Hospital

Power County Hospital District

Power County Hospital District in American Falls, ID publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Idaho median for 205 of 308 procedures and below it for 98. By typical cash price it ranks #27 of 33 Idaho hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

510 Roosevelt St., American Falls, ID, 83211 Collected Nov 7, 2026 Source price file Check a bill from this hospital (208) 226-3200

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 131304 · CMS hospital register NPI 1609874932

Financial assistance

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

Power County Hospital District is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Power County Hospital District in American Falls, ID:

Sep 5, 2024 Warning notice
Dec 11, 2024 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST,Technical component	$2,333.90	$2,334.00	—	85% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST,Technical component	$2,333.90	$2,334.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN; 2 VIEW,Technical component	$293.90	$294.00	—	2% below	—
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN; 2 VIEW,Technical component	$293.90	$294.00	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE; 3 VIEWS RT,Right side of body	$278.90	$279.00	—	3% below	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMPLETE; 3 VIEWS LT,Left side of body	$278.90	$279.00	—	3% below	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE; 3 VIEWS LT,Left side of body	$278.90	$279.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMPLETE; 3 VIEWS RT,Right side of body	$278.90	$279.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US BIL EXT SINGLE LEVEL,Technical component	$632.90	$633.00	—	52% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US BIL EXT SINGLE LEVEL,Technical component	$632.90	$633.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST RT,Right side of body	$1,393.90	$1,394.00	—	36% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST LT,Left side of body	$1,393.90	$1,394.00	—	36% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST RT,Right side of body	$1,393.90	$1,394.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST LT,Left side of body	$1,393.90	$1,394.00	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD AORTA W/RUNOFF,Technical component	$2,506.90	$2,507.00	—	11% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD AORTA W/RUNOFF,Technical component	$2,506.90	$2,507.00	—	—	—
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD,Technical component	$2,419.90	$2,420.00	—	67% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD,Technical component	$2,419.90	$2,420.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK,Technical component	$2,419.90	$2,420.00	—	64% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK,Technical component	$2,419.90	$2,420.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST AORTA,Technical component	$2,562.90	$2,563.00	—	65% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST AORTA,Technical component	$2,562.90	$2,563.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O CONTRAST,Technical component	$1,645.90	$1,646.00	—	at median	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/O CONTRAST,Technical component	$1,645.90	$1,646.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/CONTRAST,Technical component	$2,914.90	$2,915.00	—	29% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/CONTRAST,Technical component	$2,914.90	$2,915.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/WO CONTRAST,Technical component	$2,486.90	$2,487.00	—	7% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W/WO CONTRAST,Technical component	$2,486.90	$2,487.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST,Technical component	$1,794.90	$1,795.00	—	52% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST,Technical component	$1,794.90	$1,795.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST,Technical component	$1,319.90	$1,320.00	—	45% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST,Technical component	$1,319.90	$1,320.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST,Technical component	$1,393.90	$1,394.00	—	63% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	63% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST,Technical component	$1,393.90	$1,394.00	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	49% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	—	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST,Technical component	$1,684.90	$1,685.00	—	54% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/CONTRAST,Technical component	$1,684.90	$1,685.00	—	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W W/O CONTRAST,Technical component	$2,333.90	$2,334.00	—	79% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W W/O CONTRAST,Technical component	$2,333.90	$2,334.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	60% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	34% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST,Technical component	$1,613.90	$1,614.00	—	34% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST,Technical component	$1,613.90	$1,614.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTIDS CP,Technical component	$1,008.90	$1,009.00	—	12% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTIDS CP,Technical component	$1,008.90	$1,009.00	—	—	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W W/O CONTRAST,Technical component	$2,423.90	$2,424.00	—	56% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W W/O CONTRAST,Technical component	$2,423.90	$2,424.00	—	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST; 2 VIEW,Technical component	$321.90	$322.00	—	24% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST; 2 VIEW,Technical component	$321.90	$322.00	—	—	—
Chest X-ray, single view CPT 71045 XR CHEST; 1 VIEW,Technical component	$267.90	$268.00	—	16% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST; 1 VIEW,Technical component	$267.90	$268.00	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE RT,Right side of body	$213.90	$214.00	—	24% below	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT,Left side of body	$213.90	$214.00	—	24% below	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE RT,Right side of body	$213.90	$214.00	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE LT,Left side of body	$213.90	$214.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL CP,Technical component	$984.90	$985.00	—	110% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL CP,Technical component	$984.90	$985.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	55% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST,Technical component	$2,064.90	$2,065.00	—	74% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST,Technical component	$2,064.90	$2,065.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US SCAN LOWR EXT BILAT COMPL,Technical component	$1,169.90	$1,170.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US SCAN LOWR EXT BILAT COMPL,Technical component	$1,169.90	$1,170.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS EXTREMITY BILAT,Technical component	$1,023.90	$1,024.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS EXTREMITY BILAT,Technical component	$1,023.90	$1,024.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D COMP W/COLOR DOPP,Technical component	$1,268.90	$1,269.00	—	30% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO 2D COMP W/COLOR DOPP,Technical component	$1,268.90	$1,269.00	—	—	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW; 2 VIEW LT,Left side of body	$191.90	$192.00	—	20% below	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW; 2 VIEW RT,Right side of body	$191.90	$192.00	—	20% below	—
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW; 2 VIEW LT,Left side of body	$191.90	$192.00	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW; 2 VIEW RT,Right side of body	$191.90	$192.00	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE; 3 VIEWS LT,Left side of body	$293.90	$294.00	—	5% below	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMPLETE; 3 VIEWS RT,Right side of body	$293.90	$294.00	—	5% below	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMPLETE; 3 VIEWS LT,Left side of body	$293.90	$294.00	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMPLETE; 3 VIEWS RT,Right side of body	$293.90	$294.00	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	63% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE,Technical component	$310.90	$311.00	—	2% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPLETE,Technical component	$310.90	$311.00	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM; 2 VIEW LT,Left side of body	$249.90	$250.00	—	5% below	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM; 2 VIEW RT,Right side of body	$250.90	$251.00	—	5% below	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM; 2 VIEW LT,Left side of body	$249.90	$250.00	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM; 2 VIEW RT,Right side of body	$250.90	$251.00	—	—	—
Hand X-ray, 2 views one side CPT 73120 XR HAND; 2 VIEW LT,Left side of body	$202.90	$203.00	—	32% below	—
Hand X-ray, 2 views one side CPT 73120 XR HAND; 2 VIEW RT,Right side of body	$202.90	$203.00	—	32% below	—
