN	$904.00	$2,260.00	$174.94–$904.00	—	60%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS-74019	$112.40	$281.00	$55.07–$204.57	16% below	60%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS-74019	$112.40	$281.00	$55.07–$204.57	—	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RIGHT ROUTINE-73610RT	$87.20	$218.00	$40.86–$213.64	34% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LEFT ROUTINE-73610LT	$87.20	$218.00	$40.86–$213.64	34% below	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE RIGHT ROUTINE-73610RT	$87.20	$218.00	$40.86–$213.64	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE LEFT ROUTINE-73610LT	$87.20	$218.00	$40.86–$213.64	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US (ABI)ANKLE/BRACHIAL INDEX-93922	$122.00	$305.00	$61.97–$152.50	28% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US (ABI)ANKLE/BRACHIAL INDEX-93922	$122.00	$305.00	$61.97–$152.50	—	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$378.40	$946.00	$107.60–$378.40	41% below	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O-73200	$378.40	$946.00	$107.60–$378.40	41% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$378.40	$946.00	$107.60–$378.40	—	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O-73200	$378.40	$946.00	$107.60–$378.40	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR GI ESOPHAGUS ONLY-74220	$252.80	$632.00	$103.60–$460.10	9% above	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR GI ESOPHAGUS ONLY-74220	$252.80	$632.00	$103.60–$460.10	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY-78306	$416.00	$1,040.00	$411.84–$1,025.40	36% below	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY-78306	$416.00	$1,040.00	$411.84–$1,025.40	—	60%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT CMPLT LEFT-76641LT	$112.40	$281.00	$112.40	34% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT CMPLT RIGHT-76641RT	$112.40	$281.00	$112.40	34% below	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT CMPLT LEFT-76641LT	$112.40	$281.00	$112.40	—	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT CMPLT RIGHT-76641RT	$112.40	$281.00	$112.40	—	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED RIGHT-76642RT	$87.20	$218.00	$76.62–$158.70	43% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED LEFT-76642LT	$87.20	$218.00	$76.62–$158.70	43% below	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED RIGHT-76642RT	$87.20	$218.00	$76.62–$158.70	—	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED LEFT-76642LT	$87.20	$218.00	$76.62–$158.70	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W/DYE-74174	$950.40	$2,376.00	$940.90–$950.40	23% below	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W/DYE-74174	$950.40	$2,376.00	$940.90–$950.40	—	60%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/ DYE-70496	$430.76	$1,076.90	$174.94–$637.64	57% below	60%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/ DYE-70496	$430.76	$1,076.90	$174.94–$637.64	—	60%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/ DYE-70498	$473.84	$1,184.59	$422.14–$637.64	44% below	60%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/ DYE-70498	$473.84	$1,184.59	$422.14–$637.64	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/ DYE-71275	$547.80	$1,369.50	$174.94–$774.71	21% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/ DYE-71275	$547.80	$1,369.50	$174.94–$774.71	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT W/ART/BYPASS GRFT 3D ****75574	$936.80	$2,342.00	$174.94–$1,171.00	48% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT W/ART/BYPASS GRFT 3D STR/FUNC	$936.80	$2,342.00	$174.94–$1,171.00	48% above	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT W/ART/BYPASS GRFT 3D STR/FUNC	$936.80	$2,342.00	$174.94–$1,171.00	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT W/ART/BYPASS GRFT 3D ****75574	$936.80	$2,342.00	$174.94–$1,171.00	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O DYE-74176	$392.00	$980.00	$118.44–$980.00	61% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O DYE-74176	$392.00	$980.00	$118.44–$980.00	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/ DYE-74177	$784.00	$1,960.00	$366.59–$980.00	45% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/ DYE-74177	$784.00	$1,960.00	$366.59–$980.00	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O and W/ DYE-74178	$590.00	$1,475.00	$299.09–$850.00	63% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/O and W/ DYE-74178	$590.00	$1,475.00	$299.09–$850.00	—	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE-74160	$882.40	$2,206.00	$174.94–$882.40	5% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/DYE-74160	$882.40	$2,206.00	$174.94–$882.40	—	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/0 DYE-74150	$518.80	$1,297.00	$513.61–$518.80	14% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/0 DYE-74150	$518.80	$1,297.00	$513.61–$518.80	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIA W/O DYE-70486	$413.16	$1,032.91	$409.03–$850.00	40% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS AXIAL & CORONAL	$413.16	$1,032.91	$409.03–$850.00	40% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS CORONAL W/O CONTRAST-70486	$413.16	$1,032.91	$409.03–$850.00	40% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS AXIAL-70486	$413.16	$1,032.91	$409.03–$850.00	40% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS AXIAL-70486	$413.16	$1,032.91	$409.03–$850.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS CORONAL W/O CONTRAST-70486	$413.16	$1,032.91	$409.03–$850.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS AXIAL & CORONAL	$413.16	$1,032.91	$409.03–$850.00	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIA W/O DYE-70486	$413.16	$1,032.91	$409.03–$850.00	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE-70450	$348.00	$870.00	$107.60–$435.00	47% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE-70450	$348.00	$870.00	$107.60–$435.00	—	60%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE-70460	$391.60	$979.00	$168.21–$391.60	55% below	60%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE-70460	$391.60	$979.00	$168.21–$391.60	—	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O and W/DYE-70470	$342.00	$855.00	$133.23–$855.00	64% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O and W/DYE-70470	$342.00	$855.00	$133.23–$855.00	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE-72131	$356.00	$890.00	$107.60–$879.20	51% below	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE-72131	$356.00	$890.00	$107.60–$879.20	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O DYE-72125	$382.80	$957.00	$107.60–$806.08	43% below	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O DYE-72125	$382.80	$957.00	$107.60–$806.08	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE-72193	$784.03	$1,960.08	$776.19–$850.00	8% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE-72193	$784.03	$1,960.08	$776.19–$850.00	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID & VERTEBRAL ARTERIES-93880	$235.20	$588.00	$221.67–$294.00	36% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID & VERTEBRAL ARTERIES-93880	$235.20	$588.00	$221.67–$294.00	—	60%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/O and W/DYE-71270	$448.40	$1,121.00	$174.94–$560.50	50% below	60%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/O and W/DYE-71270	$448.40	$1,121.00	$174.94–$560.50	—	60%
Chest X-ray, 2 views CPT 71046 XR CHEST W/ FLUORO(sniff test)-71046	$87.20	$218.00	$49.64–$158.70	39% below	60%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW (PA LAT)-71046	$87.20	$218.00	$49.64–$158.70	39% below	60%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW (PA LAT)-71046	$87.20	$218.00	$49.64–$158.70	—	60%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST W/ FLUORO(sniff test)-71046	$87.20	$218.00	$49.64–$158.70	—	60%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW-71045	$87.20	$218.00	$26.92–$218.00	22% below	60%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW-71045	$87.20	$218.00	$26.92–$218.00	—	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT-73000RT	$87.20	$218.00	$76.62–$87.20	19% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT-73000LT	$87.20	$218.00	$76.62–$87.20	19% below	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RIGHT-73000RT	$87.20	$218.00	$76.62–$87.20	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LEFT-73000LT	$87.20	$218.00	$76.62–$87.20	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMPLETE -76811	$235.20	$588.00	$223.73–$428.06	42% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMPLETE-76811	$235.20	$588.00	$223.73–$428.06	42% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMPLETE -76811	$235.20	$588.00	$223.73–$428.06	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMPLETE-76811	$235.20	$588.00	$223.73–$428.06	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O DYE-71250	$421.20	$1,053.00	$107.60–$1,053.00	30% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O DYE-71250	$421.20	$1,053.00	$107.60–$1,053.00	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/DYE-71260	$548.00	$1,370.00	$174.94–$819.46	29% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/DYE-71260	$548.00	$1,370.00	$174.94–$819.46	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MG BILAT. DIAGNOSTIC DIGITAL-77066	$152.00	$380.00	$34.03–$319.87	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MM BILATERAL DIAGNOSTIC	$152.00	$380.00	$34.03–$319.87	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG BILAT. DIAGNOSTIC DIGITAL-77066	$152.00	$380.00	$34.03–$319.87	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM BILATERAL DIAGNOSTIC	$152.00	$380.00	$34.03–$319.87	—	60%
Diagnostic mammogram, one breast one side CPT 77065 MG UNILAT. DIAGNOSTIC DIGITAL-77065	$120.80	$302.00	$87.72–$219.86	25% below	60%
Diagnostic mammogram, one breast one side CPT 77065 MM UNILATERAL DIAGNOSTIC	$120.80	$302.00	$87.72–$219.86	25% below	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG UNILAT. DIAGNOSTIC DIGITAL-77065	$120.80	$302.00	$87.72–$219.86	—	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM UNILATERAL DIAGNOSTIC	$120.80	$302.00	$87.72–$219.86	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX BIL LOWER EXT ART-93925	$235.20	$588.00	$24.68–$235.20	49% below	60%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX BIL LOWER EXT ART-93925	$235.20	$588.00	$24.68–$235.20	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX VENOUS BILAT EXT-93970	$235.20	$588.00	$147.30–$577.14	—	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX VENOUS BILAT EXT-93970	$235.20	$588.00	$147.30–$577.14	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM 93306	$526.00	$1,315.00	$477.58–$957.32	48% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM	$526.00	$1,315.00	$477.58–$957.32	48% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM 93306	$526.00	$1,315.00	$477.58–$957.32	—	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM	$526.00	$1,315.00	$477.58–$957.32	—	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT ROUTINE-73080LT	$87.20	$218.00	$43.13–$158.70	19% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT ROUTINE-73080RT	$87.20	$218.00	$43.13–$158.70	19% below	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT ROUTINE-73080LT	$87.20	$218.00	$43.13–$158.70	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT ROUTINE-73080RT	$87.20	$218.00	$43.13–$158.70	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR FOSSA W/O DYE-70480	$378.40	$946.00	$374.62	45% below	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR FOSSA W/O DYE-70480	$378.40	$946.00	$374.62	—	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 MAXILLA X-RAY	$112.40	$281.00	$111.28	7% below	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES-ROUTINE-70150	$112.40	$281.00	$111.28	7% below	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES-ROUTINE-70150	$112.40	$281.00	$111.28	—	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 MAXILLA X-RAY	$112.40	$281.00	$111.28	—	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT ROUTINE-73090RT	$87.20	$218.00	$43.13–$158.71	19% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT ROUTINE-73090LT	$87.20	$218.00	$43.13–$158.71	19% below	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM LEFT ROUTINE-73090LT	$87.20	$218.00	$43.13–$158.71	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM RIGHT ROUTINE-73090RT	$87.20	$218.00	$43.13–$158.71	—	60%
Hand X-ray, 2 views one side CPT 73120 XR HAND LEFT 2 VIEWS-73120LT	$112.40	$281.00	$107.60–$140.50	5% above	60%
Hand X-ray, 2 views one side CPT 73120 XR HAND RIGHT 2 VIEWS-73120RT	$112.40	$281.00	$107.60–$140.50	5% above	60%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LEFT 2 VIEWS-73120LT	$112.40	$281.00	$107.60–$140.50	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND RIGHT 2 VIEWS-73120RT	$112.40	$281.00	$107.60–$140.50	—	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT ROUTINE-73650LT	$87.20	$218.00	$86.33	13% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT ROUTINE-73650RT	$87.20	$218.00	$86.33	13% below	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL LEFT ROUTINE-73650LT	$87.20	$218.00	$86.33	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL RIGHT ROUTINE-73650RT	$87.20	$218.00	$86.33	—	60%
Knee X-ray, 3 views one side CPT 73562 XR KNEE RIGHT ROUTINE-73562RT	$87.20	$218.00	$76.62–$158.70	33% below	60%
