Hospital

Pushmataha County-Town of Antlers Hospital Authority

Listed in its price file as “Pushmataha County City of Antlers Hospital Authority”.

Pushmataha County-Town of Antlers Hospital Authority in Antlers, OK publishes cash prices for 237 common procedures listed here, from its own machine-readable price file updated Oct 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 158 of 234 procedures and above it for 71. By typical cash price it ranks #25 of 64 Oklahoma hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

510 E MAIN ST, PO BOX 518, ANTLERS, OK, 74523 Collected Nov 8, 2026 Source price file Check a bill from this hospital (580) 298-3341

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 370083 · CMS hospital register NPI 1144212556

Financial assistance

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

Pushmataha County-Town of Antlers Hospital Authority 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST,TECHNICAL COMPONENT	$1,545.00	$3,090.00	—	16% above	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST,TECHNICAL COMPONENT	$1,545.00	$3,090.00	—	—	50%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS XRAY	$154.50	$309.00	—	28% below	50%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS XRAY	$154.50	$309.00	—	—	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	28% below	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	28% below	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED LT,LEFT SIDE	$149.00	$298.00	—	55% below	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED RT,RIGHT SIDE	$149.00	$298.00	—	55% below	50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED LT,LEFT SIDE	$149.00	$298.00	—	—	50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED RT,RIGHT SIDE	$149.00	$298.00	—	—	50%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST,TECHNICAL COMPONENT	$1,267.53	$2,535.06	—	5% below	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST,TECHNICAL COMPONENT	$1,267.53	$2,535.06	—	—	50%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST,TECHNICAL COMPONENT	$690.50	$1,381.00	—	48% below	50%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST,TECHNICAL COMPONENT	$690.50	$1,381.00	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONTRAST,TECHNICAL COMPONENT	$1,388.00	$2,776.00	—	7% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONTRAST,TECHNICAL COMPONENT	$1,388.00	$2,776.00	—	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST,TECHNICAL COMPONENT	$1,321.00	$2,642.00	—	1% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST,TECHNICAL COMPONENT	$1,321.00	$2,642.00	—	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST,TECHNICAL COMPONENT	$1,522.00	$3,044.00	—	17% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST,TECHNICAL COMPONENT	$1,522.00	$3,044.00	—	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST,TECHNICAL COMPONENT	$1,576.00	$3,152.00	—	26% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST,TECHNICAL COMPONENT	$1,576.00	$3,152.00	—	—	50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST,TECHNICAL COMPONENT	$1,162.09	$2,324.18	—	6% above	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST,TECHNICAL COMPONENT	$1,162.09	$2,324.18	—	—	50%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST,TECHNICAL COMPONENT	$1,029.50	$2,059.00	—	4% above	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST,TECHNICAL COMPONENT	$1,029.50	$2,059.00	—	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS/FACIAL W/O CONTRAST,TECHNICAL COMPONENT	$563.93	$1,127.85	—	41% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS/FACIAL W/O CONTRAST,TECHNICAL COMPONENT	$563.93	$1,127.85	—	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST,TECHNICAL COMPONENT	$653.00	$1,306.00	—	33% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST,TECHNICAL COMPONENT	$653.00	$1,306.00	—	—	50%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST,TECHNICAL COMPONENT	$779.73	$1,559.45	—	35% below	50%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/CONTRAST,TECHNICAL COMPONENT	$779.73	$1,559.45	—	—	50%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST,TECHNICAL COMPONENT	$949.20	$1,898.40	—	26% below	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO CONTRAST,TECHNICAL COMPONENT	$949.20	$1,898.40	—	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$822.64	$1,645.28	—	20% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SACRUM/COCCYX W/O CONTRAST,TECHNICAL COMPONENT	$983.30	$1,966.59	—	5% below	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$822.64	$1,645.28	—	—	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SACRUM/COCCYX W/O CONTRAST,TECHNICAL COMPONENT	$983.30	$1,966.59	—	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$828.07	$1,656.13	—	22% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$828.07	$1,656.13	—	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST,TECHNICAL COMPONENT	$1,029.50	$2,059.00	—	5% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST,TECHNICAL COMPONENT	$1,029.50	$2,059.00	—	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID SCAN BILAT COMPLETE	$724.50	$1,449.00	—	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID SCAN BILAT COMPLETE	$724.50	$1,449.00	—	—	50%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST,TECHNICAL COMPONENT	$1,175.20	$2,350.40	—	6% below	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST,TECHNICAL COMPONENT	$1,175.20	$2,350.40	—	—	50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS XRAY HEALTH DEPARTMENT	$24.50	$49.00	—	86% below	50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS XRAY	$108.15	$216.30	—	39% below	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS XRAY HEALTH DEPARTMENT	$24.50	$49.00	—	—	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS XRAY	$108.15	$216.30	—	—	50%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW XRAY	$90.00	$180.00	—	45% below	50%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW XRAY	$90.00	$180.00	—	—	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	28% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	28% below	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE	$289.75	$579.49	—	38% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL COMPLETE	$289.75	$579.49	—	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST,TECHNICAL COMPONENT	$824.13	$1,648.25	—	13% below	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST,TECHNICAL COMPONENT	$824.13	$1,648.25	—	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST,TECHNICAL COMPONENT	$976.32	$1,952.64	—	14% below	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST,TECHNICAL COMPONENT	$976.32	$1,952.64	—	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL	$701.87	$1,403.74	—	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES LOWER EXT BILATERAL	$701.87	$1,403.74	—	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US EXT/VEINS/DVT BILAT	$693.00	$1,386.00	—	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US