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND; 2 VIEW RT,Right side of body	$202.90	$203.00	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND; 2 VIEW LT,Left side of body	$202.90	$203.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS; 2 VIEW LT,Left side of body	$253.90	$254.00	—	20% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS; 2 VIEW RT,Right side of body	$253.90	$254.00	—	20% below	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS; 2 VIEW LT,Left side of body	$253.90	$254.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS; 2 VIEW RT,Right side of body	$253.90	$254.00	—	—	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE; 3 VIEW LT,Left side of body	$355.90	$356.00	—	1% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE; 3 VIEW RT,Right side of body	$355.90	$356.00	—	1% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE; 3 VIEW LT,Left side of body	$355.90	$356.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE; 3 VIEW RT,Right side of body	$355.90	$356.00	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMPLETE; 4+ VIEWS,Technical component	$359.90	$360.00	—	at median	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE COMPLETE; 4+ VIEWS,Technical component	$359.90	$360.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST RT,Right side of body	$1,393.90	$1,394.00	—	39% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST LT,Left side of body	$1,393.90	$1,394.00	—	39% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST RT,Right side of body	$1,393.90	$1,394.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST LT,Left side of body	$1,393.90	$1,394.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX,Technical component	$602.90	$603.00	—	37% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD,Technical component	$602.90	$603.00	—	37% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD,Technical component	$602.90	$603.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX,Technical component	$602.90	$603.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NONVASC, LIMITED,Technical component	$209.90	$210.00	—	47% below	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NONVASC, LIMITED,Technical component	$209.90	$210.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LOW DOSE FOR LUNG CANCER,Technical component	$1,397.90	$1,398.00	—	72% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LOW DOSE FOR LUNG CANCER,Technical component	$1,397.90	$1,398.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB FIB 2 VIEW LT,Left side of body	$259.90	$260.00	—	4% below	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB FIB 2 VIEW RT,Right side of body	$259.90	$260.00	—	4% below	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIB FIB 2 VIEW RT,Right side of body	$259.90	$260.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIB FIB 2 VIEW LT,Left side of body	$259.90	$260.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE; 4-5 VIEW,Technical component	$427.90	$428.00	—	16% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE; 4-5 VIEW,Technical component	$427.90	$428.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS NECK W/CONTRAST,Technical component	$2,064.90	$2,065.00	—	85% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISS NECK W/CONTRAST,Technical component	$2,064.90	$2,065.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS NECK W/O CONTRS,Technical component	$1,479.90	$1,480.00	—	70% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISS NECK W/O CONTRS,Technical component	$1,479.90	$1,480.00	—	—	—
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE,Technical component	$197.90	$198.00	—	13% below	—
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE,Technical component	$197.90	$198.00	—	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	51% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST,Technical component	$1,393.90	$1,394.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD,Technical component	$403.90	$404.00	—	6% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LTD,Technical component	$403.90	$404.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB CP,Technical component	$669.90	$670.00	—	39% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB CP,Technical component	$669.90	$670.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PELVIC OB LATE >=14WKS,Technical component	$740.90	$741.00	—	68% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PELVIC OB LATE >=14WKS,Technical component	$740.90	$741.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PELVIC OB EARLY <14WKS,Technical component	$679.90	$680.00	—	59% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PELVIC OB EARLY <14WKS,Technical component	$679.90	$680.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PELVIC OB LTD,Technical component	$483.90	$484.00	—	59% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PELVIC OB LTD,Technical component	$483.90	$484.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILATERAL; 2 VIEW LT,Left side of body	$266.90	$267.00	—	at median	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILATERAL; 2 VIEW RT,Right side of body	$266.90	$267.00	—	at median	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILATERAL; 2 VIEW LT,Left side of body	$266.90	$267.00	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILATERAL; 2 VIEW RT,Right side of body	$266.90	$267.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS; 3 VIEW RT,Right side of body	$407.90	$408.00	—	3% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS; 3 VIEW LT,Left side of body	$407.90	$408.00	—	3% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS; 3 VIEW RT,Right side of body	$407.90	$408.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS; 3 VIEW LT,Left side of body	$407.90	$408.00	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP; 2 VIEW LT,Left side of body	$270.90	$271.00	—	20% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP; 2 VIEW RT,Right side of body	$270.90	$271.00	—	20% below	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP; 2 VIEW LT,Left side of body	$270.90	$271.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP; 2 VIEW RT,Right side of body	$270.90	$271.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMP; 3 VIEW,Technical component	$387.90	$388.00	—	23% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES COMP; 3 VIEW,Technical component	$387.90	$388.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL; <4 VIEW,Technical component	$238.90	$239.00	—	7% below	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL; <4 VIEW,Technical component	$238.90	$239.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR; 2 VIEW LT,Left side of body	$287.90	$288.00	—	1% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR; 2 VIEW RT,Right side of body	$287.90	$288.00	—	1% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR; 2 VIEW RT,Right side of body	$287.90	$288.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR; 2 VIEW LT,Left side of body	$287.90	$288.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	43% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST,Technical component	$1,479.90	$1,480.00	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOES; 2 VIEW RT,Right side of body	$228.90	$229.00	—	8% below	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOES; 2 VIEW LT,Left side of body	$228.90	$229.00	—	8% below	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES; 2 VIEW LT,Left side of body	$228.90	$229.00	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES; 2 VIEW RT,Right side of body	$228.90	$229.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL,Technical component	$632.90	$633.00	—	45% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL,Technical component	$632.90	$633.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB,Technical component	$484.90	$485.00	—	13% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB,Technical component	$484.90	$485.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE,Technical component	$760.90	$761.00	—	44% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE,Technical component	$760.90	$761.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS,Technical component	$618.90	$619.00	—	40% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS,Technical component	$618.90	$619.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK,Technical component	$577.90	$578.00	—	31% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK,Technical component	$577.90	$578.00	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS; 2 VIEW LT,Left side of body	$254.90	$255.00	—	10% below	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS; 2 VIEW RT,Right side of body	$254.90	$255.00	—	10% below	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS; 2 VIEW RT,Right side of body	$254.90	$255.00	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS; 2 VIEW LT,Left side of body	$254.90	$255.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS EXTREMITY UNILA,Technical component	$740.90	$741.00	—	29% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS EXTREMITY UNILA,Technical component	$740.90	$741.00	—	—	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST; 2 VIEWS RT,Right side of body	$269.90	$270.00	—	at median	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST; 2 VIEWS LT,Left side of body	$269.90	$270.00	—	at median	—