Knee X-ray, 3 views one side CPT 73562 XR KNEE LEFT ROUTINE-73562LT	$87.20	$218.00	$76.62–$158.70	33% below	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE LEFT ROUTINE-73562LT	$87.20	$218.00	$76.62–$158.70	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE RIGHT ROUTINE-73562RT	$87.20	$218.00	$76.62–$158.70	—	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR ORTHO ADULT LEFT KNEE-73564LT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RIGHT 4 OR MORE VIEWS-73564RT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR ORTHO ADULT RIGHT KNEE-73564RT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LEFT 4 OR MORE VIEWS-73564LT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR ORTHO YOUTH RIGHT KNEE-73564RT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR ORTHO YOUTH LEFT KNEE-73564LT	$112.00	$280.00	$83.99–$203.84	23% below	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR ORTHO ADULT LEFT KNEE-73564LT	$112.00	$280.00	$83.99–$203.84	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE LEFT 4 OR MORE VIEWS-73564LT	$112.00	$280.00	$83.99–$203.84	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR ORTHO YOUTH LEFT KNEE-73564LT	$112.00	$280.00	$83.99–$203.84	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE RIGHT 4 OR MORE VIEWS-73564RT	$112.00	$280.00	$83.99–$203.84	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR ORTHO YOUTH RIGHT KNEE-73564RT	$112.00	$280.00	$83.99–$203.84	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR ORTHO ADULT RIGHT KNEE-73564RT	$112.00	$280.00	$83.99–$203.84	—	60%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT W/O DYE-73700	$382.80	$957.00	$107.60–$478.50	37% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT W/O DYE-73700	$382.80	$957.00	$107.60–$478.50	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US URINARY BLADDER-76705	$156.40	$391.00	$45.40–$284.65	35% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER/LIVER/PANCREAS-76705	$156.40	$391.00	$45.40–$284.65	35% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN-76705	$156.40	$391.00	$45.40–$284.65	35% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US HEPATIC MASS-76705	$156.40	$391.00	$45.40–$284.65	35% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN-76705	$156.40	$391.00	$45.40–$284.65	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US URINARY BLADDER-76705	$156.40	$391.00	$45.40–$284.65	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER/LIVER/PANCREAS-76705	$156.40	$391.00	$45.40–$284.65	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US HEPATIC MASS-76705	$156.40	$391.00	$45.40–$284.65	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LD LUNG CANCER SCREEN -71271	$111.20	$278.00	$78.83–$272.44	60% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LD LUNG CANCER SCREEN -71271	$111.20	$278.00	$78.83–$272.44	—	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA RIGHT ROUTINE-73590RT	$87.20	$218.00	$56.75–$215.94	22% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA LEFT ROUTINE-73590LT	$87.20	$218.00	$56.75–$215.94	22% below	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA LEFT ROUTINE-73590LT	$87.20	$218.00	$56.75–$215.94	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA RIGHT ROUTINE-73590RT	$87.20	$218.00	$56.75–$215.94	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LWR EXTRE W/O DYE-73721RT	$620.00	$1,550.00	$223.73–$1,500.00	29% below	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LWR EXTRE W/O DYE-73721LT	$620.00	$1,550.00	$223.73–$1,500.00	29% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LWR EXTRE W/O DYE-73721RT	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LWR EXTRE W/O DYE-73721LT	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O & W/DYE-73723RT	$620.00	$1,550.00	$604.50–$775.00	40% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O & W/DYE-73723LT	$620.00	$1,550.00	$604.50–$775.00	40% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O & W/DYE-73723LT	$620.00	$1,550.00	$604.50–$775.00	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O & W/DYE-73723RT	$620.00	$1,550.00	$604.50–$775.00	—	60%
MRI of the abdomen without contrast CPT 74181 MRI MRCP 74181	$682.00	$1,705.00	$223.73–$1,500.00	25% below	60%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE-74181	$682.00	$1,705.00	$223.73–$1,500.00	25% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP 74181	$682.00	$1,705.00	$223.73–$1,500.00	—	60%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O DYE-74181	$682.00	$1,705.00	$223.73–$1,500.00	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE-74183	$756.80	$1,892.00	$749.23–$946.00	34% below	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O & W/DYE-74183	$756.80	$1,892.00	$749.23–$946.00	—	60%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O DYE-70551	$750.20	$1,875.50	$223.73–$937.75	18% below	60%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O DYE-70551	$750.20	$1,875.50	$223.73–$937.75	—	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W/DYE-70553	$711.20	$1,778.00	$366.59–$1,500.00	53% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W/DYE-70553	$711.20	$1,778.00	$366.59–$1,500.00	—	60%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE-72148	$620.00	$1,550.00	$223.73–$1,500.00	30% below	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE-72148	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE-72158	$860.55	$2,151.38	$366.59–$1,362.26	36% below	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE-72158	$860.55	$2,151.38	$366.59–$1,362.26	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O DYE-72146	$620.00	$1,550.00	$223.73–$620.00	31% below	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O DYE-72146	$620.00	$1,550.00	$223.73–$620.00	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/O & W/DYE-72156	$627.00	$1,567.50	$366.59–$627.00	54% below	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/O & W/DYE-72156	$627.00	$1,567.50	$366.59–$627.00	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O DYE-72141	$620.00	$1,550.00	$223.73–$1,500.00	33% below	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O DYE-72141	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE-72197	$659.60	$1,649.00	$366.59–$653.00	39% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE-72197	$659.60	$1,649.00	$366.59–$653.00	—	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE-72195	$750.20	$1,875.50	$742.70–$1,403.56	11% below	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE-72195	$750.20	$1,875.50	$742.70–$1,403.56	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXTREM W/O DYE-73221RT	$620.00	$1,550.00	$223.73–$1,500.00	31% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXTREM W/O DYE-73221LT	$620.00	$1,550.00	$223.73–$1,500.00	31% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXTREM W/O DYE-73221LT	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXTREM W/O DYE-73221RT	$620.00	$1,550.00	$223.73–$1,500.00	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL ROUTINE-72050	$112.40	$281.00	$107.60–$275.38	33% below	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL ROUTINE-72050	$112.40	$281.00	$107.60–$275.38	—	60%
Neck soft tissue CT scan with contrast CPT 70491 CT SFT TISS NECK W/DYE-70491	$390.40	$976.00	$174.94–$850.00	51% below	60%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SFT TISS NECK W/DYE-70491	$390.40	$976.00	$174.94–$850.00	—	60%
Neck soft tissue CT scan without contrast CPT 70490 CT SFT TISS NECK W/O DYE-70490	$458.00	$1,145.00	$453.42–$572.50	24% below	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SFT TISS NECK W/O DYE-70490	$458.00	$1,145.00	$453.42–$572.50	—	60%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE-70360	$87.20	$218.00	$76.62–$158.70	14% below	60%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE-70360	$87.20	$218.00	$76.62–$158.70	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM SPECT/REST & STRESS	$1,353.20	$3,383.00	$1,339.67–$3,337.00	27% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM SPECT/REST & STRESS-78452	$1,353.20	$3,383.00	$1,339.67–$3,337.00	27% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM SPECT/REST & STRESS-78452	$1,353.20	$3,383.00	$1,339.67–$3,337.00	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM SPECT/REST & STRESS	$1,353.20	$3,383.00	$1,339.67–$3,337.00	—	60%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE-72192	$464.00	$1,160.00	$107.60–$635.52	29% below	60%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE-72192	$464.00	$1,160.00	$107.60–$635.52	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US(DIAG)-LOWER TORSO - 76857	$114.40	$286.00	$107.60–$208.21	26% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US(DIAG)-LOWER TORSO - 76857	$114.40	$286.00	$107.60–$208.21	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS-76856	$112.40	$281.00	$90.80–$204.57	61% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS-76856	$112.40	$281.00	$90.80–$204.57	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14 WKS TRANS ABD-76801	$112.40	$281.00	$107.60–$204.57	50% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14WKS TRANS ABD-76801	$112.40	$281.00	$107.60–$204.57	50% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14WKS TRANS ABD-76801	$112.40	$281.00	$107.60–$204.57	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14 WKS TRANS ABD-76801	$112.40	$281.00	$107.60–$204.57	—	60%
Screening mammogram, both breasts both sides CPT 77067 MG BILAT SCREENING /C TOMO	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts both sides CPT 77067 MM BILATERAL SCREENING	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts both sides CPT 77067 MG BILAT. SCREENING DIGITAL-77067	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts CPT 77067 MM CAD SCREENING	$122.80	$307.00	$75.41–$224.37	at median	60%
Screening mammogram, both breasts CPT 77067 MM BCCP SCREENING	$122.80	$307.00	$75.41–$224.37	at median	60%
Screening mammogram, both breasts one side CPT 77067 MG UNILAT. SCREENING DIGITAL-7706752	$122.80	$307.00	$75.41–$224.37	at median	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG BILAT. SCREENING DIGITAL-77067	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM BILATERAL SCREENING	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG BILAT SCREENING /C TOMO	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts inpatient CPT 77067 MM BCCP SCREENING	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts inpatient CPT 77067 MM CAD SCREENING	$122.80	$307.00	$75.41–$224.37	—	60%
Screening mammogram, both breasts inpatient one side CPT 77067 MG UNILAT. SCREENING DIGITAL-7706752	$122.80	$307.00	$75.41–$224.37	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER X-RAY 2 VIEWS	$87.20	$218.00	$45.40–$213.64	23% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RIGHT ROUTINE-73030RT	$87.20	$218.00	$45.40–$213.64	23% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LEFT ROUTINE-73030LT	$87.20	$218.00	$45.40–$213.64	23% below	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER X-RAY 2 VIEWS	$87.20	$218.00	$45.40–$213.64	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER RIGHT ROUTINE-73030RT	$87.20	$218.00	$45.40–$213.64	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER LEFT ROUTINE-73030LT	$87.20	$218.00	$45.40–$213.64	—	60%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES ROUTINE-70220	$87.20	$218.00	$76.62–$109.00	34% below	60%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES ROUTINE-70220	$87.20	$218.00	$76.62–$109.00	—	60%
Skull X-ray, fewer than 4 views CPT 70250 SKULL X RAY 1-2 VIEW	$112.40	$281.00	$112.40	3% below	60%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL ER ROUTINE 2 VIEWS-70250	$112.40	$281.00	$112.40	3% below	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL X RAY 1-2 VIEW	$112.40	$281.00	$112.40	—	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL ER ROUTINE 2 VIEWS-70250	$112.40	$281.00	$112.40	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR GI/MODIFIED BA SWALLOW-74230	$182.80	$457.00	$180.97–$356.18	12% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR GI/MODIFIED BA SWALLOW-74230	$182.80	$457.00	$180.97–$356.18	—	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RIGHT Routine - 73552RT	$87.20	$218.00	$48.08–$109.00	23% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LEFT Routine - 73552LT	$87.20	$218.00	$48.08–$109.00	23% below	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR RIGHT Routine - 73552RT	$87.20	$218.00	$48.08–$109.00	—	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR LEFT Routine - 73552LT	$87.20	$218.00	$48.08–$109.00	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O DYE-72128	$382.80	$957.00	$131.47–$488.05	45% below	60%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O DYE-72128	$382.80	$957.00	$131.47–$488.05	—	60%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT ROUTINE-73660RT	$87.20	$218.00	$29.51–$109.00	19% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT ROUTINE-73660LT	$87.20	$218.00	$29.51–$109.00	19% below	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE LEFT ROUTINE-73660LT	$87.20	$218.00	$29.51–$109.00	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE RIGHT ROUTINE-73660RT	$87.20	$218.00	$29.51–$109.00	—	60%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL - NON OB - 76830	$112.40	$281.00	$107.60–$204.57	52% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL - NON OB - 76830	$112.40	$281.00	$107.60–$204.57	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OB<14 WKS TRANS VAG-76817	$112.40	$281.00	$107.60–$140.50	39% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANS VAG-CERVIX 76817	$112.40	$281.00	$107.60–$140.50	39% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OB<14WKS TRANS VAG-76817	$112.40	$281.00	$107.60–$140.50	39% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANS VAG-CERVIX 76817	$112.40	$281.00	$107.60–$140.50	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB<14 WKS TRANS VAG-76817	$112.40	$281.00	$107.60–$140.50	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB<14WKS TRANS VAG-76817	$112.40	$281.00	$107.60–$140.50	—	60%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE-76700	$198.88	$497.20	$107.60–$361.96	47% below	60%
Ultrasound of the abdomen, complete CPT 76700 US COMP ABD SURV-76700	$198.88	$497.20	$107.60–$361.96	47% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE-76700	$198.88	$497.20	$107.60–$361.96	—	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 US COMP ABD SURV-76700	$198.88	$497.20	$107.60–$361.96	—	60%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR SONOGRAM-76870	$112.40	$281.00	$107.60–$204.57	55% below	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR SONOGRAM-76870	$112.40	$281.00	$107.60–$204.57	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK-76536	$112.40	$281.00	$107.60–$204.57	52% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK-76536	$112.40	$281.00	$107.60–$204.57	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI/KUB-74240	$252.80	$632.00	$174.94–$316.00	at median	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI/SBFT 74240	$252.80	$632.00	$174.94–$316.00	at median	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR GI/KUB-74240	$252.80	$632.00	$174.94–$316.00	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR GI/SBFT 74240	$252.80	$632.00	$174.94–$316.00	—	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT ROUTINE-73060LT	$87.20	$218.00	$49.94–$158.70	28% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT ROUTINE-73060RT	$87.20	$218.00	$49.94–$158.70	28% below	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LEFT ROUTINE-73060LT	$87.20	$218.00	$49.94–$158.70	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RIGHT ROUTINE-73060RT	$87.20	$218.00	$49.94–$158.70	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VENOUS UNILAT EXT.-93971	$112.40	$281.00	$101.45–$204.57	54% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX VENOUS UNILAT EXT.-93971	$112.40	$281.00	$101.45–$204.57	—	60%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST RIGHT 2 VIEWS-73100RT	$87.20	$218.00	$86.33–$109.00	19% below	60%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST LEFT 2 VIEWS-73100LT	$87.20	$218.00	$86.33–$109.00	19% below	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST RIGHT 2 VIEWS-73100RT	$87.20	$218.00	$86.33–$109.00	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST LEFT 2 VIEWS-73100LT	$87.20	$218.00	$86.33–$109.00	—	60%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST W/NAVIC X-RAY	$87.20	$218.00	$52.21–$158.71	31% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RIGHT ROUTINE-73110RT	$87.20	$218.00	$52.21–$158.71	31% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LEFT ROUTINE-73110LT	$87.20	$218.00	$52.21–$158.71	31% below	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST W/NAVIC X-RAY	$87.20	$218.00	$52.21–$158.71	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RIGHT ROUTINE-73110RT	$87.20	$218.00	$52.21–$158.71	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LEFT ROUTINE-73110LT	$87.20	$218.00	$52.21–$158.71	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LEFT Routine - 73502LT	$130.40	$326.00	$63.20–$237.33	12% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RIGHT Routine - 73502RT	$130.40	$326.00	$63.20–$237.33	12% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LEFT Routine - 73502LT	$130.40	$326.00	$63.20–$237.33	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP RIGHT Routine - 73502RT	$130.40	$326.00	$63.20–$237.33	—	60%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW (KUB OR DEC)-74018	$87.20	$218.00	$45.99–$194.93	23% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW (KUB OR DEC)-74018	$87.20	$218.00	$45.99–$194.93	—	60%