EXT/VEINS/DVT BILAT	$693.00	$1,386.00	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO SCAN COMPLETE	$1,050.00	$2,100.00	—	5% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO SCAN COMPLETE	$1,050.00	$2,100.00	—	—	50%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	41% below	50%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	41% below	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW (3+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	28% below	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW (3+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	28% below	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW (3+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW (3+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/SELLA/EAR W/O CONTRAST	$749.00	$1,497.99	—	18% below	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/SELLA/EAR W/O CONTRAST	$749.00	$1,497.99	—	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL (3+) COMPLETE XRAY	$175.10	$350.20	—	21% below	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL (3+) COMPLETE XRAY	$175.10	$350.20	—	—	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	28% below	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	28% below	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LEFT XRAY,LEFT SIDE	$72.10	$144.20	—	61% below	50%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RIGHT XRAY,RIGHT SIDE	$72.10	$144.20	—	61% below	50%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LEFT XRAY,LEFT SIDE	$72.10	$144.20	—	—	50%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RIGHT XRAY,RIGHT SIDE	$72.10	$144.20	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS (2+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	20% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEOUS (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	20% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS (2+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEOUS (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT XRAY,RIGHT SIDE	$141.63	$283.25	—	27% below	50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT XRAY,LEFT SIDE	$141.63	$283.25	—	27% below	50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LEFT XRAY,LEFT SIDE	$141.63	$283.25	—	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RIGHT XRAY,RIGHT SIDE	$141.63	$283.25	—	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED ABDOMEN	$202.00	$404.00	—	48% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIMITED ABDOMEN	$202.00	$404.00	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2 VIEWS RIGHT XRAY,RIGHT SIDE	$90.00	$180.00	—	47% below	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2 VIEWS LEFT XRAY,LEFT SIDE	$90.00	$180.00	—	47% below	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2 VIEWS LEFT XRAY,LEFT SIDE	$90.00	$180.00	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2 VIEWS RIGHT XRAY,RIGHT SIDE	$90.00	$180.00	—	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$2,080.25	$4,160.49	—	93% above	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$2,080.25	$4,160.49	—	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN & STEM W/O CONTRAST	$1,838.30	$3,676.60	—	48% above	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN & STEM W/O CONTRAST	$1,838.30	$3,676.60	—	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN & STEM W/WO CONTRAST	$2,685.11	$5,370.21	—	80% above	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN & STEM W/WO CONTRAST	$2,685.11	$5,370.21	—	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST	$1,491.60	$2,983.20	—	18% above	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONTRAST	$1,491.60	$2,983.20	—	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST	$2,133.44	$4,266.88	—	32% above	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W/WO CONTRAST	$2,133.44	$4,266.88	—	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST	$1,572.96	$3,145.92	—	40% above	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONTRAST	$1,572.96	$3,145.92	—	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,059.31	$4,118.62	—	26% above	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,059.31	$4,118.62	—	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST	$1,482.56	$2,965.12	—	25% above	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONTRAST	$1,482.56	$2,965.12	—	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$2,079.20	$4,158.40	—	28% above	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$2,079.20	$4,158.40	—	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,478.95	$2,957.89	—	44% above	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$1,478.95	$2,957.89	—	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4-5 VIEWS XRAY	$244.63	$489.25	—	11% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4-5 VIEWS XRAY	$244.63	$489.25	—	—	50%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONTRAST,TECHNICAL COMPONENT	$967.28	$1,934.56	—	12% below	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONTRAST,TECHNICAL COMPONENT	$967.28	$1,934.56	—	—	50%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST,TECHNICAL COMPONENT	$599.98	$1,199.95	—	29% below	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST,TECHNICAL COMPONENT	$599.98	$1,199.95	—	—	50%
Neck soft tissue X-ray CPT 70360 NECK/SOFT TISSUE XRAY	$221.45	$442.90	—	37% above	50%
Neck soft tissue X-ray inpatient CPT 70360 NECK/SOFT TISSUE XRAY	$221.45	$442.90	—	—	50%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST,TECHNICAL COMPONENT	$979.50	$1,959.00	—	1% above	50%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST,TECHNICAL COMPONENT	$979.50	$1,959.00	—	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE (NON-OB)	$236.90	$473.80	—	52% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE (NON-OB)	$236.90	$473.80	—	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$237.43	$474.85	—	29% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$237.43	$474.85	—	—	50%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	48% below	50%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	48% below	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS LEFT XRAY,LEFT SIDE	$118.45	$236.90	—	51% below	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS RIGHT XRAY,RIGHT SIDE	$118.45	$236.90	—	51% below	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS LEFT XRAY,LEFT SIDE	$118.45	$236.90	—	—	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL CXR 3 VIEWS RIGHT XRAY,RIGHT SIDE	$118.45	$236.90	—	—	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$133.90	$267.80	—	31% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$133.90	$267.80	—	31% below	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$133.90	$267.80	—	—	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER (2+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$133.90	$267.80	—	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS/PARANASAL (3+) COMPLETE XRAY	$175.10	$350.20	—	15% below	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS/PARANASAL (3+) COMPLETE XRAY	$175.10	$350.20	—	—	50%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS XRAY	$169.50	$339.00	—	18% below	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS XRAY	$169.50	$339.00	—	—	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	33% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	33% below	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$826.26	$1,652.51	—	18% below	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST,TECHNICAL COMPONENT	$826.26	$1,652.51	—	—	50%
