Hospital Hammond, LA

North Oaks Medical Center

North Oaks Medical Center in Drive. Hammond, LA publishes cash prices for 427 common procedures listed here, from its own machine-readable price file updated Oct 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 231 of 419 procedures and below it for 186. By typical cash price it ranks #40 of 67 Louisiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

15790 Paul Vega, MD, Drive. Hammond, LA 70403 Collected Nov 10, 2026 Source price file Check a bill from this hospital (985) 345-2700

Acute care hospital Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 190015 · CMS hospital register NPI 1144227539

Financial assistance

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

North Oaks Medical Center 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 Louisiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/WO	$405.57	$3,236.00	$50.39–$2,556.44	60% below	87%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/WO	$405.57	$3,236.00	$50.39–$2,556.44	—	87%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen, 2 Views	$249.46	$674.00	$47.52–$532.46	43% above	63%
Abdominal X-ray, 2 views inpatient CPT 74019 Xr Abdomen, 2 Views	$249.46	$674.00	$47.52–$532.46	—	63%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Min 3 Views	$177.63	$632.00	$44.56–$499.28	43% above	72%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Min 3 Views	$177.63	$632.00	$44.56–$499.28	—	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Seg Pres 1-2 Lev Bil	$242.67	$1,259.00	$79.08–$994.61	38% above	81%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Seg Pres 1-2 Lev Bil	$242.67	$1,259.00	$79.08–$994.61	—	81%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Up Ext W/O Cont	$249.46	$3,201.00	$91.00–$2,528.79	62% below	92%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Up Ext W/O Cont	$249.46	$3,201.00	$91.00–$2,528.79	—	92%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Fl Esophagus; Single Contrast	$405.57	$1,142.00	$49.94–$902.18	88% above	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Fl Esophagus; Single Contrast	$405.57	$1,142.00	$49.94–$902.18	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Whole Body Bone Scan	$819.35	$3,213.00	$226.52–$2,538.27	49% above	74%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Whole Body Bone Scan	$819.35	$3,213.00	$226.52–$2,538.27	—	74%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilat; Complete	$249.46	$726.00	$51.18–$573.54	49% above	66%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Unilat; Complete	$249.46	$726.00	$51.18–$573.54	—	66%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilat; Limited	$177.63	$693.00	$48.86–$547.47	6% above	74%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilat; Limited	$177.63	$693.00	$48.86–$547.47	—	74%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis; Postprocess; W or W/WO	$849.88	$3,511.00	$163.18–$2,773.69	7% below	76%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis; Postprocess; W or W/WO	$849.88	$3,511.00	$163.18–$2,773.69	—	76%
CT angiography (CTA) of the head CPT 70496 Cta Head; Postprocess; W or W/WO	$405.57	$3,547.00	$160.37–$2,802.13	41% below	89%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head; Postprocess; W or W/WO	$405.57	$3,547.00	$160.37–$2,802.13	—	89%
CT angiography (CTA) of the neck CPT 70498 Cta Neck; Postprocess; W or W/WO	$405.57	$3,526.00	$160.37–$2,785.54	41% below	88%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck; Postprocess; W or W/WO	$405.57	$3,526.00	$160.37–$2,785.54	—	88%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest; Postprocess; W or W/WO	$405.57	$4,457.00	$160.37–$3,521.03	50% below	91%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest; Postprocess; W or W/WO	$405.57	$4,457.00	$160.37–$3,521.03	—	91%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Coronary Arteries; Postprocess; W or W/WO	$405.57	$4,205.00	$163.18–$3,321.95	14% below	90%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Coronary Arteries; Postprocess; W or W/WO	$405.57	$4,205.00	$163.18–$3,321.95	—	90%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Score	$177.63	$1,011.00	$50.39–$798.69	111% above	82%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Score	$177.63	$1,011.00	$50.39–$798.69	—	82%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd Pelvis W/O Contrast	$518.68	$4,545.00	$163.18–$3,590.55	54% below	89%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd Pelvis W/O Contrast	$518.68	$4,545.00	$163.18–$3,590.55	—	89%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast	$849.88	$5,484.00	$163.18–$4,332.36	34% below	85%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis With Contrast	$849.88	$5,484.00	$163.18–$4,332.36	—	85%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelv W and W/O Cont	$849.88	$5,876.00	$91.00–$4,642.04	41% below	86%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelv W and W/O Cont	$849.88	$5,876.00	$91.00–$4,642.04	—	86%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen With	$405.57	$2,634.00	$50.39–$2,080.86	53% below	85%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen With	$405.57	$2,634.00	$50.39–$2,080.86	—	85%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O	$249.46	$1,632.00	$50.39–$1,289.28	67% below	85%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O	$249.46	$1,632.00	$50.39–$1,289.28	—	85%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Dental/Sinus W/O	$249.46	$3,698.00	$91.00–$2,921.42	60% below	93%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Dental/Sinus W/O	$249.46	$3,698.00	$91.00–$2,921.42	—	93%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brct Head/Brain W/O	$249.46	$2,151.00	$91.00–$1,699.29	62% below	88%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brct Head/Brain W/O	$249.46	$2,151.00	$91.00–$1,699.29	—	88%
CT scan of the head with contrast CPT 70460 CT Head/Brain With	$405.57	$2,374.00	$160.37–$1,875.46	43% below	83%
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain With	$405.57	$2,374.00	$160.37–$1,875.46	—	83%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/WO	$405.57	$2,966.00	$160.37–$2,343.14	56% below	86%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/WO	$405.57	$2,966.00	$160.37–$2,343.14	—	86%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O	$249.46	$3,787.00	$91.00–$2,991.73	67% below	93%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O	$249.46	$3,787.00	$91.00–$2,991.73	—	93%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O	$249.46	$3,927.00	$91.00–$3,102.33	66% below	94%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O	$249.46	$3,927.00	$91.00–$3,102.33	—	94%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis With	$405.57	$3,183.00	$160.37–$2,514.57	51% below	87%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis With	$405.57	$3,183.00	$160.37–$2,514.57	—	87%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Duplex Carotid; Complete Bilat	$518.68	$1,778.00	$109.96–$1,404.62	—	71%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Duplex Carotid; Complete Bilat	$518.68	$1,778.00	$109.96–$1,404.62	—	71%
Chest CT scan without and with contrast CPT 71270 CT Chest W/WO	$405.57	$4,027.00	$160.37–$3,181.33	62% below	90%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest W/WO	$405.57	$4,027.00	$160.37–$3,181.33	—	90%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views	$177.63	$502.00	$35.39–$396.58	34% above	65%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest 2 Views	$177.63	$502.00	$35.39–$396.58	—	65%
Chest X-ray, single view CPT 71045 Xr Chest 1 View	$177.63	$799.00	$50.39–$631.21	60% above	78%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1 View	$177.63	$799.00	$50.39–$631.21	—	78%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Complete	$177.63	$632.00	$44.56–$499.28	52% above	72%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xr Clavicle Complete	$177.63	$632.00	$44.56–$499.28	—	72%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$249.46	$1,471.00	$91.00–$1,162.09	13% below	83%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$249.46	$1,471.00	$91.00–$1,162.09	—	83%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Mg Bone Density; Axial +1	$249.46	$764.00	$53.86–$603.56	72% above	67%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Mg Bone Density; Axial +1	$249.46	$764.00	$53.86–$603.56	—	67%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Mg Bone Density; Peripheral 1+	$177.63	$727.00	$50.39–$574.33	116% above	76%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Mg Bone Density; Peripheral 1+	$177.63	$727.00	$50.39–$574.33	—	76%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Detailed Sing	$518.68	$2,285.00	$161.09–$1,805.15	95% above	77%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Detailed Sing	$518.68	$2,285.00	$161.09–$1,805.15	—	77%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O	$249.46	$2,770.00	$91.00–$2,188.30	65% below	91%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest W/O	$249.46	$2,770.00	$91.00–$2,188.30	—	91%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest With	$405.57	$3,582.00	$160.37–$2,829.78	53% below	89%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest With	$405.57	$3,582.00	$160.37–$2,829.78	—	89%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Diag W/WO Cad Bilat	$236.12	$612.00	$43.15–$483.48	—	61%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Diag W/WO Cad Bilat	$236.12	$612.00	$43.15–$483.48	—	61%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Diag W/WO Cad; Unilat	$185.29	$477.00	$33.63–$376.83	52% above	61%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Diag W/WO Cad; Unilat	$185.29	$477.00	$33.63–$376.83	—	61%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Low Ext Art Duplex-Bilat	$518.68	$2,163.00	$152.49–$1,708.77	—	76%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Low Ext Art Duplex-Bilat	$518.68	$2,163.00	$152.49–$1,708.77	—	76%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Et Veins Duplex; Bilat Complete	$518.68	$2,072.00	$146.08–$1,636.88	—	75%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Et Veins Duplex; Bilat Complete	$518.68	$2,072.00	$146.08–$1,636.88	—	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete 2d/M W Color&Doppler	$1,071.85	$4,494.00	$316.83–$3,550.26	41% above	76%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete 2d/M W Color&Doppler; Tavr	$1,071.85	$4,494.00	$316.83–$3,550.26	41% above	76%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete 2d/M W Color&Doppler; Tavr	$1,071.85	$4,494.00	$316.83–$3,550.26	—	76%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete 2d/M W Color&Doppler	$1,071.85	$4,494.00	$316.83–$3,550.26	—	76%
Elbow X-ray, 2 views CPT 73070 Elbow 2 Views	$177.63	$537.00	$37.86–$424.23	36% above	67%
Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views	$177.63	$537.00	$37.86–$424.23	—	67%
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Min 3 Views	$177.63	$702.00	$49.49–$554.58	34% above	75%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Min 3 Views	$177.63	$702.00	$49.49–$554.58	—	75%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits/Mastoid/Temp W/O	$249.46	$3,142.00	$91.00–$2,482.18	59% below	92%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits/Mastoid/Temp W/O	$249.46	$3,142.00	$91.00–$2,482.18	—	92%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones Min 3 Views	$249.46	$791.00	$55.77–$624.89	59% above	68%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr Facial Bones Min 3 Views	$249.46	$791.00	$55.77–$624.89	—	68%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views	$177.63	$632.00	$44.56–$499.28	55% above	72%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm 2 Views	$177.63	$632.00	$44.56–$499.28	—	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hida Scan	$819.35	$2,889.00	$203.67–$2,282.31	40% above	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hida Scan	$819.35	$2,889.00	$203.67–$2,282.31	—	72%