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST; 2 VIEWS RT,Right side of body	$269.90	$270.00	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST; 2 VIEWS LT,Left side of body	$269.90	$270.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP; 3 VIEW RT,Right side of body	$201.90	$202.00	—	43% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP; 3 VIEW LT,Left side of body	$366.90	$367.00	—	3% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP; 3 VIEW RT,Right side of body	$201.90	$202.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP; 3 VIEW LT,Left side of body	$366.90	$367.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL W/PELVIS; 2-3 VIEW RT,Right side of body	$321.90	$322.00	—	39% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL W/PELVIS; 2-3 VIEW LT,Left side of body	$321.90	$322.00	—	39% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL W/PELVIS; 2-3 VIEW LT,Left side of body	$321.90	$322.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL W/PELVIS; 2-3 VIEW RT,Right side of body	$321.90	$322.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN; 1 VIEW,Technical component	$274.90	$275.00	—	23% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN; 1 VIEW,Technical component	$274.90	$275.00	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE; 2 VIEW RT,Right side of body	$236.90	$237.00	—	15% below	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE; 2 VIEW LT,Left side of body	$266.90	$267.00	—	4% below	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE; 2 VIEW RT,Right side of body	$236.90	$237.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE; 2 VIEW LT,Left side of body	$266.90	$267.00	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER; 2 VIEW RT,Right side of body	$201.90	$202.00	—	22% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER; 2 VIEW LT,Left side of body	$201.90	$202.00	—	22% below	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER; 2 VIEW LT,Left side of body	$201.90	$202.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER; 2 VIEW RT,Right side of body	$201.90	$202.00	—	—	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT; 2 VIEW RT,Right side of body	$173.90	$174.00	—	37% below	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT; 2 VIEW LT,Left side of body	$173.90	$174.00	—	37% below	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT; 2 VIEW RT,Right side of body	$173.90	$174.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT; 2 VIEW LT,Left side of body	$173.90	$174.00	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE; 3 VIEW RT,Right side of body	$226.90	$227.00	—	36% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE; 3 VIEW LT,Left side of body	$226.90	$227.00	—	36% below	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE; 3 VIEW RT,Right side of body	$226.90	$227.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE; 3 VIEW LT,Left side of body	$226.90	$227.00	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND; 3 VIEW LT,Left side of body	$225.90	$226.00	—	38% below	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND; 3 VIEW RT,Right side of body	$225.90	$226.00	—	38% below	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND; 3 VIEW RT,Right side of body	$225.90	$226.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND; 3 VIEW LT,Left side of body	$225.90	$226.00	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE; 1-2 VIEW RT,Right side of body	$232.90	$233.00	—	5% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE; 1-2 VIEW LT,Left side of body	$232.90	$233.00	—	5% below	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE; 1-2 VIEW RT,Right side of body	$232.90	$233.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE; 1-2 VIEW LT,Left side of body	$232.90	$233.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE; 2-3 VIEW,Technical component	$366.90	$367.00	—	22% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE; 2-3 VIEW,Technical component	$366.90	$367.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE COMPLETE; 4+ VIEW,Technical component	$367.90	$368.00	—	8% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE COMPLETE; 4+ VIEW,Technical component	$367.90	$368.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE; 2 VIEW,Technical component	$381.90	$382.00	—	30% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE; 2 VIEW,Technical component	$381.90	$382.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE,Technical component	$293.90	$294.00	—	14% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE,Technical component	$293.90	$294.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE; 2-3 VIEW,Technical component	$300.90	$301.00	—	15% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE; 2-3 VIEW,Technical component	$300.90	$301.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS; 1-2 VIEW,Technical component	$274.90	$275.00	—	5% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS; 1-2 VIEW,Technical component	$274.90	$275.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX; 2 VIEW,Technical component	$236.90	$237.00	—	5% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX; 2 VIEW,Technical component	$236.90	$237.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE	$179.90	$180.00	—	7% above	—
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE	$179.90	$180.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFER (GN#)	$52.90	$53.00	—	64% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFER (GN#)	$52.90	$53.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFER (GN#)	$51.90	$52.00	—	41% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFER (GN#)	$51.90	$52.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$154.90	$155.00	—	29% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$154.90	$155.00	—	—	—
Albumin blood test CPT 82040 ALBUMIN (GN#)	$33.90	$34.00	—	23% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN (GN#)	$33.90	$34.00	—	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE URINE	$120.90	$121.00	—	33% below	—
Aldosterone blood test CPT 82088 ALDOSTERONE	$189.90	$190.00	—	5% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE	$120.90	$121.00	—	—	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$189.90	$190.00	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE (GN#)	$53.90	$54.00	—	56% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATE BONE SPECIFIC	$53.90	$54.00	—	56% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE (GN#)	$53.90	$54.00	—	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATE BONE SPECIFIC	$53.90	$54.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH	$23.90	$24.00	—	6% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 BEE VENOM LEVEL	$23.90	$24.00	—	6% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEE VENOM LEVEL	$23.90	$24.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EACH	$23.90	$24.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN	$142.90	$143.00	—	57% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN	$142.90	$143.00	—	—	—
Ammonia blood test CPT 82140 AMMONIA PLASMA	$141.90	$142.00	—	97% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA	$141.90	$142.00	—	—	—
Amylase blood test CPT 82150 AMYLASE	$82.90	$83.00	—	57% above	—
Amylase blood test inpatient CPT 82150 AMYLASE	$82.90	$83.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX	$109.90	$110.00	—	59% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX	$109.90	$110.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP NT PRO (GN#)	$184.90	$185.00	—	5% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP NT PRO (GN#)	$184.90	$185.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$96.90	$97.00	—	64% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND 2	$96.90	$97.00	—	64% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND 1	$96.90	$97.00	—	64% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE MISC	$96.90	$97.00	—	64% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND 3	$96.90	$97.00	—	64% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND 3	$96.90	$97.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND 1	$96.90	$97.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$96.90	$97.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND 2	$96.90	$97.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE MISC	$96.90	$97.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$106.90	$107.00	—	95% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$106.90	$107.00	—	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL (GN#)	$68.90	$69.00	—	90% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL (GN#)	$68.90	$69.00	—	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD 3	$183.90	$184.00	—	62% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD 1	$183.90	$184.00	—	62% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD 2	$183.90	$184.00	—	62% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD 1	$183.90	$184.00	—	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD 3	$183.90	$184.00	—	—	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD 2	$183.90	$184.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CLN VENIPUNCTURE	$24.90	$25.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$24.90	$25.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-OUTSIDE LABS	$24.90	$25.00	—	11% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CLN VENIPUNCTURE	$24.90	$25.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$24.90	$25.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-OUTSIDE LABS	$24.90	$25.00	—	—	—
Blood glucose (sugar) test CPT 82947 RP500 GLUCOSE	$44.90	$45.00	—	69% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE (GN#)	$44.90	$45.00	—	69% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM FASTING	$44.90	$45.00	—	69% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM FASTING	$44.90	$45.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 RP500 GLUCOSE	$44.90	$45.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (GN#)	$44.90	$45.00	—	—	—
Blood lead test CPT 83655 CLN LAB/LEAD SCREENING	$57.90	$58.00	—	2% above	—
Blood lead test CPT 83655 CL LAB/LEAD SCREENING	$57.90	$58.00	—	2% above	—