Toe X-ray, 2 or more views one side CPT 73660 TOES (2+) VIEWS LEFT XRAY,LEFT SIDE	$84.98	$169.95	—	48% below	50%
Toe X-ray, 2 or more views one side CPT 73660 TOES (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$84.98	$169.95	—	48% below	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES (2+) VIEWS LEFT XRAY,LEFT SIDE	$84.98	$169.95	—	—	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$84.98	$169.95	—	—	50%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$309.50	$619.00	—	41% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$309.50	$619.00	—	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$308.00	$616.00	—	13% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$308.00	$616.00	—	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$230.50	$461.00	—	44% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$230.50	$461.00	—	—	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	41% below	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	41% below	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT/VEINS/DVT UNILAT RT,RIGHT SIDE	$342.50	$685.00	—	26% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT/VEINS/DVT UNILAT LT,LEFT SIDE	$342.50	$685.00	—	26% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT/VEINS/DVT UNILAT LT,LEFT SIDE	$342.50	$685.00	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT/VEINS/DVT UNILAT RT,RIGHT SIDE	$342.50	$685.00	—	—	50%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	37% below	50%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	37% below	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST (3+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$113.30	$226.60	—	37% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST (3+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$113.30	$226.60	—	37% below	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST (3+) VIEWS COMPLETE LEFT XRAY,LEFT SIDE	$113.30	$226.60	—	—	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST (3+) VIEWS COMPLETE RIGHT XRAY,RIGHT SIDE	$113.30	$226.60	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS RIGHT XRAY,RIGHT SIDE	$164.80	$329.60	—	13% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS LEFT XRAY,LEFT SIDE	$164.80	$329.60	—	13% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS RIGHT XRAY,RIGHT SIDE	$164.80	$329.60	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2-3 VIEWS LEFT XRAY,LEFT SIDE	$164.80	$329.60	—	—	50%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW XRAY	$92.70	$185.40	—	47% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW XRAY	$92.70	$185.40	—	—	50%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	42% below	50%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	42% below	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER (2+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	21% below	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	21% below	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER (2+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER (2+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	41% below	50%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	41% below	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RIGHT XRAY,RIGHT SIDE	$103.00	$206.00	—	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LEFT XRAY,LEFT SIDE	$103.00	$206.00	—	—	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	35% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	35% below	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	35% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	35% below	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND (3+) VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND (3+) VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	26% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	26% below	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LEFT XRAY,LEFT SIDE	$128.75	$257.50	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RIGHT XRAY,RIGHT SIDE	$128.75	$257.50	—	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS XRAY	$180.25	$360.50	—	15% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS XRAY	$180.25	$360.50	—	—	50%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE (4+) VIEWS XRAY	$193.13	$386.25	—	38% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE (4+) VIEWS XRAY	$193.13	$386.25	—	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS XRAY	$169.50	$339.00	—	20% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS XRAY	$169.50	$339.00	—	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL (3+) COMPLETE XRAY	$128.75	$257.50	—	21% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL (3+) COMPLETE XRAY	$128.75	$257.50	—	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS XRAY	$221.45	$442.90	—	8% above	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2-3 VIEWS XRAY	$221.45	$442.90	—	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS XRAY	$169.50	$339.00	—	12% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS XRAY	$169.50	$339.00	—	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX (2+) VIEWS XRAY	$169.50	$339.00	—	5% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX (2+) VIEWS XRAY	$169.50	$339.00	—	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
ACTH blood test CPT 82024 ACTH PLASMA	$87.00	$174.00	$38.62	33% below	50%
ACTH blood test inpatient CPT 82024 ACTH PLASMA	$87.00	$174.00	$38.62	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALTI	$26.50	$53.00	$5.30	19% below	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALTI	$26.50	$53.00	$5.30	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$26.50	$53.00	$5.18	29% below	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST	$26.50	$53.00	$5.18	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$202.40	$404.79	$47.63	9% above	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$202.40	$404.79	$47.63	—	50%
Albumin blood test CPT 82040 ALBUMIN SERUM/PLASMA	$23.50	$47.00	$4.95	25% below	50%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM/PLASMA	$23.50	$47.00	$4.95	—	50%