X-ray of the ankle, 2 views CPT 73600 ANKLE W/STRESS XRAY	$87.20	$218.00	$76.62–$158.70	18% below	60%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE RIGHT TWO VIEWS-73600RT	$87.20	$218.00	$76.62–$158.70	18% below	60%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LEFT TWO VIEWS-73600LT	$87.20	$218.00	$76.62–$158.70	18% below	60%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE W/STRESS XRAY	$87.20	$218.00	$76.62–$158.70	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE RIGHT TWO VIEWS-73600RT	$87.20	$218.00	$76.62–$158.70	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LEFT TWO VIEWS-73600LT	$87.20	$218.00	$76.62–$158.70	—	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT ROUTINE-73140LT	$87.20	$218.00	$36.32–$109.00	9% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT ROUTINE-73140RT	$87.20	$218.00	$36.32–$109.00	9% below	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LEFT ROUTINE-73140LT	$87.20	$218.00	$36.32–$109.00	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RIGHT ROUTINE-73140RT	$87.20	$218.00	$36.32–$109.00	—	60%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT RIGHT 2 VIEWS-73620RT	$87.20	$218.00	$76.62–$109.00	3% below	60%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LEFT 2 VIEWS-73620LT	$87.20	$218.00	$76.62–$109.00	3% below	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LEFT 2 VIEWS-73620LT	$87.20	$218.00	$76.62–$109.00	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT RIGHT 2 VIEWS-73620RT	$87.20	$218.00	$76.62–$109.00	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT ROUTINE-73630LT	$87.20	$218.00	$63.56–$216.24	33% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT ROUTINE-73630RT	$87.20	$218.00	$63.56–$216.24	33% below	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT RIGHT ROUTINE-73630RT	$87.20	$218.00	$63.56–$216.24	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LEFT ROUTINE-73630LT	$87.20	$218.00	$63.56–$216.24	—	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT ROUTINE-73130RT	$87.20	$218.00	$56.75–$158.70	29% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LEFT ROUTINE-73130LT	$87.20	$218.00	$56.75–$158.70	29% below	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND RIGHT ROUTINE-73130RT	$87.20	$218.00	$56.75–$158.70	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND LEFT ROUTINE-73130LT	$87.20	$218.00	$56.75–$158.70	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RIGHT 1 0R 2 VIEWS-73560RT	$87.20	$218.00	$56.75–$158.70	27% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LEFT 1 0R 2 VIEWS-73560LT	$87.20	$218.00	$56.75–$158.70	27% below	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE RIGHT 1 0R 2 VIEWS-73560RT	$87.20	$218.00	$56.75–$158.70	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE LEFT 1 0R 2 VIEWS-73560LT	$87.20	$218.00	$56.75–$158.70	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR AP LAT-72100	$112.40	$281.00	$53.81–$277.98	12% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR AP LAT-72100	$112.40	$281.00	$53.81–$277.98	—	60%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE COMP	$112.40	$281.00	$90.80–$222.90	31% below	60%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR ROUTINE-72110	$112.40	$281.00	$90.80–$222.90	31% below	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE COMP	$112.40	$281.00	$90.80–$222.90	—	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR ROUTINE-72110	$112.40	$281.00	$90.80–$222.90	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC ROUTINE-72070	$112.40	$281.00	$54.48–$224.80	16% below	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC ROUTINE-72070	$112.40	$281.00	$54.48–$224.80	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES ROUTINE-70160	$87.20	$218.00	$76.62	19% below	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES ROUTINE-70160	$87.20	$218.00	$76.62	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS-72040	$87.20	$218.00	$76.62–$109.00	28% below	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS-72040	$87.20	$218.00	$76.62–$109.00	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS ROUTINE-72170	$112.40	$281.00	$47.67–$275.38	1% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS ROUTINE-72170	$112.40	$281.00	$47.67–$275.38	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX	$87.20	$218.00	$86.33–$87.20	24% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX MIN 2 VIEWS-72220	$87.20	$218.00	$86.33–$87.20	24% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX XRAY	$87.20	$218.00	$86.33–$87.20	24% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX XRAY	$87.20	$218.00	$86.33–$87.20	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX MIN 2 VIEWS-72220	$87.20	$218.00	$86.33–$87.20	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX	$87.20	$218.00	$86.33–$87.20	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ADRENOCORICOTROPIN HORMONE (ACTH)	$110.80	$277.00	$44.03–$138.50	21% above	60%
ACTH blood test inpatient CPT 82024 ADRENOCORICOTROPIN HORMONE (ACTH)	$110.80	$277.00	$44.03–$138.50	—	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 A1+	$16.68	$41.71	$6.04–$16.68	21% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$16.68	$41.71	$6.04–$16.68	21% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT) REPEAT	$16.68	$41.71	$6.04–$16.68	21% below	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 A1+	$16.68	$41.71	$6.04–$16.68	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT(SGPT) REPEAT	$16.68	$41.71	$6.04–$16.68	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$16.68	$41.71	$6.04–$16.68	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$17.10	$42.74	$5.91–$17.10	8% below	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$17.10	$42.74	$5.91–$17.10	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$52.00	$130.00	$52.00–$127.92	73% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$52.00	$130.00	$52.00–$127.92	—	60%
Albumin blood test CPT 82040 ALBUMIN*	$7.62	$19.06	$7.62–$18.75	66% below	60%
Albumin blood test CPT 82040 ALBUMIN, REPEAT	$7.62	$19.06	$7.62–$18.75	66% below	60%
Albumin blood test inpatient CPT 82040 ALBUMIN, REPEAT	$7.62	$19.06	$7.62–$18.75	—	60%
Albumin blood test inpatient CPT 82040 ALBUMIN*	$7.62	$19.06	$7.62–$18.75	—	60%
Aldosterone blood test CPT 82088 ALDOSTERONE	$40.80	$102.00	$40.80	59% below	60%
Aldosterone blood test CPT 82088 URINE ALDOSTERONE	$40.80	$102.00	$40.80	59% below	60%
Aldosterone blood test inpatient CPT 82088 URINE ALDOSTERONE	$40.80	$102.00	$40.80	—	60%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$40.80	$102.00	$40.80	—	60%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$19.60	$49.00	$19.21–$24.50	7% below	60%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK. PHOSPHATASE	$19.60	$49.00	$19.21–$24.50	7% below	60%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS TOTAL	$19.60	$49.00	$19.21–$24.50	7% below	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$19.60	$49.00	$19.21–$24.50	—	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOS TOTAL	$19.60	$49.00	$19.21–$24.50	—	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK. PHOSPHATASE	$19.60	$49.00	$19.21–$24.50	—	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$37.20	$93.00	$19.12–$46.50	55% below	60%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$37.20	$93.00	$19.12–$46.50	—	60%
Ammonia blood test CPT 82140 AMMONIA	$24.14	$60.34	$16.61–$30.17	56% below	60%
Ammonia blood test inpatient CPT 82140 AMMONIA	$24.14	$60.34	$16.61–$30.17	—	60%
Amylase blood test CPT 82150 AMYLASE,REPEAT	$12.40	$31.01	$7.39–$31.01	53% below	60%
Amylase blood test CPT 82150 AMYLASE	$12.40	$31.01	$7.39–$31.01	53% below	60%
Amylase blood test CPT 82150 AMYLASE,BODY FLUID	$12.40	$31.01	$7.39–$31.01	53% below	60%
Amylase blood test CPT 82150 URINE AMYLASE	$12.40	$31.01	$7.39–$31.01	53% below	60%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$12.40	$31.01	$7.39–$31.01	53% below	60%
Amylase blood test inpatient CPT 82150 AMYLASE,REPEAT	$12.40	$31.01	$7.39–$31.01	—	60%
Amylase blood test inpatient CPT 82150 AMYLASE	$12.40	$31.01	$7.39–$31.01	—	60%
Amylase blood test inpatient CPT 82150 AMYLASE,BODY FLUID	$12.40	$31.01	$7.39–$31.01	—	60%
Amylase blood test inpatient CPT 82150 URINE AMYLASE	$12.40	$31.01	$7.39–$31.01	—	60%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$12.40	$31.01	$7.39–$31.01	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IgG/IgA	$16.00	$40.00	$14.76–$18.34	65% below	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IgG/IgA	$16.00	$40.00	$14.76–$18.34	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA-DIRECT	$15.71	$39.27	$13.78–$39.18	65% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX	$15.71	$39.27	$13.78–$39.18	65% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR ANTIBODY)W/REFLEX	$15.71	$39.27	$13.78–$39.18	65% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA AB	$15.71	$39.27	$13.78–$39.18	65% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, IFA	$16.00	$40.00	$13.78–$16.00	65% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA, REFLEX TO TITER AND PATTERN	$16.00	$40.00	$13.78–$39.18	65% below	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTINUCLEAR ANTIBODY)W/REFLEX	$15.71	$39.27	$13.78–$39.18	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX	$15.71	$39.27	$13.78–$39.18	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA-DIRECT	$15.71	$39.27	$13.78–$39.18	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA AB	$15.71	$39.27	$13.78–$39.18	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, IFA	$16.00	$40.00	$13.78–$16.00	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA, REFLEX TO TITER AND PATTERN	$16.00	$40.00	$13.78–$39.18	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP	$64.40	$161.00	$44.76–$157.78	1% above	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP	$64.40	$161.00	$44.76–$157.78	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BORDETELLA PERTUSSIS(NASO)	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,OTHER SOURCE	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,PREDOMINATION	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ..TEST CULTURE, AEROBIC BACTERIA	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,SPINAL FLUID	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ..TEST CULTURE B PERTUSSIS(NASO)	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,OTHER SOURCE REPEAT	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ..TEST CULTURE,UPPER RESPIRATORY	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,THORACENTESIS	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THORACENTESIS	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, AEROBIC BACTERIA	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT NOSE	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,UPPER RESPIRATORY	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPUTUM REPEAT	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,THROAT/NOSE	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, OTHER SOURCE REPEAT	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .CULTURE,SPUTUM	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, OTHER SOURCE	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPINAL FLUID	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPUTUM	$30.80	$77.00	$9.83–$75.46	20% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,PREDOMINATION	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPUTUM REPEAT	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, OTHER SOURCE REPEAT	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,OTHER SOURCE REPEAT	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,UPPER RESPIRATORY	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, AEROBIC BACTERIA	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT NOSE	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THORACENTESIS	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPUTUM	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPINAL FLUID	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, OTHER SOURCE	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BORDETELLA PERTUSSIS(NASO)	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,OTHER SOURCE	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,THORACENTESIS	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,SPINAL FLUID	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,THROAT/NOSE	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .CULTURE,SPUTUM	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ..TEST CULTURE,UPPER RESPIRATORY	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ..TEST CULTURE B PERTUSSIS(NASO)	$30.80	$77.00	$9.83–$75.46	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ..TEST CULTURE, AEROBIC BACTERIA	$30.80	$77.00	$9.83–$75.46	—	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL(CHEM8)	$27.49	$68.72	$9.64–$67.35	71% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL(CHEM8)	$27.49	$68.72	$9.64–$67.35	—	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL, REPEAT	$22.00	$55.00	$5.72–$53.90	44% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL,REPEAT	$22.00	$55.00	$5.72–$53.90	44% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN,TOTAL(SERUM/FLUID)	$22.00	$55.00	$5.72–$53.90	44% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL	$22.00	$55.00	$5.72–$53.90	44% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$22.00	$55.00	$5.72–$53.90	44% below	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,TOTAL(SERUM/FLUID)	$22.00	$55.00	$5.72–$53.90	—	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$22.00	$55.00	$5.72–$53.90	—	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL, REPEAT	$22.00	$55.00	$5.72–$53.90	—	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL,REPEAT	$22.00	$55.00	$5.72–$53.90	—	60%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL	$22.00	$55.00	$5.72–$53.90	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH, ADDITIONAL	$61.60	$154.00	$34.36–$150.92	20% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGY	$61.60	$154.00	$34.36–$150.92	20% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH EA. ADD.	$61.60	$154.00	$34.36–$150.92	20% below	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH, ADDITIONAL	$61.60	$154.00	$34.36–$150.92	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGY	$61.60	$154.00	$34.36–$150.92	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH EA. ADD.	$61.60	$154.00	$34.36–$150.92	—	60%