Hand X-ray, 2 views CPT 73120 HC Hand 2 Views	$249.46	$984.00	$69.37–$777.36	137% above	75%
Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views	$249.46	$984.00	$69.37–$777.36	—	75%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneous Min 2 Views	$177.63	$501.00	$35.32–$395.79	61% above	65%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneous Min 2 Views	$177.63	$501.00	$35.32–$395.79	—	65%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sl Polysomnography With Cpap	$2,023.05	$7,602.00	$368.45–$6,005.58	38% above	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sl Polysomnography With Cpap	$2,023.05	$7,602.00	$368.45–$6,005.58	—	73%
Knee X-ray, 3 views CPT 73562 Knee 3 Views	$177.63	$727.00	$50.39–$574.33	30% above	76%
Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views	$177.63	$727.00	$50.39–$574.33	—	76%
Knee X-ray, complete, 4 or more views CPT 73564 Knee 4 or More Views	$249.46	$841.00	$50.39–$664.39	58% above	70%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee 4 or More Views	$249.46	$841.00	$50.39–$664.39	—	70%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Low Ext W/O Cont	$249.46	$3,168.00	$91.00–$2,502.72	58% below	92%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Low Ext W/O Cont	$249.46	$3,168.00	$91.00–$2,502.72	—	92%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Limited	$249.46	$1,007.00	$70.99–$795.53	4% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Limited	$249.46	$1,007.00	$70.99–$795.53	—	75%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Ext Non Vas Lmtd	$249.46	$921.00	$64.93–$727.59	44% above	73%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Ext Non Vas Lmtd	$249.46	$921.00	$64.93–$727.59	—	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Chest WO Cont; Screening Lung Ca Low Dose	$177.63	$3,030.00	$95.59–$2,393.70	19% above	94%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Chest WO Cont; Screening Lung Ca Low Dose	$177.63	$3,030.00	$95.59–$2,393.70	—	94%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 2 Views	$177.63	$607.00	$42.79–$479.53	48% above	71%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 2 Views	$177.63	$607.00	$42.79–$479.53	—	71%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Brain WO Contrast	$518.68	$3,135.00	$186.49–$2,476.65	38% below	83%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Brain WO Contrast	$518.68	$3,135.00	$186.49–$2,476.65	—	83%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W&WO Cont; W/WO Cad; Bilat	$560.50	$6,047.00	$206.99–$4,777.13	—	91%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast W&WO Cont; W/WO Cad; Bilat	$560.50	$6,047.00	$206.99–$4,777.13	—	91%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Low Ext Jt WO	$518.68	$3,320.00	$186.49–$2,622.80	40% below	84%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Low Ext Jt WO	$518.68	$3,320.00	$186.49–$2,622.80	—	84%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Ext Joint Comp	$849.88	$7,153.00	$312.12–$5,650.87	32% below	88%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Ext Joint Comp	$849.88	$7,153.00	$312.12–$5,650.87	—	88%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Cont	$518.68	$4,511.00	$163.18–$3,563.69	43% below	89%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Cont	$518.68	$4,511.00	$163.18–$3,563.69	—	89%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen Complete	$849.88	$7,504.00	$312.12–$5,928.16	33% below	89%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen Complete	$849.88	$7,504.00	$312.12–$5,928.16	—	89%
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast	$518.68	$3,465.00	$186.49–$2,737.35	50% below	85%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast	$518.68	$3,465.00	$186.49–$2,737.35	—	85%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Contrast	$849.88	$4,923.00	$91.00–$3,889.17	38% below	83%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/WO Contrast	$849.88	$4,923.00	$91.00–$3,889.17	—	83%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W/O Contrast	$518.68	$4,149.00	$50.39–$3,277.71	50% below	87%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Spine W/O Contrast	$518.68	$4,149.00	$50.39–$3,277.71	—	87%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar Spine W/WO Contrast	$849.88	$7,132.00	$91.00–$5,634.28	38% below	88%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine W/WO Contrast	$849.88	$7,132.00	$91.00–$5,634.28	—	88%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast	$518.68	$5,063.00	$91.00–$3,999.77	46% below	90%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine W/O Contrast	$518.68	$5,063.00	$91.00–$3,999.77	—	90%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cervical Spine W/WO Contrast	$849.88	$7,628.00	$186.49–$6,026.12	38% below	89%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Cervical Spine W/WO Contrast	$849.88	$7,628.00	$186.49–$6,026.12	—	89%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrast	$518.68	$5,416.00	$186.49–$4,278.64	45% below	90%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical Spine W/O Contrast	$518.68	$5,416.00	$186.49–$4,278.64	—	90%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis Complete	$849.88	$6,872.00	$312.12–$5,428.88	17% below	88%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis Complete	$849.88	$6,872.00	$312.12–$5,428.88	—	88%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Cont	$518.68	$3,660.00	$186.49–$2,891.40	37% below	86%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Cont	$518.68	$3,660.00	$186.49–$2,891.40	—	86%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Up Ext Jnt W/O Wrist/Elbow/Shoul	$518.68	$4,689.00	$186.49–$3,704.31	39% below	89%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Up Ext Jnt W/O Wrist/Elbow/Shoul	$518.68	$4,689.00	$186.49–$3,704.31	—	89%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr C-Spine 4-5 View	$249.46	$1,035.00	$72.97–$817.65	23% above	76%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr C-Spine 4-5 View	$249.46	$1,035.00	$72.97–$817.65	—	76%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck With	$405.57	$3,851.00	$160.37–$3,042.29	41% below	89%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck With	$405.57	$3,851.00	$160.37–$3,042.29	—	89%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O	$249.46	$3,239.00	$91.00–$2,558.81	63% below	92%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O	$249.46	$3,239.00	$91.00–$2,558.81	—	92%
Neck soft tissue X-ray CPT 70360 Xr Ap/Lat Neck Soft Tissue	$177.63	$589.00	$41.52–$465.31	43% above	70%
Neck soft tissue X-ray inpatient CPT 70360 Xr Ap/Lat Neck Soft Tissue	$177.63	$589.00	$41.52–$465.31	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Stress	$2,831.51	$7,898.00	$556.81–$6,239.42	139% above	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Stress	$2,831.51	$7,898.00	$556.81–$6,239.42	—	64%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Ophthalmic Imaging Retina	$122.44	$668.00	$45.21–$527.72	101% above	82%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized Ophthalmic Imaging Retina	$122.44	$668.00	$45.21–$527.72	—	82%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O	$249.46	$1,935.00	$91.00–$1,528.65	64% below	87%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O	$249.46	$1,935.00	$91.00–$1,528.65	—	87%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Limited/Followup	$249.46	$1,002.00	$70.64–$791.58	49% above	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Limited/Followup	$249.46	$1,002.00	$70.64–$791.58	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete	$249.46	$1,316.00	$91.00–$1,039.64	11% below	81%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete	$249.46	$1,316.00	$91.00–$1,039.64	—	81%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Over 14 Wks Sing/First Ges	$249.46	$1,027.00	$72.40–$811.33	2% below	76%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Over 14 Wks Sing/First Ges	$249.46	$1,027.00	$72.40–$811.33	—	76%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Com Less 14wks/Sing/1st	$249.46	$845.00	$59.57–$667.55	9% above	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Com Less 14wks/Sing/1st	$249.46	$845.00	$59.57–$667.55	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited Single/Mult	$249.46	$617.00	$43.50–$487.43	44% above	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited Single/Mult	$249.46	$617.00	$43.50–$487.43	—	60%
Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs Unilat 2 View	$177.63	$692.00	$48.79–$546.68	26% above	74%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Xr Ribs Unilat 2 View	$177.63	$692.00	$48.79–$546.68	—	74%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Xr Ribs Unilat W/ Chest Epa 3+ View	$249.46	$830.00	$58.52–$655.70	68% above	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Xr Ribs Unilat W/ Chest Epa 3+ View	$249.46	$830.00	$58.52–$655.70	—	70%
Screening mammogram, both breasts both sides CPT 77067 HC Mammo Screening W/WO Cad; Bilat, 2vw Each	$195.88	$533.00	$37.58–$421.07	—	63%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammo Screening W/WO Cad; Bilat, 2vw Each	$195.88	$533.00	$37.58–$421.07	—	63%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Min 2 View	$177.63	$657.00	$46.32–$519.03	35% above	73%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Min 2 View	$177.63	$657.00	$46.32–$519.03	—	73%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinus Min 3 View or More	$177.63	$841.00	$50.39–$664.39	8% above	79%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr Sinus Min 3 View or More	$177.63	$841.00	$50.39–$664.39	—	79%
Skull X-ray, fewer than 4 views CPT 70250 Skull Less 4 Views	$249.46	$992.00	$69.94–$783.68	88% above	75%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less 4 Views	$249.46	$992.00	$69.94–$783.68	—	75%
Sleep study in a lab (polysomnography) CPT 95810 Sl Polysomnography 4 or More	$2,023.05	$7,041.00	$496.39–$5,562.39	35% above	71%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sl Polysomnography 4 or More	$2,023.05	$7,041.00	$496.39–$5,562.39	—	71%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress&Rest 2d/M; Cont.Ecg	$1,071.85	$3,847.00	$30.06–$3,039.13	71% above	72%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress&Rest 2d/M; Cont.Ecg	$1,071.85	$3,847.00	$30.06–$3,039.13	—	72%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Fl Swallowing W Video; Contrast	$405.57	$2,203.00	$91.00–$1,740.37	68% above	82%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Fl Swallowing W Video; Contrast	$405.57	$2,203.00	$91.00–$1,740.37	—	82%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur 2+ Views	$177.63	$607.00	$42.79–$479.53	49% above	71%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Femur 2+ Views	$177.63	$607.00	$42.79–$479.53	—	71%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O	$249.46	$4,143.00	$91.00–$3,272.97	67% below	94%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thoracic Spine W/O	$249.46	$4,143.00	$91.00–$3,272.97	—	94%
Toe X-ray, 2 or more views CPT 73660 HC Xray Toe(S)	$177.63	$496.00	$34.97–$391.84	58% above	64%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Xray Toe(S)	$177.63	$496.00	$34.97–$391.84	—	64%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$249.46	$1,352.00	$91.00–$1,068.08	17% above	82%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$249.46	$1,352.00	$91.00–$1,068.08	—	82%
Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal OB	$249.46	$688.00	$48.50–$543.52	38% above	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Transvaginal OB	$249.46	$688.00	$48.50–$543.52	—	64%
