Hospital

Hamilton Memorial Hospital

Listed in its price file as “Hamilton Memorial Hospital District”.

Hamilton Memorial Hospital in McLeansboror, IL publishes cash prices for 350 common procedures listed here, from its own machine-readable price file updated Jun 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 241 of 345 procedures and above it for 102. By typical cash price it ranks #35 of 117 Illinois hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

611 S Marshall Ave McLeansboror, IL 62859 Collected Nov 7, 2026 Source price file Check a bill from this hospital (618) 643-2361

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 141326 · CMS hospital register NPI 1447257258

Financial assistance

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

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

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WITH & WITHOUT IV CONTRAST	$2,403.14	$2,670.15	$787.00–$2,536.64	15% below	10%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WITH & WITHOUT IV CONTRAST	$2,136.12	$2,670.15	$1,869.11–$2,536.64	—	20%
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABDOMEN 2 VIEWS	$262.71	$291.90	$108.59–$277.31	21% below	10%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABDOMEN 2 VIEWS	$233.52	$291.90	$204.33–$277.31	—	20%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE 3+ VW	$177.66	$197.40	$73.43–$187.53	47% below	10%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE 3+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC ARTERIAL STUDY EXTREM BILATERAL LIMITED	$152.73	$169.70	$63.13–$161.22	—	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC ARTERIAL STUDY EXTREM BILATERAL LIMITED	$135.76	$169.70	$118.79–$161.22	—	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY NON CONTRAST	$846.40	$940.44	$349.84–$910.00	54% below	10%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY NON CONTRAST	$752.36	$940.44	$658.31–$893.42	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY ESOPHAGUS SNGL CONTRAST	$357.21	$396.90	$147.65–$377.06	41% below	10%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY ESOPHAGUS SNGL CONTRAST	$317.52	$396.90	$277.83–$377.06	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY	$1,013.04	$1,125.60	$418.72–$1,069.32	36% below	10%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY	$900.48	$1,125.60	$787.92–$1,069.32	—	20%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNILATERAL COMPLETE	$443.21	$492.45	$183.19–$467.83	14% below	10%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNILATERAL COMPLETE	$393.96	$492.45	$344.72–$467.83	—	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILATERAL LIMITED	$443.21	$492.45	$183.19–$467.83	1% above	10%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILATERAL LIMITED	$393.96	$492.45	$344.72–$467.83	—	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABDOMEN PELVIS W WO CON	$1,435.05	$1,594.49	$593.15–$1,514.77	61% below	10%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABDOMEN PELVIS W WO CON	$1,275.60	$1,594.49	$1,116.14–$1,514.77	—	20%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD WITH AND WITHOUT CONTRAST	$1,172.34	$1,302.60	$484.57–$1,237.47	54% below	10%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD WITH AND WITHOUT CONTRAST	$1,042.08	$1,302.60	$911.82–$1,237.47	—	20%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK	$1,708.61	$1,898.45	$706.22–$1,803.53	33% below	10%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK	$1,518.76	$1,898.45	$1,328.92–$1,803.53	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W CONTRAST	$1,345.50	$1,495.00	$556.14–$1,420.25	54% below	10%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W CONTRAST	$1,196.00	$1,495.00	$1,046.50–$1,420.25	—	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT SCREEN CARDIAC SCORING	$58.50	$65.00	$24.18–$910.00	74% below	10%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT SCREEN CARDIAC SCORING	$52.00	$65.00	$45.50–$61.75	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN PELVIS WO CONTRAST	$2,584.58	$2,871.75	$787.00–$2,728.16	26% below	10%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN PELVIS WO CONTRAST	$2,297.40	$2,871.75	$2,010.23–$2,728.16	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST	$3,295.22	$3,661.35	$787.00–$3,478.28	26% below	10%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST	$2,929.08	$3,661.35	$2,562.95–$3,478.28	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN PELVIS WWO CONTRAST	$3,661.88	$4,068.75	$787.00–$3,865.31	26% below	10%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN PELVIS WWO CONTRAST	$3,255.00	$4,068.75	$2,848.13–$3,865.31	—	20%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH IV CONTRAST	$2,174.45	$2,416.05	$787.00–$2,295.25	5% below	10%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN WITH IV CONTRAST	$1,932.84	$2,416.05	$1,691.24–$2,295.25	—	20%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN NON IV CONTRAST	$1,730.30	$1,922.55	$715.19–$1,826.42	7% below	10%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN NON IV CONTRAST	$1,538.04	$1,922.55	$1,345.79–$1,826.42	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUS FACIAL BONES NON CONTRAST	$1,494.05	$1,660.05	$617.54–$1,577.05	12% below	10%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUS FACIAL BONES NON CONTRAST	$1,328.04	$1,660.05	$1,162.04–$1,577.05	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD NON CONTRAST	$1,494.05	$1,660.05	$617.54–$1,577.05	18% below	10%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD NON CONTRAST	$1,328.04	$1,660.05	$1,162.04–$1,577.05	—	20%
CT scan of the head with contrast CPT 70460 HC CT HEAD WITH CONTRAST	$1,935.36	$2,150.40	$787.00–$2,042.88	1% above	10%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD WITH CONTRAST	$1,720.32	$2,150.40	$1,505.28–$2,042.88	—	20%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD WITH & WITHOUT CONTRAST	$2,165.94	$2,406.60	$787.00–$2,286.27	11% below	10%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD WITH & WITHOUT CONTRAST	$1,925.28	$2,406.60	$1,684.62–$2,286.27	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE NON CONTRAST	$1,778.49	$1,976.10	$735.11–$1,877.30	18% below	10%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE NON CONTRAST	$1,580.88	$1,976.10	$1,383.27–$1,877.30	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE NON CONTRAST	$1,666.98	$1,852.20	$689.02–$1,759.59	27% below	10%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE NON CONTRAST	$1,481.76	$1,852.20	$1,296.54–$1,759.59	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH IV CONTRAST	$1,945.76	$2,161.95	$787.00–$2,053.85	10% below	10%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH IV CONTRAST	$1,729.56	$2,161.95	$1,513.37–$2,053.85	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX CAROTID BILAT	$778.10	$864.55	$321.61–$821.32	—	10%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX CAROTID BILAT	$691.64	$864.55	$605.19–$821.32	—	20%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST WITH & WITHOUT CONTRAST	$2,165.94	$2,406.60	$787.00–$2,286.27	23% below	10%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST WITH & WITHOUT CONTRAST	$1,925.28	$2,406.60	$1,684.62–$2,286.27	—	20%
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS	$232.47	$258.30	$96.09–$245.39	23% below	10%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS	$206.64	$258.30	$180.81–$245.39	—	20%
Chest X-ray, single view CPT 71045 HC XRAY CHEST 1 VIEW	$184.28	$204.75	$76.17–$194.51	29% below	10%
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST 1 VIEW	$163.80	$204.75	$143.33–$194.51	—	20%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XRAY CLAVICLE COMPLETE	$177.66	$197.40	$73.43–$187.53	37% below	10%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XRAY CLAVICLE COMPLETE	$157.92	$197.40	$138.18–$187.53	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$443.21	$492.45	$183.19–$467.83	45% below	10%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$393.96	$492.45	$344.72–$467.83	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY AXIAL SKELETON	$422.42	$469.35	$174.60–$445.88	10% below	10%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY AXIAL SKELETON	$375.48	$469.35	$328.55–$445.88	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST NON CONTRAST	$1,494.05	$1,660.05	$617.54–$1,577.05	18% below	10%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST NON CONTRAST	$1,328.04	$1,660.05	$1,162.04–$1,577.05	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST WITH CONTRAST	$1,935.36	$2,150.40	$787.00–$2,042.88	19% below	10%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST WITH CONTRAST	$1,720.32	$2,150.40	$1,505.28–$2,042.88	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMM DX BILATERAL INCLUDES CAD/AI	$245.70	$273.00	$101.56–$259.35	—	10%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMM DX BILATERAL INCLUDES CAD/AI	$218.40	$273.00	$191.10–$259.35	—	20%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMM DX UNILATERAL INCLUDES CAD/AI	$220.19	$244.65	$91.01–$232.42	28% below	10%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMM DX UNILATERAL INCLUDES CAD/AI	$195.72	$244.65	$171.26–$232.42	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERY OR BYPASS LE BILAT	$889.25	$988.05	$367.55–$938.65	—	10%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERY OR BYPASS LE BILAT	$790.44	$988.05	$691.64–$938.65	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VEIN EXTREM BILAT	$856.68	$951.86	$354.09–$904.27	—	10%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VEIN EXTREM BILAT	$761.49	$951.86	$666.30–$904.27	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE 2D CMPLT WO CON W DOPPLER AND COLOR	$1,084.86	$1,205.40	$448.41–$1,145.13	48% below	10%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE 2D CMPLT WO CON W DOPPLER AND COLOR	$964.32	$1,205.40	$843.78–$1,145.13	—	20%
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VW	$177.66	$197.40	$73.43–$187.53	38% below	10%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VW	$157.92	$197.40	$138.18–$187.53	—	20%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW 3+ VW	$195.62	$217.35	$80.85–$206.48	42% below	10%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW 3+ VW	$173.88	$217.35	$152.15–$206.48	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT POST FOSSA EAR NON CONTRAST	$1,666.98	$1,852.20	$689.02–$1,759.59	at median	10%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT POST FOSSA EAR NON CONTRAST	$1,481.76	$1,852.20	$1,296.54–$1,759.59	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES 3+ VW	$254.21	$282.45	$105.07–$268.33	38% below	10%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES 3+ VW	$225.96	$282.45	$197.72–$268.33	—	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VW	$177.66	$197.40	$73.43–$187.53	44% below	10%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM SINGLE VIEW REDUCED SERVICE	$177.66	$197.40	$73.43–$187.53	44% below	10%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM SINGLE VIEW REDUCED SERVICE	$157.92	$197.40	$138.18–$187.53	—	20%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VW	$157.92	$197.40	$138.18–$187.53	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING	$982.80	$1,092.00	$406.22–$1,037.40	32% below	10%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING	$873.60	$1,092.00	$764.40–$1,037.40	—	20%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VW	$171.00	$190.00	$70.68–$180.50	40% below	10%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VW	$152.00	$190.00	$133.00–$180.50	—	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS 2+ VW	$177.66	$197.40	$73.43–$187.53	31% below	10%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS 2+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMN W/CPAP >=6YRS	$3,988.85	$4,432.05	$1,648.72–$4,210.45	13% below	10%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMN W/CPAP >=6YRS	$3,545.64	$4,432.05	$3,102.44–$4,210.45	—	20%