Blood culture for bacteria CPT 87040 CULTURE, BLOOD REPEAT	$27.23	$68.08	$11.76–$66.72	45% below	60%
Blood culture for bacteria CPT 87040 .CULTURE,BLOOD REPEAT	$27.23	$68.08	$11.76–$66.72	45% below	60%
Blood culture for bacteria CPT 87040 CULTURE, BLOOD	$27.23	$68.08	$11.76–$66.72	45% below	60%
Blood culture for bacteria CPT 87040 .CULTURE,BLOOD	$27.23	$68.08	$11.76–$66.72	45% below	60%
Blood culture for bacteria inpatient CPT 87040 .CULTURE,BLOOD REPEAT	$27.23	$68.08	$11.76–$66.72	—	60%
Blood culture for bacteria inpatient CPT 87040 .CULTURE,BLOOD	$27.23	$68.08	$11.76–$66.72	—	60%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD	$27.23	$68.08	$11.76–$66.72	—	60%
Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD REPEAT	$27.23	$68.08	$11.76–$66.72	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY	$9.20	$23.00	$2.99–$23.00	2% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI-PUNCTURE	$9.20	$23.00	$2.99–$23.00	2% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI-PUNCTURE	$9.20	$23.00	$2.99–$23.00	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY	$9.20	$23.00	$2.99–$23.00	—	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE(PLASMA)	$4.00	$10.00	$3.92–$4.48	78% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE, REPEAT	$4.00	$10.00	$3.92–$4.48	78% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE 1 HOUR	$4.00	$10.00	$3.92–$4.48	78% below	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE(PLASMA)	$4.00	$10.00	$3.92–$4.48	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 1 HOUR	$4.00	$10.00	$3.92–$4.48	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, REPEAT	$4.00	$10.00	$3.92–$4.48	—	60%
Blood lead test CPT 83655 LEAD (Pb) LEVEL	$37.92	$94.81	$13.81–$17.15	28% above	60%
Blood lead test CPT 83655 LEAD(HAIR)	$37.92	$94.81	$13.81–$17.15	28% above	60%
Blood lead test inpatient CPT 83655 LEAD(HAIR)	$37.92	$94.81	$13.81–$17.15	—	60%
Blood lead test inpatient CPT 83655 LEAD (Pb) LEVEL	$37.92	$94.81	$13.81–$17.15	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$24.51	$61.28	$8.57–$30.64	35% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$24.51	$61.28	$8.57–$30.64	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO REPEAT	$122.00	$305.00	$4.23–$298.90	109% above	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO	$122.00	$305.00	$4.23–$298.90	109% above	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CORD ABO TYPE	$122.00	$305.00	$4.23–$298.90	109% above	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO	$122.00	$305.00	$4.23–$298.90	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB CORD ABO TYPE	$122.00	$305.00	$4.23–$298.90	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO REPEAT	$122.00	$305.00	$4.23–$298.90	—	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN, REPEAT	$16.00	$40.00	$4.50–$39.20	37% below	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$16.00	$40.00	$4.50–$39.20	37% below	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$16.00	$40.00	$4.50–$39.20	—	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN, REPEAT	$16.00	$40.00	$4.50–$39.20	—	60%
C-peptide blood test CPT 84681 C-PEPTIDE	$46.83	$117.07	$46.83	25% below	60%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$46.83	$117.07	$46.83	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP C-REACTIVE PROTEIN	$6.69	$16.72	$2.44–$16.45	77% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-REACTIVE PROTEIN	$6.69	$16.72	$2.44–$16.45	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$32.15	$80.38	$23.72–$80.38	48% below	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$32.15	$80.38	$23.72–$80.38	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$24.98	$62.45	$23.72–$24.98	63% below	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$24.98	$62.45	$23.72–$24.98	—	60%
Calcium blood test, total CPT 82310 CALCIUM, REPEAT	$19.60	$49.00	$19.21–$19.60	1% below	60%
Calcium blood test, total CPT 82310 CALCIUM	$19.60	$49.00	$19.21–$19.60	1% below	60%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$19.60	$49.00	$19.21–$19.60	—	60%
Calcium blood test, total inpatient CPT 82310 CALCIUM, REPEAT	$19.60	$49.00	$19.21–$19.60	—	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$26.00	$65.00	$21.61–$32.50	57% below	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$26.00	$65.00	$21.61–$32.50	—	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER(IgG)AB	$18.40	$46.00	$18.03	47% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS Ab,IgG CSF	$18.40	$46.00	$18.03	47% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS Ab,IgM CSF	$18.40	$46.00	$18.03	47% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER(IgM)AB	$18.40	$46.00	$18.03	47% below	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER(IgG)AB	$18.40	$46.00	$18.03	—	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER(IgM)AB	$18.40	$46.00	$18.03	—	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS Ab,IgM CSF	$18.40	$46.00	$18.03	—	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS Ab,IgG CSF	$18.40	$46.00	$18.03	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT AMPLIFIED	$38.31	$95.77	$38.31–$47.89	39% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, PHARYNGEAL (CT.NAA)	$38.31	$95.77	$38.31–$47.89	39% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, PHARYNGEAL (CT.NAA)	$38.31	$95.77	$38.31–$47.89	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT AMPLIFIED	$38.31	$95.77	$38.31–$47.89	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$24.00	$60.00	$15.26–$58.80	66% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID W/ LDL/HDL RATIO	$24.00	$60.00	$15.26–$58.80	66% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$24.00	$60.00	$15.26–$58.80	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID W/ LDL/HDL RATIO	$24.00	$60.00	$15.26–$58.80	—	60%
Complete blood count (CBC) with differential CPT 85025 CBC/DR.'S OFFICE	$9.40	$23.49	$8.86–$23.02	69% below	60%
Complete blood count (CBC) with differential CPT 85025 .CBC W / AUTO DIFF	$9.40	$23.49	$8.86–$23.02	69% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF	$9.40	$23.49	$8.86–$23.02	69% below	60%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/DR.'S OFFICE	$9.40	$23.49	$8.86–$23.02	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC W / AUTO DIFF	$9.40	$23.49	$8.86–$23.02	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF	$9.40	$23.49	$8.86–$23.02	—	60%
Complete blood count (CBC), no differential CPT 85027 CBC W/MANUAL DIFF	$9.32	$23.30	$7.38–$21.00	61% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/MANUAL DIFF	$9.32	$23.30	$7.38–$21.00	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.00	$95.00	$12.04–$93.10	72% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPRENSIVE MET PROF(RxL)	$38.00	$95.00	$12.04–$93.10	72% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPRENSIVE MET PROF(RxL)	$38.00	$95.00	$12.04–$93.10	—	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$38.00	$95.00	$12.04–$93.10	—	60%
Cortisol blood test, total CPT 82533 CORTISOL, REPEAT	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total CPT 82533 CORTISOL,TOTAL,SALIVA	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total CPT 82533 CORTISOL(PM)	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total CPT 82533 URINE CORTISOL 24 HR	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total CPT 82533 CORTISOL(AM)	$264.26	$660.66	$18.58–$330.33	355% above	60%
Cortisol blood test, total inpatient CPT 82533 URINE CORTISOL 24 HR	$264.26	$660.66	$18.58–$330.33	—	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL(PM)	$264.26	$660.66	$18.58–$330.33	—	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,TOTAL,SALIVA	$264.26	$660.66	$18.58–$330.33	—	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, REPEAT	$264.26	$660.66	$18.58–$330.33	—	60%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION TEST	$264.26	$660.66	$18.58–$330.33	—	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL(AM)	$264.26	$660.66	$18.58–$330.33	—	60%
Creatine kinase (CK) blood test, total CPT 82550 CK	$18.06	$45.15	$7.42–$44.25	48% below	60%
Creatine kinase (CK) blood test, total CPT 82550 CK REPEAT	$18.06	$45.15	$7.42–$44.25	48% below	60%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$18.06	$45.15	$7.42–$44.25	48% below	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$18.06	$45.15	$7.42–$44.25	—	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK REPEAT	$18.06	$45.15	$7.42–$44.25	—	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$18.06	$45.15	$7.42–$44.25	—	60%
Creatinine blood test CPT 82565 .CREATININE	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test CPT 82565 .CREATININE, REPEAT	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test CPT 82565 .CREATININE REPORT	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test CPT 82565 CREATININE REPEAT	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test CPT 82565 CREATININE	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test CPT 82565 CREATININE (X-RAY)	$18.00	$45.00	$5.84–$44.10	12% below	60%
Creatinine blood test inpatient CPT 82565 CREATININE	$18.00	$45.00	$5.84–$44.10	—	60%
Creatinine blood test inpatient CPT 82565 .CREATININE	$18.00	$45.00	$5.84–$44.10	—	60%
Creatinine blood test inpatient CPT 82565 .CREATININE REPORT	$18.00	$45.00	$5.84–$44.10	—	60%
Creatinine blood test inpatient CPT 82565 CREATININE REPEAT	$18.00	$45.00	$5.84–$44.10	—	60%
Creatinine blood test inpatient CPT 82565 .CREATININE, REPEAT	$18.00	$45.00	$5.84–$44.10	—	60%
Creatinine blood test inpatient CPT 82565 CREATININE (X-RAY)	$18.00	$45.00	$5.84–$44.10	—	60%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$92.40	$231.00	$11.61–$226.38	87% above	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$92.40	$231.00	$11.61–$226.38	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE,SERUM	$30.71	$76.78	$25.34	54% below	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE,SERUM	$30.71	$76.78	$25.34	—	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL DRUG SCREE	$56.49	$141.22	$55.36–$152.88	at median	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CLOZAPINE(CLOZARIL)	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 17 W REFLEX CONFIRMATION	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MITRAGYNINE SCREEN W CONFIRM	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHRINE, URINE	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 URINE	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 10 + OXY	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE(COTININE) URINE	$62.40	$156.00	$55.36–$152.88	11% above	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL DRUG SCREE	$56.49	$141.22	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 17 W REFLEX CONFIRMATION	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLOZAPINE(CLOZARIL)	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE(COTININE) URINE	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MITRAGYNINE SCREEN W CONFIRM	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHRINE, URINE	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10 + OXY	$62.40	$156.00	$55.36–$152.88	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 13 URINE	$62.40	$156.00	$55.36–$152.88	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$40.00	$100.00	$7.99–$40.00	31% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$40.00	$100.00	$7.99–$40.00	—	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,CAPSID IgM	$25.77	$64.42	$20.68–$58.82	46% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,CAPSID IgG	$25.77	$64.42	$20.68–$58.82	46% below	60%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV,CAPSID IgM	$25.77	$64.42	$20.68–$58.82	—	60%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV,CAPSID IgG	$25.77	$64.42	$20.68–$58.82	—	60%
Estradiol blood test CPT 82670 ESTRADIOL	$40.21	$100.52	$31.85–$50.26	54% below	60%
Estradiol blood test CPT 82670 ESTRADIAL,SENSITIVE	$40.21	$100.52	$31.85–$50.26	54% below	60%
Estradiol blood test inpatient CPT 82670 ESTRADIAL,SENSITIVE	$40.21	$100.52	$31.85–$50.26	—	60%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$40.21	$100.52	$31.85–$50.26	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$38.27	$95.68	$21.18–$47.84	42% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$38.27	$95.68	$21.18–$47.84	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,STOOL	$112.00	$280.00	$112.00–$140.00	18% above	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,STOOL	$112.00	$280.00	$112.00–$140.00	—	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$14.00	$35.00	$13.72–$34.30	72% below	60%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$14.00	$35.00	$13.72–$34.30	—	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$16.56	$41.39	$11.08–$16.56	43% below	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN REPEAT	$16.56	$41.39	$11.08–$16.56	43% below	60%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$16.56	$41.39	$11.08–$16.56	—	60%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN REPEAT	$16.56	$41.39	$11.08–$16.56	—	60%