Blood lead test CPT 83655 LEAD	$57.90	$58.00	—	2% above	—
Blood lead test inpatient CPT 83655 CLN LAB/LEAD SCREENING	$57.90	$58.00	—	—	—
Blood lead test inpatient CPT 83655 LEAD	$57.90	$58.00	—	—	—
Blood lead test inpatient CPT 83655 CL LAB/LEAD SCREENING	$57.90	$58.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREGNANCY TEST [QUAL S]	$101.90	$102.00	—	57% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREGNANCY TEST [QUAL S]	$101.90	$102.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPE	$56.90	$57.00	—	at median	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPE	$56.90	$57.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN (GN#)	$43.90	$44.00	—	17% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN (GN#)	$43.90	$44.00	—	—	—
C-peptide blood test CPT 84681 C PEPTIDE	$125.90	$126.00	—	26% above	—
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$125.90	$126.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (GN#)	$85.90	$86.00	—	46% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (RCRP) (GN#)	$85.90	$86.00	—	46% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (RCRP) (GN#)	$85.90	$86.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (GN#)	$85.90	$86.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF PCR	$188.90	$189.00	—	14% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF PCR	$188.90	$189.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19 9	$138.90	$139.00	—	47% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19 9	$138.90	$139.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125	$163.90	$164.00	—	60% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER AG 125	$163.90	$164.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CLN COVID SCREEN RAPID	$46.90	$47.00	—	50% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CLN COVID RAPID SCREEN	$46.90	$47.00	—	50% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CLN COVID 19 PCR	$154.90	$155.00	—	65% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR	$154.90	$155.00	—	65% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CLN COVID RAPID SCREEN	$46.90	$47.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CLN COVID SCREEN RAPID	$46.90	$47.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR	$154.90	$155.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CLN COVID 19 PCR	$154.90	$155.00	—	—	—
Calcium blood test, total CPT 82310 CALCIUM (GN#)	$40.90	$41.00	—	26% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM (GN#)	$40.90	$41.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$172.90	$173.00	—	59% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$172.90	$173.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM	$85.90	$86.00	—	21% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB	$85.90	$86.00	—	21% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB	$85.90	$86.00	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM	$85.90	$86.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA URINE	$86.90	$87.00	—	21% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA VAGINAL SWAB	$86.90	$87.00	—	21% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA URINE	$86.90	$87.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA VAGINAL SWAB	$86.90	$87.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL(GN#)	$101.90	$102.00	—	81% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL(GN#)	$101.90	$102.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC (L*) W / AUTO DIFF REFLEX TO MANUAL	$78.90	$79.00	—	55% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC (L*) W / AUTO DIFF REFLEX TO MANUAL	$78.90	$79.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 CBC HEMOGRAM ONLY (L*)	$61.90	$62.00	—	45% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMOGRAM ONLY (L*)	$61.90	$62.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 CMP (GN#)	$125.90	$126.00	—	70% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP (GN#)	$125.90	$126.00	—	—	—
Cortisol blood test, total CPT 82533 CORTISOL	$116.90	$117.00	—	49% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$116.90	$117.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (GN#)	$74.90	$75.00	—	45% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE (GN#)	$74.90	$75.00	—	—	—
Creatinine blood test CPT 82565 CREATININE (GN#)	$48.90	$49.00	—	69% above	—
Creatinine blood test inpatient CPT 82565 CREATININE (GN#)	$48.90	$49.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG	$196.90	$197.00	—	159% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB IGG	$196.90	$197.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$177.90	$178.00	—	78% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$177.90	$178.00	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DOT DRUG SCREEN	$74.90	$75.00	—	55% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD	$100.90	$101.00	—	39% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL (GN#)	$134.90	$135.00	—	18% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL (ASA) (GN#)	$134.90	$135.00	—	18% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN	$149.90	$150.00	—	9% below	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DOT DRUG SCREEN	$74.90	$75.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD	$100.90	$101.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN LEVEL (GN#)	$134.90	$135.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE LEVEL (ASA) (GN#)	$134.90	$135.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCREEN	$149.90	$150.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL SERUM	$85.90	$86.00	—	49% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL SERUM	$85.90	$86.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM	$135.90	$136.00	—	59% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG	$135.90	$136.00	—	59% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG	$135.90	$136.00	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM	$135.90	$136.00	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$149.90	$150.00	—	11% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL	$149.90	$150.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$149.90	$150.00	—	36% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$149.90	$150.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 ANSER IFX (PROMETHIUS)	$321.90	$322.00	—	62% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$321.90	$322.00	—	62% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$321.90	$322.00	—	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ANSER IFX (PROMETHIUS)	$321.90	$322.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN (GN#)	$124.90	$125.00	—	57% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (GN#)	$124.90	$125.00	—	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN	$74.90	$75.00	—	5% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$74.90	$75.00	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE (GN#)	$119.90	$120.00	—	43% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (GN#)	$119.90	$120.00	—	—	—
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE (FREET3)	$133.90	$134.00	—	62% above	—
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE (FREET3)	$133.90	$134.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (GN#)	$98.90	$99.00	—	102% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE (GN#)	$98.90	$99.00	—	—	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$155.90	$156.00	—	47% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$155.90	$156.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$58.90	$59.00	—	39% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$58.90	$59.00	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$224.90	$225.00	—	22% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$224.90	$225.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR POST 50G PO	$64.90	$65.00	—	65% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR POST PRANDIAL	$64.90	$65.00	—	65% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HOUR POST PRANDIAL	$64.90	$65.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR POST 50G PO	$64.90	$65.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HOUR	$94.90	$95.00	—	19% above	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1 HOUR	$94.90	$95.00	—	19% above	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$94.90	$95.00	—	19% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HOUR	$94.90	$95.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$94.90	$95.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1 HOUR	$94.90	$95.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA URINE	$167.90	$168.00	—	44% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONNORHEA VAGINAL SWAB	$167.90	$168.00	—	44% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA URINE	$167.90	$168.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONNORHEA VAGINAL SWAB	$167.90	$168.00	—	—	—
H. pylori antibody blood test CPT 86677 H. PYLORI IGG AB	$128.90	$129.00	—	33% above	—
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG AB	$128.90	$129.00	—	—	—
H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL	$138.90	$139.00	—	40% above	—
H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL	$138.90	$139.00	—	40% above	—