Knee X-ray, 3 views CPT 73562 HC KNEE 3 VW	$261.00	$290.00	$107.88–$275.50	25% below	10%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VW	$232.00	$290.00	$203.00–$275.50	—	20%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4+ VW	$388.40	$431.55	$160.54–$409.97	12% below	10%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4+ VW	$345.24	$431.55	$302.09–$409.97	—	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY NON CONTRAST	$857.97	$953.30	$354.63–$910.00	52% below	10%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY NON CONTRAST	$762.64	$953.30	$667.31–$905.64	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$388.40	$431.55	$160.54–$409.97	44% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$345.24	$431.55	$302.09–$409.97	—	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US JOINT OR NONVASC EXT LIMITED	$443.21	$492.45	$183.19–$467.83	44% above	10%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US JOINT OR NONVASC EXT LIMITED	$393.96	$492.45	$344.72–$467.83	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST LOW DOSE FOR LUNG CA SCREEN	$157.50	$175.00	$65.10–$910.00	72% below	10%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT CHEST LOW DOSE FOR LUNG CA SCREEN	$140.00	$175.00	$122.50–$166.25	—	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA AND FIBULA 2 VW	$177.66	$197.40	$73.43–$187.53	45% below	10%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA AND FIBULA 2 VW	$157.92	$197.40	$138.18–$187.53	—	20%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA ANGIO HEAD NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	10% below	10%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA ANGIO HEAD NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT ANY JOINT NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	16% below	10%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXT ANY JOINT NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT ANY JNT W AND WO CONTRAST	$1,767.83	$1,964.25	$730.70–$1,866.04	49% below	10%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT ANY JNT W AND WO CONTRAST	$1,571.40	$1,964.25	$1,374.98–$1,866.04	—	20%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	14% below	10%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WITH & WITHOUT CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	36% below	10%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WITH & WITHOUT CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	15% below	10%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN LIMITED	$2,374.79	$2,638.65	$981.58–$2,506.72	15% below	10%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN LIMITED	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WITH & WITHOUT CONTRAST	$1,867.41	$2,074.90	$771.86–$1,971.16	54% below	10%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WITH & WITHOUT CONTRAST	$1,659.92	$2,074.90	$1,452.43–$1,971.16	—	20%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	18% below	10%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR WITH & WITHOUT CONTRAST	$1,866.92	$2,074.35	$771.66–$1,970.63	54% below	10%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR WITH & WITHOUT CONTRAST	$1,659.48	$2,074.35	$1,452.05–$1,970.63	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	17% below	10%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL WITH & WITHOUT CONTRAST	$2,546.12	$2,829.02	$1,052.40–$2,687.57	35% below	10%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL WITH & WITHOUT CONTRAST	$2,263.22	$2,829.02	$1,980.31–$2,687.57	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C SPINE LIMITED	$2,374.79	$2,638.65	$981.58–$2,506.72	19% below	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	19% below	10%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI C SPINE LIMITED	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WITH & WITHOUT CONTRAST	$3,200.44	$3,556.04	$1,180.00–$3,378.24	10% below	10%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WITH & WITHOUT CONTRAST	$2,844.84	$3,556.04	$2,489.23–$3,378.24	—	20%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS NON CONTRAST	$1,744.20	$1,938.00	$720.94–$1,841.10	33% below	10%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS NON CONTRAST LIMITED	$2,374.79	$2,638.65	$981.58–$2,506.72	9% below	10%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS NON CONTRAST	$1,550.40	$1,938.00	$1,356.60–$1,841.10	—	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS NON CONTRAST LIMITED	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT ANY JOINT NON CONTRAST	$2,374.79	$2,638.65	$981.58–$2,506.72	16% below	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXT ANY JOINT NON CONTRAST	$2,110.92	$2,638.65	$1,847.06–$2,506.72	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE MIN 4+ VW	$270.00	$300.00	$111.60–$285.00	50% below	10%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE MIN 4+ VW	$240.00	$300.00	$210.00–$285.00	—	20%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST	$1,706.67	$1,896.30	$705.42–$1,801.49	19% below	10%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK WITH CONTRAST	$1,517.04	$1,896.30	$1,327.41–$1,801.49	—	20%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK NON CONTRAST	$1,262.52	$1,402.80	$521.84–$1,332.66	28% below	10%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK NON CONTRAST	$1,122.24	$1,402.80	$981.96–$1,332.66	—	20%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$203.18	$225.75	$83.98–$214.46	23% below	10%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$180.60	$225.75	$158.03–$214.46	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARD PERFUSION SPECT STRESS AND REST	$4,306.37	$4,784.85	$1,779.96–$4,545.61	7% above	10%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARD PERFUSION SPECT STRESS AND REST	$3,827.88	$4,784.85	$3,349.40–$4,545.61	—	20%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,499.72	$1,666.35	$619.88–$1,583.03	21% below	10%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,333.08	$1,666.35	$1,166.45–$1,583.03	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED	$261.00	$290.00	$107.88–$275.50	52% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED	$232.00	$290.00	$203.00–$275.50	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLETE	$443.21	$492.45	$183.19–$467.83	44% below	10%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLETE	$393.96	$492.45	$344.72–$467.83	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14+ WKS SINGLE GEST	$661.50	$735.00	$273.42–$698.25	10% below	10%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 14+ WKS SINGLE GEST	$588.00	$735.00	$514.50–$698.25	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WKS SINGLE GEST	$261.00	$290.00	$107.88–$275.50	61% below	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 WKS SINGLE GEST	$232.00	$290.00	$203.00–$275.50	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED 1+ FETUSES	$573.62	$637.35	$237.09–$605.48	9% above	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED 1+ FETUSES	$509.88	$637.35	$446.15–$605.48	—	20%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VW	$216.41	$240.45	$89.45–$228.43	37% below	10%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VW	$192.36	$240.45	$168.32–$228.43	—	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL W PA CHEST	$342.09	$380.10	$141.40–$361.10	26% below	10%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL W PA CHEST	$304.08	$380.10	$266.07–$361.10	—	20%
Screening mammogram, both breasts both sides CPT 77067 HC MAMM SCREEN BILAT INCLUDES CAD/AI	$220.19	$244.65	$91.01–$232.42	—	10%
Screening mammogram, both breasts one side CPT 77067 HC MAMM SCREEN UNILAT INCLUDES CAD/AI	$129.47	$143.85	$53.51–$136.66	53% below	10%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMM SCREEN BILAT INCLUDES CAD/AI	$195.72	$244.65	$171.26–$232.42	—	20%
Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMM SCREEN UNILAT INCLUDES CAD/AI	$115.08	$143.85	$100.70–$136.66	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER 2+ VW	$339.26	$376.95	$140.23–$358.10	5% below	10%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER 2+ VW	$301.56	$376.95	$263.87–$358.10	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES 3+ VW	$254.21	$282.45	$105.07–$268.33	31% below	10%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES 3+ VW	$225.96	$282.45	$197.72–$268.33	—	20%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4 VW	$233.42	$259.35	$96.48–$246.38	25% below	10%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4 VW	$207.48	$259.35	$181.55–$246.38	—	20%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMN 4 OR MORE >=6YRS	$3,723.30	$4,137.00	$1,538.96–$3,930.15	3% below	10%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMN 4 OR MORE >=6YRS	$3,309.60	$4,137.00	$2,895.90–$3,930.15	—	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XRAY FEMUR MINIMUM 2 VIEWS	$195.62	$217.35	$80.85–$206.48	31% below	10%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XRAY FEMUR MINIMUM 2 VIEWS	$173.88	$217.35	$152.15–$206.48	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE NON CONTRAST	$1,723.68	$1,915.20	$712.45–$1,819.44	20% below	10%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE NON CONTRAST	$1,532.16	$1,915.20	$1,340.64–$1,819.44	—	20%
Toe X-ray, 2 or more views CPT 73660 HC TOES 2+ VW	$177.66	$197.40	$73.43–$187.53	24% below	10%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOES 2+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$443.21	$492.45	$183.19–$467.83	32% below	10%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$393.96	$492.45	$344.72–$467.83	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL	$501.13	$556.81	$207.13–$528.97	5% below	10%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL	$445.45	$556.81	$389.77–$528.97	—	20%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$641.66	$712.95	$265.22–$677.30	37% below	10%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$570.36	$712.95	$499.07–$677.30	—	20%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS	$443.21	$492.45	$183.19–$467.83	40% below	10%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS	$393.96	$492.45	$344.72–$467.83	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD NECK TISSUES REAL TIME	$443.21	$492.45	$183.19–$467.83	35% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD NECK TISSUES REAL TIME	$393.96	$492.45	$344.72–$467.83	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI SINGLE CONTRAST	$612.36	$680.40	$253.11–$646.38	13% below	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY UPPER GI SINGLE CONTRAST	$544.32	$680.40	$476.28–$646.38	—	20%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2+ VW	$177.66	$197.40	$73.43–$187.53	40% below	10%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 2+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VEIN EXTREM UNILAT	$213.59	$237.32	$88.28–$225.45	68% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VEIN EXTREM UNILAT	$189.86	$237.32	$166.12–$225.45	—	20%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VW	$177.66	$197.40	$73.43–$187.53	33% below	10%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VW	$157.92	$197.40	$138.18–$187.53	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST 3+ VW	$290.12	$322.35	$119.91–$306.23	11% below	10%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST 3+ VW	$257.88	$322.35	$225.65–$306.23	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XRAY HIP UNILAT 2-3 VIEWS	$200.34	$222.60	$82.81–$211.47	34% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XRAY HIP UNILAT 2-3 VIEWS	$178.08	$222.60	$155.82–$211.47	—	20%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1 VIEW	$205.07	$227.85	$84.76–$216.46	23% below	10%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1 VIEW	$182.28	$227.85	$159.50–$216.46	—	20%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VW	$171.00	$190.00	$70.68–$180.50	38% below	10%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VW	$152.00	$190.00	$133.00–$180.50	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY FINGER(S) SINGLE VW	$177.66	$197.40	$73.43–$187.53	34% below	10%
X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY FINGER(S) MIN 2 VW	$177.66	$197.40	$73.43–$187.53	34% below	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY FINGER(S) MIN 2 VW	$157.92	$197.40	$138.18–$187.53	—	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY FINGER(S) SINGLE VW	$157.92	$197.40	$138.18–$187.53	—	20%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VW	$171.00	$190.00	$70.68–$180.50	38% below	10%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VW	$152.00	$190.00	$133.00–$180.50	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT 3+ VW	$177.66	$197.40	$73.43–$187.53	49% below	10%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT 3+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
X-ray of the hand, 3 or more views CPT 73130 HC HAND 3+ VW	$177.66	$197.40	$73.43–$187.53	49% below	10%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND 3+ VW	$157.92	$197.40	$138.18–$187.53	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VW	$233.42	$259.35	$96.48–$246.38	19% below	10%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VW	$207.48	$259.35	$181.55–$246.38	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 OR 3 VW	$275.94	$306.60	$114.06–$291.27	38% below	10%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 OR 3 VW	$245.28	$306.60	$214.62–$291.27	—	20%
X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE 4+ VW	$318.47	$353.85	$131.63–$336.16	43% below	10%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE 4+ VW	$283.08	$353.85	$247.70–$336.16	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VW	$233.42	$259.35	$96.48–$246.38	36% below	10%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VW	$207.48	$259.35	$181.55–$246.38	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES	$233.42	$259.35	$96.48–$246.38	22% below	10%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES	$207.48	$259.35	$181.55–$246.38	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 2 OR 3 VW	$254.21	$282.45	$105.07–$268.33	29% below	10%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 2 OR 3 VW	$225.96	$282.45	$197.72–$268.33	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VW	$182.39	$202.65	$75.39–$192.52	48% below	10%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VW	$162.12	$202.65	$141.86–$192.52	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX	$233.42	$259.35	$96.48–$246.38	32% below	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX	$207.48	$259.35	$181.55–$246.38	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 LCHG ACTH	$245.70	$273.00	$101.56–$259.35	23% above	10%