Folate (folic acid) blood test CPT 82746 FOLATE	$17.10	$42.74	$16.76–$21.37	68% below	60%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$17.10	$42.74	$16.76–$21.37	—	60%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$43.22	$108.04	$19.31–$54.91	29% below	60%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$43.22	$108.04	$19.31–$54.91	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$15.91	$39.78	$10.28–$39.14	50% below	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$15.91	$39.78	$10.28–$39.14	—	60%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$36.90	$92.24	$29.04–$46.12	49% below	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$36.90	$92.24	$29.04–$46.12	—	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$20.00	$50.00	$8.21–$20.00	47% below	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$20.00	$50.00	$8.21–$20.00	—	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TT 1ST 3 SPEC	$17.56	$43.89	$17.56–$21.95	62% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TT 1ST 3 SPEC	$17.56	$43.89	$17.56–$21.95	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED	$42.40	$106.00	$40.00–$53.00	38% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED	$42.40	$106.00	$40.00–$53.00	—	60%
H. pylori antibody blood test CPT 86677 H PYLORI AB	$18.74	$46.84	$18.37–$20.56	74% below	60%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB	$18.74	$46.84	$18.37–$20.56	—	60%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN	$27.95	$69.88	$16.39–$34.94	48% below	60%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN	$27.95	$69.88	$16.39–$34.94	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1,QUANT,REALTIME PCR	$169.67	$424.18	$212.09	1% above	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1,QUANT,REALTIME PCR	$169.67	$424.18	$212.09	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV I / HIV II	$29.79	$74.48	$27.45–$72.99	39% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV I / HIV II	$29.79	$74.48	$27.45–$72.99	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C(HA1C)	$12.53	$31.32	$11.07–$30.69	64% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN AIC W/MBG	$12.53	$31.32	$11.07–$30.69	64% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$12.53	$31.32	$11.07–$30.69	64% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN A1C*	$12.53	$31.32	$11.07–$30.69	64% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C(HA1C)	$12.53	$31.32	$11.07–$30.69	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN A1C*	$12.53	$31.32	$11.07–$30.69	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN AIC W/MBG	$12.53	$31.32	$11.07–$30.69	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$12.53	$31.32	$11.07–$30.69	—	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN(HGB)REPEAT	$11.82	$29.55	$2.70–$28.96	at median	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN(HGB)	$11.82	$29.55	$2.70–$28.96	at median	60%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN(HGB)	$11.82	$29.55	$2.70–$28.96	—	60%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN(HGB)REPEAT	$11.82	$29.55	$2.70–$28.96	—	60%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY,TOTAL	$34.53	$86.33	$13.74–$34.53	3% above	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY,TOTAL	$34.53	$86.33	$13.74–$34.53	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$25.54	$63.86	$12.24–$25.54	48% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$25.54	$63.86	$12.24–$25.54	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$23.65	$59.13	$11.78–$23.65	36% below	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$23.65	$59.13	$11.78–$23.65	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W REFLEX TO QUANT PCR	$17.66	$44.14	$16.27–$43.26	66% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS(HCV)AB	$17.66	$44.14	$16.27–$43.26	66% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$17.66	$44.14	$16.27–$43.26	66% below	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W REFLEX TO QUANT PCR	$17.66	$44.14	$16.27–$43.26	—	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$17.66	$44.14	$16.27–$43.26	—	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS(HCV)AB	$17.66	$44.14	$16.27–$43.26	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 and 2 Ab IgG	$34.00	$85.00	$15.04–$42.50	14% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1,IgM	$34.00	$85.00	$15.04–$42.50	14% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HSV PCR SWAB	$34.00	$85.00	$15.04–$42.50	14% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IGM	$34.00	$85.00	$15.04–$42.50	14% below	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV PCR SWAB	$34.00	$85.00	$15.04–$42.50	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGM	$34.00	$85.00	$15.04–$42.50	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1,IgM	$34.00	$85.00	$15.04–$42.50	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 and 2 Ab IgG	$34.00	$85.00	$15.04–$42.50	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-hs	$16.72	$41.79	$14.76–$16.72	62% below	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-hs	$16.72	$41.79	$14.76–$16.72	—	60%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA	$56.78	$141.95	$20.43–$92.53	5% below	60%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, PLASMA	$56.78	$141.95	$20.43–$92.53	—	60%
Insulin blood test CPT 83525 INSULIN REPEAT	$40.42	$101.04	$13.03–$50.52	3% above	60%
Insulin blood test CPT 83525 INSULIN	$40.42	$101.04	$13.03–$50.52	3% above	60%
Insulin blood test CPT 83525 INSULIN RESPONSE-GLUCOSE	$40.42	$101.04	$13.03–$50.52	3% above	60%
Insulin blood test inpatient CPT 83525 INSULIN REPEAT	$40.42	$101.04	$13.03–$50.52	—	60%
Insulin blood test inpatient CPT 83525 INSULIN	$40.42	$101.04	$13.03–$50.52	—	60%
Insulin blood test inpatient CPT 83525 INSULIN RESPONSE-GLUCOSE	$40.42	$101.04	$13.03–$50.52	—	60%
Iron blood test (serum iron) CPT 83540 IRON	$11.28	$28.19	$7.38–$27.63	55% below	60%
Iron blood test (serum iron) CPT 83540 IRON,REPEAT(2HOUR)	$11.28	$28.19	$7.38–$27.63	55% below	60%
Iron blood test (serum iron) CPT 83540 IRON,REPEAT(1HOUR)	$11.28	$28.19	$7.38–$27.63	55% below	60%
Iron blood test (serum iron) CPT 83540 IRON,REPEAT(4HOUR)	$11.28	$28.19	$7.38–$27.63	55% below	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON,REPEAT(2HOUR)	$11.28	$28.19	$7.38–$27.63	—	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$11.28	$28.19	$7.38–$27.63	—	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON,REPEAT(4HOUR)	$11.28	$28.19	$7.38–$27.63	—	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON,REPEAT(1HOUR)	$11.28	$28.19	$7.38–$27.63	—	60%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$19.21	$48.02	$9.96–$47.25	28% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$19.21	$48.02	$9.96–$47.25	—	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$76.81	$192.03	$9.90–$188.19	at median	60%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$76.81	$192.03	$9.90–$188.19	—	60%
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE)	$18.80	$47.00	$18.42–$26.23	70% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE)	$18.80	$47.00	$18.42–$26.23	—	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$15.52	$38.79	$11.81–$38.01	64% below	60%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$15.52	$38.79	$11.81–$38.01	—	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$20.00	$50.00	$6.89–$49.00	4% below	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$20.00	$50.00	$6.89–$49.00	4% below	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$20.00	$50.00	$6.89–$49.00	—	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$20.00	$50.00	$6.89–$49.00	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE(FLUID)	$33.88	$84.70	$7.85–$84.70	25% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE(SERUM)	$33.88	$84.70	$7.85–$84.70	25% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE(SERUM)	$33.88	$84.70	$7.85–$84.70	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE(FLUID)	$33.88	$84.70	$7.85–$84.70	—	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL(LIVER)	$44.44	$111.11	$9.31–$108.89	31% below	60%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL(LIVER)	$44.44	$111.11	$9.31–$108.89	—	60%
Lyme disease antibody test CPT 86618 LYME DISEASE WESTERN BLOT	$20.40	$51.00	$19.41–$25.50	64% below	60%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI	$20.40	$51.00	$19.41–$25.50	64% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE Ab	$20.40	$51.00	$19.41–$25.50	64% below	60%
Lyme disease antibody test CPT 86618 LYME IgM-QUANT (BORRELIA)	$20.40	$51.00	$19.41–$25.50	64% below	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE Ab	$20.40	$51.00	$19.41–$25.50	—	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE WESTERN BLOT	$20.40	$51.00	$19.41–$25.50	—	60%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI	$20.40	$51.00	$19.41–$25.50	—	60%
Lyme disease antibody test inpatient CPT 86618 LYME IgM-QUANT (BORRELIA)	$20.40	$51.00	$19.41–$25.50	—	60%
Magnesium blood test CPT 83735 MAGNESIUM, REPEAT	$39.20	$98.00	$7.64–$96.04	43% above	60%
Magnesium blood test CPT 83735 MAGNESIUM	$39.20	$98.00	$7.64–$96.04	43% above	60%
Magnesium blood test CPT 83735 URINE MAGNESIUM	$39.20	$98.00	$7.64–$96.04	43% above	60%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM	$39.20	$98.00	$7.64–$96.04	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$39.20	$98.00	$7.64–$96.04	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, REPEAT	$39.20	$98.00	$7.64–$96.04	—	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IgM	$18.30	$45.74	$14.68	47% below	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IgG	$18.30	$45.74	$14.68	47% below	60%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IgG	$18.30	$45.74	$14.68	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IgM	$18.30	$45.74	$14.68	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$12.04	$30.10	$5.91–$16.78	38% below	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$12.04	$30.10	$5.91–$16.78	—	60%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG	$40.00	$100.00	$14.88	8% above	60%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGM	$40.00	$100.00	$14.88	8% above	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGG	$40.00	$100.00	$14.88	—	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGM	$40.00	$100.00	$14.88	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (FREE)	$20.44	$51.09	$20.03–$51.09	63% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (FREE)	$20.44	$51.09	$20.03–$51.09	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING	$19.60	$49.00	$19.21–$49.19	66% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA(ULTRASENSITIVE)	$20.08	$50.19	$19.68–$49.19	66% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE W SERIAL MONITOR	$20.08	$50.19	$19.68–$49.19	66% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (TOTAL)	$20.08	$50.19	$19.68–$49.19	66% below	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING	$19.60	$49.00	$19.21–$49.19	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (TOTAL)	$20.08	$50.19	$19.68–$49.19	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA(ULTRASENSITIVE)	$20.08	$50.19	$19.68–$49.19	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE W SERIAL MONITOR	$20.08	$50.19	$19.68–$49.19	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE,INTACT	$96.00	$240.00	$47.06–$133.79	13% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORM.	$96.00	$240.00	$47.06–$196.39	13% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE,INTACT	$96.00	$240.00	$47.06–$133.79	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORM.	$96.00	$240.00	$47.06–$196.39	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$12.00	$30.00	$6.85–$29.40	55% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL	$12.00	$30.00	$6.85–$29.40	55% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, REPEAT	$12.00	$30.00	$6.85–$29.40	55% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt	$12.00	$30.00	$6.85–$29.40	55% below	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt	$12.00	$30.00	$6.85–$29.40	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, REPEAT	$12.00	$30.00	$6.85–$29.40	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL	$12.00	$30.00	$6.85–$29.40	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$12.00	$30.00	$6.85–$29.40	—	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$14.00	$35.00	$5.40–$34.30	49% below	60%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$14.00	$35.00	$5.40–$34.30	—	60%
Potassium blood test CPT 84132 POTASSIUM,STOOL	$50.80	$127.00	$5.43–$63.50	142% above	60%
Potassium blood test CPT 84132 POTASSIUM(K+), REPEAT	$50.80	$127.00	$5.43–$63.50	142% above	60%
Potassium blood test CPT 84132 POTASSIUM (K+)	$50.80	$127.00	$5.43–$63.50	142% above	60%
Potassium blood test inpatient CPT 84132 POTASSIUM(K+), REPEAT	$50.80	$127.00	$5.43–$63.50	—	60%
Potassium blood test inpatient CPT 84132 POTASSIUM,STOOL	$50.80	$127.00	$5.43–$63.50	—	60%
Potassium blood test inpatient CPT 84132 POTASSIUM (K+)	$50.80	$127.00	$5.43–$63.50	—	60%
Progesterone blood test CPT 84144 PROGESTERONE	$21.93	$54.83	$21.93–$29.55	61% below	60%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$21.93	$54.83	$21.93–$29.55	—	60%
Prolactin blood test CPT 84146 PROLACTIN	$32.37	$80.93	$22.09–$62.81	44% below	60%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$32.37	$80.93	$22.09–$62.81	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PT(PROTHROMBIN TIME),REPEAT	$9.20	$23.00	$4.89–$22.54	54% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PT(PROTHROMBIN TIME)	$9.20	$23.00	$4.89–$22.54	54% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 INR FINGER STICK	$9.20	$23.00	$4.89–$22.54	54% below	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT(PROTHROMBIN TIME)	$9.20	$23.00	$4.89–$22.54	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR FINGER STICK	$9.20	$23.00	$4.89–$22.54	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT(PROTHROMBIN TIME),REPEAT	$9.20	$23.00	$4.89–$22.54	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG PROFILE,BLOOD(9)	$72.00	$180.00	$14.36–$180.00	166% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN(HAIR)	$72.00	$180.00	$14.36–$180.00	166% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN	$72.00	$180.00	$14.36–$180.00	166% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN(HAIR)	$72.00	$180.00	$14.36–$180.00	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN	$72.00	$180.00	$14.36–$180.00	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG PROFILE,BLOOD(9)	$72.00	$180.00	$14.36–$180.00	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A	$16.80	$42.00	$16.46–$29.21	37% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A	$16.80	$42.00	$16.46–$29.21	—	60%
Renin blood test CPT 84244 RENIN, PLASMA	$22.00	$55.00	$22.00	71% below	60%
Renin blood test inpatient CPT 84244 RENIN, PLASMA	$22.00	$55.00	$22.00	—	60%
Rh blood typing CPT 86901 BB CORD RH	$50.80	$127.00	$50.29–$124.46	70% above	60%
Rh blood typing CPT 86901 BB RH TYPE	$50.80	$127.00	$50.29–$124.46	70% above	60%
Rh blood typing CPT 86901 BB RH	$50.80	$127.00	$4.23–$124.46	70% above	60%