Ultrasound of the abdomen, complete CPT 76700 US Abdominal Complete	$249.46	$1,203.00	$84.81–$950.37	17% below	79%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Complete	$249.46	$1,203.00	$84.81–$950.37	—	79%
Ultrasound of the scrotum and testicles CPT 76870 US Testicular	$249.46	$1,005.00	$70.85–$793.95	16% above	75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Testicular	$249.46	$1,005.00	$70.85–$793.95	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head/Neck	$249.46	$1,246.00	$87.84–$3,539.94	1% below	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head/Neck	$249.46	$1,246.00	$87.84–$3,539.94	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Fl Upper GI Tract; Single Contrast	$405.57	$1,419.00	$50.39–$1,121.01	60% above	71%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Fl Upper GI Tract; Single Contrast	$405.57	$1,419.00	$50.39–$1,121.01	—	71%
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Min 2 Views	$177.63	$657.00	$46.32–$519.03	39% above	73%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Min 2 Views	$177.63	$657.00	$46.32–$519.03	—	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Ext Veins Duplex; Uni/Limited	$249.46	$1,157.00	$81.57–$914.03	3% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Ext Veins Duplex; Uni/Limited	$249.46	$1,157.00	$81.57–$914.03	—	78%
Wrist X-ray, 2 views CPT 73100 Wrist 2 Views	$177.63	$504.00	$35.53–$398.16	63% above	65%
Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 Views	$177.63	$504.00	$35.53–$398.16	—	65%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Min 3 Views	$177.63	$632.00	$44.56–$499.28	49% above	72%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Min 3 Views	$177.63	$632.00	$44.56–$499.28	—	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilat W WO Pelvis 2-3 View	$177.63	$794.00	$50.39–$627.26	40% above	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip Unilat W WO Pelvis 2-3 View	$177.63	$794.00	$50.39–$627.26	—	78%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen, 1 View	$52.19	$498.00	$35.11–$393.42	57% below	90%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen, 1 View	$52.19	$498.00	$35.11–$393.42	—	90%
X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views	$177.63	$539.00	$38.00–$425.81	64% above	67%
X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views	$177.63	$539.00	$38.00–$425.81	—	67%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xray Finger(S)	$177.63	$531.00	$37.44–$419.49	73% above	67%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xray Finger(S)	$177.63	$531.00	$37.44–$419.49	—	67%
X-ray of the foot, 2 views CPT 73620 Foot 2 Views	$177.63	$592.00	$41.74–$467.68	65% above	70%
X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views	$177.63	$592.00	$41.74–$467.68	—	70%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot Min 3 Views	$177.63	$713.00	$50.27–$563.27	43% above	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Min 3 Views	$177.63	$713.00	$50.27–$563.27	—	75%
X-ray of the hand, 3 or more views CPT 73130 Hand Min 3 Views	$177.63	$691.00	$48.72–$545.89	40% above	74%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views	$177.63	$691.00	$48.72–$545.89	—	74%
X-ray of the knee, 1 or 2 views CPT 73560 Knee One or Two Vws	$177.63	$585.00	$41.24–$462.15	56% above	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee One or Two Vws	$177.63	$585.00	$41.24–$462.15	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar 2/3 Views	$249.46	$1,221.00	$86.08–$964.59	64% above	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar 2/3 Views	$249.46	$1,221.00	$86.08–$964.59	—	80%
X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine Min 4 Views	$249.46	$737.00	$50.39–$582.23	15% above	66%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine Min 4 Views	$249.46	$737.00	$50.39–$582.23	—	66%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Thoracic Spine 2 Views	$249.46	$1,112.00	$50.39–$878.48	62% above	78%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr Thoracic Spine 2 Views	$249.46	$1,112.00	$50.39–$878.48	—	78%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones Min 3 Views	$177.63	$594.00	$41.88–$469.26	51% above	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr Nasal Bones Min 3 Views	$177.63	$594.00	$41.88–$469.26	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C-Spine 2-3 View	$177.63	$743.00	$50.39–$586.97	24% above	76%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr C-Spine 2-3 View	$177.63	$743.00	$50.39–$586.97	—	76%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Views	$249.46	$922.00	$65.00–$728.38	89% above	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Views	$249.46	$922.00	$65.00–$728.38	—	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/Coccyx Min 2 Vws	$177.63	$548.00	$38.63–$432.92	27% above	68%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum/Coccyx Min 2 Vws	$177.63	$548.00	$38.63–$432.92	—	68%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 ACTH	$85.96	$1,050.00	$38.47–$829.50	21% below	92%
ACTH blood test inpatient CPT 82024 ACTH	$85.96	$1,050.00	$38.47–$829.50	—	92%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$11.80	$139.00	$5.16–$109.81	41% below	92%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$11.80	$139.00	$5.16–$109.81	—	92%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$11.53	$134.00	$5.16–$105.86	41% below	91%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$11.53	$134.00	$5.16–$105.86	—	91%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$106.01	$945.00	$47.45–$746.55	4% below	89%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$106.01	$945.00	$47.45–$746.55	—	89%
Albumin blood test CPT 82040 Albumin/ Serum	$11.02	$113.00	$4.93–$89.27	29% below	90%
Albumin blood test inpatient CPT 82040 Albumin/ Serum	$11.02	$113.00	$4.93–$89.27	—	90%
Aldosterone blood test CPT 82088 Aldosterone/ Serum	$90.70	$788.00	$3.27–$622.52	6% below	88%
Aldosterone blood test CPT 82088 Aldosterone/ Urine 24 Hour	$90.70	$788.00	$40.59–$622.52	6% below	88%
Aldosterone blood test inpatient CPT 82088 Aldosterone/ Serum	$90.70	$788.00	$3.27–$622.52	—	88%
Aldosterone blood test inpatient CPT 82088 Aldosterone/ Urine 24 Hour	$90.70	$788.00	$40.59–$622.52	—	88%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$11.53	$117.00	$3.56–$92.43	38% below	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, Bone Specific	$11.53	$129.00	$5.16–$101.91	38% below	91%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos, Total	$11.53	$117.00	$5.16–$92.43	38% below	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos, Total	$11.53	$117.00	$5.16–$92.43	—	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$11.53	$117.00	$3.56–$92.43	—	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase, Bone Specific	$11.53	$129.00	$5.16–$101.91	—	91%
Allergy blood test, specific IgE, per allergen CPT 86003 Barley Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy, Shellfish Panel	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Seafood	$11.62	$36.00	$5.20–$163.18	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Nut Mix Group	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Stinging Insect Group	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy 11, Mold	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Fennel Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile With Reflexes	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Crayfish Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Cranberry Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Candida Albicans Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Beef Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia Lunata Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, Total With Reflex to Peanut Component Panel	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Maize/Corn Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Ige	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Tree Nut Allergy Panel With Reflex to Components	$11.62	$36.00	$5.20–$28.44	11% above	68%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige	$11.62	$49.00	$5.20–$38.71	11% above	76%
Allergy blood test, specific IgE, per allergen CPT 86003 Food and Tree Nut Allergy Panel	$11.62	$101.00	$5.20–$79.79	11% above	88%
Allergy blood test, specific IgE, per allergen CPT 86003 Childhood Allergy (Food and Environmental) Profile With Reflexes	$36.64	$36.00	$5.20–$28.44	251% above	-2%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida Albicans Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maize/Corn Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige	$11.62	$49.00	$5.20–$38.71	—	76%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tree Nut Allergy Panel With Reflex to Components	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, Total With Reflex to Peanut Component Panel	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy 11, Mold	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel, Stinging Insect Group	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel, Nut Mix Group	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel, Seafood	$11.62	$36.00	$5.20–$163.18	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy, Shellfish Panel	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cranberry Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crayfish Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia Lunata Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Fennel Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food and Tree Nut Allergy Panel	$11.62	$101.00	$5.20–$79.79	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile With Reflexes	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange Ige	$11.62	$36.00	$5.20–$28.44	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Childhood Allergy (Food and Environmental) Profile With Reflexes	$36.64	$36.00	$5.20–$28.44	—	-2%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp/ Tumor Marker	$37.33	$580.00	$16.69–$458.20	31% below	94%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Serum	$37.33	$580.00	$16.69–$458.20	31% below	94%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp/ Maternal Serum	$37.33	$580.00	$16.69–$458.20	31% below	94%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Serum	$37.33	$580.00	$16.69–$458.20	—	94%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp/ Tumor Marker	$37.33	$580.00	$16.69–$458.20	—	94%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp/ Maternal Serum	$37.33	$580.00	$16.69–$458.20	—	94%
Ammonia blood test CPT 82140 Ammonia	$32.43	$344.00	$14.52–$271.76	35% below	91%
Ammonia blood test inpatient CPT 82140 Ammonia	$32.43	$344.00	$14.52–$271.76	—	91%
Amylase blood test CPT 82150 Amylase	$14.42	$254.00	$6.45–$200.66	36% below	94%
Amylase blood test CPT 82150 Amylase/Urine 2 Hour	$14.42	$254.00	$6.45–$200.66	36% below	94%
Amylase blood test CPT 82150 Amylase Body Fluid	$14.42	$254.00	$6.45–$200.66	36% below	94%
Amylase blood test inpatient CPT 82150 Amylase/Urine 2 Hour	$14.42	$254.00	$6.45–$200.66	—	94%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$14.42	$254.00	$6.45–$200.66	—	94%