Aldosterone blood test CPT 82088 ALDOSTERONE PLASMA OR SERUM	$91.50	$183.00	$40.75	34% below	50%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE PLASMA OR SERUM	$91.50	$183.00	$40.75	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$22.50	$45.00	$5.18	25% below	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$22.50	$45.00	$5.18	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE CRUDE ALLERGEN EA	$15.00	$30.00	$5.22	31% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BASIC FOOD	$144.00	$288.00	$5.22	567% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 charge component ALLERGEN PROFILE X 22	$352.00	$704.00	$5.22	1530% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 charge component ALLERGEN PROFILE X 23	$368.00	$736.00	$5.22	1604% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 charge component ALLERGEN PROFILE X 26	$416.00	$832.00	$5.22	1826% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE REGIONAL ZONE 7	$480.00	$960.00	$5.22	2122% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE CRUDE ALLERGEN EA	$15.00	$30.00	$5.22	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BASIC FOOD	$144.00	$288.00	$5.22	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 charge component ALLERGEN PROFILE X 22	$352.00	$704.00	$5.22	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 charge component ALLERGEN PROFILE X 23	$368.00	$736.00	$5.22	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 charge component ALLERGEN PROFILE X 26	$416.00	$832.00	$5.22	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE REGIONAL ZONE 7	$480.00	$960.00	$5.22	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN	$75.86	$151.72	$16.77	38% above	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN	$75.86	$151.72	$16.77	—	50%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$75.00	$150.00	$14.57	8% above	50%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$75.00	$150.00	$14.57	—	50%
Amylase blood test CPT 82150 AMYLASE SERUM	$41.00	$82.00	$6.48	11% below	50%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$41.00	$82.00	$6.48	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IgG AND IgA	$77.00	$154.00	$12.95	17% above	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IgG AND IgA	$77.00	$154.00	$12.95	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$44.50	$89.00	$12.09	27% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX	$44.50	$89.00	$12.09	27% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 PLUS PROFILE (RDL)	$44.50	$89.00	$12.09	27% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX RFX 5	$44.50	$89.00	$12.09	27% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA WITH REFLEX	$44.50	$89.00	$12.09	27% below	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX RFX 5	$44.50	$89.00	$12.09	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$44.50	$89.00	$12.09	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 12 PLUS PROFILE (RDL)	$44.50	$89.00	$12.09	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX	$44.50	$89.00	$12.09	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA WITH REFLEX	$44.50	$89.00	$12.09	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$148.00	$296.00	$39.26	26% above	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N TERMINAL PRO BRAIN NATRIURETIC PEPTIDE	$148.00	$296.00	$39.26	26% above	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$148.00	$296.00	$39.26	—	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N TERMINAL PRO BRAIN NATRIURETIC PEPTIDE	$148.00	$296.00	$39.26	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 OTHER SOURCE EXCEPT URINE/BLOOD/STOOL	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND (AEROBIC ONLY)	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAG	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$42.50	$85.00	—	4% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE VAG	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND (AEROBIC ONLY)	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 OTHER SOURCE EXCEPT URINE/BLOOD/STOOL	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$42.50	$85.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NOSE	$42.50	$85.00	—	—	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$62.00	$124.00	$8.46	13% above	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$62.00	$124.00	$8.46	—	50%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN	$26.50	$53.00	$5.02	32% below	50%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN	$26.50	$53.00	$5.02	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY SURGICAL 88305 X 1	$101.00	$202.00	—	28% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOPATHOLOGY BIOPSY CODE 88305	$101.00	$202.00	—	28% below	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY SURGICAL 88305 X 1	$101.00	$202.00	—	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HISTOPATHOLOGY BIOPSY CODE 88305	$101.00	$202.00	—	—	50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD (LAB CORP)	$47.00	$94.00	—	36% below	50%
Blood culture for bacteria CPT 87040 BLOOD AEROBIC WITH ISOLATION OF ISOLATES	$47.00	$94.00	—	36% below	50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD (LAB CORP)	$47.00	$94.00	—	—	50%
Blood culture for bacteria inpatient CPT 87040 BLOOD AEROBIC WITH ISOLATION OF ISOLATES	$47.00	$94.00	—	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING CHARGE	$5.15	$10.30	$9.34	48% below	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING CHARGE	$5.15	$10.30	$9.34	—	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE (FBC)	$29.00	$58.00	$3.93	4% above	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FBC)	$29.00	$58.00	$3.93	—	50%
Blood lead test CPT 83655 LEAD LEVEL	$38.50	$77.00	$12.11	19% below	50%
Blood lead test inpatient CPT 83655 LEAD LEVEL	$38.50	$77.00	$12.11	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM HCG -QUAL	$64.38	$128.75	$7.52	41% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM HCG -QUAL	$64.38	$128.75	$7.52	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP	$79.89	$159.77	$2.99	31% above	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP	$79.89	$159.77	$2.99	—	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$25.00	$50.00	$3.95	at median	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$25.00	$50.00	$3.95	—	50%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM	$108.07	$216.14	$20.81	18% above	50%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM	$108.07	$216.14	$20.81	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT	$36.57	$73.13	$5.18	4% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QUANT	$36.57	$73.13	$5.18	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF TOXIN GENE NAA	$107.00	$214.00	$37.27	11% above	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF TOXIN GENE NAA	$107.00	$214.00	$37.27	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$106.50	$213.00	$20.81	17% above	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$106.50	$213.00	$20.81	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$103.65	$207.30	$20.81	12% above	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$103.65	$207.30	$20.81	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS - LAB CORP	$102.50	$205.00	$51.31	27% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-RAPID PCR	$102.50	$205.00	$51.31	27% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-RAPID PCR	$102.50	$205.00	$51.31	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS - LAB CORP	$102.50	$205.00	$51.31	—	50%