Rh blood typing CPT 86901 BB RH REPEAT	$50.80	$127.00	$50.29–$124.46	70% above	60%
Rh blood typing inpatient CPT 86901 BB CORD RH	$50.80	$127.00	$50.29–$124.46	—	60%
Rh blood typing inpatient CPT 86901 BB RH TYPE	$50.80	$127.00	$50.29–$124.46	—	60%
Rh blood typing inpatient CPT 86901 BB RH	$50.80	$127.00	$4.23–$124.46	—	60%
Rh blood typing inpatient CPT 86901 BB RH REPEAT	$50.80	$127.00	$50.29–$124.46	—	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF)	$18.60	$46.50	$6.46–$45.57	35% below	60%
Rheumatoid factor (RF) test CPT 86431 RF IgM	$18.60	$46.50	$6.46–$45.57	35% below	60%
Rheumatoid factor (RF) test CPT 86431 RF	$18.60	$46.50	$6.46–$45.57	35% below	60%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF)	$18.60	$46.50	$6.46–$45.57	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 RF	$18.60	$46.50	$6.46–$45.57	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 RF IgM	$18.60	$46.50	$6.46–$45.57	—	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IgM	$23.60	$59.00	$16.40	36% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA Ab, IgG/IMMUNE	$23.60	$59.00	$16.40	36% below	60%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IgM	$23.60	$59.00	$16.40	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA Ab, IgG/IMMUNE	$23.60	$59.00	$16.40	—	60%
Sodium blood test CPT 84295 SODIUM (NA+)	$17.70	$44.26	$15.59–$17.70	17% below	60%
Sodium blood test CPT 84295 SODIUM(NA+), REPEAT	$17.70	$44.26	$15.59–$17.70	17% below	60%
Sodium blood test CPT 84295 SODIUM	$17.70	$44.26	$15.59–$17.70	17% below	60%
Sodium blood test inpatient CPT 84295 SODIUM (NA+)	$17.70	$44.26	$15.59–$17.70	—	60%
Sodium blood test inpatient CPT 84295 SODIUM(NA+), REPEAT	$17.70	$44.26	$15.59–$17.70	—	60%
Sodium blood test inpatient CPT 84295 SODIUM	$17.70	$44.26	$15.59–$17.70	—	60%
Stool ova and parasites exam CPT 87177 OVA & PARASITES,STOOL	$28.38	$70.95	$10.15–$35.48	11% below	60%
Stool ova and parasites exam CPT 87177 ..TEST OVA & PARASITES,STOOL	$28.38	$70.95	$10.15–$35.48	11% below	60%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES,STOOL	$28.38	$70.95	$10.15–$35.48	—	60%
Stool ova and parasites exam inpatient CPT 87177 ..TEST OVA & PARASITES,STOOL	$28.38	$70.95	$10.15–$35.48	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL IMMUNOCHEMICAL TEST, FIT	$28.00	$70.00	$18.15–$35.00	12% below	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL IMMUNOCHEMICAL TEST, FIT	$28.00	$70.00	$18.15–$35.00	—	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR CONF(FTA-ABS TREPONEMAPALLIDUM)	$18.76	$46.90	$18.38	26% below	60%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR CONF(FTA-ABS TREPONEMAPALLIDUM)	$18.76	$46.90	$18.38	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$6.70	$16.74	$4.87–$13.39	62% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX&CONF TPPA	$6.70	$16.74	$4.87–$13.39	62% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,CEREBROSPINAL FLUID	$6.70	$16.74	$4.87–$13.39	62% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,CEREBROSPINAL FLUID	$6.70	$16.74	$4.87–$13.39	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFLEX&CONF TPPA	$6.70	$16.74	$4.87–$13.39	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$6.70	$16.74	$4.87–$13.39	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB (QUANTIFERON)	$62.00	$155.00	$60.76–$77.50	23% below	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB (QUANTIFERON)	$62.00	$155.00	$60.76–$77.50	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE(MALE)	$28.18	$70.46	$27.62–$69.05	64% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (FEMALE)	$28.18	$70.46	$27.62–$69.05	64% below	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE(MALE)	$28.18	$70.46	$27.62–$69.05	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (FEMALE)	$28.18	$70.46	$27.62–$69.05	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL	$129.60	$324.00	$16.59–$162.00	232% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES	$129.60	$324.00	$16.59–$162.00	232% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL Ab	$129.60	$324.00	$16.59–$162.00	232% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$129.60	$324.00	$16.59–$162.00	232% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO ANTIBODY	$129.60	$324.00	$16.59–$162.00	232% above	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL	$129.60	$324.00	$16.59–$162.00	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES	$129.60	$324.00	$16.59–$162.00	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-TPO ANTIBODY	$129.60	$324.00	$16.59–$162.00	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$129.60	$324.00	$16.59–$162.00	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL Ab	$129.60	$324.00	$16.59–$162.00	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$16.80	$42.00	$16.46–$23.80	65% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROTROPIN RELEASING HORMONE	$16.80	$42.00	$16.46–$41.16	65% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE	$16.80	$42.00	$16.46–$23.80	65% below	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$16.80	$42.00	$16.46–$23.80	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE	$16.80	$42.00	$16.46–$23.80	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROTROPIN RELEASING HORMONE	$16.80	$42.00	$16.46–$41.16	—	60%
Total IgE blood test CPT 82785 IgE, TOTAL	$16.80	$42.00	$16.80–$21.00	61% below	60%
Total IgE blood test CPT 82785 IgE,TOTAL	$16.80	$42.00	$12.15–$21.00	61% below	60%
Total IgE blood test inpatient CPT 82785 IgE,TOTAL	$16.80	$42.00	$12.15–$21.00	—	60%
Total IgE blood test inpatient CPT 82785 IgE, TOTAL	$16.80	$42.00	$16.80–$21.00	—	60%
Total thyroxine (T4) blood test CPT 84436 T-4(THYROXINE)TOTAL	$14.30	$35.75	$7.83–$35.18	44% below	60%
Total thyroxine (T4) blood test CPT 84436 T4,TOTAL,(THYROXINE)	$14.30	$35.75	$7.83–$35.18	44% below	60%
Total thyroxine (T4) blood test inpatient CPT 84436 T4,TOTAL,(THYROXINE)	$14.30	$35.75	$7.83–$35.18	—	60%
Total thyroxine (T4) blood test inpatient CPT 84436 T-4(THYROXINE)TOTAL	$14.30	$35.75	$7.83–$35.18	—	60%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$37.18	$92.96	$16.17–$91.10	18% below	60%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$37.18	$92.96	$16.17–$91.10	—	60%
Transferrin blood test CPT 84466 TRANSFERRIN	$15.00	$37.50	$15.00–$18.09	58% below	60%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$15.00	$37.50	$15.00–$18.09	—	60%
Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT AMPLIFIED	$43.20	$108.00	$40.00–$55.73	13% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 INFECTIOUS AGENT AMPLIFIED	$43.20	$108.00	$40.00–$55.73	—	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$11.18	$27.95	$6.54–$27.95	52% below	60%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$11.18	$27.95	$6.54–$27.95	—	60%
Troponin test, quantitative CPT 84484 TROPONIN HS	$46.00	$115.00	$11.70–$115.00	25% below	60%
Troponin test, quantitative CPT 84484 TROPONIN HS 1 HOUR	$46.00	$115.00	$11.70–$115.00	25% below	60%
Troponin test, quantitative CPT 84484 TROPONIN T	$46.00	$115.00	$11.70–$115.00	25% below	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HS 1 HOUR	$46.00	$115.00	$11.70–$115.00	—	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T	$46.00	$115.00	$11.70–$115.00	—	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HS	$46.00	$115.00	$11.70–$115.00	—	60%
Uric acid blood test CPT 84550 URIC ACID	$12.04	$30.10	$5.15–$16.19	54% below	60%
Uric acid blood test inpatient CPT 84550 URIC ACID	$12.04	$30.10	$5.15–$16.19	—	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPY	$11.42	$28.55	$3.61–$27.98	35% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPY	$11.42	$28.55	$3.61–$27.98	—	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPY	$2.78	$6.95	$2.57–$6.81	80% below	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/OUT MICROSCOPY	$2.78	$6.95	$2.57–$6.81	—	60%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK	$6.80	$17.00	$6.80–$8.31	42% below	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK	$6.80	$17.00	$6.80–$8.31	—	60%
Urine culture for bacteria, with colony count CPT 87086 .CULTURE,URINE	$9.77	$24.42	$9.20–$12.21	66% below	60%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE	$9.77	$24.42	$9.20–$12.21	66% below	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 .CULTURE,URINE	$9.77	$24.42	$9.20–$12.21	—	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE	$9.77	$24.42	$9.20–$12.21	—	60%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN RANDOM	$8.48	$21.21	$6.59–$20.79	59% below	60%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN 24 HR	$8.48	$21.21	$6.59–$20.79	59% below	60%
Urine microalbumin (albumin) test CPT 82043 ..URINE MICROALBUMIN RANDOM	$8.48	$21.21	$6.59–$20.79	59% below	60%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN 24 HR	$8.48	$21.21	$6.59–$20.79	—	60%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN RANDOM	$8.48	$21.21	$6.59–$20.79	—	60%
Urine microalbumin (albumin) test inpatient CPT 82043 ..URINE MICROALBUMIN RANDOM	$8.48	$21.21	$6.59–$20.79	—	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$18.13	$45.33	$9.82–$45.33	37% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$18.13	$45.33	$9.82–$45.33	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$18.13	$45.33	$17.19–$44.60	66% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$18.13	$45.33	$17.19–$44.60	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 5-HYDROXY VITAMIN D (D2+D3 FRACTIONATED)	$29.60	$74.00	$29.01–$72.52	60% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 OH)	$29.60	$74.00	$29.01–$72.52	60% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 5-HYDROXY VITAMIN D (D2+D3 FRACTIONATED)	$29.60	$74.00	$29.01–$72.52	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 OH)	$29.60	$74.00	$29.01–$72.52	—	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL(VITAMIN D 1, 25 DIHYDROXY)	$148.16	$370.39	$43.89–$148.16	47% above	60%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL(VITAMIN D 1, 25 DIHYDROXY)	$148.16	$370.39	$43.89–$148.16	—	60%
Zinc blood test CPT 84630 ZINC, PLASMA	$29.06	$72.64	$29.06–$36.32	23% below	60%
Zinc blood test inpatient CPT 84630 ZINC, PLASMA	$29.06	$72.64	$29.06–$36.32	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-B,TUMOR	$44.00	$110.00	$17.16–$55.00	11% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$44.00	$110.00	$17.16–$55.00	11% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT REPEAT	$44.00	$110.00	$17.16–$55.00	11% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHORIONIC(hCG)	$44.00	$110.00	$17.16–$55.00	11% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$44.00	$110.00	$17.16–$55.00	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT REPEAT	$44.00	$110.00	$17.16–$55.00	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-B,TUMOR	$44.00	$110.00	$17.16–$55.00	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN,CHORIONIC(hCG)	$44.00	$110.00	$17.16–$55.00	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE-ELECT CONV/ARRHY/	$620.40	$1,551.00	$620.40	9% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE-ELECT CONV/ARRHY/	$620.40	$1,551.00	$620.40	—	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIGNANT LESIONS, FIRST	$190.80	$477.00	$11.09	29% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIGNANT LESIONS, FIRST	$190.80	$477.00	$11.09	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$190.80	$477.00	$182.40–$238.50	23% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS/CYST,SIMPLE	$190.80	$477.00	$182.40–$238.50	23% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE MOD 59	$190.80	$477.00	$182.40–$238.50	23% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I/D ABCESS/CYST SIMPLE	$190.80	$477.00	$238.50	23% below	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$190.80	$477.00	$182.40–$238.50	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I/D ABCESS/CYST SIMPLE	$190.80	$477.00	$238.50	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE MOD 59	$190.80	$477.00	$182.40–$238.50	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS/CYST,SIMPLE	$190.80	$477.00	$182.40–$238.50	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR DRAIN/INJ JOINT/BURSA W/O US	$282.40	$706.00	$279.58	29% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/ASPIRA/INJ/MAJOR JOINT/BU	$282.40	$706.00	$279.58	29% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS/ASPIRA/INJ/MAJOR JOINT/BU	$282.40	$706.00	$279.58	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR DRAIN/INJ JOINT/BURSA W/O US	$282.40	$706.00	$279.58	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/ASPIRA/INJ/INTERMEDIATE J	$282.40	$706.00	$281.48	21% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/ASPIRA/INJ/INTERMEDIATE J	$282.40	$706.00	$281.48	—	60%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE MOD 59	$190.80	$477.00	$183.66–$188.89	11% below	60%
Nail removal (partial or complete), one nail CPT 11730 AVULSION	$190.80	$477.00	$183.66–$188.89	11% below	60%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$190.80	$477.00	$286.00	11% below	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION	$190.80	$477.00	$183.66–$188.89	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$190.80	$477.00	$286.00	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE MOD 59	$190.80	$477.00	$183.66–$188.89	—	60%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT:STATIC	$122.00	$305.00	$120.78–$154.72	9% below	60%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT:STATIC	$122.00	$305.00	$120.78–$154.72	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5CM OR LESS	$190.80	$477.00	$183.66–$469.96	8% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 2.5CM OR LESS	$190.80	$477.00	$183.66–$469.96	—	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN; SINGLE LESION MOD 59	$380.00	$950.00	$14.00–$380.00	45% above	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN; SINGLE LESION	$380.00	$950.00	$14.00–$380.00	45% above	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX OF SKIN; SINGLE LESION MOD 59	$380.00	$950.00	$14.00–$380.00	—	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX OF SKIN; SINGLE LESION	$380.00	$950.00	$14.00–$380.00	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR	$659.20	$1,648.00	$652.61	3% below	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE, LUMBAR	$659.20	$1,648.00	$652.61	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REP SCALP/NECK/TRNK/EXTRM 2.6-7.5CM	$190.80	$477.00	$183.66–$469.96	16% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMP REP SCALP/NECK/TRNK/EXTRM 2.6-7.5CM	$190.80	$477.00	$183.66–$469.96	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR,FACE,EARS,EYELIDS,NOSE,LIPS,2.5CM	$190.80	$477.00	$78.10–$467.46	6% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR,FACE,EARS,EYELIDS,NOSE,LIPS,2.5CM	$190.80	$477.00	$78.10–$467.46	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX 1ST LESION 19083	$1,544.80	$3,862.00	$1,525.10	7% above	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BX 1ST LESION 19083	$1,544.80	$3,862.00	$1,525.10	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ EA ADDL 20CM MOD 59	$602.00	$1,505.00	$595.98–$1,213.53	2% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ 1ST 20 SQ CM MOD 59	$602.00	$1,505.00	$595.98–$1,213.53	2% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ 1ST 20 SQ CM	$602.00	$1,505.00	$595.98–$1,213.53	2% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ EA ADDL 20CM	$602.00	$1,505.00	$595.98–$1,213.53	2% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ EA ADDL 20CM MOD 59	$602.00	$1,505.00	$595.98–$1,213.53	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ 1ST 20 SQ CM MOD 59	$602.00	$1,505.00	$595.98–$1,213.53	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ EA ADDL 20CM	$602.00	$1,505.00	$595.98–$1,213.53	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ 1ST 20 SQ CM	$602.00	$1,505.00	$595.98–$1,213.53	—	60%