Amylase blood test inpatient CPT 82150 Amylase	$14.42	$254.00	$6.45–$200.66	—	94%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibody	$28.82	$405.00	$5.20–$319.95	37% below	93%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody	$28.82	$405.00	$5.20–$319.95	—	93%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen	$26.91	$312.00	$12.04–$246.48	40% below	91%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana W/Reflex to 11 Ab Cascade	$26.91	$317.00	$12.04–$250.43	40% below	92%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere Antibody	$26.91	$312.00	$12.04–$246.48	40% below	91%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies "Anachoice"	$26.91	$317.00	$12.04–$250.43	40% below	92%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies "Anachoice"	$26.91	$317.00	$12.04–$250.43	—	92%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Screen	$26.91	$312.00	$12.04–$246.48	—	91%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana W/Reflex to 11 Ab Cascade	$26.91	$317.00	$12.04–$250.43	—	92%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Centromere Antibody	$26.91	$312.00	$12.04–$246.48	—	91%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Assay - Bnp	$87.38	$567.00	$12.86–$447.93	31% above	85%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probnp, N-Terminal	$87.38	$629.00	$16.80–$496.91	31% above	86%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Probnp, N-Terminal	$87.38	$629.00	$16.80–$496.91	—	86%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide Assay - Bnp	$87.38	$567.00	$12.86–$447.93	—	85%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Tissue	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Throat	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Body Fluid	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Genital	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Bronchial	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ CSF	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Nasopharyngeal	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Ear	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Eye	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Sputum	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Other	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture/ Wound	$19.19	$275.00	$8.58–$217.25	34% below	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ CSF	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Eye	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Throat	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Tissue	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Sputum	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Nasopharyngeal	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Ear	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Wound	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Other	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Bronchial	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Genital	$19.19	$275.00	$8.58–$217.25	—	93%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture/ Body Fluid	$19.19	$275.00	$8.58–$217.25	—	93%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Tot Ca	$18.83	$340.00	$8.42–$268.60	46% below	94%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Tot Ca	$18.83	$340.00	$8.42–$268.60	—	94%
Bilirubin blood test, total CPT 82247 Bilirubin/Total	$11.17	$117.00	$4.84–$92.43	34% below	90%
Bilirubin blood test, total CPT 82247 Bilirubin Total, Body Fluid	$11.17	$129.00	$4.84–$101.91	34% below	91%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total, Body Fluid	$11.17	$129.00	$4.84–$101.91	—	91%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin/Total	$11.17	$117.00	$4.84–$92.43	—	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Muscle Biopsy	$74.41	$404.00	$21.33–$319.16	12% below	82%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level 4 Gross & Microscopic; Skin	$110.11	$364.00	$41.24–$287.56	30% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block	$110.11	$364.00	$41.24–$287.56	30% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Renal Bx Pathology Tc; Tissue	$110.11	$364.00	$41.24–$287.56	30% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level 4 Gross & Microscopic	$110.11	$364.00	$41.24–$287.56	30% above	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Muscle Biopsy	$74.41	$404.00	$21.33–$319.16	—	82%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level 4 Gross & Microscopic	$110.11	$364.00	$41.24–$287.56	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Renal Bx Pathology Tc; Tissue	$110.11	$364.00	$41.24–$287.56	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level 4 Gross & Microscopic; Skin	$110.11	$364.00	$41.24–$287.56	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block	$110.11	$364.00	$41.24–$287.56	—	70%
Blood culture for bacteria CPT 87040 Non Standardized Blood Cult	$22.97	$285.00	$10.28–$225.15	49% below	92%
Blood culture for bacteria inpatient CPT 87040 Non Standardized Blood Cult	$22.97	$285.00	$10.28–$225.15	—	92%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Collection	$6.68	$47.00	$2.70–$37.13	19% below	86%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Collection	$6.68	$47.00	$2.70–$37.13	—	86%
Blood glucose (sugar) test CPT 82947 Glucose/ 2 Hour (Post Prandial)	$8.75	$102.00	$3.92–$80.58	38% below	91%
Blood glucose (sugar) test CPT 82947 Glucose	$8.75	$102.00	$3.92–$80.58	38% below	91%
Blood glucose (sugar) test CPT 82947 POC Assay Glucose Blood Quant	$8.75	$102.00	$3.92–$80.58	38% below	91%
Blood glucose (sugar) test inpatient CPT 82947 Glucose/ 2 Hour (Post Prandial)	$8.75	$102.00	$3.92–$80.58	—	91%
Blood glucose (sugar) test inpatient CPT 82947 POC Assay Glucose Blood Quant	$8.75	$102.00	$3.92–$80.58	—	91%
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$8.75	$102.00	$3.92–$80.58	—	91%
Blood lead test CPT 83655 Lead/ Urine 24 Hour	$26.95	$357.00	$12.06–$282.03	5% below	92%
Blood lead test CPT 83655 LEAD	$26.95	$357.00	$12.06–$282.03	5% below	92%
Blood lead test inpatient CPT 83655 Lead/ Urine 24 Hour	$26.95	$357.00	$12.06–$282.03	—	92%
Blood lead test inpatient CPT 83655 LEAD	$26.95	$357.00	$12.06–$282.03	—	92%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test/ Serum	$16.74	$278.00	$7.50–$219.62	48% below	94%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test/ Serum	$16.74	$278.00	$7.50–$219.62	—	94%
Blood urea nitrogen (BUN) test CPT 84520 POC Assay of Urea Nitrogen	$8.79	$117.00	$3.93–$92.43	48% below	92%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$8.79	$117.00	$3.93–$92.43	48% below	92%
Blood urea nitrogen (BUN) test inpatient CPT 84520 POC Assay of Urea Nitrogen	$8.79	$117.00	$3.93–$92.43	—	92%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$8.79	$117.00	$3.93–$92.43	—	92%
C-peptide blood test CPT 84681 C Peptide	$46.32	$295.00	$11.34–$233.05	16% below	84%
C-peptide blood test inpatient CPT 84681 C Peptide	$46.32	$295.00	$11.34–$233.05	—	84%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$11.53	$234.00	$5.16–$184.86	50% below	95%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$11.53	$234.00	$5.16–$184.86	—	95%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Clostridium Difficile by Pcr	$82.95	$345.00	$11.94–$272.55	11% above	76%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Clostridium Difficile by Pcr	$82.95	$345.00	$11.94–$272.55	—	76%
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9	$46.32	$454.00	$16.00–$358.66	6% below	90%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9	$46.32	$454.00	$16.00–$358.66	—	90%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125	$46.32	$967.00	$11.95–$763.93	13% below	95%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125	$46.32	$967.00	$11.95–$763.93	—	95%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Non-Cdc Lab Test for Coronavirus (2019-Ncov)	$77.00	$403.00	$38.48–$1,909.91	4% above	81%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$77.00	$289.00	$38.48–$228.31	4% above	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Non-Cdc Lab Test for Coronavirus; Rapid	$77.00	$403.00	$38.48–$318.37	4% above	81%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$77.00	$289.00	$38.48–$228.31	—	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Non-Cdc Lab Test for Coronavirus; Rapid	$77.00	$403.00	$38.48–$318.37	—	81%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Non-Cdc Lab Test for Coronavirus (2019-Ncov)	$77.00	$403.00	$38.48–$1,909.91	—	81%
Calcium blood test, total CPT 82310 HC Calcium Random Urine	$11.48	$201.00	$5.14–$158.79	42% below	94%
Calcium blood test, total CPT 82310 Calcium, Total/Serum	$11.48	$201.00	$5.14–$158.79	42% below	94%
Calcium blood test, total inpatient CPT 82310 Calcium, Total/Serum	$11.48	$201.00	$5.14–$158.79	—	94%
Calcium blood test, total inpatient CPT 82310 HC Calcium Random Urine	$11.48	$201.00	$5.14–$158.79	—	94%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$42.20	$523.00	$18.89–$413.17	29% below	92%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$42.20	$523.00	$18.89–$413.17	—	92%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody	$28.67	$667.00	$12.83–$526.93	26% below	96%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Virus (Vzv) Antibody (Igm)	$28.67	$740.00	$12.83–$584.60	26% below	96%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Antibody	$28.67	$667.00	$12.83–$526.93	—	96%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Virus (Vzv) Antibody (Igm)	$28.67	$740.00	$12.83–$584.60	—	96%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis/Neisseria Gonorrhoeae Rna, Tma, Rectal	$78.10	$234.00	$34.95–$184.86	28% above	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amplified Probe	$78.10	$327.00	$34.95–$258.33	28% above	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amplified Probe	$78.10	$327.00	$9.27–$258.33	28% above	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amplified Probe	$78.10	$327.00	$9.27–$258.33	—	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Amplified Probe	$78.10	$327.00	$34.95–$258.33	—	76%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis/Neisseria Gonorrhoeae Rna, Tma, Rectal	$78.10	$234.00	$34.95–$184.86	—	67%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$29.80	$245.00	$13.34–$193.55	40% below	88%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With Reflex to Direct Ldl	$29.80	$621.00	$13.34–$490.59	40% below	95%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With Reflex to Direct Ldl	$29.80	$621.00	$13.34–$490.59	—	95%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$29.80	$245.00	$13.34–$193.55	—	88%
Complete blood count (CBC) with differential CPT 85025 Cbc W/ Auto Diff	$14.11	$126.00	$7.74–$99.54	48% below	89%
Complete blood count (CBC) with differential CPT 85025 Severe Combined Immunodeficiency (Scid) Panel, Flow Cytometry With Cbc	$59.60	$350.00	$7.74–$276.50	121% above	83%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/ Auto Diff	$14.11	$126.00	$7.74–$99.54	—	89%
Complete blood count (CBC) with differential inpatient CPT 85025 Severe Combined Immunodeficiency (Scid) Panel, Flow Cytometry With Cbc	$59.60	$350.00	$7.74–$276.50	—	83%
Complete blood count (CBC), no differential CPT 85027 Hemogram 8	$14.40	$58.00	$6.44–$45.82	49% below	75%
Complete blood count (CBC), no differential CPT 85027 Employee - Heme 8	$14.40	$58.00	$6.44–$45.82	49% below	75%
Complete blood count (CBC), no differential inpatient CPT 85027 Employee - Heme 8	$14.40	$58.00	$6.44–$45.82	—	75%
Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram 8	$14.40	$58.00	$6.44–$45.82	—	75%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic-Panel	$23.50	$173.00	$10.52–$136.67	69% below	86%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic-Panel	$23.50	$173.00	$10.52–$136.67	—	86%
Cortisol blood test, total CPT 82533 Cortisol Total	$36.28	$396.00	$16.24–$312.84	5% below	91%
Cortisol blood test, total CPT 82533 Cortisol Up to 60 Mins	$36.28	$396.00	$16.24–$312.84	5% below	91%
Cortisol blood test, total CPT 82533 Cortisol Baseline	$36.28	$396.00	$16.24–$312.84	5% below	91%
Cortisol blood test, total CPT 82533 Cortisol Blood	$36.28	$396.00	$16.24–$312.84	5% below	91%
Cortisol blood test, total inpatient CPT 82533 Cortisol Up to 60 Mins	$36.28	$396.00	$16.24–$312.84	—	91%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$36.28	$396.00	$16.24–$312.84	—	91%
Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline	$36.28	$396.00	$16.24–$312.84	—	91%