ACTH blood test inpatient CPT 82024 LCHG ACTH	$218.40	$273.00	$191.10–$259.35	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LCHG ALT	$39.69	$44.10	$16.41–$41.90	28% below	10%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LCHG ALT	$35.28	$44.10	$30.87–$41.90	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 LCHG AST BLOOD	$39.69	$44.10	$16.41–$41.90	28% below	10%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LCHG AST BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LCHG HEPATITIS SCREEN ACUTE	$262.71	$291.90	$108.59–$277.31	1% above	10%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LCHG HEPATITIS SCREEN ACUTE	$233.52	$291.90	$204.33–$277.31	—	20%
Albumin blood test CPT 82040 LCHG ALBUMIN BLOOD	$39.69	$44.10	$16.41–$41.90	8% below	10%
Albumin blood test inpatient CPT 82040 LCHG ALBUMIN BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Aldosterone blood test CPT 82088 LCHG ALDOSTERONE	$72.90	$81.00	$30.13–$76.95	56% below	10%
Aldosterone blood test CPT 82088 LCHG ALDOSTERONE URINE TIMED	$487.62	$541.80	$201.55–$514.71	196% above	10%
Aldosterone blood test inpatient CPT 82088 LCHG ALDOSTERONE	$64.80	$81.00	$56.70–$76.95	—	20%
Aldosterone blood test inpatient CPT 82088 LCHG ALDOSTERONE URINE TIMED	$433.44	$541.80	$379.26–$514.71	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 LCHG ALKALINE PHOSPHATASE BLOOD	$39.69	$44.10	$16.41–$41.90	28% below	10%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LCHG ALKALINE PHOSPHATASE BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 LCHG ALLERGEN PEANUT IGE	$32.13	$35.70	$13.28–$33.92	17% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LCHG ALLERGEN LATEX IGE	$32.13	$35.70	$13.28–$33.92	17% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LCHG ALLERGEN DERM FARINAE IGE	$34.02	$37.80	$14.06–$35.91	24% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LCHG ALLERGEN INDIVIDUAL	$34.02	$37.80	$14.06–$35.91	24% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 LCHG ALLERGEN SPEC IGE QUANT EACH	$43.47	$48.30	$17.97–$45.89	58% above	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LCHG ALLERGEN LATEX IGE	$28.56	$35.70	$24.99–$33.92	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LCHG ALLERGEN PEANUT IGE	$28.56	$35.70	$24.99–$33.92	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LCHG ALLERGEN DERM FARINAE IGE	$30.24	$37.80	$26.46–$35.91	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LCHG ALLERGEN INDIVIDUAL	$30.24	$37.80	$26.46–$35.91	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LCHG ALLERGEN SPEC IGE QUANT EACH	$38.64	$48.30	$33.81–$45.89	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 LCHG ALPHA FETOPROTEIN BLOOD TUMOR	$132.30	$147.00	$54.68–$139.65	14% above	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 LCHG ALPHA FETOPROTEIN BLOOD MATERNAL	$186.17	$206.85	$76.95–$196.51	60% above	10%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LCHG ALPHA FETOPROTEIN BLOOD TUMOR	$117.60	$147.00	$102.90–$139.65	—	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LCHG ALPHA FETOPROTEIN BLOOD MATERNAL	$165.48	$206.85	$144.80–$196.51	—	20%
Ammonia blood test CPT 82140 LCHG AMMONIA URINE TIMED	$137.03	$152.25	$56.64–$144.64	26% above	10%
Ammonia blood test CPT 82140 LCHG AMMONIA	$137.03	$152.25	$56.64–$144.64	26% above	10%
Ammonia blood test inpatient CPT 82140 LCHG AMMONIA URINE TIMED	$121.80	$152.25	$106.58–$144.64	—	20%
Ammonia blood test inpatient CPT 82140 LCHG AMMONIA	$121.80	$152.25	$106.58–$144.64	—	20%
Amylase blood test CPT 82150 LCHG AMYLASE URINE TIMED	$54.90	$61.00	$22.69–$57.95	32% below	10%
Amylase blood test CPT 82150 LCHG AMYLASE FLUID	$67.10	$74.55	$27.73–$70.82	17% below	10%
Amylase blood test CPT 82150 LCHG AMYLASE BLOOD	$77.49	$86.10	$32.03–$81.80	4% below	10%
Amylase blood test CPT 82150 LCHG AMYLASE ISOENZYMES	$82.80	$92.00	$34.22–$87.40	3% above	10%
Amylase blood test inpatient CPT 82150 LCHG AMYLASE URINE TIMED	$48.80	$61.00	$42.70–$57.95	—	20%
Amylase blood test inpatient CPT 82150 LCHG AMYLASE FLUID	$59.64	$74.55	$52.19–$70.82	—	20%
Amylase blood test inpatient CPT 82150 LCHG AMYLASE BLOOD	$68.88	$86.10	$60.27–$81.80	—	20%
Amylase blood test inpatient CPT 82150 LCHG AMYLASE ISOENZYMES	$73.60	$92.00	$64.40–$87.40	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LCHG CYCLIC CITRUL PEPTIDE AB IGG (CCP)	$64.26	$71.40	$26.56–$67.83	24% below	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LCHG CYCLIC CITRUL PEPTIDE AB IGG (CCP) I	$64.26	$71.40	$26.56–$67.83	24% below	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LCHG CYCLIC CITRUL PEPTIDE AB IGG (CCP)	$57.12	$71.40	$49.98–$67.83	—	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LCHG CYCLIC CITRUL PEPTIDE AB IGG (CCP) I	$57.12	$71.40	$49.98–$67.83	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LCHG ANA II	$111.51	$123.90	$46.09–$117.71	21% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LCHG ANA I	$111.51	$123.90	$46.09–$117.71	21% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LCHG ANA BLOOD SCREEN	$111.51	$123.90	$46.09–$117.71	21% above	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LCHG ANA I	$99.12	$123.90	$86.73–$117.71	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LCHG ANA BLOOD SCREEN	$99.12	$123.90	$86.73–$117.71	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LCHG ANA II	$99.12	$123.90	$86.73–$117.71	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LCHG B-TYPE NATRIURETIC PEPTIDE	$167.27	$185.85	$69.14–$176.56	11% below	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LCHG PRO BRAIN NATRIURETIC PEPTIDE	$309.96	$344.40	$128.12–$327.18	64% above	10%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LCHG B-TYPE NATRIURETIC PEPTIDE	$148.68	$185.85	$130.10–$176.56	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LCHG PRO BRAIN NATRIURETIC PEPTIDE	$275.52	$344.40	$241.08–$327.18	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE BORDETELLA PERTUSSIS I	$64.26	$71.40	$26.56–$67.83	28% below	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE ROUTINE	$74.70	$83.00	$30.88–$78.85	16% below	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE THROAT	$91.67	$101.85	$37.89–$96.76	3% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE GENITAL	$91.67	$101.85	$37.89–$96.76	3% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE SPUTUM	$91.67	$101.85	$37.89–$96.76	3% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE EAR	$130.50	$145.00	$53.94–$137.75	47% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE EYE	$144.59	$160.65	$59.76–$152.62	63% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE WOUND	$144.59	$160.65	$59.76–$152.62	63% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE FLUID	$144.59	$160.65	$59.76–$152.62	63% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LCHG CULTURE CSF	$225.86	$250.95	$93.35–$238.40	154% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE BORDETELLA PERTUSSIS I	$57.12	$71.40	$49.98–$67.83	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE ROUTINE	$66.40	$83.00	$58.10–$78.85	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE THROAT	$81.48	$101.85	$71.30–$96.76	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE SPUTUM	$81.48	$101.85	$71.30–$96.76	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE GENITAL	$81.48	$101.85	$71.30–$96.76	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE EAR	$116.00	$145.00	$101.50–$137.75	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE WOUND	$128.52	$160.65	$112.46–$152.62	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE FLUID	$128.52	$160.65	$112.46–$152.62	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE EYE	$128.52	$160.65	$112.46–$152.62	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LCHG CULTURE CSF	$200.76	$250.95	$175.67–$238.40	—	20%
Basic metabolic panel (blood test) CPT 80048 LCHG BASIC METABOLIC PANEL (CA TOTAL)	$226.80	$252.00	$93.74–$239.40	79% above	10%
Basic metabolic panel (blood test) inpatient CPT 80048 LCHG BASIC METABOLIC PANEL (CA TOTAL)	$201.60	$252.00	$176.40–$239.40	—	20%
Bilirubin blood test, total CPT 82247 LCHG BILIRUBIN TOTAL BLOOD	$39.69	$44.10	$16.41–$41.90	34% below	10%
Bilirubin blood test, total inpatient CPT 82247 LCHG BILIRUBIN TOTAL BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LCHG SP G+M LEVEL IV TC NL	$214.52	$238.35	$88.67–$226.43	12% below	10%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LCHG SP G+M LEVEL IV TC NL	$190.68	$238.35	$166.85–$226.43	—	20%
Blood culture for bacteria CPT 87040 LCHG CULTURE BLOOD	$144.59	$160.65	$59.76–$152.62	at median	10%
Blood culture for bacteria inpatient CPT 87040 LCHG CULTURE BLOOD	$128.52	$160.65	$112.46–$152.62	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LCHG BLOOD DRAW	$25.52	$28.35	$10.55–$26.93	9% above	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION BLOOD VENIPUNCTURE	$25.52	$28.35	$10.55–$26.93	9% above	10%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION BLOOD VENIPUNCTURE	$22.68	$28.35	$19.85–$26.93	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LCHG BLOOD DRAW	$22.68	$28.35	$19.85–$26.93	—	20%
Blood glucose (sugar) test CPT 82947 LCHG GLUCOSE	$39.69	$44.10	$16.41–$41.90	at median	10%
Blood glucose (sugar) test inpatient CPT 82947 LCHG GLUCOSE	$35.28	$44.10	$30.87–$41.90	—	20%
Blood lead test CPT 83655 LCHG LEAD BLOOD I	$39.69	$44.10	$16.41–$41.90	26% below	10%
Blood lead test CPT 83655 LCHG LEAD BLOOD	$39.69	$44.10	$16.41–$41.90	26% below	10%
Blood lead test CPT 83655 LCHG LEAD CAPILLARY POCT	$68.13	$75.69	$28.16–$71.91	26% above	10%
Blood lead test CPT 83655 LCHG LEAD CAPILLARY	$68.13	$75.69	$28.16–$71.91	26% above	10%
Blood lead test CPT 83655 LCHG LEAD URINE	$140.81	$156.45	$58.20–$148.63	161% above	10%
Blood lead test inpatient CPT 83655 LCHG LEAD BLOOD I	$35.28	$44.10	$30.87–$41.90	—	20%
Blood lead test inpatient CPT 83655 LCHG LEAD BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Blood lead test inpatient CPT 83655 LCHG LEAD CAPILLARY	$60.56	$75.69	$52.98–$71.91	—	20%
Blood lead test inpatient CPT 83655 LCHG LEAD CAPILLARY POCT	$60.56	$75.69	$52.98–$71.91	—	20%
Blood lead test inpatient CPT 83655 LCHG LEAD URINE	$125.16	$156.45	$109.52–$148.63	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LCHG HCG BLOOD QUALITATIVE	$81.27	$90.30	$33.59–$85.79	8% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LCHG HCG BLOOD QUALITATIVE	$72.24	$90.30	$63.21–$85.79	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LCHG BLOOD TYPE ONLY REF	$43.47	$48.30	$17.97–$45.89	48% below	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LCHG BLOOD TYPE ABO	$43.47	$48.30	$17.97–$45.89	48% below	10%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LCHG BLOOD TYPE ONLY REF	$38.64	$48.30	$33.81–$45.89	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LCHG BLOOD TYPE ABO	$38.64	$48.30	$33.81–$45.89	—	20%
Blood urea nitrogen (BUN) test CPT 84520 LCHG BUN	$39.69	$44.10	$16.41–$41.90	18% below	10%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LCHG BUN	$35.28	$44.10	$30.87–$41.90	—	20%
C-peptide blood test CPT 84681 LCHG C-PEPTIDE	$112.46	$124.95	$46.48–$118.70	9% above	10%
C-peptide blood test inpatient CPT 84681 LCHG C-PEPTIDE	$99.96	$124.95	$87.47–$118.70	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LCHG C-REACTIVE PROTEIN	$85.05	$94.50	$35.15–$89.78	23% above	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LCHG C-REACTIVE PROTEIN	$75.60	$94.50	$66.15–$89.78	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 LCHG CLOSTRIDIUM DIFF PCR	$96.39	$107.10	$39.84–$101.75	48% below	10%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LCHG CLOSTRIDIUM DIFF PCR	$85.68	$107.10	$74.97–$101.75	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 LCHG CA 19-9	$243.81	$270.90	$100.77–$257.36	117% above	10%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 LCHG CA 19-9	$216.72	$270.90	$189.63–$257.36	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 LCHG CA 125 BLOOD	$117.07	$130.07	$48.39–$123.57	27% below	10%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LCHG CA 125 BLOOD	$104.06	$130.07	$91.05–$123.57	—	20%
Calcium blood test, total CPT 82310 LCHG CALCIUM BLOOD	$39.69	$44.10	$16.41–$41.90	9% below	10%