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 TRANSFUSION	$414.00	$1,035.00	$65.99–$517.50	12% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$414.00	$1,035.00	$65.99–$517.50	12% below	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$414.00	$1,035.00	$65.99–$517.50	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$414.00	$1,035.00	$65.99–$517.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS INHALATION TX <1HR	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZATION TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TX INITIAL	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZATION TX INITIAL	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION INITIAL	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	165% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BIPAP ASSIST/MGT FIRST DAY	$249.30	$623.26	$13.62–$483.03	217% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VENTILATOR ASSIST/MGT SUBSEQUENT DAYS	$597.20	$1,493.00	$13.62–$483.03	661% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VENTILATOR ASSIST/MANGENT.1ST DAY	$597.20	$1,493.00	$13.62–$528.45	661% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ULTRASONIC NEBULIZATION TX INITIAL	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT TX INITIAL	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ULTRASONIC NEBULIZATION TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION INITIAL	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONTINUOUS INHALATION TX <1HR	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX INITIAL	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT TX SUBSEQUENT	$208.00	$520.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BIPAP ASSIST/MGT FIRST DAY	$249.30	$623.26	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VENTILATOR ASSIST/MGT SUBSEQUENT DAYS	$597.20	$1,493.00	$13.62–$483.03	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VENTILATOR ASSIST/MANGENT.1ST DAY	$597.20	$1,493.00	$13.62–$528.45	—	60%
Critical care, first 30 to 74 minutes CPT 99291 EMERGENCY ROOM CRITICAL CARE	$909.60	$2,274.00	$900.50–$1,346.00	23% below	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE-25	$909.60	$2,274.00	$900.50–$1,346.00	23% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EMERGENCY ROOM CRITICAL CARE	$909.60	$2,274.00	$900.50–$1,346.00	—	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE-25	$909.60	$2,274.00	$900.50–$1,346.00	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-SUBSEQUENT-OUTPAT	$58.40	$146.00	$38.59–$156.52	23% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-CODE APPROPRIATELY	$86.00	$215.00	$38.59–$156.52	13% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-INITIAL	$86.00	$215.00	$38.59–$156.52	13% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-SUBSEQUENT	$86.00	$215.00	$38.59–$156.52	13% above	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-SUBSEQUENT-OUTPAT	$58.40	$146.00	$38.59–$156.52	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-SUBSEQUENT	$86.00	$215.00	$38.59–$156.52	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-CODE APPROPRIATELY	$86.00	$215.00	$38.59–$156.52	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-INITIAL	$86.00	$215.00	$38.59–$156.52	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1-25	$121.20	$303.00	$120.68–$303.00	32% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$121.20	$303.00	$120.68–$303.00	32% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$121.20	$303.00	$120.68–$303.00	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LEVEL 1-25	$121.20	$303.00	$120.68–$303.00	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$198.00	$495.00	$115.77–$495.00	33% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2-25	$198.00	$495.00	$115.77–$495.00	33% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$198.00	$495.00	$115.77–$495.00	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEVEL 2-25	$198.00	$495.00	$115.77–$495.00	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3-25	$286.00	$715.00	$115.77–$703.20	41% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$286.00	$715.00	$115.77–$703.20	41% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MEDICAID TRUE EMERG ER VISIT	$480.00	$1,200.00	$115.77–$703.20	2% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$286.00	$715.00	$115.77–$703.20	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEVEL 3-25	$286.00	$715.00	$115.77–$703.20	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MEDICAID TRUE EMERG ER VISIT	$480.00	$1,200.00	$115.77–$703.20	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$422.00	$1,055.00	$115.77–$1,036.70	37% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4-25	$422.00	$1,055.00	$115.77–$1,036.70	37% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$422.00	$1,055.00	$115.77–$1,036.70	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEVEL 4-25	$422.00	$1,055.00	$115.77–$1,036.70	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$612.00	$1,530.00	$115.77–$1,501.30	42% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5-25	$612.00	$1,530.00	$115.77–$1,501.30	42% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEVEL 5-25	$612.00	$1,530.00	$115.77–$1,501.30	—	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$612.00	$1,530.00	$115.77–$1,501.30	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVASCULAR STRESS TEST-93017	$299.20	$748.00	$138.47–$734.84	20% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVASCULAR STRESS TEST-93017	$299.20	$748.00	$138.47–$734.84	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION FOR HYDRATION ONLY-1ST HOUR	$209.20	$523.00	$196.08–$523.00	46% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION FOR HYDRATION ONLY-1ST HOUR	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION-HYDRATION ONLY,ADDN HR PER HR	$45.60	$114.00	$40.23–$2,544.00	74% below	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY ADDL HRS PER HR	$45.60	$114.00	$40.23–$523.00	74% below	60%
IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC,PROP-DIAG INJ-ADD'L PUSH	$51.28	$128.21	$32.55–$523.00	70% below	60%
IV infusion of a medicine, first hour CPT 96365 IRRIGATION ONLY OF DRUG DELIVERY SYSTEM	$58.40	$146.00	$57.82–$523.00	66% below	60%
IV infusion of a medicine, first hour CPT 96365 CHEMO SUBQ/IM	$67.60	$169.00	$196.08–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 THERAP.PROP/DIAGN.INJECT.SUBCUTANEOUS;IM	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 INTRAMUSCULAR/ANTIBIOTIC ONLY	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 INF THERAPY-SUBSEQUENT-2ND BAG DIFF MED	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 THER, PROP, DX INJ; SUBQ OR IM	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 IM INJECTION OR SUB Q	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 IM INJECTION ANTIBIOTIC(ER)	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 THER,PROP,OR DIAG INJ	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 IM INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC IM INJECTION	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 THERAP PROP DIAG INJECT SUBQ IM	$67.60	$169.00	$64.04–$523.00	61% below	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION-HYDRATION ONLY 8 ADDN HRS	$176.00	$440.00	$40.23–$2,544.00	2% above	60%
IV infusion of a medicine, first hour CPT 96365 THER,PROP,DX INJ SEQ DIFF DRUG	$179.69	$449.22	$40.23–$523.00	4% above	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION-HYDRATION ONLY 9 ADDN HRS	$198.00	$495.00	$40.23–$2,544.00	15% above	60%
IV infusion of a medicine, first hour CPT 96365 THER,PRO,DX INJ-SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 INFUS THERAPY 1ST HOUR & START	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION FOR HYDRATION ONLY-1ST HOUR	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 IV PUSH INITIAL SUBSTANCE & SAME AS INIT	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 INTRA-ARTERIAL INJECTION	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 INJECTION INTRA-ARTERIAL	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC,PROP,-DIAG INJ-SINGLE/INITIA	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC,PROP OR DIAGNOSTIC INJECTION	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour CPT 96365 THER,PROP,DX.INJ SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	22% above	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION-HYDRATION ONLY,ADDN HR PER HR	$45.60	$114.00	$40.23–$2,544.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY ADDL HRS PER HR	$45.60	$114.00	$40.23–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC,PROP-DIAG INJ-ADD'L PUSH	$51.28	$128.21	$32.55–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IRRIGATION ONLY OF DRUG DELIVERY SYSTEM	$58.40	$146.00	$57.82–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IM INJECTION ANTIBIOTIC(ER)	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 CHEMO SUBQ/IM	$67.60	$169.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IM INJECTION OR SUB Q	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER, PROP, DX INJ; SUBQ OR IM	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IM INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAP PROP DIAG INJECT SUBQ IM	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER,PROP,OR DIAG INJ	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INTRAMUSCULAR/ANTIBIOTIC ONLY	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC IM INJECTION	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAP.PROP/DIAGN.INJECT.SUBCUTANEOUS;IM	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INF THERAPY-SUBSEQUENT-2ND BAG DIFF MED	$67.60	$169.00	$64.04–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION-HYDRATION ONLY 8 ADDN HRS	$176.00	$440.00	$40.23–$2,544.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER,PROP,DX INJ SEQ DIFF DRUG	$179.69	$449.22	$40.23–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION-HYDRATION ONLY 9 ADDN HRS	$198.00	$495.00	$40.23–$2,544.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC,PROP,-DIAG INJ-SINGLE/INITIA	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER,PROP,DX.INJ SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INTRA-ARTERIAL INJECTION	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION FOR HYDRATION ONLY-1ST HOUR	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV PUSH INITIAL SUBSTANCE & SAME AS INIT	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INJECTION INTRA-ARTERIAL	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC,PROP OR DIAGNOSTIC INJECTION	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUS THERAPY 1ST HOUR & START	$209.20	$523.00	$196.08–$523.00	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER,PRO,DX INJ-SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	—	60%
IV push of a medicine, first drug CPT 96374 THER,PROP,DX.INJ SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	73% above	60%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC,PROP,-DIAG INJ-SINGLE/INITIA	$209.20	$523.00	$196.08–$523.00	73% above	60%
IV push of a medicine, first drug CPT 96374 THER,PRO,DX INJ-SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	73% above	60%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL SUBSTANCE & SAME AS INIT	$209.20	$523.00	$196.08–$523.00	73% above	60%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC,PROP OR DIAGNOSTIC INJECTION	$209.20	$523.00	$196.08–$523.00	73% above	60%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC,PROP OR DIAGNOSTIC INJECTION	$209.20	$523.00	$196.08–$523.00	—	60%
IV push of a medicine, first drug inpatient CPT 96374 THER,PROP,DX.INJ SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	—	60%