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG STOOL	$138.90	$139.00	—	—	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL	$138.90	$139.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANTATIVE ULTRA SENSITIVE RNA BY PC	$501.90	$502.00	—	32% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANTATIVE ULTRA SENSITIVE RNA BY PC	$501.90	$502.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND 2 ANTIBODY	$93.90	$94.00	—	6% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND 2 ANTIBODY	$93.90	$94.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV (RAPID) 1/2 ANTIBODY ANTIGEN	$96.90	$97.00	—	4% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV (RAPID) 1/2 ANTIBODY ANTIGEN	$96.90	$97.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN A1C	$86.90	$87.00	—	87% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN A1C	$86.90	$87.00	—	—	—
Hemoglobin blood test CPT 85018 CLN LAB/HEMOGLOBIN	$29.90	$30.00	—	48% above	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$29.90	$30.00	—	48% above	—
Hemoglobin blood test CPT 85018 CL LAB/HEMOGLOBIN	$29.90	$30.00	—	48% above	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$29.90	$30.00	—	—	—
Hemoglobin blood test inpatient CPT 85018 CL LAB/HEMOGLOBIN	$29.90	$30.00	—	—	—
Hemoglobin blood test inpatient CPT 85018 CLN LAB/HEMOGLOBIN	$29.90	$30.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB	$106.90	$107.00	—	66% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB	$106.90	$107.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$98.90	$99.00	—	77% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$98.90	$99.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$83.90	$84.00	—	38% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$83.90	$84.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$88.90	$89.00	—	29% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$88.90	$89.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTITATION	$184.90	$185.00	—	25% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANTITATION	$184.90	$185.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 RFLX GLYCOPROTEIN	$81.90	$82.00	—	71% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 RFLX GLYCOPROTEIN	$81.90	$82.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 RFLX GLYCOPROTEIN	$51.90	$52.00	—	26% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 RFLX GLYCOPROTEIN	$51.90	$52.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS (GN#)	$104.90	$105.00	—	51% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS (GN#)	$104.90	$105.00	—	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$158.90	$159.00	—	99% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$158.90	$159.00	—	—	—
Insulin blood test CPT 83525 INSULIN	$86.90	$87.00	—	30% above	—
Insulin blood test inpatient CPT 83525 INSULIN	$86.90	$87.00	—	—	—
Iron blood test (serum iron) CPT 83540 IRON (GN#)	$66.90	$67.00	—	52% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON (GN#)	$66.90	$67.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC (G) IRON BINDING CAPACITY	$77.90	$78.00	—	41% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (G) IRON BINDING CAPACITY	$77.90	$78.00	—	—	—
Kidney function blood test panel CPT 80069 RENAL PANEL (GN#)	$100.90	$101.00	—	41% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL (GN#)	$100.90	$101.00	—	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$150.90	$151.00	—	77% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$150.90	$151.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 LACTATE RP500	$97.90	$98.00	—	29% above	—
Lactate (lactic acid) blood test CPT 83605 LACTATE	$97.90	$98.00	—	29% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE RP500	$97.90	$98.00	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$97.90	$98.00	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH)	$53.90	$54.00	—	69% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH)	$53.90	$54.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (GN#)	$104.90	$105.00	—	48% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE (GN#)	$104.90	$105.00	—	—	—
Liver function blood test panel CPT 80076 HEPATIC PANEL (GN#)	$113.90	$114.00	—	56% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL (GN#)	$113.90	$114.00	—	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE	$95.90	$96.00	—	13% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE	$95.90	$96.00	—	—	—
Magnesium blood test CPT 83735 MAGNESIUM UR	$102.90	$103.00	—	123% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$102.90	$103.00	—	123% above	—
Magnesium blood test CPT 83735 MAGNESIUM (GN#)	$102.90	$103.00	—	123% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM (GN#)	$102.90	$103.00	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$102.90	$103.00	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR	$102.90	$103.00	—	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$118.90	$119.00	—	84% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$118.90	$119.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO RAPID SCREEN	$62.90	$63.00	—	22% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO RAPID SCREEN	$62.90	$63.00	—	—	—
Mumps immunity blood test CPT 86735 MUMPS VIRUS IGG AB	$118.90	$119.00	—	82% above	—
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS IGG AB	$118.90	$119.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$125.90	$126.00	—	54% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$125.90	$126.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL REFLEX TO PSA FREE	$112.90	$113.00	—	19% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (GN#)	$112.90	$113.00	—	19% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL REFLEX TO PSA FREE	$112.90	$113.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (GN#)	$112.90	$113.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH W/CALCIUM	$163.90	$164.00	—	10% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (L#&)	$163.90	$164.00	—	10% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT (L#&)	$163.90	$164.00	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH W/CALCIUM	$163.90	$164.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$86.90	$87.00	—	74% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$86.90	$87.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS (GR#)	$45.90	$46.00	—	32% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS (GR#)	$45.90	$46.00	—	—	—
Potassium blood test CPT 84132 POTASSIUM RP500	$46.90	$47.00	—	31% above	—
Potassium blood test CPT 84132 POTASSIUM (GN#)	$46.90	$47.00	—	31% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM RP500	$46.90	$47.00	—	—	—
Potassium blood test inpatient CPT 84132 POTASSIUM (GN#)	$46.90	$47.00	—	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$148.90	$149.00	—	55% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$148.90	$149.00	—	—	—
Prolactin blood test CPT 84146 MACROPROLACTIN	$165.90	$166.00	—	73% above	—
Prolactin blood test CPT 84146 PROLACTIN	$165.90	$166.00	—	73% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$165.90	$166.00	—	—	—
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN	$165.90	$166.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME WITH INR	$55.90	$56.00	—	72% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 CL PT/INR	$55.90	$56.00	—	72% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 CLN PT/INR	$55.90	$56.00	—	72% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/INR FINGERSTICK	$55.90	$56.00	—	72% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CLN PT/INR	$55.90	$56.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME W/INR FINGERSTICK	$55.90	$56.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CL PT/INR	$55.90	$56.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME WITH INR	$55.90	$56.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL SCREEN	$20.90	$21.00	—	65% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CL LAB/DRUG SCREEN MULTI-CLASS OPTICAL	$29.90	$30.00	—	50% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CLN LAB/ DRUG SCREEN MULTI-CLASS OPTICAL	$29.90	$30.00	—	50% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FENTANYL SCREEN	$20.90	$21.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CLN LAB/ DRUG SCREEN MULTI-CLASS OPTICAL	$29.90	$30.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CL LAB/DRUG SCREEN MULTI-CLASS OPTICAL	$29.90	$30.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN RAPID	$49.90	$50.00	—	19% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CLN LAB/STREP SCREEN	$49.90	$50.00	—	19% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CL LAB/STREP SCREEN	$49.90	$50.00	—	19% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CLN LAB/STREP SCREEN	$49.90	$50.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A SCREEN RAPID	$49.90	$50.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CL LAB/STREP SCREEN	$49.90	$50.00	—	—	—
Renin blood test CPT 84244 RENIN ACTIVITY	$158.90	$159.00	—	39% above	—
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$158.90	$159.00	—	—	—
Rh blood typing CPT 86901 RH TYPE	$56.90	$57.00	—	24% above	—
Rh blood typing inpatient CPT 86901 RH TYPE	$56.90	$57.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB	$84.90	$85.00	—	43% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGG AB	$84.90	$85.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHROCYTE SEDIMENTATION RATE	$47.90	$48.00	—	138% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHROCYTE SEDIMENTATION RATE	$47.90	$48.00	—	—	—
Sodium blood test CPT 84295 SODIUM (GN#)	$34.90	$35.00	—	7% above	—
Sodium blood test CPT 84295 SODIUM RP500	$34.90	$35.00	—	7% above	—
Sodium blood test inpatient CPT 84295 SODIUM RP500	$34.90	$35.00	—	—	—