Calcium blood test, total inpatient CPT 82310 LCHG CALCIUM BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 LCHG CEA BLOOD	$193.73	$215.25	$80.07–$204.49	35% above	10%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LCHG CEA BLOOD	$172.20	$215.25	$150.68–$204.49	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 LCHG VARICELLA ZOSTER ANTIBODY IGG	$64.26	$71.40	$26.56–$67.83	11% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 LCHG VARICELLA ZOSTER ANTIBODY IGM	$64.26	$71.40	$26.56–$67.83	11% below	10%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LCHG VARICELLA ZOSTER ANTIBODY IGM	$57.12	$71.40	$49.98–$67.83	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LCHG VARICELLA ZOSTER ANTIBODY IGG	$57.12	$71.40	$49.98–$67.83	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LCHG CHLAMYDIA DNA PROBE	$31.50	$35.00	$13.02–$33.25	74% below	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LCHG CHLAMYDIA TRACHOMATIS BY PCR	$78.95	$87.72	$32.63–$83.33	36% below	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LCHG CHLAMYDIA DNA PROBE	$28.00	$35.00	$24.50–$33.25	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LCHG CHLAMYDIA TRACHOMATIS BY PCR	$70.18	$87.72	$61.40–$83.33	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LCHG LIPID PROFILE	$120.96	$134.40	$50.00–$127.68	3% below	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LCHG LIPID PROFILE I	$120.96	$134.40	$50.00–$127.68	3% below	10%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LCHG LIPID PROFILE I	$107.52	$134.40	$94.08–$127.68	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LCHG LIPID PROFILE	$107.52	$134.40	$94.08–$127.68	—	20%
Complete blood count (CBC) with differential CPT 85025 LCHG CBC W AUTO DIFFERENTIAL I	$87.89	$97.65	$36.33–$92.77	10% above	10%
Complete blood count (CBC) with differential CPT 85025 LCHG CBC W AUTO DIFFERENTIAL	$87.89	$97.65	$36.33–$92.77	10% above	10%
Complete blood count (CBC) with differential inpatient CPT 85025 LCHG CBC W AUTO DIFFERENTIAL	$78.12	$97.65	$68.36–$92.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 LCHG CBC W AUTO DIFFERENTIAL I	$78.12	$97.65	$68.36–$92.77	—	20%
Complete blood count (CBC), no differential CPT 85027 LCHG CBC W/O AUTO DIFFERENTIAL	$67.10	$74.55	$27.73–$70.82	3% above	10%
Complete blood count (CBC), no differential inpatient CPT 85027 LCHG CBC W/O AUTO DIFFERENTIAL	$59.64	$74.55	$52.19–$70.82	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 LCHG COMPREHENSIVE METABOLIC PANEL	$326.03	$362.25	$134.76–$344.14	113% above	10%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LCHG COMPREHENSIVE METABOLIC PANEL	$289.80	$362.25	$253.58–$344.14	—	20%
Cortisol blood test, total CPT 82533 LCHG CORTISOL BLOOD	$126.00	$140.00	$52.08–$133.00	12% above	10%
Cortisol blood test, total CPT 82533 LCHG CORTISOL BLOOD PM	$202.23	$224.70	$83.59–$213.47	80% above	10%
Cortisol blood test, total CPT 82533 LCHG CORTISOL BLOOD AM	$216.41	$240.45	$89.45–$228.43	92% above	10%
Cortisol blood test, total CPT 82533 LCHG CORTISOL SALIVA	$216.41	$240.45	$89.45–$228.43	92% above	10%
Cortisol blood test, total inpatient CPT 82533 LCHG CORTISOL BLOOD	$112.00	$140.00	$98.00–$133.00	—	20%
Cortisol blood test, total inpatient CPT 82533 LCHG CORTISOL BLOOD PM	$179.76	$224.70	$157.29–$213.47	—	20%
Cortisol blood test, total inpatient CPT 82533 LCHG CORTISOL SALIVA	$192.36	$240.45	$168.32–$228.43	—	20%
Cortisol blood test, total inpatient CPT 82533 LCHG CORTISOL BLOOD AM	$192.36	$240.45	$168.32–$228.43	—	20%
Creatine kinase (CK) blood test, total CPT 82550 LCHG CK BLOOD	$70.88	$78.75	$29.30–$74.81	6% above	10%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LCHG CK BLOOD	$63.00	$78.75	$55.13–$74.81	—	20%
Creatinine blood test CPT 82565 LCHG CREATININE BLOOD	$39.69	$44.10	$16.41–$41.90	17% below	10%
Creatinine blood test inpatient CPT 82565 LCHG CREATININE BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Cytomegalovirus (CMV) antibody test CPT 86644 LCHG CMV ANTIBODY IGG BLOOD	$169.16	$187.95	$69.92–$178.55	93% above	10%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LCHG CMV ANTIBODY IGG BLOOD	$150.36	$187.95	$131.57–$178.55	—	20%
D-dimer blood test (blood clot marker) CPT 85379 LCHG D-DIMER QUANTITATIVE	$161.60	$179.55	$66.79–$170.57	36% above	10%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LCHG D-DIMER QUANTITATIVE	$143.64	$179.55	$125.69–$170.57	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 LCHG DHEA SULFATE	$281.61	$312.90	$116.40–$297.26	156% above	10%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LCHG DHEA SULFATE	$250.32	$312.90	$219.03–$297.26	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN COMPREHENSIVE 80307	$16.92	$18.80	$6.99–$17.86	83% below	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG SYNTHETIC CANNABINOID URINE SCRN W FLX II	$51.98	$57.75	$21.48–$54.86	48% below	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG NICOTINE URINE III	$62.10	$69.00	$25.67–$65.55	38% below	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN URINE DOT	$72.90	$81.00	$30.13–$76.95	27% below	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN HAIR	$108.68	$120.75	$44.92–$114.71	9% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG FENTANYL URINE SCN I	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG OXYCODONE URINE SCREEN II	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG BUPRENORPHINE URINE QUALITATIVE	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG ALCOHOL URINE SCREEN I	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN PAIN MGT 80307	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN COMPREHENSIVE 80307 II	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN PRESUMP ANYCLS EA OTHR III	$139.82	$155.35	$57.79–$147.58	40% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG URINE DRUG PANEL 9 - 794370	$195.30	$217.00	$80.72–$206.15	96% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG SALICYLATE LEVEL BLOOD IV	$195.30	$217.00	$80.72–$206.15	96% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG URINE DRUG PANEL - 790044	$195.30	$217.00	$80.72–$206.15	96% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG URINE DRUG PANEL 10 - 793488	$230.58	$256.20	$95.31–$243.39	131% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG ACETAMINOPHEN LEVEL IV	$239.40	$266.00	$98.95–$252.70	140% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG ALCOHOL ETHYL BLOOD V	$378.00	$420.00	$156.24–$399.00	279% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LCHG DRUG SCREEN SGLCLS A VI	$378.00	$420.00	$156.24–$399.00	279% above	10%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN COMPREHENSIVE 80307	$15.04	$18.80	$13.16–$17.86	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG SYNTHETIC CANNABINOID URINE SCRN W FLX II	$46.20	$57.75	$40.43–$54.86	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG NICOTINE URINE III	$55.20	$69.00	$48.30–$65.55	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN URINE DOT	$64.80	$81.00	$56.70–$76.95	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN HAIR	$96.60	$120.75	$84.53–$114.71	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG OXYCODONE URINE SCREEN II	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG FENTANYL URINE SCN I	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG BUPRENORPHINE URINE QUALITATIVE	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN PRESUMP ANYCLS EA OTHR III	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG ALCOHOL URINE SCREEN I	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN PAIN MGT 80307	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN COMPREHENSIVE 80307 II	$124.28	$155.35	$108.75–$147.58	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG URINE DRUG PANEL - 790044	$173.60	$217.00	$151.90–$206.15	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG URINE DRUG PANEL 9 - 794370	$173.60	$217.00	$151.90–$206.15	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG SALICYLATE LEVEL BLOOD IV	$173.60	$217.00	$151.90–$206.15	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG URINE DRUG PANEL 10 - 793488	$204.96	$256.20	$179.34–$243.39	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG ACETAMINOPHEN LEVEL IV	$212.80	$266.00	$186.20–$252.70	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG DRUG SCREEN SGLCLS A VI	$336.00	$420.00	$294.00–$399.00	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LCHG ALCOHOL ETHYL BLOOD V	$336.00	$420.00	$294.00–$399.00	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LCHG LYTES (NA K CL CO2) BLOOD	$151.20	$168.00	$62.50–$159.60	66% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LCHG LYTES (NA K CL CO2) BLOOD	$134.40	$168.00	$117.60–$159.60	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY IGG	$68.04	$75.60	$28.12–$71.82	37% below	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY VCA IGM	$68.04	$75.60	$28.12–$71.82	37% below	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY VCA	$91.80	$102.00	$37.94–$96.90	14% below	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY IGG	$60.48	$75.60	$52.92–$71.82	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY VCA IGM	$60.48	$75.60	$52.92–$71.82	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LCHG EPSTEIN-BARR VIRUS ANTIBODY VCA	$81.60	$102.00	$71.40–$96.90	—	20%
Estradiol blood test CPT 82670 LCHG ESTRADIOL	$62.87	$69.85	$25.98–$66.36	43% below	10%
Estradiol blood test CPT 82670 LCHG ESTRADIOL ULTRASENSITIVE	$157.17	$174.63	$64.96–$165.90	43% above	10%
Estradiol blood test inpatient CPT 82670 LCHG ESTRADIOL	$55.88	$69.85	$48.90–$66.36	—	20%
Estradiol blood test inpatient CPT 82670 LCHG ESTRADIOL ULTRASENSITIVE	$139.71	$174.63	$122.24–$165.90	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 LCHG FSH	$170.10	$189.00	$70.31–$179.55	42% above	10%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LCHG FSH	$151.20	$189.00	$132.30–$179.55	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 LCHG CALPROTECTIN	$586.85	$652.05	$242.56–$619.45	235% above	10%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LCHG CALPROTECTIN	$521.64	$652.05	$456.44–$619.45	—	20%
Ferritin blood test (iron stores) CPT 82728 LCHG FERRITIN	$147.42	$163.80	$60.93–$155.61	12% above	10%
Ferritin blood test (iron stores) inpatient CPT 82728 LCHG FERRITIN	$131.04	$163.80	$114.66–$155.61	—	20%
Fibrinogen blood test CPT 85384 LCHG FIBRINOGEN ACTIVITY	$81.00	$90.00	$33.48–$85.50	4% below	10%
Fibrinogen blood test inpatient CPT 85384 LCHG FIBRINOGEN ACTIVITY	$72.00	$90.00	$63.00–$85.50	—	20%
Folate (folic acid) blood test CPT 82746 LCHG FOLATE	$137.97	$153.30	$57.03–$145.64	21% above	10%
Folate (folic acid) blood test inpatient CPT 82746 LCHG FOLATE	$122.64	$153.30	$107.31–$145.64	—	20%
Free T3 thyroid hormone test CPT 84481 LCHG T3 FREE	$292.01	$324.45	$120.70–$308.23	140% above	10%
Free T3 thyroid hormone test inpatient CPT 84481 LCHG T3 FREE	$259.56	$324.45	$227.12–$308.23	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LCHG T4 FREE	$142.70	$158.55	$58.98–$150.62	23% above	10%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LCHG T4 FREE	$126.84	$158.55	$110.99–$150.62	—	20%
Free testosterone test CPT 84402 LCHG TESTOSTERONE FREE	$430.92	$478.80	$178.11–$454.86	245% above	10%
Free testosterone test inpatient CPT 84402 LCHG TESTOSTERONE FREE	$383.04	$478.80	$335.16–$454.86	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LCHG GGT	$39.69	$44.10	$16.41–$41.90	32% below	10%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LCHG GGT	$35.28	$44.10	$30.87–$41.90	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LCHG GENERAL HEALTH PANEL	$484.79	$538.65	$200.38–$511.72	60% above	10%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LCHG GENERAL HEALTH PANEL	$430.92	$538.65	$377.06–$511.72	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LCHG GLUCOSE 1 HR POST PRANDIAL	$66.80	$74.22	$27.61–$70.51	16% above	10%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LCHG GLUCOSE 1 HR POST PRANDIAL	$59.38	$74.22	$51.95–$70.51	—	20%
Glucose tolerance test, 3 samples CPT 82951 LCHG GTT 3 SPEC + DOSE	$231.53	$257.25	$95.70–$244.39	78% above	10%
Glucose tolerance test, 3 samples inpatient CPT 82951 LCHG GTT 3 SPEC + DOSE	$205.80	$257.25	$180.08–$244.39	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LCHG GC DNA PROBE I	$31.50	$35.00	$13.02–$33.25	74% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LCHG GC AMPLIFIED PROBE	$102.35	$113.72	$42.30–$108.03	14% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LCHG GC DNA PROBE I	$28.00	$35.00	$24.50–$33.25	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LCHG GC AMPLIFIED PROBE	$90.98	$113.72	$79.60–$108.03	—	20%
H. pylori antibody blood test CPT 86677 LCHG HELICOBACTER PYLORI IGA	$230.58	$256.20	$95.31–$243.39	98% above	10%
H. pylori antibody blood test CPT 86677 LCHG HELICOBACTER PYLORI IGM	$230.58	$256.20	$95.31–$243.39	98% above	10%
H. pylori antibody blood test CPT 86677 LCHG HELICOBACTER PYLORI ANTIBODY IGG	$242.87	$269.85	$100.38–$256.36	109% above	10%
H. pylori antibody blood test inpatient CPT 86677 LCHG HELICOBACTER PYLORI IGA	$204.96	$256.20	$179.34–$243.39	—	20%
H. pylori antibody blood test inpatient CPT 86677 LCHG HELICOBACTER PYLORI IGM	$204.96	$256.20	$179.34–$243.39	—	20%
H. pylori antibody blood test inpatient CPT 86677 LCHG HELICOBACTER PYLORI ANTIBODY IGG	$215.88	$269.85	$188.90–$256.36	—	20%
H. pylori stool antigen test CPT 87338 LCHG HELICOBACTER PYLORI ANTIGEN STOOL	$317.52	$352.80	$131.24–$335.16	173% above	10%