Cortisol blood test, total inpatient CPT 82533 Cortisol Blood	$36.28	$396.00	$16.24–$312.84	—	91%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$14.49	$126.00	$6.48–$99.54	35% below	89%
Creatine kinase (CK) blood test, total CPT 82550 Cpk, Total	$14.49	$126.00	$6.48–$99.54	35% below	89%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk, Total	$14.49	$126.00	$6.48–$99.54	—	89%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$14.49	$126.00	$6.48–$99.54	—	89%
Creatinine blood test CPT 82565 POC Assay of Creatinine	$11.40	$108.00	$5.10–$85.32	35% below	89%
Creatinine blood test CPT 82565 Creatinine	$11.40	$108.00	$5.10–$85.32	35% below	89%
Creatinine blood test inpatient CPT 82565 Creatinine	$11.40	$108.00	$5.10–$85.32	—	89%
Creatinine blood test inpatient CPT 82565 POC Assay of Creatinine	$11.40	$108.00	$5.10–$85.32	—	89%
Cytomegalovirus (CMV) antibody test CPT 86644 Donor Cmv Screen	$32.03	$247.00	$14.34–$195.13	19% below	87%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody/ Igg	$32.03	$247.00	$12.63–$195.13	19% below	87%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody/ Igg	$32.03	$247.00	$12.63–$195.13	—	87%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Donor Cmv Screen	$32.03	$247.00	$14.34–$195.13	—	87%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative	$22.66	$353.00	$4.24–$278.87	55% below	94%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative	$22.66	$353.00	$4.24–$278.87	—	94%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate	$49.48	$617.00	$15.01–$487.43	15% below	92%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-Sulfate	$49.48	$617.00	$15.01–$487.43	—	92%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen/Meconium	$138.31	$436.00	$57.95–$344.44	339% above	68%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitoring Panel W/ Confirmation, Urine	$138.31	$436.00	$57.95–$344.44	339% above	68%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Panel, With Confirmation, Serum	$138.31	$483.00	$11.39–$381.57	339% above	71%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Abuse Panel	$138.31	$436.00	$50.39–$344.44	339% above	68%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Darvon	$138.31	$436.00	$57.95–$344.44	339% above	68%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen/Comprehensive	$138.31	$436.00	$57.95–$344.44	339% above	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen/Meconium	$138.31	$436.00	$57.95–$344.44	—	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Darvon	$138.31	$436.00	$57.95–$344.44	—	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen/Comprehensive	$138.31	$436.00	$57.95–$344.44	—	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitoring Panel W/ Confirmation, Urine	$138.31	$436.00	$57.95–$344.44	—	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Abuse Panel	$138.31	$436.00	$50.39–$344.44	—	68%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Panel, With Confirmation, Serum	$138.31	$483.00	$11.39–$381.57	—	71%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel 1	$15.60	$359.00	$6.98–$283.61	59% below	96%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel 1	$15.60	$359.00	$6.98–$283.61	—	96%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv, Vca (Igg)	$40.37	$314.00	$15.23–$248.06	20% below	87%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv, Vca (Iga)	$40.37	$239.00	$18.07–$188.81	20% below	83%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv, Vca (Igm)	$40.37	$314.00	$18.07–$248.06	20% below	87%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv, Vca (Igm)	$40.37	$314.00	$18.07–$248.06	—	87%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv, Vca (Igg)	$40.37	$314.00	$15.23–$248.06	—	87%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv, Vca (Iga)	$40.37	$239.00	$18.07–$188.81	—	83%
Estradiol blood test CPT 82670 Estradiol Total	$62.19	$445.00	$18.72–$351.55	at median	86%
Estradiol blood test inpatient CPT 82670 Estradiol Total	$62.19	$445.00	$18.72–$351.55	—	86%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone	$41.35	$470.00	$7.17–$371.30	28% below	91%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone	$41.35	$470.00	$7.17–$371.30	—	91%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool	$43.69	$467.00	$19.55–$368.93	58% below	91%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool	$43.69	$467.00	$19.55–$368.93	—	91%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$30.34	$448.00	$13.58–$353.92	34% below	93%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$30.34	$448.00	$13.58–$353.92	—	93%
Fibrinogen blood test CPT 85384 Fibrinogen	$21.63	$274.00	$8.71–$216.46	30% below	92%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen	$21.63	$274.00	$8.71–$216.46	—	92%
Folate (folic acid) blood test CPT 82746 Folic Acid	$32.72	$505.00	$14.64–$398.95	18% below	94%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$32.72	$505.00	$14.64–$398.95	—	94%
Free T3 thyroid hormone test CPT 84481 T3 Free/ Ria	$37.70	$475.00	$12.02–$375.25	17% below	92%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free/ Ria	$37.70	$475.00	$12.02–$375.25	—	92%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free	$20.08	$988.00	$6.44–$780.52	43% below	98%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free	$20.08	$988.00	$6.44–$780.52	—	98%
Free testosterone test CPT 84402 Testosterone, Free	$56.69	$317.00	$25.37–$250.43	9% below	82%
Free testosterone test inpatient CPT 84402 Testosterone, Free	$56.69	$317.00	$25.37–$250.43	—	82%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$16.03	$169.00	$2.94–$133.51	36% below	91%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$16.03	$169.00	$2.94–$133.51	—	91%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$46.01	$307.00	$45.37–$242.53	76% below	85%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$46.01	$307.00	$45.37–$242.53	—	85%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose/(Post Glucola)	$10.57	$156.00	$4.73–$123.24	35% below	93%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose/ 2 Hour (Post Glucola)	$10.57	$156.00	$3.92–$123.24	35% below	93%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose/ 2 Hour (Post Glucola)	$10.57	$156.00	$3.92–$123.24	—	93%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose/(Post Glucola)	$10.57	$156.00	$4.73–$123.24	—	93%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test	$28.64	$371.00	$12.82–$293.09	36% below	92%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test	$28.64	$371.00	$4.73–$293.09	36% below	92%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance Test	$28.64	$371.00	$12.82–$293.09	—	92%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test	$28.64	$371.00	$4.73–$293.09	—	92%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorrhoeae	$78.10	$327.00	$9.27–$258.33	28% above	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae	$78.10	$327.00	$34.95–$258.33	28% above	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia Trachomatis/Neisseria Gonorrhoeae Rna, Tma, Rectal	$78.10	$234.00	$34.95–$184.86	28% above	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia Trachomatis/Neisseria Gonorrhoeae Rna, Tma, Rectal	$78.10	$234.00	$34.95–$184.86	—	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Neisseria Gonorrhoeae	$78.10	$327.00	$9.27–$258.33	—	76%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae	$78.10	$327.00	$34.95–$258.33	—	76%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen	$32.01	$278.00	$6.46–$219.62	47% below	88%
H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Antigen	$32.01	$278.00	$6.46–$219.62	—	88%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Rna Quant Bdna/Pcr	$189.41	$783.00	$34.95–$618.57	7% above	76%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Rna Quant Pcr, CSF	$189.41	$783.00	$13.13–$618.57	7% above	76%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Rna Quant Pcr, CSF	$189.41	$783.00	$13.13–$618.57	—	76%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv 1 Rna Quant Bdna/Pcr	$189.41	$783.00	$34.95–$618.57	—	76%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1 Antigen-Hiv 1/2 Ab	$53.59	$269.00	$23.98–$212.51	8% above	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv 1 Antigen-Hiv 1/2 Ab	$53.59	$269.00	$23.98–$212.51	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High Risk Types Dna/Rna	$78.10	$204.00	$19.97–$161.16	38% above	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High Risk Types Dna/Rna	$78.10	$204.00	$19.97–$161.16	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, Glycated	$21.61	$314.00	$9.68–$248.06	35% below	93%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, Glycated	$21.61	$314.00	$9.68–$248.06	—	93%
Hemoglobin blood test CPT 85018 Hemoglobin	$5.27	$80.00	$2.36–$63.20	52% below	93%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$5.27	$80.00	$2.36–$63.20	—	93%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody	$26.82	$313.00	$12.01–$247.27	7% below	91%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody	$26.82	$313.00	$12.01–$247.27	—	91%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Employee - Hep. B Surface Antibod	$23.90	$313.00	$10.69–$247.27	18% below	92%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Ab Qual	$23.90	$313.00	$10.69–$247.27	18% below	92%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hep B Surface Ab Qual	$23.90	$313.00	$10.69–$247.27	—	92%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Employee - Hep. B Surface Antibod	$23.90	$313.00	$10.69–$247.27	—	92%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Employee - Hep. B Surface Antigen	$22.99	$145.00	$10.29–$114.55	37% below	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$22.99	$145.00	$10.29–$114.55	37% below	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen With Reflex to Confirmation	$22.99	$153.00	$3.92–$120.87	37% below	85%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen With Reflex to Confirmation	$22.99	$153.00	$3.92–$120.87	—	85%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$22.99	$145.00	$10.29–$114.55	—	84%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Employee - Hep. B Surface Antigen	$22.99	$145.00	$10.29–$114.55	—	84%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$31.76	$313.00	$13.13–$247.27	29% below	90%
Hepatitis C antibody blood test (screening) CPT 86803 Employee - Hepatitis C Antibody	$31.76	$313.00	$14.21–$247.27	29% below	90%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Employee - Hepatitis C Antibody	$31.76	$313.00	$14.21–$247.27	—	90%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody	$31.76	$313.00	$13.13–$247.27	—	90%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna, Quantitative Pcr	$95.35	$1,025.00	$42.67–$809.75	23% below	91%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C, Quantitative Naat	$95.35	$730.00	$42.67–$576.70	23% below	87%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C, Quantitative Naat	$95.35	$730.00	$42.67–$576.70	—	87%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Rna, Quantitative Pcr	$95.35	$1,025.00	$42.67–$809.75	—	91%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes I-Igm	$29.36	$296.00	$13.13–$233.84	at median	90%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes I-Igg	$29.36	$296.00	$13.13–$233.84	at median	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes I-Igg	$29.36	$296.00	$13.13–$233.84	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes I-Igm	$29.36	$296.00	$13.13–$233.84	—	90%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes II-Igg/Igm	$43.07	$308.00	$14.07–$243.32	3% below	86%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes II-Igg/Igm	$43.07	$308.00	$14.07–$243.32	—	86%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac	$28.82	$257.00	$12.90–$203.03	34% below	89%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac	$28.82	$257.00	$12.90–$203.03	—	89%