IV push of a medicine, first drug inpatient CPT 96374 THER,PRO,DX INJ-SGL/INIT PUSH	$209.20	$523.00	$196.08–$523.00	—	60%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL SUBSTANCE & SAME AS INIT	$209.20	$523.00	$196.08–$523.00	—	60%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC,PROP,-DIAG INJ-SINGLE/INITIA	$209.20	$523.00	$196.08–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC IM INJECTION	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR/ANTIBIOTIC ONLY	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER,PROP,OR DIAG INJ	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER, PROP, DX INJ; SUBQ OR IM	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION OR SUB Q	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP PROP DIAG INJECT SUBQ IM	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION ANTIBIOTIC(ER)	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP.PROP/DIAGN.INJECT.SUBCUTANEOUS;IM	$67.60	$169.00	$64.04–$523.00	40% above	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HyperRAB 300IU/ML RABIES IMMUNE GLOBULIN	$5,716.16	$14,290.40	$64.04–$169.00	11725% above	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION OR SUB Q	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER, PROP, DX INJ; SUBQ OR IM	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ANTIBIOTIC	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION ANTIBIOTIC(ER)	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER,PROP,OR DIAG INJ	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP.PROP/DIAGN.INJECT.SUBCUTANEOUS;IM	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP PROP DIAG INJECT SUBQ IM	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC IM INJECTION	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INTRAMUSCULAR/ANTIBIOTIC ONLY	$67.60	$169.00	$64.04–$523.00	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HyperRAB 300IU/ML RABIES IMMUNE GLOBULIN	$5,716.16	$14,290.40	$64.04–$169.00	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED BALANCE	$58.00	$145.00	$34.72–$100.00	26% above	60%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED	$58.00	$145.00	$72.50–$116.48	26% above	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED BALANCE	$58.00	$145.00	$34.72–$100.00	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED	$58.00	$145.00	$72.50–$116.48	—	60%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$94.80	$237.00	$72.25–$224.46	9% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$94.80	$237.00	$72.25–$224.46	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION LOW COMPLEXITY	$94.00	$235.00	$92.12–$224.46	11% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVALUATION LOW COMPLEXITY	$94.00	$235.00	$92.12–$224.46	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION MODERATE COMPLEXITY	$94.00	$235.00	$92.50–$171.08	25% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVALUATION MODERATE COMPLEXITY	$94.00	$235.00	$92.50–$171.08	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MOBILIZATION EACH 15 MINUTE	$58.00	$145.00	$27.97–$105.56	39% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EACH 15MIN	$58.00	$145.00	$27.97–$105.56	39% above	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MOBILIZATION EACH 15 MINUTE	$58.00	$145.00	$27.97–$105.56	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EACH 15MIN	$58.00	$145.00	$27.97–$105.56	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HOME EXERCISE TRAINING	$29.20	$73.00	$30.32–$116.48	55% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE/ADDITIONAL 15MIN	$29.20	$73.00	$30.32–$116.48	55% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE II	$29.20	$73.00	$30.32–$116.48	55% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE	$36.40	$91.00	$62.72–$64.00	44% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PER VISIT	$36.40	$91.00	$62.97–$64.00	44% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PHYSICAL THERAPY EACH 15 MINUTES	$43.20	$108.00	$30.32–$116.48	34% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 MASSAGE	$64.00	$160.00	$30.32–$116.48	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE	$64.00	$160.00	$30.32–$116.48	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TRANSFERS THER ACTIVITIES	$64.00	$160.00	$30.32–$116.48	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EACH 15MIN	$64.00	$160.00	$30.32–$232.96	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EACH 15 MIN	$64.00	$160.00	$30.32–$116.48	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THER EXC	$64.00	$160.00	$30.32–$232.96	2% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HOME EXERCISE TRAINING	$29.20	$73.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE/ADDITIONAL 15MIN	$29.20	$73.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE II	$29.20	$73.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE	$36.40	$91.00	$62.72–$64.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT PER VISIT	$36.40	$91.00	$62.97–$64.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PHYSICAL THERAPY EACH 15 MINUTES	$43.20	$108.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA THER EXC	$64.00	$160.00	$30.32–$232.96	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISE	$64.00	$160.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TRANSFERS THER ACTIVITIES	$64.00	$160.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EACH 15 MIN	$64.00	$160.00	$30.32–$116.48	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE EACH 15MIN	$64.00	$160.00	$30.32–$232.96	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 MASSAGE	$64.00	$160.00	$30.32–$116.48	—	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION >3 MINS - 10 MINS	$30.00	$75.00	$29.40–$37.50	5% below	60%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION >3 MINS - 10 MINS	$30.00	$75.00	$29.40–$37.50	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLD PATIENT LEVEL V MOD 25	$240.23	$600.58	$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP LEVEL 5	$240.23	$600.58	$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP LEVEL 5-25	$240.23	$600.58	$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT VISIT 40 MINUTES	$240.23	$600.58	$10.30–$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP PREOP VISIT LEVEL V	$240.23	$600.58	$10.30–$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLD PATIENT LEVEL V	$240.23	$600.58	$600.58	44% above	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLD PATIENT LEVEL V	$240.23	$600.58	$600.58	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP LEVEL 5-25	$240.23	$600.58	$600.58	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP LEVEL 5	$240.23	$600.58	$600.58	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT VISIT 40 MINUTES	$240.23	$600.58	$10.30–$600.58	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP PREOP VISIT LEVEL V	$240.23	$600.58	$10.30–$600.58	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLD PATIENT LEVEL V MOD 25	$240.23	$600.58	$600.58	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP LEVEL 3	$166.83	$417.07	$14.86–$202.28	67% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT LEVEL III MOD 25	$166.83	$417.07	$14.86–$202.28	67% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT VISIT 15 MINUTES	$166.83	$417.07	$10.30–$250.24	67% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP LEVEL 3-25	$166.83	$417.07	$14.86–$202.28	67% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP PREOP VISIT LEVEL III	$166.83	$417.07	$10.30–$250.24	67% above	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT LEVEL III	$166.83	$417.07	$14.86–$202.28	67% above	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT VISIT 15 MINUTES	$166.83	$417.07	$10.30–$250.24	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PATIENT LEVEL III MOD 25	$166.83	$417.07	$14.86–$202.28	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PATIENT LEVEL III	$166.83	$417.07	$14.86–$202.28	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP PREOP VISIT LEVEL III	$166.83	$417.07	$10.30–$250.24	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP LEVEL 3-25	$166.83	$417.07	$14.86–$202.28	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP LEVEL 3	$166.83	$417.07	$14.86–$202.28	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT VISIT 25 MINUTES	$200.19	$500.48	$10.30–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP PREOP VISIT LEVEL IV	$200.19	$500.48	$10.30–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP LEVEL 4-25	$200.19	$500.48	$12.40–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP LEVEL 4	$200.19	$500.48	$12.40–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLD PATIENT LEVEL IV	$200.19	$500.48	$10.30–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLD PATIENT LEVEL IV MOD 25	$200.19	$500.48	$12.40–$500.48	50% above	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT VISIT 25 MINUTES	$200.19	$500.48	$10.30–$500.48	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLD PATIENT LEVEL IV MOD 25	$200.19	$500.48	$12.40–$500.48	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP LEVEL 4-25	$200.19	$500.48	$12.40–$500.48	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLD PATIENT LEVEL IV	$200.19	$500.48	$10.30–$500.48	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP PREOP VISIT LEVEL IV	$200.19	$500.48	$10.30–$500.48	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP LEVEL 4	$200.19	$500.48	$12.40–$500.48	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP LEVEL 2	$139.02	$347.56	$137.63–$264.13	89% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP LEVEL 2-25	$139.02	$347.56	$137.63–$264.13	89% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP PREOP VISIT LEVEL II	$139.02	$347.56	$10.30–$264.13	89% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT LEVEL II	$211.30	$528.25	$137.63–$264.13	187% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT LEVEL II MOD 25	$211.30	$528.25	$137.63–$264.13	187% above	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT VISIT 10 MINUTES	$211.30	$528.25	$10.30–$264.13	187% above	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP PREOP VISIT LEVEL II	$139.02	$347.56	$10.30–$264.13	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP LEVEL 2	$139.02	$347.56	$137.63–$264.13	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP LEVEL 2-25	$139.02	$347.56	$137.63–$264.13	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT VISIT 10 MINUTES	$211.30	$528.25	$10.30–$264.13	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PATIENT LEVEL II	$211.30	$528.25	$137.63–$264.13	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PATIENT LEVEL II MOD 25	$211.30	$528.25	$137.63–$264.13	—	60%
Speech and language evaluation CPT 92523 ST EVAL SPEECH SOUND PROD W LNG COMPREHE	$218.00	$545.00	$215.82–$272.50	26% above	60%
Speech and language evaluation CPT 92523 EVALUATION OF REC. AND EXP. LANGUAGE	$218.00	$545.00	$215.82–$272.50	26% above	60%
Speech and language evaluation inpatient CPT 92523 EVALUATION OF REC. AND EXP. LANGUAGE	$218.00	$545.00	$215.82–$272.50	—	60%
Speech and language evaluation inpatient CPT 92523 ST EVAL SPEECH SOUND PROD W LNG COMPREHE	$218.00	$545.00	$215.82–$272.50	—	60%
Speech therapy session, individual CPT 92507 ST AUD REHAB POST LING H.LOSS,1/4HR CAID	$76.00	$190.00	$79.08–$129.50	38% below	60%
Speech therapy session, individual CPT 92507 ST SPEECH GEN DEV THERAPY,1/4HR CAID ONL	$76.00	$190.00	$79.08–$129.50	38% below	60%
Speech therapy session, individual CPT 92507 ST NON SPEECH GEN DEV THERAPY 1/4HR CAID	$76.00	$190.00	$79.08–$129.50	38% below	60%
Speech therapy session, individual CPT 92507 ST TREATMENT OF SWALLOW 1/4HR CAID ONLY	$103.60	$259.00	$79.08–$129.50	15% below	60%
Speech therapy session, individual CPT 92507 ST TREATMENT OF SPEECH	$103.60	$259.00	$79.08–$129.50	15% below	60%
Speech therapy session, individual CPT 92507 ST TX OF SPEECH TELEHEALTH	$103.60	$259.00	$79.08–$129.50	15% below	60%
Speech therapy session, individual inpatient CPT 92507 ST AUD REHAB POST LING H.LOSS,1/4HR CAID	$76.00	$190.00	$79.08–$129.50	—	60%
Speech therapy session, individual inpatient CPT 92507 ST NON SPEECH GEN DEV THERAPY 1/4HR CAID	$76.00	$190.00	$79.08–$129.50	—	60%
Speech therapy session, individual inpatient CPT 92507 ST SPEECH GEN DEV THERAPY,1/4HR CAID ONL	$76.00	$190.00	$79.08–$129.50	—	60%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT OF SPEECH	$103.60	$259.00	$79.08–$129.50	—	60%
Speech therapy session, individual inpatient CPT 92507 ST TX OF SPEECH TELEHEALTH	$103.60	$259.00	$79.08–$129.50	—	60%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT OF SWALLOW 1/4HR CAID ONLY	$103.60	$259.00	$79.08–$129.50	—	60%
Spirometry (breathing test) CPT 94010 ROUTINE SPIROMETRY W/WO MVV	$149.20	$373.00	$54.48–$271.54	4% below	60%
Spirometry (breathing test) inpatient CPT 94010 ROUTINE SPIROMETRY W/WO MVV	$149.20	$373.00	$54.48–$271.54	—	60%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE&POST BRONCHODILATE ADMIN	$299.20	$748.00	$88.53–$374.00	18% above	60%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST BRONCHIODILATOR	$299.20	$748.00	$88.53–$374.00	18% above	60%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST BRONDHILDILATOR	$299.20	$748.00	$88.53–$374.00	18% above	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST BRONCHIODILATOR	$299.20	$748.00	$88.53–$374.00	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE&POST BRONCHODILATE ADMIN	$299.20	$748.00	$88.53–$374.00	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST BRONDHILDILATOR	$299.20	$748.00	$88.53–$374.00	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY 15	$58.00	$145.00	$116.48	8% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT NEUROMUSCULAR RE-ED	$58.00	$145.00	$72.50–$116.48	8% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT ELECTRICAL STIMU.ATTENDED EACH 15MIN	$58.00	$145.00	$14.91–$116.48	8% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACT	$64.00	$160.00	$116.48	2% above	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT SELF-CARE 15MIN	$64.00	$160.00	$80.00–$116.48	2% above	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFERS THER ACTIVITIES	$64.00	$160.00	$30.32–$116.48	2% above	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES EACH 15 MIN	$64.00	$160.00	$116.48	2% above	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER EXC	$64.00	$160.00	$30.32–$232.96	2% above	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT NEUROMUSCULAR RE-ED	$58.00	$145.00	$72.50–$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY 15	$58.00	$145.00	$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT ELECTRICAL STIMU.ATTENDED EACH 15MIN	$58.00	$145.00	$14.91–$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES EACH 15 MIN	$64.00	$160.00	$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT SELF-CARE 15MIN	$64.00	$160.00	$80.00–$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA THER EXC	$64.00	$160.00	$30.32–$232.96	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA THER ACT	$64.00	$160.00	$116.48	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFERS THER ACTIVITIES	$64.00	$160.00	$30.32–$116.48	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$122.00	$305.00	$110.22	16% above	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$122.00	$305.00	$110.22	16% above	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$122.00	$305.00	$110.22	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$122.00	$305.00	$110.22	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA TETANUS (PEDIATRIC) INJ.<7YO	$73.28	$183.20	$98.45–$124.30	3% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS, DIPTHERIA TOXOIDS 7 &OLDER IM	$101.46	$253.65	$98.45–$124.30	43% above	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA TETANUS (PEDIATRIC) INJ.<7YO	$73.28	$183.20	$98.45–$124.30	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS, DIPTHERIA TOXOIDS 7 &OLDER IM	$101.46	$253.65	$98.45–$124.30	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPTH, ACELL PERTUSSIS (TDAP)	$117.10	$292.75	$47.93–$138.40	56% above	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS, DIPTH, ACELL PERTUSSIS (TDAP)	$117.10	$292.75	$47.93–$138.40	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1VACCINE	$67.60	$169.00	$27.67–$84.50	155% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RABIES VAC. IMOVAX	$728.80	$1,822.00	$27.67–$84.50	2646% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1VACCINE	$67.60	$169.00	$27.67–$84.50	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RABIES VAC. IMOVAX	$728.80	$1,822.00	$27.67–$84.50	—	60%

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://hospitalpricetransparencyfiles.com/crossett-health-foundation/710236870_Crossett-Health-Foundation_standardcharges.csv