H. pylori stool antigen test inpatient CPT 87338 LCHG HELICOBACTER PYLORI ANTIGEN STOOL	$282.24	$352.80	$246.96–$335.16	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LCHG HIV-1 RNA PCR QUANT I	$478.70	$531.88	$197.86–$505.29	41% above	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LCHG HIV-1 RNA PCR QUANT	$580.23	$644.70	$239.83–$612.47	71% above	10%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LCHG HIV-1 RNA PCR QUANT I	$425.51	$531.88	$372.32–$505.29	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LCHG HIV-1 RNA PCR QUANT	$515.76	$644.70	$451.29–$612.47	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LCHG HIV-1 AG W HIV-1+HIV-2 AB	$504.63	$560.70	$208.58–$532.67	339% above	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 LCHG HIV-1 AG W HIV-1+HIV-2 AB	$448.56	$560.70	$392.49–$532.67	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LCHG HPV HIGH RISK TYPES II	$79.05	$87.83	$32.67–$83.44	46% below	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LCHG HPV HIGH RISK TYPES	$89.78	$99.75	$37.11–$94.76	39% below	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LCHG HPV HIGH RISK TYPES I	$89.78	$99.75	$37.11–$94.76	39% below	10%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LCHG HPV HIGH RISK TYPES II	$70.27	$87.83	$61.48–$83.44	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LCHG HPV HIGH RISK TYPES	$79.80	$99.75	$69.83–$94.76	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LCHG HPV HIGH RISK TYPES I	$79.80	$99.75	$69.83–$94.76	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LCHG HEMOGLOBIN A1C	$104.90	$116.55	$43.36–$110.72	19% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LCHG HEMOGLOBIN A1C	$93.24	$116.55	$81.59–$110.72	—	20%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$5.45	$6.05	$2.25–$5.75	83% below	10%
Hemoglobin blood test CPT 85018 LCHG HEMOGLOBIN	$28.35	$31.50	$11.72–$29.93	10% below	10%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$4.84	$6.05	$4.24–$5.75	—	20%
Hemoglobin blood test inpatient CPT 85018 LCHG HEMOGLOBIN	$25.20	$31.50	$22.05–$29.93	—	20%
Hepatitis B core antibody test (total) CPT 86704 LCHG HEPATITIS B CORE ANTIBODY	$120.96	$134.40	$50.00–$127.68	51% above	10%
Hepatitis B core antibody test (total) CPT 86704 LCHG HEPATITIS B CORE ANTIBODY I	$120.96	$134.40	$50.00–$127.68	51% above	10%
Hepatitis B core antibody test (total) inpatient CPT 86704 LCHG HEPATITIS B CORE ANTIBODY	$107.52	$134.40	$94.08–$127.68	—	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 LCHG HEPATITIS B CORE ANTIBODY I	$107.52	$134.40	$94.08–$127.68	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LCHG HEPATITIS B SURFACE ANTIBODY I	$115.29	$128.10	$47.65–$121.70	23% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LCHG HEPATITIS B SURFACE ANTIBODY	$115.29	$128.10	$47.65–$121.70	23% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LCHG HEPATITIS B SURFACE ANTIBODY	$102.48	$128.10	$89.67–$121.70	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LCHG HEPATITIS B SURFACE ANTIBODY I	$102.48	$128.10	$89.67–$121.70	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LCHG HEPATITIS B SURFACE ANTIGEN	$32.94	$36.60	$13.62–$34.77	63% below	10%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LCHG HEPATITIS B SURFACE ANTIGEN	$29.28	$36.60	$25.62–$34.77	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 LCHG HEPATITIS C AB II	$146.48	$162.75	$60.54–$154.61	31% above	10%
Hepatitis C antibody blood test (screening) CPT 86803 LCHG HEPATITIS C ANTIBODY	$146.48	$162.75	$60.54–$154.61	31% above	10%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LCHG HEPATITIS C AB II	$130.20	$162.75	$113.93–$154.61	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LCHG HEPATITIS C ANTIBODY	$130.20	$162.75	$113.93–$154.61	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 LCHG HEPATITIS C QUANTITATIVE	$439.43	$488.25	$181.63–$463.84	66% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 LCHG HEPATITIS C RNA PCR QUANT	$586.85	$652.05	$242.56–$619.45	121% above	10%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LCHG HEPATITIS C QUANTITATIVE	$390.60	$488.25	$341.78–$463.84	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LCHG HEPATITIS C RNA PCR QUANT	$521.64	$652.05	$456.44–$619.45	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 LCHG HERPES SIMPLEX 1 ANTIBODY IGG	$230.58	$256.20	$95.31–$243.39	242% above	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LCHG HERPES SIMPLEX 1 ANTIBODY IGG	$204.96	$256.20	$179.34–$243.39	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 LCHG HERPES SIMPLEX 2 ANTIBODY IGG	$177.66	$197.40	$73.43–$187.53	92% above	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LCHG HERPES SIMPLEX 2 ANTIBODY IGG	$157.92	$197.40	$138.18–$187.53	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 LCHG C-REACTIVE PROTEIN SENSITIVE	$195.62	$217.35	$80.85–$206.48	112% above	10%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LCHG C-REACTIVE PROTEIN SENSITIVE	$173.88	$217.35	$152.15–$206.48	—	20%
Homocysteine blood test CPT 83090 LCHG HOMOCYSTEINE BLOOD QUANT	$304.29	$338.10	$125.77–$321.20	154% above	10%
Homocysteine blood test inpatient CPT 83090 LCHG HOMOCYSTEINE BLOOD QUANT	$270.48	$338.10	$236.67–$321.20	—	20%
Insulin blood test CPT 83525 LCHG INSULIN LEVEL	$55.76	$61.95	$23.05–$58.85	25% below	10%
Insulin blood test inpatient CPT 83525 LCHG INSULIN LEVEL	$49.56	$61.95	$43.37–$58.85	—	20%
Iron blood test (serum iron) CPT 83540 LCHG IRON BLOOD	$65.21	$72.45	$26.95–$68.83	16% below	10%
Iron blood test (serum iron) inpatient CPT 83540 LCHG IRON BLOOD	$57.96	$72.45	$50.72–$68.83	—	20%
Iron-binding capacity (TIBC) test CPT 83550 LCHG TIBC	$143.64	$159.60	$59.37–$151.62	82% above	10%
Iron-binding capacity (TIBC) test inpatient CPT 83550 LCHG TIBC	$127.68	$159.60	$111.72–$151.62	—	20%
Kidney function blood test panel CPT 80069 LCHG RENAL FUNCTION PANEL	$412.97	$458.85	$170.69–$435.91	179% above	10%
Kidney function blood test panel inpatient CPT 80069 LCHG RENAL FUNCTION PANEL	$367.08	$458.85	$321.20–$435.91	—	20%
LH (luteinizing hormone) test CPT 83002 LCHG LH	$193.73	$215.25	$80.07–$204.49	69% above	10%
LH (luteinizing hormone) test inpatient CPT 83002 LCHG LH	$172.20	$215.25	$150.68–$204.49	—	20%
Lactate (lactic acid) blood test CPT 83605 LCHG LACTIC ACID BLOOD	$186.17	$206.85	$76.95–$196.51	107% above	10%
Lactate (lactic acid) blood test inpatient CPT 83605 LCHG LACTIC ACID BLOOD	$165.48	$206.85	$144.80–$196.51	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LCHG LDH FLUID	$37.80	$42.00	$15.62–$39.90	28% below	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 LCHG LDH BLOOD	$37.80	$42.00	$15.62–$39.90	28% below	10%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LCHG LDH FLUID	$33.60	$42.00	$29.40–$39.90	—	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LCHG LDH BLOOD	$33.60	$42.00	$29.40–$39.90	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 LCHG LIPASE BLOOD	$45.36	$50.40	$18.75–$47.88	50% below	10%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LCHG LIPASE BLOOD	$40.32	$50.40	$35.28–$47.88	—	20%
Liver function blood test panel CPT 80076 LCHG HEPATIC FUNCTION PANEL	$292.01	$324.45	$120.70–$308.23	109% above	10%
Liver function blood test panel CPT 80076 LCHG HEPATIC FUNCTION PANEL I	$292.01	$324.45	$120.70–$308.23	109% above	10%
Liver function blood test panel inpatient CPT 80076 LCHG HEPATIC FUNCTION PANEL I	$259.56	$324.45	$227.12–$308.23	—	20%
Liver function blood test panel inpatient CPT 80076 LCHG HEPATIC FUNCTION PANEL	$259.56	$324.45	$227.12–$308.23	—	20%
Lyme disease antibody test CPT 86618 LCHG LYME DISEASE AB TOTAL I	$242.87	$269.85	$100.38–$256.36	227% above	10%
Lyme disease antibody test inpatient CPT 86618 LCHG LYME DISEASE AB TOTAL I	$215.88	$269.85	$188.90–$256.36	—	20%
Magnesium blood test CPT 83735 LCHG MAGNESIUM RBC	$34.02	$37.80	$14.06–$35.91	50% below	10%
Magnesium blood test CPT 83735 LCHG MAGNESIUM BLOOD	$68.04	$75.60	$28.12–$71.82	1% below	10%
Magnesium blood test CPT 83735 LCHG MAGNESIUM URINE QUANT I	$112.46	$124.95	$46.48–$118.70	64% above	10%
Magnesium blood test CPT 83735 LCHG MAGNESIUM URINE QUANT	$112.46	$124.95	$46.48–$118.70	64% above	10%
Magnesium blood test inpatient CPT 83735 LCHG MAGNESIUM RBC	$30.24	$37.80	$26.46–$35.91	—	20%
Magnesium blood test inpatient CPT 83735 LCHG MAGNESIUM BLOOD	$60.48	$75.60	$52.92–$71.82	—	20%
Magnesium blood test inpatient CPT 83735 LCHG MAGNESIUM URINE QUANT	$99.96	$124.95	$87.47–$118.70	—	20%
Magnesium blood test inpatient CPT 83735 LCHG MAGNESIUM URINE QUANT I	$99.96	$124.95	$87.47–$118.70	—	20%
Measles (rubeola) antibody test CPT 86765 LCHG RUBEOLA ANTIBODY IGG	$37.80	$42.00	$15.62–$39.90	50% below	10%
Measles (rubeola) antibody test CPT 86765 LCHG RUBEOLA ANTIBODY IGM	$53.87	$59.85	$22.26–$56.86	28% below	10%
Measles (rubeola) antibody test inpatient CPT 86765 LCHG RUBEOLA ANTIBODY IGG	$33.60	$42.00	$29.40–$39.90	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 LCHG RUBEOLA ANTIBODY IGM	$47.88	$59.85	$41.90–$56.86	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 LCHG HETEROPHILE ANTIBODY SCREEN W/ REFLX	$50.09	$55.65	$20.70–$52.87	35% below	10%
Mono test (heterophile antibody, Monospot) CPT 86308 LCHG MONONUCLEOSIS SCREEN	$75.60	$84.00	$31.25–$79.80	2% below	10%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LCHG HETEROPHILE ANTIBODY SCREEN W/ REFLX	$44.52	$55.65	$38.96–$52.87	—	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LCHG MONONUCLEOSIS SCREEN	$67.20	$84.00	$58.80–$79.80	—	20%
Mumps immunity blood test CPT 86735 LCHG MUMPS ANTIBODY IGM	$91.67	$101.85	$37.89–$96.76	22% above	10%
Mumps immunity blood test CPT 86735 LCHG MUMPS ANTIBODY IGG	$91.67	$101.85	$37.89–$96.76	22% above	10%
Mumps immunity blood test inpatient CPT 86735 LCHG MUMPS ANTIBODY IGM	$81.48	$101.85	$71.30–$96.76	—	20%
Mumps immunity blood test inpatient CPT 86735 LCHG MUMPS ANTIBODY IGG	$81.48	$101.85	$71.30–$96.76	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 LCHG PSA FREE	$263.70	$293.00	$109.00–$278.35	170% above	10%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LCHG PSA FREE	$234.40	$293.00	$205.10–$278.35	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 LCHG PSA TOTAL	$93.47	$103.85	$38.63–$98.66	19% below	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 LCHG PROSTATE SPECIFIC ANTIGEN DIAG	$129.47	$143.85	$53.51–$136.66	13% above	10%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LCHG PSA TOTAL	$83.08	$103.85	$72.70–$98.66	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LCHG PROSTATE SPECIFIC ANTIGEN DIAG	$115.08	$143.85	$100.70–$136.66	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 LCHG CYTO PATH IMAGING TC NL	$46.17	$51.30	$19.08–$48.74	65% below	10%
Pap test (liquid-based, automated screening with review) CPT 88175 LCHG CYTOPATH SUREPATH PAP	$59.88	$66.53	$24.75–$63.20	55% below	10%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 LCHG CYTO PATH IMAGING TC NL	$41.04	$51.30	$35.91–$48.74	—	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 LCHG CYTOPATH SUREPATH PAP	$53.23	$66.53	$46.57–$63.20	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LCHG CYTOPATH CERV/VAG THIN LAYER	$43.47	$48.30	$17.97–$45.89	61% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LCHG CYTOPATH CERV/VAG THIN LAYER	$38.64	$48.30	$33.81–$45.89	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 LCHG PTH INTACT	$170.10	$189.00	$70.31–$179.55	24% below	10%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LCHG PTH INTACT	$151.20	$189.00	$132.30–$179.55	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 LCHG PTT II	$39.60	$44.00	$16.37–$41.80	40% below	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 LCHG APTT III	$81.27	$90.30	$33.59–$85.79	23% above	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 LCHG PTT	$81.27	$90.30	$33.59–$85.79	23% above	10%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LCHG PTT II	$35.20	$44.00	$30.80–$41.80	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LCHG APTT III	$72.24	$90.30	$63.21–$85.79	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LCHG PTT	$72.24	$90.30	$63.21–$85.79	—	20%
Phosphorus (phosphate) blood test CPT 84100 LCHG PHOSPHORUS BLOOD	$39.69	$44.10	$16.41–$41.90	32% below	10%
Phosphorus (phosphate) blood test inpatient CPT 84100 LCHG PHOSPHORUS BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Potassium blood test CPT 84132 LCHG POTASSIUM BLOOD	$39.69	$44.10	$16.41–$41.90	9% below	10%
Potassium blood test inpatient CPT 84132 LCHG POTASSIUM BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Progesterone blood test CPT 84144 LCHG PROGESTERONE	$170.10	$189.00	$70.31–$179.55	22% above	10%
Progesterone blood test inpatient CPT 84144 LCHG PROGESTERONE	$151.20	$189.00	$132.30–$179.55	—	20%
Prolactin blood test CPT 84146 LCHG PROLACTIN	$230.58	$256.20	$95.31–$243.39	78% above	10%
Prolactin blood test inpatient CPT 84146 LCHG PROLACTIN	$204.96	$256.20	$179.34–$243.39	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 LCHG PT-INR	$75.60	$84.00	$31.25–$79.80	74% above	10%
Prothrombin time (PT/INR) clotting test CPT 85610 LCHG PT POCT	$75.60	$84.00	$31.25–$79.80	74% above	10%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LCHG PT-INR	$67.20	$84.00	$58.80–$79.80	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LCHG PT POCT	$67.20	$84.00	$58.80–$79.80	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LCHG DRUG SCREEN MULTI CLASS A NON-TLC II	$56.70	$63.00	$23.44–$59.85	31% below	10%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LCHG DRUG SCREEN MULTI CLASS A NON-TLC II	$50.40	$63.00	$44.10–$59.85	—	20%