Homocysteine blood test CPT 83090 Homocysteine, Serum	$39.88	$659.00	$16.80–$520.61	30% below	94%
Homocysteine blood test inpatient CPT 83090 Homocysteine, Serum	$39.88	$659.00	$16.80–$520.61	—	94%
Insulin blood test CPT 83525 Insulin, Total	$25.44	$386.00	$11.39–$304.94	27% below	93%
Insulin blood test CPT 83525 Insulin Response to Glucose, 3 Specimen	$25.44	$429.00	$11.39–$338.91	27% below	94%
Insulin blood test CPT 83525 Insulin Response to Glucose, 4 Specimen	$25.44	$429.00	$11.39–$338.91	27% below	94%
Insulin blood test CPT 83525 Insulin Response to Glucose	$25.44	$429.00	$11.39–$338.91	27% below	94%
Insulin blood test inpatient CPT 83525 Insulin Response to Glucose, 4 Specimen	$25.44	$429.00	$11.39–$338.91	—	94%
Insulin blood test inpatient CPT 83525 Insulin, Total	$25.44	$386.00	$11.39–$304.94	—	93%
Insulin blood test inpatient CPT 83525 Insulin Response to Glucose	$25.44	$429.00	$11.39–$338.91	—	94%
Insulin blood test inpatient CPT 83525 Insulin Response to Glucose, 3 Specimen	$25.44	$429.00	$11.39–$338.91	—	94%
Iron blood test (serum iron) CPT 83540 IRON	$14.40	$227.00	$6.34–$179.33	34% below	94%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$14.40	$227.00	$6.34–$179.33	—	94%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$19.45	$265.00	$6.44–$209.35	41% below	93%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$19.45	$265.00	$6.44–$209.35	—	93%
Kidney function blood test panel CPT 80069 Renal Function Panel	$19.32	$179.00	$8.65–$141.41	67% below	89%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$19.32	$179.00	$8.65–$141.41	—	89%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$41.22	$778.00	$18.44–$614.62	24% below	95%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$41.22	$778.00	$18.44–$614.62	—	95%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid/ CSF	$25.75	$272.00	$10.64–$214.88	9% below	91%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$25.75	$272.00	$10.64–$214.88	9% below	91%
Lactate (lactic acid) blood test CPT 83605 HC POC Assay of Lactic Acid	$25.75	$272.00	$10.64–$214.88	9% below	91%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$25.75	$272.00	$10.64–$214.88	—	91%
Lactate (lactic acid) blood test inpatient CPT 83605 HC POC Assay of Lactic Acid	$25.75	$272.00	$10.64–$214.88	—	91%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid/ CSF	$25.75	$272.00	$10.64–$214.88	—	91%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$13.44	$152.00	$6.01–$120.08	36% below	91%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh, Total	$13.44	$152.00	$6.01–$120.08	36% below	91%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Body Fluid	$13.44	$152.00	$6.01–$120.08	36% below	91%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh, Total	$13.44	$152.00	$6.01–$120.08	—	91%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$13.44	$152.00	$6.01–$120.08	—	91%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Body Fluid	$13.44	$152.00	$6.01–$120.08	—	91%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$15.34	$242.00	$6.86–$191.18	44% below	94%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Body Fluid	$15.34	$245.00	$6.86–$193.55	44% below	94%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Body Fluid	$15.34	$245.00	$6.86–$193.55	—	94%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$15.34	$242.00	$6.86–$191.18	—	94%
Liver function blood test panel CPT 80076 Hepatic Function-Panel	$18.18	$242.00	$8.14–$191.18	64% below	92%
Liver function blood test panel inpatient CPT 80076 Hepatic Function-Panel	$18.18	$242.00	$8.14–$191.18	—	92%
Lyme disease antibody test CPT 86618 Lyme Disease Antibodies	$37.90	$1,208.00	$16.96–$954.32	25% below	97%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies	$37.90	$1,208.00	$16.96–$954.32	—	97%
Magnesium blood test CPT 83735 Magnesium, Random Urine	$11.53	$214.00	$6.67–$169.06	48% below	95%
Magnesium blood test CPT 83735 Magnesium	$14.91	$192.00	$6.67–$151.68	33% below	92%
Magnesium blood test CPT 83735 Magnesium/ Urine 24 Hour	$14.91	$192.00	$6.67–$151.68	33% below	92%
Magnesium blood test inpatient CPT 83735 Magnesium, Random Urine	$11.53	$214.00	$6.67–$169.06	—	95%
Magnesium blood test inpatient CPT 83735 Magnesium/ Urine 24 Hour	$14.91	$192.00	$6.67–$151.68	—	92%
Magnesium blood test inpatient CPT 83735 Magnesium	$14.91	$192.00	$6.67–$151.68	—	92%
Measles (rubeola) antibody test CPT 86765 Rubeola/Measles Virus Antibody Igg and/or Igm	$28.67	$93.00	$12.83–$73.47	12% below	69%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola/Measles Virus Antibody Igg and/or Igm	$28.67	$93.00	$12.83–$73.47	—	69%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$11.53	$217.00	$5.16–$171.43	50% below	95%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test	$11.53	$217.00	$5.16–$171.43	—	95%
Mumps immunity blood test CPT 86735 Mumps Igg and/or Igm	$29.05	$620.00	$13.00–$489.80	6% below	95%
Mumps immunity blood test inpatient CPT 86735 Mumps Igg and/or Igm	$29.05	$620.00	$13.00–$489.80	—	95%
Obstetric blood test panel CPT 80055 Obstetric Panel	$106.41	$1,909.00	$24.01–$1,508.11	31% above	94%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel	$106.41	$1,909.00	$24.01–$1,508.11	—	94%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa, Free	$40.93	$292.00	$18.32–$230.68	16% below	86%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa, Free	$40.93	$292.00	$18.32–$230.68	—	86%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total W/ Reflex to Psa Free	$40.93	$311.00	$18.32–$245.69	7% below	87%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Total - Diagnostic	$40.93	$391.00	$18.32–$308.89	7% below	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Total - Diagnostic	$40.93	$391.00	$18.32–$308.89	—	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total W/ Reflex to Psa Free	$40.93	$311.00	$18.32–$245.69	—	87%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Pap Thin Prep, Auto & Manual	$59.23	$236.00	$25.59–$186.44	36% above	75%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Pap Thin Prep, Auto & Manual	$59.23	$236.00	$25.59–$186.44	—	75%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Pap Thin Prep, Manual	$45.09	$147.00	$15.87–$116.13	52% above	69%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Pap Thin Prep, Manual	$45.09	$147.00	$15.87–$116.13	—	69%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone (Intact)	$91.88	$462.00	$41.11–$364.98	at median	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone (Intact)	$91.88	$462.00	$41.11–$364.98	—	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 Mixing Study (Pt/Ptt)	$13.38	$217.00	$5.98–$171.43	36% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt-Lac Screen	$13.38	$129.00	$5.98–$101.91	36% below	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt (on Heparin)	$13.38	$129.00	$5.98–$101.91	36% below	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt - Lupus Anticoagulant	$13.38	$129.00	$5.74–$101.91	36% below	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$13.38	$129.00	$5.98–$101.91	36% below	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt-Lac Screen	$13.38	$129.00	$5.98–$101.91	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Mixing Study (Pt/Ptt)	$13.38	$217.00	$5.98–$171.43	—	94%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt (on Heparin)	$13.38	$129.00	$5.98–$101.91	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$13.38	$129.00	$5.98–$101.91	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt - Lupus Anticoagulant	$13.38	$129.00	$5.74–$101.91	—	90%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus	$10.55	$147.00	$4.73–$116.13	37% below	93%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus	$10.55	$147.00	$4.73–$116.13	—	93%
Potassium blood test CPT 84132 Potassium	$10.59	$117.00	$4.58–$92.43	40% below	91%
Potassium blood test CPT 84132 POC Assay of Serum Potassium	$10.59	$117.00	$4.58–$92.43	40% below	91%
Potassium blood test inpatient CPT 84132 Potassium	$10.59	$117.00	$4.58–$92.43	—	91%
Potassium blood test inpatient CPT 84132 POC Assay of Serum Potassium	$10.59	$117.00	$4.58–$92.43	—	91%
Progesterone blood test CPT 84144 Progesterone	$46.43	$410.00	$20.59–$323.90	16% below	89%
Progesterone blood test inpatient CPT 84144 Progesterone	$46.43	$410.00	$20.59–$323.90	—	89%
Prolactin blood test CPT 84146 Prolactin	$43.13	$990.00	$19.30–$782.10	34% below	96%
Prolactin blood test inpatient CPT 84146 Prolactin	$43.13	$990.00	$19.30–$782.10	—	96%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt - Lupus Anticoagulant	$9.55	$83.00	$3.92–$65.57	34% below	88%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$9.55	$83.00	$3.92–$65.57	34% below	88%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (on Coumadin)	$9.55	$83.00	$3.92–$65.57	34% below	88%
Prothrombin time (PT/INR) clotting test CPT 85610 Mixing Study (Pt/Ptt)	$13.38	$223.00	$3.92–$176.17	8% below	94%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt - Lupus Anticoagulant	$9.55	$83.00	$3.92–$65.57	—	88%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$9.55	$83.00	$3.92–$65.57	—	88%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (on Coumadin)	$9.55	$83.00	$3.92–$65.57	—	88%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Mixing Study (Pt/Ptt)	$13.38	$223.00	$3.92–$176.17	—	94%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Read Direct Optical Obs PR Date	$28.04	$101.00	$11.30–$79.79	18% above	72%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Read Direct Optical Obs PR Date	$28.04	$101.00	$11.30–$79.79	—	72%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen	$36.84	$231.00	$10.13–$182.49	59% above	84%
Rapid flu test (influenza antigen) CPT 87804 Influenza a/B Antigen	$36.84	$231.00	$14.83–$182.49	59% above	84%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen	$36.84	$231.00	$10.13–$182.49	—	84%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza a/B Antigen	$36.84	$231.00	$14.83–$182.49	—	84%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Screen	$36.79	$277.00	$14.81–$218.83	39% above	87%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Screen	$36.79	$277.00	$14.81–$218.83	—	87%
Renin blood test CPT 84244 Renin	$48.94	$648.00	$21.91–$511.92	19% below	92%
Renin blood test inpatient CPT 84244 Renin	$48.94	$648.00	$21.91–$511.92	—	92%
Rh blood typing CPT 86901 Rh Type	$6.65	$128.00	$2.99–$101.12	69% below	95%
Rh blood typing inpatient CPT 86901 Rh Type	$6.65	$128.00	$2.99–$101.12	—	95%
Rheumatoid factor (RF) test CPT 86431 Ra Titer	$12.62	$153.00	$5.64–$120.87	46% below	92%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, Quant "Anachoice"	$12.62	$153.00	$5.64–$157.23	46% below	92%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor, Quant "Anachoice"	$12.62	$153.00	$5.64–$157.23	—	92%
Rheumatoid factor (RF) test inpatient CPT 86431 Ra Titer	$12.62	$153.00	$5.64–$120.87	—	92%
Rubella antibody test (immunity check) CPT 86762 Rubella	$32.03	$334.00	$14.34–$263.86	4% below	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$32.03	$334.00	$14.34–$263.86	—	90%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate, Automated	$6.01	$158.00	$2.69–$124.82	67% below	96%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate, Automated	$6.01	$158.00	$2.69–$124.82	—	96%
Sodium blood test CPT 84295 Sodium	$10.71	$121.00	$4.80–$95.59	40% below	91%
Sodium blood test CPT 84295 POC Assay of Serum Sodium	$10.71	$121.00	$4.80–$95.59	40% below	91%
Sodium blood test inpatient CPT 84295 Sodium	$10.71	$121.00	$4.80–$95.59	—	91%
Sodium blood test inpatient CPT 84295 POC Assay of Serum Sodium	$10.71	$121.00	$4.80–$95.59	—	91%
Stool ova and parasites exam CPT 87177 OCP	$19.81	$235.00	$6.60–$185.65	35% below	92%