Sodium blood test inpatient CPT 84295 SODIUM (GN#)	$34.90	$35.00	—	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE #3	$199.90	$200.00	—	305% above	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE #2	$199.90	$200.00	—	305% above	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE #1	$199.90	$200.00	—	305% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE #3	$199.90	$200.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE #1	$199.90	$200.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE #2	$199.90	$200.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 CLN HEMOCCCULT	$52.90	$53.00	—	112% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL 1 OF 3	$52.90	$53.00	—	112% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL 2 OF 3	$52.90	$53.00	—	112% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL 3 OF 3	$52.90	$53.00	—	112% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECAL [QUAL]	$52.90	$53.00	—	112% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL 2 OF 3	$52.90	$53.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL 3 OF 3	$52.90	$53.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL 1 OF 3	$52.90	$53.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CLN HEMOCCCULT	$52.90	$53.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECAL [QUAL]	$52.90	$53.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS	$91.90	$92.00	—	35% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG	$91.90	$92.00	—	35% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG	$91.90	$92.00	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS	$91.90	$92.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$58.90	$59.00	—	37% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$58.90	$59.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD	$247.90	$248.00	—	12% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON GOLD	$247.90	$248.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$151.90	$152.00	—	43% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$151.90	$152.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE	$118.90	$119.00	—	51% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME (LKM)	$118.90	$119.00	—	51% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME (LKM)	$118.90	$119.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE	$118.90	$119.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$108.90	$109.00	—	35% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX FREE T4 (GN#)	$125.90	$126.00	—	56% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$108.90	$109.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REFLEX FREE T4 (GN#)	$125.90	$126.00	—	—	—
Total IgE blood test CPT 82785 GAMMA GLOBULIN IGE	$97.90	$98.00	—	9% above	—
Total IgE blood test inpatient CPT 82785 GAMMA GLOBULIN IGE	$97.90	$98.00	—	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL (GN#)	$31.90	$32.00	—	at median	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL (GN#)	$31.90	$32.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$67.90	$68.00	—	79% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$67.90	$68.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (TOTAL T3)	$112.90	$113.00	—	30% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE (TOTAL T3)	$112.90	$113.00	—	—	—
Transferrin blood test CPT 84466 TRANSFERRIN	$89.90	$90.00	—	11% above	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$89.90	$90.00	—	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA URINE	$202.90	$203.00	—	62% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS RNA URINE	$202.90	$203.00	—	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDE (GN#)	$51.90	$52.00	—	40% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE (GN#)	$51.90	$52.00	—	—	—
Troponin test, quantitative CPT 84484 TROPONIN I HS (GN#)	$156.90	$157.00	—	57% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HS (GN#)	$156.90	$157.00	—	—	—
Uric acid blood test CPT 84550 URIC ACID BLOOD (GN#)	$49.90	$50.00	—	44% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD (GN#)	$49.90	$50.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 URINE DIP WITH MICROSCOPIC	$21.90	$22.00	—	4% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE DIP WITH MICROSCOPIC	$21.90	$22.00	—	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NON-AUTOMATED WITH MICROSCOPY	$23.90	$24.00	—	12% below	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NON-AUTOMATED WITH MICROSCOPY	$23.90	$24.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 UA DIP ONLY	$35.90	$36.00	—	176% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIP ONLY	$35.90	$36.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 CL LAB/UA DIPSTICK	$17.90	$18.00	—	6% above	1%
Urinalysis without microscope exam, manual CPT 81002 CLN LAB/UA DIPSTICK	$17.90	$18.00	—	6% above	1%
Urinalysis without microscope exam, manual inpatient CPT 81002 CL LAB/UA DIPSTICK	$17.90	$18.00	—	—	1%
Urinalysis without microscope exam, manual inpatient CPT 81002 CLN LAB/UA DIPSTICK	$17.90	$18.00	—	—	1%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE NO ID	$96.90	$97.00	—	62% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE NO ID	$96.90	$97.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (U) DCA	$82.90	$83.00	—	99% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN (U) DCA	$82.90	$83.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 CL LAB/PREGNANCY URINE TEST	$34.90	$35.00	—	8% below	—
Urine pregnancy test, read by color change CPT 81025 HCG PREGNANCY TEST [QUAL UR]	$34.90	$35.00	—	8% below	—
Urine pregnancy test, read by color change CPT 81025 CLN LAB/PREGNANCY URINE TEST	$34.90	$35.00	—	8% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 CL LAB/PREGNANCY URINE TEST	$34.90	$35.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCG PREGNANCY TEST [QUAL UR]	$34.90	$35.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 CLN LAB/PREGNANCY URINE TEST	$34.90	$35.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 (GN@) LEVEL	$120.90	$121.00	—	46% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 (GN@) LEVEL	$120.90	$121.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH (GN)	$126.90	$127.00	—	4% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXYVITAMIN D2 AND D3	$126.90	$127.00	—	4% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL	$172.90	$173.00	—	42% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH (GN)	$126.90	$127.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXYVITAMIN D2 AND D3	$126.90	$127.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL	$172.90	$173.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIHYDROXY	$178.90	$179.00	—	8% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25 DIHYDROXY	$178.90	$179.00	—	—	—
Zinc blood test CPT 84630 ZINC LEVEL SERUM OR RBC	$64.90	$65.00	—	2% below	—
Zinc blood test inpatient CPT 84630 ZINC LEVEL SERUM OR RBC	$64.90	$65.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT (GN#)	$157.90	$158.00	—	78% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT (GN#)	$157.90	$158.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR/BENIGN LES 1ST	$164.90	$165.00	—	44% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR/BENIGN LES 1ST	$164.90	$165.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL CERUMEN IRRIGATION- LAVAGE	$63.90	$64.00	—	43% below	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL CERUMEN IRRIGATION- LAVAGE	$63.90	$64.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 FB REMOVAL/CERUMEN INSTRUMENT	$94.90	$95.00	—	8% below	—
Earwax removal with instruments, one ear inpatient CPT 69210 FB REMOVAL/CERUMEN INSTRUMENT	$94.90	$95.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY/ ENDOMETRIAL	$309.90	$310.00	—	11% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY/ ENDOMETRIAL	$309.90	$310.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION	$209.90	$210.00	—	30% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION	$209.90	$210.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS- SIMPLE/SINGLE	$273.90	$274.00	—	4% below	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS- SIMPLE/SINGLE	$273.90	$274.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION/TENDON SHEATH	$199.90	$200.00	—	19% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION/TENDON SHEATH	$199.90	$200.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/ASP/INJ MAJOR JT	$231.90	$232.00	—	24% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO/ASP/INJ MAJOR JT	$231.90	$232.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$201.90	$202.00	—	7% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE	$201.90	$202.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/ASP/INJ INTRM JT	$159.90	$160.00	—	39% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/ASP/INJ INTRM JT	$159.90	$160.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHCENT/ASP/INJ SMALL JT	$199.90	$200.00	—	33% below	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHCENT/ASP/INJ SMALL JT	$199.90	$200.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC/BEN LES/TAL <.5CM	$294.90	$295.00	—	12% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC/BEN LES/TAL <.5CM	$294.90	$295.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC/BEN LES/FEENL <.5CM	$342.90	$343.00	—	at median	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC/BEN LES/FEENL <.5CM	$342.90	$343.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION SINGLE	$215.90	$216.00	—	5% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION SINGLE	$215.90	$216.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL/SUBQ SIMPL	$281.90	$282.00	—	18% below	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB REMOVAL/SUBQ SIMPL	$281.90	$282.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 CAST- SHORT ARM	$177.90	$178.00	—	19% below	—
Short arm cast (elbow to hand) inpatient CPT 29075 CAST- SHORT ARM	$177.90	$178.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT APP	$149.90	$150.00	—	25% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT APP	$149.90	$150.00	—	—	—