Rapid flu test (influenza antigen) CPT 87804 HC LAB INFLUENZA A+B POCT (IP) ILL	$27.53	$30.58	$11.38–$29.05	62% below	10%
Rapid flu test (influenza antigen) CPT 87804 LCHG INFLUENZA A+B ANTIGEN RAPID	$37.25	$41.38	$15.39–$39.31	48% below	10%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC LAB INFLUENZA A+B POCT (IP) ILL	$24.47	$30.58	$21.41–$29.05	—	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 LCHG INFLUENZA A+B ANTIGEN RAPID	$33.11	$41.38	$28.97–$39.31	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB STREP A POCT PBB BILL	$27.53	$30.58	$11.38–$29.05	55% below	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC LAB STREP A POCT (IP) URGENT CARE	$27.53	$30.58	$11.38–$29.05	55% below	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LCHG STREP A SCREEN DIRECT IMMUNO	$81.27	$90.30	$33.59–$85.79	33% above	10%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB STREP A POCT (IP) URGENT CARE	$24.47	$30.58	$21.41–$29.05	—	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC LAB STREP A POCT PBB BILL	$24.47	$30.58	$21.41–$29.05	—	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LCHG STREP A SCREEN DIRECT IMMUNO	$72.24	$90.30	$63.21–$85.79	—	20%
Renin blood test CPT 84244 LCHG RENIN	$59.40	$66.00	$24.55–$62.70	48% below	10%
Renin blood test inpatient CPT 84244 LCHG RENIN	$52.80	$66.00	$46.20–$62.70	—	20%
Rh blood typing CPT 86901 LCHG BLOOD TYPE RH ONLY REF	$43.47	$48.30	$17.97–$45.89	35% below	10%
Rh blood typing CPT 86901 LCHG BLOOD TYPE RH I	$43.47	$48.30	$17.97–$45.89	35% below	10%
Rh blood typing inpatient CPT 86901 LCHG BLOOD TYPE RH ONLY REF	$38.64	$48.30	$33.81–$45.89	—	20%
Rh blood typing inpatient CPT 86901 LCHG BLOOD TYPE RH I	$38.64	$48.30	$33.81–$45.89	—	20%
Rheumatoid factor (RF) test CPT 86431 LCHG RHEUMATOID FACTOR II	$64.26	$71.40	$26.56–$67.83	3% above	10%
Rheumatoid factor (RF) test CPT 86431 LCHG RHEUMATOID FACTOR BLOOD QUANT I	$64.26	$71.40	$26.56–$67.83	3% above	10%
Rheumatoid factor (RF) test CPT 86431 LCHG RHEUMATOID FACTOR BLOOD QUANT	$64.26	$71.40	$26.56–$67.83	3% above	10%
Rheumatoid factor (RF) test inpatient CPT 86431 LCHG RHEUMATOID FACTOR BLOOD QUANT I	$57.12	$71.40	$49.98–$67.83	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 LCHG RHEUMATOID FACTOR BLOOD QUANT	$57.12	$71.40	$49.98–$67.83	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 LCHG RHEUMATOID FACTOR II	$57.12	$71.40	$49.98–$67.83	—	20%
Rubella antibody test (immunity check) CPT 86762 LCHG RUBELLA ANTIBODY IGG	$94.50	$105.00	$39.06–$99.75	29% above	10%
Rubella antibody test (immunity check) CPT 86762 LCHG RUBELLA ANTIBODY IGM TITER	$196.56	$218.40	$81.24–$207.48	168% above	10%
Rubella antibody test (immunity check) CPT 86762 LCHG RUBELLA IMMUNE STATUS	$441.00	$490.00	$182.28–$465.50	502% above	10%
Rubella antibody test (immunity check) inpatient CPT 86762 LCHG RUBELLA ANTIBODY IGG	$84.00	$105.00	$73.50–$99.75	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 LCHG RUBELLA ANTIBODY IGM TITER	$174.72	$218.40	$152.88–$207.48	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 LCHG RUBELLA IMMUNE STATUS	$392.00	$490.00	$343.00–$465.50	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LCHG SED RATE WESTERGREN AUTO	$77.49	$86.10	$32.03–$81.80	60% above	10%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LCHG SED RATE WESTERGREN AUTO	$68.88	$86.10	$60.27–$81.80	—	20%
Sodium blood test CPT 84295 LCHG SODIUM BLOOD	$39.69	$44.10	$16.41–$41.90	19% below	10%
Sodium blood test inpatient CPT 84295 LCHG SODIUM BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Stool ova and parasites exam CPT 87177 LCHG O+P	$50.40	$56.00	$20.83–$53.20	33% below	10%
Stool ova and parasites exam inpatient CPT 87177 LCHG O+P	$44.80	$56.00	$39.20–$53.20	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LCHG OCCULT BLOOD FECES	$45.36	$50.40	$18.75–$47.88	57% above	10%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LCHG OCCULT BLOOD FECES	$40.32	$50.40	$35.28–$47.88	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LCHG OCCULT BLOOD FECES 1-3 IMMUNO	$258.93	$287.70	$107.02–$273.32	248% above	10%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LCHG OCCULT BLOOD FECES 1-3 IMMUNO	$230.16	$287.70	$201.39–$273.32	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 LCHG TREPONEMA PALLIDUM CONFIRM I	$27.00	$30.00	$11.16–$28.50	59% below	10%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LCHG TREPONEMA PALLIDUM CONFIRM I	$24.00	$30.00	$21.00–$28.50	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LCHG RPR	$79.38	$88.20	$32.81–$83.79	55% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LCHG RPR W REFLEX CONFIRM	$79.38	$88.20	$32.81–$83.79	55% above	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LCHG RPR	$70.56	$88.20	$61.74–$83.79	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LCHG RPR W REFLEX CONFIRM	$70.56	$88.20	$61.74–$83.79	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LCHG QUANTIFERON TB-GOLD	$90.00	$100.00	$37.20–$95.00	59% below	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LCHG QUANTIFERON TB-GOLD	$80.00	$100.00	$70.00–$95.00	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 LCHG TESTOSTERONE TOTAL	$275.94	$306.60	$114.06–$291.27	118% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 LCHG TESTOSTERONE TOTAL MALE	$275.94	$306.60	$114.06–$291.27	118% above	10%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LCHG TESTOSTERONE TOTAL	$245.28	$306.60	$214.62–$291.27	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LCHG TESTOSTERONE TOTAL MALE	$245.28	$306.60	$214.62–$291.27	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LCHG MICROSOMAL ANTIBODY LIVER/KIDNEY	$79.38	$88.20	$32.81–$83.79	at median	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 LCHG THYROID PEROXIDASE ANTIBODY I	$81.85	$90.94	$33.83–$86.39	3% above	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 LCHG THYROID PEROXIDASE ANTIBODY	$191.84	$213.15	$79.29–$202.49	141% above	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 LCHG MICROSOMAL ANTIBODY	$237.60	$264.00	$98.21–$250.80	198% above	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LCHG MICROSOMAL ANTIBODY LIVER/KIDNEY	$70.56	$88.20	$61.74–$83.79	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LCHG THYROID PEROXIDASE ANTIBODY I	$72.76	$90.94	$63.66–$86.39	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LCHG THYROID PEROXIDASE ANTIBODY	$170.52	$213.15	$149.21–$202.49	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LCHG MICROSOMAL ANTIBODY	$211.20	$264.00	$184.80–$250.80	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LCHG TSH	$70.88	$78.75	$29.30–$74.81	36% below	10%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LCHG TSH	$63.00	$78.75	$55.13–$74.81	—	20%
Total IgE blood test CPT 82785 LCHG ALLERGEN IGE	$92.60	$102.88	$38.27–$97.74	6% above	10%
Total IgE blood test CPT 82785 LCHG IGE	$169.16	$187.95	$69.92–$178.55	93% above	10%
Total IgE blood test inpatient CPT 82785 LCHG ALLERGEN IGE	$82.31	$102.88	$72.02–$97.74	—	20%
Total IgE blood test inpatient CPT 82785 LCHG IGE	$150.36	$187.95	$131.57–$178.55	—	20%
Total cholesterol blood test CPT 82465 LCHG CHOLESTEROL BLOOD	$39.69	$44.10	$16.41–$41.90	7% below	10%
Total cholesterol blood test inpatient CPT 82465 LCHG CHOLESTEROL BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Total thyroxine (T4) blood test CPT 84436 LCHG T4 TOTAL I	$86.94	$96.60	$35.94–$91.77	5% above	10%
Total thyroxine (T4) blood test CPT 84436 LCHG T4 TOTAL	$91.67	$101.85	$37.89–$96.76	11% above	10%
Total thyroxine (T4) blood test inpatient CPT 84436 LCHG T4 TOTAL I	$77.28	$96.60	$67.62–$91.77	—	20%
Total thyroxine (T4) blood test inpatient CPT 84436 LCHG T4 TOTAL	$81.48	$101.85	$71.30–$96.76	—	20%
Total triiodothyronine (T3) blood test CPT 84480 LCHG T3 TOTAL	$34.20	$38.00	$14.14–$36.10	64% below	10%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LCHG T3 TOTAL	$30.40	$38.00	$26.60–$36.10	—	20%
Transferrin blood test CPT 84466 LCHG TRANSFERRIN	$94.50	$105.00	$39.06–$99.75	1% below	10%
Transferrin blood test inpatient CPT 84466 LCHG TRANSFERRIN	$84.00	$105.00	$73.50–$99.75	—	20%
Trichomonas test (NAAT) CPT 87661 LCHG TRICHOMONAS VAGINALIS AMPLIFIED PROBE	$62.37	$69.30	$25.78–$65.84	50% below	10%
Trichomonas test (NAAT) inpatient CPT 87661 LCHG TRICHOMONAS VAGINALIS AMPLIFIED PROBE	$55.44	$69.30	$48.51–$65.84	—	20%
Triglycerides blood test CPT 84478 LCHG TRIGLYCERIDES BLOOD	$39.69	$44.10	$16.41–$41.90	16% below	10%
Triglycerides blood test inpatient CPT 84478 LCHG TRIGLYCERIDES BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Troponin test, quantitative CPT 84484 LCHG TROPONIN I	$143.64	$159.60	$59.37–$151.62	4% below	10%
Troponin test, quantitative inpatient CPT 84484 LCHG TROPONIN I	$127.68	$159.60	$111.72–$151.62	—	20%
Uric acid blood test CPT 84550 LCHG URIC ACID BLOOD	$39.69	$44.10	$16.41–$41.90	44% below	10%
Uric acid blood test inpatient CPT 84550 LCHG URIC ACID BLOOD	$35.28	$44.10	$30.87–$41.90	—	20%
Urinalysis with microscope exam, automated CPT 81001 LCHG URINALYSIS ROUTINE AUTO W MICROSCOPIC	$27.41	$30.45	$11.33–$28.93	57% below	10%
Urinalysis with microscope exam, automated inpatient CPT 81001 LCHG URINALYSIS ROUTINE AUTO W MICROSCOPIC	$24.36	$30.45	$21.32–$28.93	—	20%
Urinalysis without microscope exam, automated CPT 81003 LCHG URINALYSIS DIPSTICK AUTO	$39.69	$44.10	$16.41–$41.90	56% above	10%
Urinalysis without microscope exam, automated CPT 81003 LCHG KETONES QUALITATIVE URINE AUTO	$39.69	$44.10	$16.41–$41.90	56% above	10%
Urinalysis without microscope exam, automated CPT 81003 LCHG PH URINE AUTO	$39.69	$44.10	$16.41–$41.90	56% above	10%
Urinalysis without microscope exam, automated inpatient CPT 81003 LCHG URINALYSIS DIPSTICK AUTO	$35.28	$44.10	$30.87–$41.90	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 LCHG PH URINE AUTO	$35.28	$44.10	$30.87–$41.90	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 LCHG KETONES QUALITATIVE URINE AUTO	$35.28	$44.10	$30.87–$41.90	—	20%
Urinalysis without microscope exam, manual CPT 81002 HC LAB URINALYSIS POCT (IP) BEAKER	$18.90	$21.00	$7.81–$19.95	16% below	10%
Urinalysis without microscope exam, manual CPT 81002 HC LAB URINALYSIS NON AUTO POCT PBB BILL	$18.90	$21.00	$7.81–$19.95	16% below	10%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB URINALYSIS NON AUTO POCT PBB BILL	$16.80	$21.00	$14.70–$19.95	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC LAB URINALYSIS POCT (IP) BEAKER	$16.80	$21.00	$14.70–$19.95	—	20%
Urine culture for bacteria, with colony count CPT 87086 LCHG CULTURE URINE	$106.79	$118.65	$44.14–$112.72	16% above	10%
Urine culture for bacteria, with colony count inpatient CPT 87086 LCHG CULTURE URINE	$94.92	$118.65	$83.06–$112.72	—	20%
Urine microalbumin (albumin) test CPT 82043 LCHG MICROALBUMIN URINE RANDOM QUANT	$81.27	$90.30	$33.59–$85.79	21% above	10%
Urine microalbumin (albumin) test CPT 82043 LCHG MICROALBUMIN URINE TIMED QUANT	$262.71	$291.90	$108.59–$277.31	292% above	10%
Urine microalbumin (albumin) test inpatient CPT 82043 LCHG MICROALBUMIN URINE RANDOM QUANT	$72.24	$90.30	$63.21–$85.79	—	20%
Urine microalbumin (albumin) test inpatient CPT 82043 LCHG MICROALBUMIN URINE TIMED QUANT	$233.52	$291.90	$204.33–$277.31	—	20%
Urine pregnancy test, read by color change CPT 81025 HC LAB HCG URINE QUAL POCT	$14.40	$16.00	$5.95–$15.20	81% below	10%
Urine pregnancy test, read by color change CPT 81025 LCHG HCG URINE QUALITATIVE	$42.30	$47.00	$17.48–$44.65	43% below	10%
Urine pregnancy test, read by color change inpatient CPT 81025 HC LAB HCG URINE QUAL POCT	$12.80	$16.00	$11.20–$15.20	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 LCHG HCG URINE QUALITATIVE	$37.60	$47.00	$32.90–$44.65	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 LCHG VITAMIN B12	$154.04	$171.15	$63.67–$162.59	19% above	10%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LCHG VITAMIN B12	$136.92	$171.15	$119.81–$162.59	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LCHG VITAMIN D 25-HYDROXY	$154.04	$171.15	$63.67–$162.59	15% below	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LCHG VITAMIN D 25-HYDROXY D2+D3	$372.33	$413.70	$153.90–$393.02	104% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LCHG VITAMIN D 25-HYDROXY	$136.92	$171.15	$119.81–$162.59	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LCHG VITAMIN D 25-HYDROXY D2+D3	$330.96	$413.70	$289.59–$393.02	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 LCHG VITAMIN D 1 25 DIHYDROXY	$167.27	$185.85	$69.14–$176.56	14% below	10%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LCHG VITAMIN D 1 25 DIHYDROXY	$148.68	$185.85	$130.10–$176.56	—	20%
Zinc blood test CPT 84630 LCHG ZINC BLOOD	$101.12	$112.35	$41.79–$106.73	42% above	10%