Calcium blood test, total CPT 82310 CALCIUM	$27.00	$54.00	$5.16	26% below	50%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$27.00	$54.00	$5.16	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$96.18	$192.35	$18.96	7% below	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$96.18	$192.35	$18.96	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA	$55.11	$110.21	$12.88	5% below	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA	$55.11	$110.21	$12.88	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, SDA	$57.50	$115.00	$35.09	28% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA, SDA	$57.50	$115.00	$35.09	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$76.50	$153.00	$13.39	10% above	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$76.50	$153.00	$13.39	—	50%
Complete blood count (CBC) with differential CPT 85025 CBC (OBI)	$30.00	$60.00	—	34% below	50%
Complete blood count (CBC) with differential CPT 85025 AP-CBC	$30.00	$60.00	—	34% below	50%
Complete blood count (CBC) with differential CPT 85025 AUTO DIFF	$30.00	$60.00	—	34% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$30.00	$60.00	—	34% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC (OBI)	$30.00	$60.00	—	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$30.00	$60.00	—	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 AP-CBC	$30.00	$60.00	—	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 AUTO DIFF	$30.00	$60.00	—	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$137.50	$275.00	$10.56	91% above	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$137.50	$275.00	$10.56	—	50%
Cortisol blood test, total CPT 82533 CORTISOL	$78.73	$157.45	$16.30	3% above	50%
Cortisol blood test, total CPT 82533 CORTISOL SALIVARY, MS	$78.73	$157.45	$16.30	3% above	50%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST	$78.73	$157.45	$16.30	3% above	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVARY, MS	$78.73	$157.45	$16.30	—	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$78.73	$157.45	$16.30	—	50%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION TEST	$78.73	$157.45	$16.30	—	50%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$48.50	$97.00	$6.51	16% above	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$48.50	$97.00	$6.51	—	50%
Creatinine blood test CPT 82565 GLOMERULAR FILTRATION RATE ESTIMATED	$27.50	$55.00	$5.12	7% below	50%
Creatinine blood test CPT 82565 CREATININE	$27.50	$55.00	$5.12	7% below	50%
Creatinine blood test inpatient CPT 82565 GLOMERULAR FILTRATION RATE ESTIMATED	$27.50	$55.00	$5.12	—	50%
Creatinine blood test inpatient CPT 82565 CREATININE	$27.50	$55.00	$5.12	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER PLASMA QUANTITATIVE	$99.00	$198.00	$10.18	at median	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$99.00	$198.00	$10.18	at median	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$99.00	$198.00	$10.18	—	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER PLASMA QUANTITATIVE	$99.00	$198.00	$10.18	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$50.00	$100.00	$22.23	34% below	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$50.00	$100.00	$22.23	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD (13 DRUGS) WITH REFLEX	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SERUM	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BLOOD ALCOHOL	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE URINE	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD (10 DRUGS) WITH REFLEX	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 16 WITH REFLEX	$120.00	$240.00	$62.14	24% above	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD (13 DRUGS) WITH REFLEX	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BLOOD ALCOHOL	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PROFILE URINE	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SERUM	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD (10 DRUGS) WITH REFLEX	$120.00	$240.00	$62.14	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 16 WITH REFLEX	$120.00	$240.00	$62.14	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL	$54.50	$109.00	$7.01	10% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL	$54.50	$109.00	$7.01	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 charge for CPT 86665 X 1	$31.00	$62.00	$18.14	55% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 charge for CPT 86665 X 2	$62.00	$124.00	$18.14	10% below	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 charge for CPT 86665 X 1	$31.00	$62.00	$18.14	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 charge for CPT 86665 X 2	$62.00	$124.00	$18.14	—	50%
Estradiol blood test CPT 82670 ESTRADIOL	$94.50	$189.00	$27.94	4% above	50%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE LC/MS	$94.50	$189.00	$27.94	4% above	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSITIVE LC/MS	$94.50	$189.00	$27.94	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$94.50	$189.00	$27.94	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$65.92	$131.84	$18.58	6% below	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$65.92	$131.84	$18.58	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$39.50	$79.00	$19.63	73% below	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$39.50	$79.00	$19.63	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$46.50	$93.00	$13.63	28% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$46.50	$93.00	$13.63	—	50%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$67.98	$135.96	$14.70	3% above	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$67.98	$135.96	$14.70	—	50%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$76.50	$153.00	$16.94	15% below	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$76.50	$153.00	$16.94	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$61.29	$122.57	$9.02	at median	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$61.29	$122.57	$9.02	—	50%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$119.50	$239.00	$25.47	38% above	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$119.50	$239.00	$25.47	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$27.00	$54.00	$7.20	45% below	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$27.00	$54.00	$7.20	—	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$174.00	$348.00	$31.24	11% below	50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$174.00	$348.00	$31.24	—	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1HR	$63.00	$126.00	$12.87	6% below	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1HR	$63.00	$126.00	$12.87	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS	$57.50	$115.00	$35.09	31% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS	$57.50	$115.00	$35.09	—	50%