Stool ova and parasites exam inpatient CPT 87177 OCP	$19.81	$235.00	$6.60–$185.65	—	92%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood, Colorectal Neoplasm Screening	$9.75	$123.00	$3.23–$97.17	32% below	92%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood, Colorectal Neoplasm Screening	$9.75	$123.00	$3.23–$97.17	—	92%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Globin by Immunochemistry	$35.43	$170.00	$15.02–$134.30	40% above	79%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Globin by Immunochemistry	$35.43	$170.00	$15.02–$134.30	—	79%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fluorescent Trepanemal Antibody	$29.47	$359.00	$13.19–$283.61	4% above	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum by Mha	$29.47	$359.00	$13.19–$283.61	4% above	92%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Igm/Igg	$29.47	$359.00	$5.16–$283.61	4% above	92%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum by Mha	$29.47	$359.00	$13.19–$283.61	—	92%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fluorescent Trepanemal Antibody	$29.47	$359.00	$13.19–$283.61	—	92%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta-Igm/Igg	$29.47	$359.00	$5.16–$283.61	—	92%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr,Qualitative	$9.50	$180.00	$4.26–$142.20	30% below	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/ CSF	$9.50	$180.00	$4.26–$142.20	30% below	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr,Qualitative	$9.50	$180.00	$4.26–$142.20	—	95%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/ CSF	$9.50	$180.00	$4.26–$142.20	—	95%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold	$137.95	$453.00	$5.64–$357.87	10% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold	$137.95	$453.00	$5.64–$357.87	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$57.45	$937.00	$25.71–$740.23	4% below	94%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Female/Child	$57.45	$937.00	$25.37–$740.23	4% below	94%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Female/Child	$57.45	$937.00	$25.37–$740.23	—	94%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total	$57.45	$937.00	$25.71–$740.23	—	94%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (Lkm-1) Antibody (Igg)	$32.38	$595.00	$14.50–$470.05	16% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies	$32.38	$537.00	$14.50–$424.23	16% below	94%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol (Lc-1) Autoantibodies	$32.38	$595.00	$14.50–$470.05	16% below	95%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies	$32.38	$537.00	$14.50–$424.23	—	94%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome (Lkm-1) Antibody (Igg)	$32.38	$595.00	$14.50–$470.05	—	95%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol (Lc-1) Autoantibodies	$32.38	$595.00	$14.50–$470.05	—	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$37.39	$214.00	$16.74–$169.06	9% below	83%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascading Reflex	$37.39	$440.00	$16.74–$347.60	9% below	92%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh/ Neonatal	$37.39	$214.00	$16.74–$169.06	9% below	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$37.39	$214.00	$16.74–$169.06	—	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh/ Neonatal	$37.39	$214.00	$16.74–$169.06	—	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascading Reflex	$37.39	$440.00	$16.74–$347.60	—	92%
Total IgE blood test CPT 82785 Immunoglobulin E	$36.64	$295.00	$16.40–$233.05	5% below	88%
Total IgE blood test CPT 82785 Childhood Allergy (Food and Environmental) Profile With Reflexes	$36.64	$306.00	$16.40–$241.74	5% below	88%
Total IgE blood test CPT 82785 Gammaglobulin Ige	$36.64	$295.00	$16.40–$233.05	5% below	88%
Total IgE blood test CPT 82785 IGE	$36.64	$295.00	$9.27–$233.05	5% below	88%
Total IgE blood test inpatient CPT 82785 Childhood Allergy (Food and Environmental) Profile With Reflexes	$36.64	$306.00	$16.40–$241.74	—	88%
Total IgE blood test inpatient CPT 82785 Gammaglobulin Ige	$36.64	$295.00	$16.40–$233.05	—	88%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E	$36.64	$295.00	$16.40–$233.05	—	88%
Total IgE blood test inpatient CPT 82785 IGE	$36.64	$295.00	$9.27–$233.05	—	88%
Total cholesterol blood test CPT 82465 Cholesterol/ Total	$9.68	$117.00	$4.26–$92.43	37% below	92%
Total cholesterol blood test inpatient CPT 82465 Cholesterol/ Total	$9.68	$117.00	$4.26–$92.43	—	92%
Total thyroxine (T4) blood test CPT 84436 T4/ Ria	$15.29	$259.00	$5.86–$204.61	41% below	94%
Total thyroxine (T4) blood test CPT 84436 T4	$15.29	$259.00	$5.86–$204.61	41% below	94%
Total thyroxine (T4) blood test inpatient CPT 84436 T4/ Ria	$15.29	$259.00	$5.86–$204.61	—	94%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$15.29	$259.00	$5.86–$204.61	—	94%
Total triiodothyronine (T3) blood test CPT 84480 T3/ Ria	$31.56	$450.00	$6.44–$355.50	28% below	93%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3/ Ria	$31.56	$450.00	$6.44–$355.50	—	93%
Transferrin blood test CPT 84466 Transferrin With Calc Tibc	$28.40	$491.00	$5.28–$387.89	30% below	94%
Transferrin blood test inpatient CPT 84466 Transferrin With Calc Tibc	$28.40	$491.00	$5.28–$387.89	—	94%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis	$78.10	$239.00	$10.52–$188.81	42% above	67%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis	$78.10	$239.00	$10.52–$188.81	—	67%
Triglycerides blood test CPT 84478 Triglyceride Direct	$12.78	$116.00	$5.72–$91.64	47% below	89%
Triglycerides blood test CPT 84478 Triglycerides	$12.78	$116.00	$5.72–$91.64	47% below	89%
Triglycerides blood test CPT 84478 Triglycerides Body Fluid	$12.78	$116.00	$5.72–$91.64	47% below	89%
Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid	$12.78	$128.00	$5.16–$101.12	47% below	90%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid	$12.78	$116.00	$5.72–$91.64	—	89%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$12.78	$116.00	$5.72–$91.64	—	89%
Triglycerides blood test inpatient CPT 84478 Triglycerides, Pleural Fluid	$12.78	$128.00	$5.16–$101.12	—	90%
Triglycerides blood test inpatient CPT 84478 Triglyceride Direct	$12.78	$116.00	$5.72–$91.64	—	89%
Troponin test, quantitative CPT 84484 Troponin I	$27.75	$432.00	$11.18–$341.28	34% below	94%
Troponin test, quantitative inpatient CPT 84484 Troponin I	$27.75	$432.00	$11.18–$341.28	—	94%
Uric acid blood test CPT 84550 Uric Acid	$10.06	$142.00	$4.50–$112.18	43% below	93%
Uric acid blood test inpatient CPT 84550 Uric Acid	$10.06	$142.00	$4.50–$112.18	—	93%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Micro	$7.06	$110.00	$3.16–$86.90	71% below	94%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Micro	$7.06	$110.00	$3.16–$86.90	—	94%
Urinalysis without microscope exam, automated CPT 81003 Protein/Random Urine (Screen)	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated CPT 81003 Ph/ Urine	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated CPT 81003 Urinary Blood	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated CPT 81003 Employee - Urinalysis/ Dipstick	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity/ Urine	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis/ Dipstick	$5.01	$33.00	$2.23–$26.07	43% below	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ph/ Urine	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Protein/Random Urine (Screen)	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity/ Urine	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis/ Dipstick	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Employee - Urinalysis/ Dipstick	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinary Blood	$5.01	$33.00	$2.23–$26.07	—	85%
Urinalysis without microscope exam, manual CPT 81002 Glucose/ Urine	$7.75	$21.00	$3.12–$16.59	10% above	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 Glucose/ Urine	$7.75	$21.00	$3.12–$16.59	—	63%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$12.86	$205.00	$5.75–$161.95	35% below	94%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine	$12.86	$205.00	$5.75–$161.95	—	94%
Urine pregnancy test, read by color change CPT 81025 Employee - Pregnancy Test, Urine	$19.16	$92.00	$7.72–$72.68	6% below	79%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test/ Urine	$19.16	$179.00	$3.04–$141.41	6% below	89%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine POC	$19.16	$179.00	$7.72–$141.41	6% below	89%
Urine pregnancy test, read by color change inpatient CPT 81025 Employee - Pregnancy Test, Urine	$19.16	$92.00	$7.72–$72.68	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test/ Urine	$19.16	$179.00	$3.04–$141.41	—	89%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine POC	$19.16	$179.00	$7.72–$141.41	—	89%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$33.56	$659.00	$6.44–$520.61	16% below	95%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$33.56	$659.00	$6.44–$520.61	—	95%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy	$65.88	$328.00	$29.48–$259.12	15% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy	$65.88	$328.00	$29.48–$259.12	—	80%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1.25 Dihydroxy	$85.69	$408.00	$20.52–$322.32	16% below	79%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1.25 Dihydroxy	$85.69	$408.00	$20.52–$322.32	—	79%
Zinc blood test CPT 84630 Zinc/ Urine 24 Hour	$25.35	$259.00	$11.34–$204.61	23% below	90%
Zinc blood test CPT 84630 ZINC	$25.35	$259.00	$11.34–$204.61	23% below	90%
Zinc blood test inpatient CPT 84630 Zinc/ Urine 24 Hour	$25.35	$259.00	$11.34–$204.61	—	90%
Zinc blood test inpatient CPT 84630 ZINC	$25.35	$259.00	$11.34–$204.61	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg,Quantitative-Maternal/Tumor Marker	$33.50	$557.00	$14.99–$440.03	33% below	94%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Total, With Hama Treatment	$33.50	$620.00	$14.99–$489.80	33% below	95%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG	$33.50	$557.00	$14.99–$440.03	33% below	94%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg,Quantitative-Maternal/Tumor Marker	$33.50	$557.00	$14.99–$440.03	—	94%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg, Total, With Hama Treatment	$33.50	$620.00	$14.99–$489.80	—	95%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG	$33.50	$557.00	$14.99–$440.03	—	94%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2	$26,487.41	$84,075.00	$11,738.71–$66,419.25	72% above	68%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2	$26,487.41	$84,075.00	$11,738.71–$66,419.25	—	68%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Endoscopy,W/Dilat Maxillary Sinus Ostium	$12,108.61	$38,436.00	$134.21–$30,364.44	213% above	68%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nasal/Sinus Endoscopy,W/Dilat Maxillary Sinus Ostium	$12,108.61	$38,436.00	$134.21–$30,364.44	—	68%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$582.62	$1,850.00	$130.43–$1,461.50	247% above	69%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$582.62	$2,171.00	$105.09–$1,628.25	247% above	73%
Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$582.62	$1,850.00	$130.43–$1,461.50	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Stereo Breast Bx,Clip Place	$3,055.00	$8,778.00	$481.27–$6,934.62	303% above	65%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Stereo Breast Bx,Clip Place	$3,055.00	$8,778.00	$481.27–$6,934.62	—	65%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Rx Dist Fibula Fx	$479.95	$1,394.00	$182.06–$1,101.26	129% above	66%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Rx Dist Fibula Fx	$479.95	$1,394.00	$182.06–$1,101.26	—	66%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Rx Metatarsal Fx	$479.95	$1,359.00	$219.07–$1,073.61	145% above	65%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Rx Metatarsal Fx	$479.95	$1,359.00	$219.07–$1,073.61	—	65%