Zinc blood test inpatient CPT 84630 LCHG ZINC BLOOD	$89.88	$112.35	$78.65–$106.73	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LCHG HCG BETA BLOOD QUANTITATIVE	$179.55	$199.50	$74.21–$189.53	67% above	10%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LCHG HCG BETA BLOOD QUANTITATIVE	$159.60	$199.50	$139.65–$189.53	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$143.64	$159.60	$59.37–$151.62	88% below	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED CARDIOVERSION ELECTIVE EXTERNAL	$143.64	$159.60	$59.37–$151.62	88% below	10%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$127.68	$159.60	$111.72–$151.62	—	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED CARDIOVERSION ELECTIVE EXTERNAL	$127.68	$159.60	$111.72–$151.62	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE CERUMEN IMPACTED W LAVAGE UNI	$85.05	$94.50	$35.15–$89.78	26% below	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE CERUMEN IMPACTED W LAVAGE BIL	$127.58	$141.75	$52.73–$134.66	11% above	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE CERUMEN IMPACTED W LAVAGE UNI	$127.58	$141.75	$52.73–$134.66	11% above	10%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE CERUMEN IMPACTED W LAVAGE UNI	$75.60	$94.50	$66.15–$89.78	—	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE CERUMEN IMPACTED W LAVAGE UNI	$113.40	$141.75	$99.23–$134.66	—	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE CERUMEN IMPACTED W LAVAGE BIL	$113.40	$141.75	$99.23–$134.66	—	20%
Earwax removal with instruments, one ear CPT 69210 HC ED REMV CERUMEN IMPACTED W INSTRMNT UNI	$85.05	$94.50	$35.15–$89.78	32% below	10%
Earwax removal with instruments, one ear inpatient CPT 69210 HC ED REMV CERUMEN IMPACTED W INSTRMNT UNI	$75.60	$94.50	$66.15–$89.78	—	20%
Hammertoe correction surgery one side CPT 28285 HC HAMMERTOE REPAIR UNILAT	$1,166.66	$1,296.28	$482.22–$1,231.47	67% below	10%
Hammertoe correction surgery inpatient one side CPT 28285 HC HAMMERTOE REPAIR UNILAT	$1,037.03	$1,296.28	$907.40–$1,231.47	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SMPL SNGL	$137.03	$152.25	$56.64–$144.64	65% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED I&D ABSCESS SMPL SNGL	$202.23	$224.70	$83.59–$213.47	48% below	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SMPL SNGL	$121.80	$152.25	$106.58–$144.64	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED I&D ABSCESS SMPL SNGL	$179.76	$224.70	$157.29–$213.47	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS JOINT MAJOR WO US	$283.22	$314.68	$117.06–$298.95	43% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS JOINT MAJOR WO US	$318.47	$353.85	$131.63–$336.16	36% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS JOINT MAJOR WO US	$251.75	$314.68	$220.28–$298.95	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS JOINT MAJOR WO US	$283.08	$353.85	$247.70–$336.16	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS JOINT INTERMED WO US	$67.72	$75.24	$27.99–$71.48	84% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS JOINT INTERMED WO US	$60.20	$75.24	$52.67–$71.48	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS JOINT SMALL WO US	$96.34	$107.04	$39.82–$101.69	69% below	10%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS JOINT SMALL WO US	$85.64	$107.04	$74.93–$101.69	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED RPR SCLP/TRNK/EXTREM INTERMED <=2.5CM	$275.00	$305.55	$113.66–$290.27	54% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED RPR SCLP/TRNK/EXTREM INTERMED <=2.5CM	$244.44	$305.55	$213.89–$290.27	—	20%
Nail removal (partial or complete), one nail CPT 11730 HC REMV NAIL PLATE PART OR CMPLT SNGL	$137.03	$152.25	$56.64–$144.64	52% below	10%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMV NAIL PLATE PART OR CMPLT SNGL	$407.30	$452.55	$168.35–$429.92	41% above	10%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMV NAIL PLATE PART OR CMPLT SNGL	$121.80	$152.25	$106.58–$144.64	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMV NAIL PLATE PART OR CMPLT SNGL	$362.04	$452.55	$316.79–$429.92	—	20%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS ABD W GUIDANCE	$1,250.93	$1,389.92	$517.05–$1,320.42	13% below	10%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS ABD W GUIDANCE	$1,111.94	$1,389.92	$972.94–$1,320.42	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL PERMANENT	$335.48	$372.75	$138.66–$354.11	47% below	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED EXC NAIL PERMANENT	$335.48	$372.75	$138.66–$354.11	47% below	10%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL PERMANENT	$298.20	$372.75	$260.93–$354.11	—	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED EXC NAIL PERMANENT	$298.20	$372.75	$260.93–$354.11	—	20%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVAL FOREIGN BODY SUBQ SIMPLE	$202.23	$224.70	$83.59–$213.47	58% below	10%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVAL FOREIGN BODY SUBQ SIMPLE	$202.23	$224.70	$83.59–$213.47	58% below	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVAL FOREIGN BODY SUBQ SIMPLE	$179.76	$224.70	$157.29–$213.47	—	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVAL FOREIGN BODY SUBQ SIMPLE	$179.76	$224.70	$157.29–$213.47	—	20%
Short arm splint (forearm and hand) CPT 29125 HC ED APPLIC SPLINT SHORT ARM STATIC	$150.26	$166.95	$62.11–$158.60	40% below	10%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED APPLIC SPLINT SHORT ARM STATIC	$133.56	$166.95	$116.87–$158.60	—	20%
Short leg cast (below the knee) CPT 29405 HC APPLIC CAST SHORT LEG	$150.26	$166.95	$62.11–$158.60	58% below	10%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLIC CAST SHORT LEG	$133.56	$166.95	$116.87–$158.60	—	20%
Short leg splint (calf to foot) CPT 29515 HC ED APPLIC SPLINT SHORT LEG	$150.26	$166.95	$62.11–$158.60	44% below	10%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED APPLIC SPLINT SHORT LEG	$133.56	$166.95	$116.87–$158.60	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SCLP/TRNK/EXTRM SMPL <= 2.5CM	$241.92	$268.80	$99.99–$255.36	34% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED RPR SCLP/TRNK/EXTRM SMPL <= 2.5CM	$241.92	$268.80	$99.99–$255.36	34% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SCLP/TRNK/EXTRM SMPL <= 2.5CM	$215.04	$268.80	$188.16–$255.36	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED RPR SCLP/TRNK/EXTRM SMPL <= 2.5CM	$215.04	$268.80	$188.16–$255.36	—	20%
Skin biopsy, punch, one lesion CPT 11104 HC BIOPSY SKIN PUNCH SNGL LSN	$313.20	$348.00	$129.46–$330.60	16% below	10%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC BIOPSY SKIN PUNCH SNGL LSN	$278.40	$348.00	$243.60–$330.60	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED LUMBAR PUNCTURE DX WO CT FL	$456.44	$507.15	$188.66–$481.79	53% below	10%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED LUMBAR PUNCTURE DX WO CT FL	$405.72	$507.15	$355.01–$481.79	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED RPR SCLP/TRNK/EXTRM SMPL 2.6-7.5 CM	$266.49	$296.10	$110.15–$281.30	36% below	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SCLP/TRNK/EXTRM SMPL 2.6-7.5 CM	$293.90	$326.55	$121.48–$310.22	29% below	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED RPR SCLP/TRNK/EXTRM SMPL 2.6-7.5 CM	$236.88	$296.10	$207.27–$281.30	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SCLP/TRNK/EXTRM SMPL 2.6-7.5 CM	$261.24	$326.55	$228.59–$310.22	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED RPR FACE EAR SMPL <=2.5CM	$241.92	$268.80	$99.99–$255.36	40% below	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED RPR FACE EAR SMPL <=2.5CM	$215.04	$268.80	$188.16–$255.36	—	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BIOPSY SKIN TANGENTIAL SNGL LSN	$137.03	$152.25	$56.64–$144.64	54% below	10%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BIOPSY SKIN TANGENTIAL SNGL LSN	$121.80	$152.25	$106.58–$144.64	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS	$426.41	$473.78	$176.25–$450.09	38% below	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS	$672.43	$747.14	$277.94–$709.78	3% below	10%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS	$379.03	$473.78	$331.65–$450.09	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEBRIDE SUBQ TISSUE 1ST 20 CM OR LESS	$597.72	$747.14	$523.00–$709.78	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$484.79	$538.65	$200.38–$511.72	44% below	10%
Blood transfusion (giving blood or blood components) CPT 36430 LCHG TRANSFUSION SERVICE FEE	$484.79	$538.65	$200.38–$511.72	44% below	10%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$430.92	$538.65	$377.06–$511.72	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 LCHG TRANSFUSION SERVICE FEE	$430.92	$538.65	$377.06–$511.72	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT W/MED SUBSEQUENT	$47.25	$52.50	$19.53–$49.88	75% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT W/MED	$136.08	$151.20	$56.25–$143.64	29% below	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT W/MED SUBSEQUENT	$42.00	$52.50	$36.75–$49.88	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT W/MED	$120.96	$151.20	$105.84–$143.64	—	20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDIOMETRY COMPREHENSIVE	$285.39	$317.10	$117.96–$301.25	11% above	10%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC AUDIOMETRY COMPREHENSIVE	$253.68	$317.10	$221.97–$301.25	—	20%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE E/M 30-74 MIN	$926.10	$1,029.00	$382.79–$977.55	56% below	10%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE E/M 30-74 MIN	$823.20	$1,029.00	$720.30–$977.55	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD	$171.05	$190.05	$70.70–$180.55	26% below	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD	$152.04	$190.05	$133.04–$180.55	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED EMERGENT LEVEL I	$146.48	$162.75	$60.54–$154.61	35% below	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED EMERGENT LEVEL I	$130.20	$162.75	$113.93–$154.61	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED EMERGENT LEVEL II	$234.36	$260.40	$96.87–$247.38	41% below	10%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED EMERGENT LEVEL II	$208.32	$260.40	$182.28–$247.38	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED EMERGENT LEVEL III	$298.62	$331.80	$123.43–$315.21	57% below	10%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED EMERGENT LEVEL III	$265.44	$331.80	$232.26–$315.21	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED EMERGENT LEVEL IV	$480.06	$533.40	$198.42–$506.73	58% below	10%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED EMERGENT LEVEL IV	$426.72	$533.40	$373.38–$506.73	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED EMERGENT LEVEL V	$744.66	$827.40	$307.79–$786.03	53% below	10%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED EMERGENT LEVEL V	$661.92	$827.40	$579.18–$786.03	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARD STRESS TEST ROUTINE	$931.77	$1,035.30	$385.13–$983.54	4% below	10%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARD STRESS TEST ROUTINE	$828.24	$1,035.30	$724.71–$983.54	—	20%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MIN	$387.90	$431.00	$160.33–$409.45	116% above	10%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MIN	$344.80	$431.00	$301.70–$409.45	—	20%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY WO PT 50 MIN	$333.90	$371.00	$138.01–$352.45	77% above	10%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY WO PT 50 MIN	$296.80	$371.00	$259.70–$352.45	—	20%
Group psychotherapy session CPT 90853 HC IOP GROUP PSYCHOTHERAPY SESSION	$387.90	$431.00	$160.33–$409.45	203% above	10%
Group psychotherapy session inpatient CPT 90853 HC IOP GROUP PSYCHOTHERAPY SESSION	$344.80	$431.00	$301.70–$409.45	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION INIT 31 MIN TO 1HR	$126.63	$140.70	$52.34–$133.67	63% below	10%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION INIT 31 MIN TO 1HR	$112.56	$140.70	$98.49–$133.67	—	20%
IV infusion of a medicine, first hour CPT 96365 HC IV INF THER/PROPH/DIAG 1ST HR	$200.34	$222.60	$82.81–$211.47	51% below	10%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THER/PROPH/DIAG 1ST HR	$178.08	$222.60	$155.82–$211.47	—	20%
IV push of a medicine, first drug CPT 96374 HC INJ THER/PROPH/DIAG IVP SNGL OR INIT	$144.59	$160.65	$59.76–$152.62	33% below	10%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ THER/PROPH/DIAG IVP SNGL OR INIT	$128.52	$160.65	$112.46–$152.62	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER/PROPH/DIAG SUBQ/IM	$90.72	$100.80	$37.50–$95.76	17% below	10%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ THER/PROPH/DIAG SUBQ/IM	$80.64	$100.80	$70.56–$95.76	—	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC EVALUATION PSYCH ADULT	$504.90	$561.00	$208.69–$532.95	93% above	10%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC EVALUATION PSYCH ADULT	$448.80	$561.00	$392.70–$532.95	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCAT 1+ AREAS EA 15 MIN OT	$78.44	$87.15	$32.42–$82.79	34% below	10%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCAT 1+ AREAS EA 15 MIN PT	$78.44	$87.15	$32.42–$82.79	34% below	10%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCAT 1+ AREAS EA 15 MIN PT	$69.72	$87.15	$61.01–$82.79	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCAT 1+ AREAS EA 15 MIN OT	$69.72	$87.15	$61.01–$82.79	—	20%
New patient office visit, about 30 minutes CPT 99203 HC FACLTY OP NEW LEVEL 3	$298.62	$331.80	$123.43–$315.21	35% above	10%
New patient office visit, about 30 minutes inpatient CPT 99203 HC FACLTY OP NEW LEVEL 3	$265.44	$331.80	$232.26–$315.21	—	20%