H. pylori antibody blood test CPT 86677 H PYLORI	$63.35	$126.69	$16.85	16% below	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI	$63.35	$126.69	$16.85	—	50%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN	$28.00	$56.00	$14.38	75% below	50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN	$28.00	$56.00	$14.38	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE REAL TIME PCR	$363.50	$727.00	$85.10	78% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE REAL TIME PCR	$363.50	$727.00	$85.10	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AND HIV-2 ANTIBODIES SINGLE RESULT	$41.00	$82.00	$24.08	13% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AND HIV-2 ANTIBODIES SINGLE RESULT	$41.00	$82.00	$24.08	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN WITH eAG	$40.17	$80.34	$9.71	7% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN	$40.17	$80.34	$9.71	7% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN WITH eAG	$40.17	$80.34	$9.71	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED (A1C) HEMOGLOBIN	$40.17	$80.34	$9.71	—	50%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$18.03	$36.05	—	10% below	50%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$18.03	$36.05	—	—	50%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$58.71	$117.42	—	20% above	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$58.71	$117.42	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB	$54.00	$108.00	—	15% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (QUANT)	$54.00	$108.00	—	15% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (QUANT)	$54.00	$108.00	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB	$54.00	$108.00	—	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SUR ANTIGEN	$46.50	$93.00	$10.33	2% above	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SUR ANTIGEN	$46.50	$93.00	$10.33	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$134.00	$268.00	$14.27	139% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$134.00	$268.00	$14.27	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANTITATIVE REAL TIME	$277.59	$555.17	$42.84	25% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANTITATIVE RNA WITH REFLEX	$277.59	$555.17	$42.84	25% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANT VIRAL LOA	$277.59	$555.17	$42.84	25% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANTITATIVE REAL TIME	$277.59	$555.17	$42.84	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANTITATIVE RNA WITH REFLEX	$277.59	$555.17	$42.84	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANT VIRAL LOA	$277.59	$555.17	$42.84	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC C-REACTIVE PROTEIN	$47.52	$95.03	$12.95	14% below	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HI-SENSI	$48.00	$96.00	$12.95	13% below	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIAC C-REACTIVE PROTEIN	$47.52	$95.03	$12.95	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HI-SENSI	$48.00	$96.00	$12.95	—	50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM	$103.50	$207.00	$17.92	11% below	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE SERUM	$103.50	$207.00	$17.92	—	50%
Insulin blood test CPT 83525 INSULIN SERUM	$52.53	$105.06	$11.43	at median	50%
Insulin blood test inpatient CPT 83525 INSULIN SERUM	$52.53	$105.06	$11.43	—	50%
Iron blood test (serum iron) CPT 83540 IRON	$20.60	$41.20	$6.47	43% below	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$20.60	$41.20	$6.47	—	50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$54.00	$108.00	$8.74	14% above	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$54.00	$108.00	$8.74	—	50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$77.25	$154.50	$8.68	3% above	50%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$77.25	$154.50	$8.68	—	50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$67.98	$135.96	$18.52	7% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$67.98	$135.96	$18.52	—	50%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$36.43	$72.85	$11.57	38% below	50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$36.43	$72.85	$11.57	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL	$29.00	$58.00	$6.04	17% below	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL	$29.00	$58.00	$6.04	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$41.00	$82.00	$6.89	23% below	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$41.00	$82.00	$6.89	—	50%
Liver function blood test panel CPT 80076 LIVER PROFILE	$78.50	$157.00	$8.17	36% above	50%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$78.50	$157.00	$8.17	—	50%
Lyme disease antibody test CPT 86618 LYME AB W/REFLEX	$75.00	$150.00	$17.03	7% below	50%
Lyme disease antibody test CPT 86618 LYMES DISENE ANTIBODIES REFLEX TO WESTER	$75.00	$150.00	$17.03	7% below	50%
Lyme disease antibody test CPT 86618 LYMES TITER	$75.00	$150.00	$17.03	7% below	50%
Lyme disease antibody test CPT 86618 LYME REFLEX TO WESTERN BLOT	$75.00	$150.00	$17.03	7% below	50%
Lyme disease antibody test inpatient CPT 86618 LYMES TITER	$75.00	$150.00	$17.03	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME AB W/REFLEX	$75.00	$150.00	$17.03	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME REFLEX TO WESTERN BLOT	$75.00	$150.00	$17.03	—	50%
Lyme disease antibody test inpatient CPT 86618 LYMES DISENE ANTIBODIES REFLEX TO WESTER	$75.00	$150.00	$17.03	—	50%
Magnesium blood test CPT 83735 MAGNESIUM	$37.50	$75.00	$6.70	1% above	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$37.50	$75.00	$6.70	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 ANITNUCLEAR AB BY MULTPLEX IMMUNOASSAY	$20.00	$40.00	$5.18	51% below	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT	$32.96	$65.92	$5.18	20% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANITNUCLEAR AB BY MULTPLEX IMMUNOASSAY	$20.00	$40.00	$5.18	—	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT	$32.96	$65.92	$5.18	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE (SEND OUT)	$183.00	$366.00	$18.39	100% above	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE (SEND OUT)	$183.00	$366.00	$18.39	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$73.65	$147.29	$18.39	4% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (SEND OUT)	$73.65	$147.29	$18.39	4% below	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (SEND OUT)	$73.65	$147.29	$18.39	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$73.65	$147.29	$18.39	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR CYTOPATHOLOGY CERVICAL/VAGINAL	$21.88	$43.75	$31.93	68% below	50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR AUTOMATEDMANUAL W PHYS. SUPER	$21.88	$43.75	$31.93	68% below	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR AUTOMATEDMANUAL W PHYS. SUPER	$21.88	$43.75	$31.93	—	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR CYTOPATHOLOGY CERVICAL/VAGINAL	$21.88	$43.75	$31.93	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT)	$104.00	$208.00	$41.28	25% below	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (INTACT)	$104.00	$208.00	$41.28	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$28.33	$56.65	$6.01	13% below	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$28.33	$56.65	$6.01	—	50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$27.00	$54.00	$4.74	18% below	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$27.00	$54.00	$4.74	—	50%