Short leg cast (below the knee) CPT 29405 CAST- SHORT LEG	$159.90	$160.00	—	33% below	—
Short leg cast (below the knee) inpatient CPT 29405 CAST- SHORT LEG	$159.90	$160.00	—	—	—
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT APP	$166.90	$167.00	—	24% below	—
Short leg splint (calf to foot) CPT 29515 SPLINT/ SHORT LEG APP	$166.90	$167.00	—	24% below	—
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT/ SHORT LEG APP	$166.90	$167.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT APP	$166.90	$167.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR/SMP SNAGTE <=2.5CM	$224.90	$225.00	—	12% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR/SMP SNAGTE <=2.5CM	$224.90	$225.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN PUNCH- X1 LESION	$225.90	$226.00	—	1% below	—
Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY SKIN PUNCH- X1 LESION	$225.90	$226.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 SKIN TAGS RMVL UP TO 15	$193.90	$194.00	—	14% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAGS RMVL UP TO 15	$193.90	$194.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR/SMP SNAGTE 2.6-7.5	$249.90	$250.00	—	16% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR/SMP SNAGTE 2.6-7.5	$249.90	$250.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR/SMP FEENL <=2.5CM	$256.90	$257.00	—	10% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR/SMP FEENL <=2.5CM	$256.90	$257.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION/TRIGGER PTS 1-2	$169.90	$170.00	—	5% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION/TRIGGER PTS 1-2	$169.90	$170.00	—	—	—
Wart removal, up to 14 warts CPT 17110 WARTS/DESTR UP TO 14	$221.90	$222.00	—	2% above	—
Wart removal, up to 14 warts inpatient CPT 17110 WARTS/DESTR UP TO 14	$221.90	$222.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE	$215.90	$216.00	—	35% below	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TISSUE	$215.90	$216.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 4+ HOURS	$854.90	$855.00	—	13% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 0-4 HOUR	$854.90	$855.00	—	13% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 0-4 HOUR	$854.90	$855.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 4+ HOURS	$854.90	$855.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX	$64.90	$65.00	—	69% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$131.90	$132.00	—	37% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX	$64.90	$65.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$131.90	$132.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$1,007.90	$1,008.00	—	57% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; <74MIN	$1,011.90	$1,012.00	—	56% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$1,007.90	$1,008.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE; <74MIN	$1,011.90	$1,012.00	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INT & REPORT	$89.90	$90.00	—	31% below	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INT & REPORT	$89.90	$90.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$48.90	$49.00	—	70% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ACUTE EKG TRACING ONLY	$97.90	$98.00	—	41% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 OP EKG TRACING ONLY	$97.90	$98.00	—	41% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$48.90	$49.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ACUTE EKG TRACING ONLY	$97.90	$98.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 OP EKG TRACING ONLY	$97.90	$98.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY SERVICES 1	$202.90	$203.00	—	9% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY SERVICES 1	$202.90	$203.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY SERVICES 2	$329.90	$330.00	—	24% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY SERVICES 2	$329.90	$330.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY SERVICES 3	$574.90	$575.00	—	24% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY SERVICES 3	$574.90	$575.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY SERVICES 4	$924.90	$925.00	—	28% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY SERVICES 4	$924.90	$925.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY SERVICES 5	$1,329.90	$1,330.00	—	27% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY SERVICES 5	$1,329.90	$1,330.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 US FAC STRESS TRACE ONLY,Technical component	$605.90	$606.00	—	27% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 US FAC STRESS TRACE ONLY,Technical component	$605.90	$606.00	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 PSYCH THERAPY FAMILY W/ PT 50MIN	$175.90	$176.00	—	9% below	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCH THERAPY FAMILY W/ PT 50MIN	$175.90	$176.00	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 PSYCH THERAPY FAMILY W/O PT 50MIN	$169.90	$170.00	—	8% below	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THERAPY FAMILY W/O PT 50MIN	$169.90	$170.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR	$249.90	$250.00	—	25% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HR	$249.90	$250.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUS INITIAL 1ST HR	$349.90	$350.00	—	27% below	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR	$349.90	$350.00	—	27% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR	$349.90	$350.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS INITIAL 1ST HR	$349.90	$350.00	—	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$157.90	$158.00	—	32% below	—
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL OR SINGLE	$157.90	$158.00	—	32% below	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL OR SINGLE	$157.90	$158.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$157.90	$158.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ, IM	$47.90	$48.00	—	58% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUT IM/SQ	$47.90	$48.00	—	58% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION/THERAPEUT IM/SQ	$47.90	$48.00	—	58% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ, IM	$47.90	$48.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION/THERAPEUT IM/SQ	$47.90	$48.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUT IM/SQ	$47.90	$48.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$229.90	$230.00	—	2% below	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$229.90	$230.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3	$228.90	$229.00	—	62% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3	$228.90	$229.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4	$330.90	$331.00	—	68% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4	$330.90	$331.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5	$432.90	$433.00	—	49% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5	$432.90	$433.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2	$159.90	$160.00	—	69% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2	$159.90	$160.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIET CONSULT INITIAL 15 M	$44.90	$45.00	—	18% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIET CONSULT INITIAL 15 M	$44.90	$45.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PT PREVENT CARE 18-39	$257.90	$258.00	—	at median	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 NEW PT PREVENT CARE 18-39	$257.90	$258.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PT PREVENT CARE 40-64	$290.90	$291.00	—	15% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NEW PT PREVENT CARE 40-64	$290.90	$291.00	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PT PREVENT CARE >65	$316.90	$317.00	—	18% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NEW PT PREVENT CARE >65	$316.90	$317.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTAB PT PREV CARE 18-39	$231.90	$232.00	—	23% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 ESTAB PT PREV CARE 18-39	$231.90	$232.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTAB PT PREV CARE 40-64	$246.90	$247.00	—	18% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 ESTAB PT PREV CARE 40-64	$246.90	$247.00	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 ESTAB PT PREV CARE >65	$267.90	$268.00	—	17% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 ESTAB PT PREV CARE >65	$267.90	$268.00	—	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH THERAPY CRISIS INITIAL 60MIN	$226.90	$227.00	—	4% below	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH THERAPY CRISIS INITIAL 60MIN	$226.90	$227.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY PT 30MIN	$132.90	$133.00	—	9% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY PT 30MIN	$132.90	$133.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY PT 45MIN	$172.90	$173.00	—	12% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY PT 45MIN	$172.90	$173.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY PT 60MIN	$195.90	$196.00	—	11% below	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY PT 60MIN	$195.90	$196.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT LEVEL 5	$298.90	$299.00	—	16% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT LEVEL 5	$298.90	$299.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT LEVEL 3	$154.90	$155.00	—	at median	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT LEVEL 3	$154.90	$155.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT LEVEL 4	$219.90	$220.00	—	30% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT LEVEL 4	$219.90	$220.