New patient office visit, about 45 minutes CPT 99204 HC FACLTY OP NEW LEVEL 4	$298.62	$331.80	$123.43–$315.21	1% above	10%
New patient office visit, about 45 minutes inpatient CPT 99204 HC FACLTY OP NEW LEVEL 4	$265.44	$331.80	$232.26–$315.21	—	20%
New patient office visit, about 60 minutes CPT 99205 HC FACLTY OP NEW LEVEL 5	$166.32	$184.80	$68.75–$175.56	57% below	10%
New patient office visit, about 60 minutes inpatient CPT 99205 HC FACLTY OP NEW LEVEL 5	$147.84	$184.80	$129.36–$175.56	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC FACLTY OP NEW LEVEL 2	$298.62	$331.80	$123.43–$315.21	78% above	10%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC FACLTY OP NEW LEVEL 2	$265.44	$331.80	$232.26–$315.21	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INIT INDIV EA 15 MIN	$35.91	$39.90	$14.84–$37.91	32% below	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INIT INDIV EA 15 MIN	$31.92	$39.90	$27.93–$37.91	—	20%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY	$164.43	$182.70	$67.96–$173.57	36% below	10%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY	$146.16	$182.70	$127.89–$173.57	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY	$197.51	$219.45	$81.64–$208.48	42% below	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY	$175.56	$219.45	$153.62–$208.48	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY	$164.43	$182.70	$67.96–$173.57	27% below	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY	$146.16	$182.70	$127.89–$173.57	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEXITY	$180.50	$200.55	$74.60–$190.52	41% below	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEXITY	$160.44	$200.55	$140.39–$190.52	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THER TECH 1+REGIONS EA 15 MIN OT	$91.67	$101.85	$37.89–$96.76	31% below	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THER TECH 1+REGIONS EA 15 MIN PT	$103.95	$115.50	$42.97–$109.73	22% below	10%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THER TECH 1+REGIONS EA 15 MIN OT	$81.48	$101.85	$71.30–$96.76	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THER TECH 1+REGIONS EA 15 MIN PT	$92.40	$115.50	$80.85–$109.73	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISE EA 15 MIN OT	$77.49	$86.10	$32.03–$81.80	31% below	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISE EA 15 MIN PT	$78.44	$87.15	$32.42–$82.79	30% below	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISE EA 15 MIN OT	$68.88	$86.10	$60.27–$81.80	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISE EA 15 MIN PT	$69.72	$87.15	$61.01–$82.79	—	20%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W MED SRVCS	$504.90	$561.00	$208.69–$532.95	41% above	10%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W MED SRVCS	$448.80	$561.00	$392.70–$532.95	—	20%
Psychotherapy session, 30 minutes CPT 90832 HC OP PSYCHOTHERAPY W PT 30 MIN	$237.60	$264.00	$98.21–$250.80	26% above	10%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN	$237.60	$264.00	$98.21–$250.80	26% above	10%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN	$211.20	$264.00	$184.80–$250.80	—	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC OP PSYCHOTHERAPY W PT 30 MIN	$211.20	$264.00	$184.80–$250.80	—	20%
Psychotherapy session, 45 minutes CPT 90834 HC OP PSYCHOTHERAPY W PT 45 MIN	$356.40	$396.00	$147.31–$376.20	86% above	10%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN	$356.40	$396.00	$147.31–$376.20	86% above	10%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC OP PSYCHOTHERAPY W PT 45 MIN	$316.80	$396.00	$277.20–$376.20	—	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN	$316.80	$396.00	$277.20–$376.20	—	20%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN	$547.20	$608.00	$226.18–$577.60	98% above	10%
Psychotherapy session, 60 minutes CPT 90837 HC OP PSYCHOTHERAPY W PT 60 MIN	$547.20	$608.00	$226.18–$577.60	98% above	10%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC OP PSYCHOTHERAPY W PT 60 MIN	$486.40	$608.00	$425.60–$577.60	—	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN	$486.40	$608.00	$425.60–$577.60	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC FACLTY OP EST PT LEVEL 5	$184.28	$204.75	$76.17–$194.51	33% below	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC FACLTY OP EST PT LEVEL 5	$163.80	$204.75	$143.33–$194.51	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FACLTY OP EST PT LEVEL 3	$230.58	$256.20	$95.31–$243.39	51% above	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC FACLTY OP EST PT LEVEL 3	$204.96	$256.20	$179.34–$243.39	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC FACLTY OP EST PT LEVEL 4	$166.32	$184.80	$68.75–$175.56	10% below	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC FACLTY OP EST PT LEVEL 4	$147.84	$184.80	$129.36–$175.56	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC FACLTY OP EST PT LEVEL 2	$230.58	$256.20	$95.31–$243.39	84% above	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC FACLTY OP EST PT LEVEL 2	$204.96	$256.20	$179.34–$243.39	—	20%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PROD W LANG	$164.43	$182.70	$67.96–$173.57	53% below	10%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PROD W LANG	$146.16	$182.70	$127.89–$173.57	—	20%
Speech therapy session, individual CPT 92507 HC TX SPEECH DISORDER INDIVID 15 MIN ST	$136.08	$151.20	$56.25–$143.64	27% below	10%
Speech therapy session, individual CPT 92507 HC TX SPEECH DISORDER INDIVID 30 MIN ST	$166.32	$184.80	$68.75–$175.56	10% below	10%
Speech therapy session, individual CPT 92507 HC TX SPEECH DISORDER INDIVID 45 MIN ST	$186.17	$206.85	$76.95–$196.51	at median	10%
Speech therapy session, individual CPT 92507 HC TX SPEECH DISORDER INDIVID 60 MIN ST	$203.18	$225.75	$83.98–$214.46	9% above	10%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH DISORDER INDIVID 15 MIN ST	$120.96	$151.20	$105.84–$143.64	—	20%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH DISORDER INDIVID 30 MIN ST	$147.84	$184.80	$129.36–$175.56	—	20%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH DISORDER INDIVID 45 MIN ST	$165.48	$206.85	$144.80–$196.51	—	20%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH DISORDER INDIVID 60 MIN ST	$180.60	$225.75	$158.03–$214.46	—	20%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$45.00	$50.00	$18.60–$47.50	85% below	10%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$40.00	$50.00	$35.00–$47.50	—	20%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATOR PRE/POST TEST	$412.02	$457.80	$170.30–$434.91	24% below	10%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATOR PRE/POST TEST	$366.24	$457.80	$320.46–$434.91	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THER ACTIVITIES EA 15 MIN PT	$75.60	$84.00	$31.25–$79.80	39% below	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THER ACTIVITIES EA 15 MIN OT	$87.89	$97.65	$36.33–$92.77	29% below	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THER ACTIVITIES EA 15 MIN PT	$67.20	$84.00	$58.80–$79.80	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THER ACTIVITIES EA 15 MIN OT	$78.12	$97.65	$68.36–$92.77	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 LCHG THERAPEUTIC PHLEBOTOMY	$193.73	$215.25	$80.07–$204.49	10% below	10%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 LCHG THERAPEUTIC PHLEBOTOMY	$172.20	$215.25	$150.68–$204.49	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA FLUAD (65+) VAC A&B SA ADJ TRI 0.5 ML IM SUSY [152026]	$185.99	$206.65	$76.87–$196.32	55% above	10%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA FLUAD (65+) VAC A&B SA ADJ TRI 0.5 ML IM SUSY [152026]	$165.33	$206.65	$144.66–$196.32	—	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR [131324]	$207.35	$230.39	$85.70–$218.87	25% below	10%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR [131324]	$184.32	$230.39	$161.27–$218.87	—	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY [107776]	$139.79	$155.31	$57.78–$147.55	40% above	10%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY [107776]	$124.26	$155.31	$108.72–$147.55	—	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451]	$65.47	$72.74	$27.06–$69.11	4% above	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451]	$58.20	$72.74	$50.92–$69.11	—	20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY [34550]	$238.87	$265.40	$98.73–$252.13	50% above	10%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY [34550]	$212.33	$265.40	$185.78–$252.13	—	20%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR [107434]	$140.30	$155.89	$57.99–$148.09	21% below	10%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR [107434]	$124.71	$155.89	$109.12–$148.09	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA FLULAVAL TRIVALENT 0.5 ML IM SUSY [300497]	$43.99	$48.87	$18.18–$46.43	25% above	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA AFLURIA TRIVALENT 0.5 ML IM SUSY [146311]	$48.18	$53.53	$19.91–$50.85	37% above	10%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA FLULAVAL TRIVALENT 0.5 ML IM SUSY [300497]	$39.10	$48.87	$34.21–$46.43	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA AFLURIA TRIVALENT 0.5 ML IM SUSY [146311]	$42.83	$53.53	$37.47–$50.85	—	20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY [145112]	$710.57	$789.52	$293.70–$750.04	45% above	10%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY [145112]	$631.62	$789.52	$552.66–$750.04	—	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY [305843]	$96.60	$107.33	$39.93–$101.96	20% below	10%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY [305843]	$85.87	$107.33	$75.13–$101.96	—	20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [175568]	$86.74	$96.37	$35.85–$91.55	5% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [175568]	$77.10	$96.37	$67.46–$91.55	—	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SSM SO [903935]	$80.98	$89.97	$33.47–$85.47	25% below	10%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SSM SO [903935]	$71.98	$89.97	$62.98–$85.47	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [182230]	$64.77	$71.96	$26.77–$68.36	25% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [182230]	$57.57	$71.96	$50.37–$68.36	—	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931]	$14.89	$16.54	$6.15–$15.72	72% below	10%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931]	$13.24	$16.54	$11.58–$15.72	—	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR [10512]	$105.43	$117.14	$43.58–$111.28	46% below	10%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR [10512]	$93.72	$117.14	$82.00–$111.28	—	20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [162588]	$311.77	$346.40	$128.86–$329.08	21% below	10%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [162588]	$277.13	$346.40	$242.48–$329.08	—	20%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN [178241]	$382.29	$424.76	$158.01–$403.52	50% above	10%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN [178241]	$339.81	$424.76	$297.33–$403.52	—	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP [119466]	$488.83	$543.13	$202.05–$515.98	35% above	10%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP [119466]	$434.51	$543.13	$380.19–$515.98	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [177391]	$646.11	$717.90	$267.06–$682.00	45% above	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [177391]	$574.32	$717.90	$502.53–$682.00	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037]	$252.90	$281.00	$104.53–$266.95	35% above	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037]	$224.80	$281.00	$196.70–$266.95	—	20%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP [124707]	$103.01	$114.45	$42.57–$108.72	27% below	10%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP [124707]	$91.56	$114.45	$80.11–$108.72	—	20%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [140296]	$55.42	$61.57	$22.90–$58.49	62% below	10%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [140296]	$49.26	$61.57	$43.10–$58.49	—	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP [11515]	$98.64	$109.59	$40.77–$104.11	28% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP [11515]	$87.68	$109.59	$76.71–$104.11	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SSM SO [903852]	$107.50	$119.44	$44.43–$113.47	at median	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628]	$109.52	$121.69	$45.27–$115.60	2% above	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SSM SO [903852]	$95.56	$119.44	$83.61–$113.47	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628]	$97.36	$121.69	$85.18–$115.60	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN 1 SNGL/COMB VAC/TOXOID	$61.43	$68.25	$25.39–$64.84	7% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN 1 SNGL/COMB VAC/TOXOID	$54.60	$68.25	$47.78–$64.84	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ ADMIN EA ADDL SNGL/COMB VAC	$32.13	$35.70	$13.28–$33.92	17% below	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ ADMIN EA ADDL SNGL/COMB VAC	$28.56	$35.70	$24.99–$33.92	—	20%

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://sthpiprd.blob.core.windows.net/machine-readable-files/100285/376019589-1447257258_hamilton-memorial-hospital-district_standardcharges.csv