Potassium blood test CPT 84132 POTASSIUM SERUM	$25.50	$51.00	$4.76	24% below	50%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$25.50	$51.00	$4.76	—	50%
Progesterone blood test CPT 84144 PROGESTERONE	$70.00	$140.00	$20.86	7% below	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$70.00	$140.00	$20.86	—	50%
Prolactin blood test CPT 84146 PROLACTIN	$78.50	$157.00	$19.38	16% below	50%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$78.50	$157.00	$19.38	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$28.33	$56.65	$4.29	13% below	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$28.33	$56.65	$4.29	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG PANEL / ER	$72.10	$144.20	$12.60	48% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG PANEL / ER	$72.10	$144.20	$12.60	—	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$34.50	$69.00	$16.55	37% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$34.50	$69.00	$16.55	37% below	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$34.50	$69.00	$16.55	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$34.50	$69.00	$16.55	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP	$27.00	$54.00	$16.53	44% below	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP	$27.00	$54.00	$16.53	—	50%
Renin blood test CPT 84244 RENIN ACTIVITY RATIO	$70.50	$141.00	$21.99	33% below	50%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY RATIO	$70.50	$141.00	$21.99	—	50%
Rh blood typing CPT 86901 BB RH BLOOD	$43.58	$87.15	$2.99	4% below	50%
Rh blood typing inpatient CPT 86901 BB RH BLOOD	$43.58	$87.15	$2.99	—	50%
Rheumatoid factor (RF) test CPT 86431 RA	$27.81	$55.62	$5.67	5% below	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA	$27.81	$55.62	$5.67	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG	$35.50	$71.00	$14.39	33% below	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG	$35.50	$71.00	$14.39	—	50%
Sodium blood test CPT 84295 SODIUM SERUM	$20.60	$41.20	$4.81	36% below	50%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$20.60	$41.20	$4.81	—	50%
Stool ova and parasites exam CPT 87177 O&P	$53.50	$107.00	—	15% below	50%
Stool ova and parasites exam inpatient CPT 87177 O&P	$53.50	$107.00	—	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SINGLE	$24.72	$49.44	$4.38	9% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SINGLE	$24.72	$49.44	$4.38	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA	$50.47	$100.94	$13.24	22% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SCREENING	$50.47	$100.94	$13.24	22% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$50.47	$100.94	$13.24	22% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ANTIBODIES	$50.47	$100.94	$13.24	22% above	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA	$50.47	$100.94	$13.24	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ANTIBODIES	$50.47	$100.94	$13.24	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS SCREENING	$50.47	$100.94	$13.24	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$50.47	$100.94	$13.24	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$39.00	$78.00	$4.27	25% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS RPR W/REFLEX TO TITER/TREP ANTI	$39.00	$78.00	$4.27	25% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TITER	$39.00	$78.00	$4.27	25% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL	$39.00	$78.00	$4.27	25% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS RPR W/REFLEX TO TITER/TREP ANTI	$39.00	$78.00	$4.27	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TITER	$39.00	$78.00	$4.27	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$39.00	$78.00	$4.27	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL	$39.00	$78.00	$4.27	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$139.50	$279.00	$61.98	20% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$139.50	$279.00	$61.98	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BLOOD	$93.50	$187.00	$25.81	1% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BLOOD	$93.50	$187.00	$25.81	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$59.50	$119.00	$14.55	2% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODIES	$59.50	$119.00	$14.55	2% below	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODIES	$59.50	$119.00	$14.55	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) ANTIBODIES	$59.50	$119.00	$14.55	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$56.50	$113.00	$16.80	5% above	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$56.50	$113.00	$16.80	—	50%
Total IgE blood test CPT 82785 IGE	$47.00	$94.00	$16.46	9% below	50%
Total IgE blood test inpatient CPT 82785 IGE	$47.00	$94.00	$16.46	—	50%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$27.00	$54.00	$4.35	19% below	50%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$27.00	$54.00	$4.35	—	50%
Total thyroxine (T4) blood test CPT 84436 T4	$30.50	$61.00	$6.87	29% below	50%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$30.50	$61.00	$6.87	—	50%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$67.98	$135.96	$14.18	15% above	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$67.98	$135.96	$14.18	—	50%
Transferrin blood test CPT 84466 TRANSFERRIN	$56.65	$113.30	$12.76	1% below	50%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$56.65	$113.30	$12.76	—	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PROBE TECHNIQUE	$50.50	$101.00	$35.09	43% below	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PROBE TECHNIQUE	$50.50	$101.00	$35.09	—	50%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$23.50	$47.00	$5.74	32% below	50%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$23.50	$47.00	$5.74	—	50%
Troponin test, quantitative CPT 84484 TROPONIN I LOCI	$67.47	$134.93	$12.47	5% below	50%
Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY	$67.47	$134.93	$12.47	5% below	50%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY	$67.47	$134.93	$12.47	—	50%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I LOCI	$67.47	$134.93	$12.47	—	50%
Uric acid blood test CPT 84550 URIC ACID	$27.00	$54.00	$4.52	at median	50%
Uric acid blood test inpatient CPT 84550 URIC ACID	$27.00	$54.00	$4.52	—	50%
Urinalysis with microscope exam, automated CPT 81001 ICTOTEST	$30.90	$61.80	$3.17	3% below	50%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/ MICRO	$30.90	$61.80	$3.17	3% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/ MICRO	$30.90	$61.80	$3.17	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 ICTOTEST	$30.90	$61.80	$3.17	—	50%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO DIACON	$25.75	$51.50	$2.25	79% above	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO DIACON	$25.75	$51.50	$2.25	—	50%