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM/LEVEL 2	$114.90	$115.00	—	26% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT LEVEL 2	$114.90	$115.00	—	26% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT LEVEL 2	$114.90	$115.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TREATMENT ROOM/LEVEL 2	$114.90	$115.00	—	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY W/PRINTOUT PFT	$71.90	$72.00	—	71% below	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/PRINTOUT PFT	$71.90	$72.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$178.90	$179.00	—	20% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$178.90	$179.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Idaho	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 IMMZ/ VARICELLA	$190.90	$191.00	—	22% below	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 IMMZ/ VARICELLA	$190.90	$191.00	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 IMMZ/ DTAP <7YR	$80.90	$81.00	—	89% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP [CHILDREN AGES 6WKS6YRS](DAPTACEL)	$80.90	$81.00	—	89% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP [CHILDREN AGES 6WKS6YRS](DAPTACEL)	$80.90	$81.00	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 IMMZ/ DTAP <7YR	$80.90	$81.00	—	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 IMMZ/ PEDIARIX	$156.90	$157.00	—	9% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 IMMZ/ PEDIARIX	$156.90	$157.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CLN-FLULAVAL VAC(INFLUENZA) 2025-2026	$34.90	$35.00	—	3% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CLN-FLULAVAL VAC(INFLUENZA) 2025-2026	$34.90	$35.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 INJ(GARDASIL 9 INJ)	$204.90	$205.00	—	48% below	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 IMMZ/ GARDASIL 9YR+	$234.90	$235.00	—	40% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 INJ(GARDASIL 9 INJ)	$204.90	$205.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 IMMZ/ GARDASIL 9YR+	$234.90	$235.00	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 IMMZ/ HEP A ADULT DOSE	$143.90	$144.00	—	32% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A 1440 ELU/ML ADULTINJ(HAVRIX)	$154.08	$154.18	—	42% above	—
Hepatitis A vaccine, adult dose CPT 90632 CLN-HEPATITIS A 1440ELU/ML ADULT(HAVRIX)	$154.08	$154.18	—	42% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 IMMZ/ HEP A ADULT DOSE	$143.90	$144.00	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A 1440 ELU/ML ADULTINJ(HAVRIX)	$154.08	$154.18	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 CLN-HEPATITIS A 1440ELU/ML ADULT(HAVRIX)	$154.08	$154.18	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 CLN-HEPATITIS A 720ELU/0.5ML (HAVRIX PED	$75.21	$75.31	—	21% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A 720 EL/0.5ML INJ(HAVRIX PED)	$75.21	$75.31	—	21% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 IMMZ/ HEP A PEDS- 2DOSE	$108.90	$109.00	—	76% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A 720 EL/0.5ML INJ(HAVRIX PED)	$75.21	$75.31	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 CLN-HEPATITIS A 720ELU/0.5ML (HAVRIX PED	$75.21	$75.31	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 IMMZ/ HEP A PEDS- 2DOSE	$108.90	$109.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 IMMZ/ HEP B-ADULT DOSE	$95.90	$96.00	—	7% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 IMMZ/ HEP B-ADULT DOSE	$95.90	$96.00	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 IMMZ/ HEP B	$32.90	$33.00	—	39% below	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 IMMZ/ HEP B	$32.90	$33.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 IMMZ/ PEDVAXHIB- 3DOSE	$81.90	$82.00	—	65% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 CLN-PEDIARIX INJ(CLN-PEDIARIX INJ)	$135.90	$136.00	—	174% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 IMMZ/ PEDVAXHIB- 3DOSE	$81.90	$82.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 CLN-PEDIARIX INJ(CLN-PEDIARIX INJ)	$135.90	$136.00	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 IMMZ/ ACTHIB- 4DOSE	$80.90	$81.00	—	211% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 IMMZ/ ACTHIB- 4DOSE	$80.90	$81.00	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA(MMR II W/DILUENT)	$136.40	$136.50	—	14% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 CLN-MEASLES MUMPS RUBELLA(MMR II/DILUENT	$136.40	$136.50	—	14% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 IMMZ/ MMR	$172.90	$173.00	—	9% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 CLN-MEASLES MUMPS RUBELLA(MMR II/DILUENT	$136.40	$136.50	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA(MMR II W/DILUENT)	$136.40	$136.50	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 IMMZ/ MMR	$172.90	$173.00	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 CLN-MENACTRA INJ(CLN-MENACTRA INJ)	$208.90	$209.00	—	11% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 IMMZ/ MENACTRA	$240.90	$241.00	—	28% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 CLN-MENACTRA INJ(CLN-MENACTRA INJ)	$208.90	$209.00	—	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 IMMZ/ MENACTRA	$240.90	$241.00	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 IMMZ/ PCV13	$224.90	$225.00	—	22% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 CLN-Pneumococcal 13 Vaccine(Prevnar 13)	$399.90	$400.00	—	39% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 IMMZ/ PCV13	$224.90	$225.00	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 CLN-Pneumococcal 13 Vaccine(Prevnar 13)	$399.90	$400.00	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CLN-PREVNAR 20 INJ 0.5 ML INJ	$331.38	$331.48	—	16% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 CLN-PREVNAR 20 INJ 0.5 ML INJ	$331.38	$331.48	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 IMMZ/ PCV23	$126.90	$127.00	—	15% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL23 2YR+25MCG/0.5 ML(PNEU23)	$126.90	$127.00	—	15% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CLN-PNEUMOCOC 23 2YR+ 25MCG/0.5ML(PNEU23	$189.40	$189.50	—	27% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 IMMZ/ PCV23	$126.90	$127.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL23 2YR+25MCG/0.5 ML(PNEU23)	$126.90	$127.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 CLN-PNEUMOCOC 23 2YR+ 25MCG/0.5ML(PNEU23	$189.40	$189.50	—	—	—
Polio vaccine, inactivated (IPV) CPT 90713 CLN-IPOL INJ(CLN-IPOL INJ)	$72.90	$73.00	—	13% below	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 CLN-IPOL INJ(CLN-IPOL INJ)	$72.90	$73.00	—	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 IMMZ/ ROTATEQ	$167.90	$168.00	—	18% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 IMMZ/ ROTATEQ	$167.90	$168.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CLN-TET/DIPHT/TOX/ ADSORB 7&UP (TENIVAC)	$59.81	$59.91	—	23% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTH/TOX 52 LFU (TENIVAC)	$69.85	$69.95	—	10% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CLN-TETANUS/DIPHTH/TOX 52 LFU (TENIVAC)	$69.85	$69.95	—	10% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 CLN-TET/DIPHT/TOX/ ADSORB 7&UP (TENIVAC)	$59.81	$59.91	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 CLN-TETANUS/DIPHTH/TOX 52 LFU (TENIVAC)	$69.85	$69.95	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTH/TOX 52 LFU (TENIVAC)	$69.85	$69.95	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 IMMZ/ ADACEL TDAP	$113.90	$114.00	—	10% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CLN-TDAP IM SUSP 0.5 ML(ADACEL)	$113.90	$114.00	—	10% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP IM SUSP 0.5 ML(ADACEL)	$113.90	$114.00	—	10% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP IM SUSP 0.5 ML(ADACEL)	$113.90	$114.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 IMMZ/ ADACEL TDAP	$113.90	$114.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CLN-TDAP IM SUSP 0.5 ML(ADACEL)	$113.90	$114.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN/IMMZ 1ST INJ	$19.90	$20.00	—	63% below	1%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMZ ADMIN/1 VACC	$19.90	$20.00	—	63% below	1%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN/ IMMZ 1ST INJ	$19.90	$20.00	—	63% below	1%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN/IMMZ 1ST INJ	$19.90	$20.00	—	—	1%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN/ IMMZ 1ST INJ	$19.90	$20.00	—	—	1%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMZ ADMIN/1 VACC	$19.90	$20.00	—	—	1%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMZ ADMIN/EACH ADD VACC	$19.90	$20.00	—	40% below	1%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN/IMMZ EA ADD	$19.90	$20.00	—	40% below	1%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN/IMMZ EACH ADDITIONAL	$19.90	$20.00	—	40% below	1%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMZ ADMIN/EACH ADD VACC	$19.90	$20.00	—	—	1%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN/IMMZ EA ADD	$19.90	$20.00	—	—	1%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN/IMMZ EACH ADDITIONAL	$19.90	$20.00	—	—	1%

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

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

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

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

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

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

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

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

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

Source file: https://www.pchd.net/s/826000431_power-county-hospital-district_standardcharges-3.csv