Urinalysis without microscope exam, manual CPT 81002 U A DIPSTICK ONLY	$11.33	$22.66	$3.48	31% below	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 U A DIPSTICK ONLY	$11.33	$22.66	$3.48	—	50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE (LAB CORP)	$48.00	$96.00	$8.07	1% below	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE (LAB CORP)	$48.00	$96.00	$8.07	—	50%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN	$75.71	$151.41	$5.78	98% above	50%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN	$75.71	$151.41	$5.78	—	50%
Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE	$32.96	$65.92	$8.61	19% above	50%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST URINE	$32.96	$65.92	$8.61	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$67.00	$134.00	$15.08	3% above	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$67.00	$134.00	$15.08	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$119.48	$238.96	$29.60	9% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY FRACTIONATED LC-MS	$119.48	$238.96	$29.60	9% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY FRACTIONATED LC-MS	$119.48	$238.96	$29.60	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$119.48	$238.96	$29.60	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL	$147.96	$295.92	$38.50	3% below	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL	$147.96	$295.92	$38.50	—	50%
Zinc blood test CPT 84630 ZINC SERUM OR PLASMA	$25.50	$51.00	$11.39	56% below	50%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD	$25.50	$51.00	$11.39	56% below	50%
Zinc blood test inpatient CPT 84630 ZINC SERUM OR PLASMA	$25.50	$51.00	$11.39	—	50%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD	$25.50	$51.00	$11.39	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUAN	$72.05	$144.10	$15.05	16% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUAN	$72.05	$144.10	$15.05	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL FX W/O MANIPULAT	$292.02	$584.04	—	11% above	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TX DISTAL RADIAL FX W/O MANIPULAT	$292.02	$584.04	—	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE/SINGLE - ER	$239.50	$479.00	—	8% below	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS SIMPLE/SINGLE - ER	$239.50	$479.00	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT/BURSA INJECTION - ER	$346.50	$693.00	—	5% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT/BURSA INJECTION - ER	$346.50	$693.00	—	—	50%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION SINGLE/SIMPLE - ER	$221.00	$442.00	—	at median	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION SINGLE/SIMPLE - ER	$221.00	$442.00	—	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$778.50	$1,557.00	—	80% above	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL	$778.50	$1,557.00	—	—	50%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL OF FOREIGN BODY-SIMPLE	$439.00	$878.00	—	20% above	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL OF FOREIGN BODY-SIMPLE	$439.00	$878.00	—	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR SIMPLE EXTREM <2.5CM	$230.00	$460.00	—	17% above	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR SIMPLE EXTREM <2.5CM	$230.00	$460.00	—	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WOUND REPAIR SIMPLE EXTREM 2.6CM-7.5CM	$230.00	$460.00	—	7% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WOUND REPAIR SIMPLE EXTREM 2.6CM-7.5CM	$230.00	$460.00	—	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$473.50	$947.00	—	35% below	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$473.50	$947.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TXT W/AER/HHN/MDH/IPP	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL ADDL FREQUENCY	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER SUBSEQUENT	$37.50	$75.00	—	72% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER INITIAL	$37.50	$75.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER SUBSEQUENT	$37.50	$75.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TXT W/AER/HHN/MDH/IPP	$37.50	$75.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL	$37.50	$75.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$37.50	$75.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER INITIAL ADDL FREQUENCY	$37.50	$75.00	—	—	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG	$107.00	$214.00	—	147% above	50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG	$107.00	$214.00	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MEDICAL SCREENING EXAM	$90.13	$180.25	—	45% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 RM CHG	$150.00	$300.00	—	8% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MEDICAL SCREENING EXAM	$90.13	$180.25	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 RM CHG	$150.00	$300.00	—	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 RM CHG	$300.00	$600.00	—	5% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 RM CHG	$300.00	$600.00	—	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$159.00	$318.00	—	13% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31 MIN TO 1 HR	$159.00	$318.00	—	—	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUS DRUG INITIAL UP TO 1 HR	$258.50	$517.00	—	10% above	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS DRUG INITIAL UP TO 1 HR	$258.50	$517.00	—	—	50%
IV push of a medicine, first drug CPT 96374 IV PUSH MED, single or initial substance	$159.00	$318.00	—	7% above	50%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH MED, single or initial substance	$159.00	$318.00	—	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM or SC - ER	$66.00	$132.00	—	1% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM or SC - ER	$66.00	$132.00	—	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB PHLEBOTOMY	$121.50	$243.00	—	1% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB PHLEBOTOMY	$121.50	$243.00	—	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 25MCG/0.5ML VACCINE	$176.66	$353.32	$180.18	7% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 25MCG/0.5ML VACCINE	$176.66	$353.32	$180.18	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH TOXOID SYRINGE 0.5ML	$45.22	$90.43	$54.89	46% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH TOXOID SYRINGE 0.5ML	$45.22	$90.43	$54.89	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN. TETANUS - ER	$80.00	$160.00	—	41% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INITIAL VACCINE/TOXOID	$80.00	$160.00	—	41% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INITIAL VACCINE/TOXOID	$80.00	$160.00	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN. TETANUS - ER	$80.00	$160.00	—	—	50%

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://pushmatahahospital.com/images/pt/736069650_pushmataha-county-city-of-antlers-hospital-authority_standardcharges.csv