Cardiac catheterization with coronary angiogram one side CPT 93458 Cl Lt Cath Cor Angio W/Vent	$6,343.13	$20,509.00	$25.98–$16,202.11	35% above	69%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Cl Lt Cath Cor Angio W/Vent	$6,343.13	$20,509.00	$25.98–$16,202.11	—	69%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cl Cardioversion Elec Ext	$1,194.00	$3,450.00	$243.23–$2,725.50	99% above	65%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cl Cardioversion Elec Ext	$1,194.00	$3,450.00	$243.23–$2,725.50	—	65%
Catheter ablation for atrial fibrillation CPT 93656 Compre Ep Eval Abltj Atr Fib	$45,482.78	$74,087.00	$265.08–$58,528.73	181% above	39%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Compre Ep Eval Abltj Atr Fib	$45,482.78	$74,087.00	$265.08–$58,528.73	—	39%
Cervical biopsy CPT 57500 Biopsy Cervix, 1 or More, or Excision of Lesion	$1,421.02	$5,444.00	$220.82–$4,300.76	175% above	74%
Cervical biopsy inpatient CPT 57500 Biopsy Cervix, 1 or More, or Excision of Lesion	$1,421.02	$5,444.00	$220.82–$4,300.76	—	74%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision Clamp Device W Regional Block	$3,942.94	$14,108.00	$1,870.78–$11,145.32	244% above	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision Clamp Device WO Regional Block	$3,942.94	$14,108.00	$1,870.78–$11,145.32	244% above	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision Clamp Device WO Regional Block	$3,942.94	$14,108.00	$1,870.78–$11,145.32	—	72%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision Clamp Device W Regional Block	$3,942.94	$14,108.00	$1,870.78–$11,145.32	—	72%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Dist Rad Colles/Smith No Mnp	$479.95	$1,836.00	$129.44–$1,450.44	69% above	74%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj	$529.33	$2,733.00	$285.49–$2,049.75	86% above	81%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Dist Rad Colles/Smith No Mnp	$479.95	$1,836.00	$129.44–$1,450.44	—	74%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,560.02	$13,201.00	$137.11–$9,900.75	249% above	58%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,560.02	$12,155.00	$2,005.58–$9,602.45	249% above	54%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,560.02	$12,155.00	$2,005.58–$9,602.45	—	54%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposc,Cervix W/Adj Vag,W/Bx & Curretag	$602.54	$3,191.00	$220.82–$2,520.89	117% above	81%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposc,Cervix W/Adj Vag,W/Bx & Curretag	$602.54	$3,191.00	$220.82–$2,520.89	—	81%
Coronary stent placement, one artery CPT 92928 Perq Tcat Plmt Ntrac St 1les	$22,053.30	$70,000.00	$4,935.00–$55,300.00	148% above	68%
Coronary stent placement, one artery inpatient CPT 92928 Perq Tcat Plmt Ntrac St 1les	$22,053.30	$70,000.00	$4,935.00–$55,300.00	—	68%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,238.67	$8,871.00	$69.17–$6,653.25	89% above	86%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,238.67	$8,310.00	$359.35–$6,564.90	89% above	85%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$1,238.67	$8,310.00	$359.35–$6,564.90	—	85%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation/Curettage,Diagnostic	$5,560.02	$14,545.00	$2,399.93–$11,490.55	177% above	62%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation/Curettage,Diagnostic	$5,560.02	$14,545.00	$2,399.93–$11,490.55	—	62%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruc Benign/Premal,First Lesion	$388.90	$1,237.00	$87.21–$977.23	300% above	69%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruc Benign/Premal,First Lesion	$388.90	$1,237.00	$87.21–$977.23	—	69%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening,Local Anesth	$983.14	$2,816.00	$394.01–$2,224.64	94% above	65%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening,Local Anesth	$983.14	$2,816.00	$394.01–$2,224.64	—	65%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Cerumen Removal Each; Irrigation	$122.44	$425.00	$29.96–$335.75	60% above	71%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Cerumen Removal Each; Irrigation	$122.44	$425.00	$29.96–$335.75	—	71%
Earwax removal with instruments, one ear CPT 69210 HC Cerumen Removal Each; Instrumentation	$122.44	$425.00	$29.96–$335.75	88% above	71%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Cerumen Removal Each; Instrumentation	$122.44	$425.00	$29.96–$335.75	—	71%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterus Lining	$369.58	$2,659.00	$134.21–$2,532.12	129% above	86%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Uterus Lining	$369.58	$2,659.00	$134.21–$2,532.12	—	86%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy,Open Maxill Sinus	$6,536.68	$20,749.00	$3,367.07–$16,391.71	93% above	68%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nasal/Sinus Endoscopy,Open Maxill Sinus	$6,536.68	$20,749.00	$3,367.07–$16,391.71	—	68%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus	$12,108.61	$38,436.00	$6,321.88–$30,364.44	79% above	68%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus	$12,108.61	$38,436.00	$6,321.88–$30,364.44	—	68%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inject Epidural, Cerv/Thor, Single, W/Img	$1,391.17	$4,426.00	$632.44–$3,496.54	83% above	69%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Inject Epidural, Cerv/Thor, Single, W/Img	$1,391.17	$4,426.00	$632.44–$3,496.54	—	69%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$689.08	$4,333.00	$72.45–$3,249.75	127% above	84%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$689.08	$4,084.00	$233.26–$3,226.36	127% above	83%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$689.08	$4,084.00	$233.26–$3,226.36	—	83%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Vert/F Jnt L/S 1 Lev	$1,807.38	$4,674.00	$771.21–$3,692.46	151% above	61%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Vert/F Jnt L/S 1 Lev	$1,807.38	$4,674.00	$771.21–$3,692.46	—	61%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Fl Inj for Hysterosalpingogram	$518.68	$1,488.00	$245.52–$1,175.52	292% above	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Fl Inj for Hysterosalpingogram	$518.68	$1,488.00	$245.52–$1,175.52	—	65%
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device	$2,894.55	$9,189.00	$70.71–$7,259.31	1454% above	68%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device	$2,894.55	$9,189.00	$70.71–$7,259.31	—	68%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abscess Simple	$388.90	$1,413.00	$142.72–$1,116.27	78% above	72%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Abscess Simple	$388.90	$1,413.00	$142.72–$1,116.27	—	72%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Tendon Injection	$582.62	$1,524.00	$107.44–$1,203.96	144% above	62%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Tendon Injection	$582.62	$1,524.00	$107.44–$1,203.96	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis/Asp/Inj W/O US Guidance, Large Jnt	$582.62	$2,143.00	$151.08–$1,692.97	126% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis/Asp/Inj W/O US Guidance, Large Jnt	$582.62	$2,143.00	$151.08–$1,692.97	—	73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Implant Device	$242.67	$5,286.00	$86.13–$4,175.94	152% above	95%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Implant Device	$242.67	$5,286.00	$86.13–$4,175.94	—	95%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis/Asp/Inj W/O US Guidance, Interm Jnt	$582.62	$2,514.00	$177.24–$1,986.06	126% above	77%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis/Asp/Inj W/O US Guidance, Interm Jnt	$582.62	$2,514.00	$177.24–$1,986.06	—	77%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis/Asp/Inj W/O US Guidance, Small Jnt	$582.62	$1,746.00	$123.09–$1,379.34	126% above	67%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis/Asp/Inj W/O US Guidance, Small Jnt	$582.62	$1,746.00	$123.09–$1,379.34	—	67%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission,2nd Cataract,Laser	$1,128.27	$3,431.00	$401.33–$2,710.49	144% above	67%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission,2nd Cataract,Laser	$1,128.27	$3,431.00	$401.33–$2,710.49	—	67%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Rpr Int Sca Axi Tru Ext 0-2.5cm	$711.13	$4,545.00	$364.87–$3,590.55	104% above	84%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Rpr Int Sca Axi Tru Ext 0-2.5cm	$711.13	$4,545.00	$364.87–$3,590.55	—	84%
Left heart catheterization, diagnostic one side CPT 93452 Cl Lt Heart Cath W/Vent	$6,343.13	$16,937.00	$312.12–$13,380.23	66% above	63%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Cl Lt Heart Cath W/Vent	$6,343.13	$16,937.00	$312.12–$13,380.23	—	63%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Inject Epidural, Lumb/Sacr, Single, W/Img	$1,391.17	$4,309.00	$632.44–$3,404.11	79% above	68%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inject Epidural, Lumb/Sacr, Single, W/Img	$1,391.17	$4,309.00	$632.44–$3,404.11	—	68%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Sp Trans-Epid Inj L/S Single	$1,807.38	$6,791.00	$808.69–$5,364.89	194% above	73%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Sp Trans-Epid Inj L/S Single	$1,807.38	$6,791.00	$808.69–$5,364.89	—	73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy,Lumbar Disk,1 Intrsp	$13,314.03	$39,260.00	$6,477.90–$31,015.40	72% above	66%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Laminotomy,Lumbar Disk,1 Intrsp	$13,314.03	$39,260.00	$6,477.90–$31,015.40	—	66%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Skin Benig <0.5 Cm Trunk,Arm,Leg	$1,357.70	$4,951.00	$102.57–$3,911.29	254% above	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Skin Benig <0.5 Cm Trunk,Arm,Leg	$1,357.70	$4,951.00	$102.57–$3,911.29	—	73%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Skin Benig <0.5 Cm Face,Facial	$1,357.70	$4,229.00	$642.55–$3,340.91	175% above	68%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Skin Benig <0.5 Cm Face,Facial	$1,357.70	$4,229.00	$642.55–$3,340.91	—	68%
Nail removal (partial or complete), one nail CPT 11730 HC Removal Nail Plate, Simple, Single	$388.90	$1,054.00	$173.91–$832.66	159% above	63%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal Nail Plate, Simple, Single	$388.90	$1,054.00	$173.91–$832.66	—	63%
Occipital nerve block (injection for headaches) CPT 64405 Inject(S) Anes and/or Steroid; Greater Occipital	$582.62	$2,137.00	$150.66–$1,688.23	126% above	73%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inject(S) Anes and/or Steroid; Greater Occipital	$582.62	$2,137.00	$150.66–$1,688.23	—	73%
Pacemaker implant (dual chamber) CPT 33208 Cl Ins New/Rep Pacer/Dual	$22,817.74	$72,427.00	$2,273.19–$57,217.33	116% above	68%
Pacemaker implant (dual chamber) inpatient CPT 33208 Cl Ins New/Rep Pacer/Dual	$22,817.74	$72,427.00	$2,273.19–$57,217.33	—	68%
Paracentesis with imaging guidance CPT 49083 HC Paracentesis Abd W/ Img	$1,749.22	$4,969.00	$350.31–$3,925.51	197% above	65%
Paracentesis with imaging guidance inpatient CPT 49083 HC Paracentesis Abd W/ Img	$1,749.22	$4,969.00	$350.31–$3,925.51	—	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal Nail Plate & Matrix, Permanent	$711.13	$3,297.00	$254.04–$2,604.63	72% above	78%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal Nail Plate & Matrix, Permanent	$711.13	$3,297.00	$254.04–$2,604.63	—	78%
Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Removal FB Sq Tissue Simple	$711.13	$2,399.00	$15.01–$1,895.21	155% above	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incision & Removal FB Sq Tissue Simple	$711.13	$2,399.00	$15.01–$1,895.21	—	70%
Septoplasty to straighten the nasal septum CPT 30520 Repair of Nasal Septum	$5,829.75	$8,875.00	$86.13–$7,011.25	2% above	34%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of Nasal Septum	$5,829.75	$8,875.00	$86.13–$7,011.25	—	34%
Short arm cast (elbow to hand) CPT 29075 Cast Application Short Arm	$511.51	$1,625.00	$114.56–$1,283.75	185% above	69%
Short arm cast (elbow to hand) inpatient CPT 29075 Cast Application Short Arm	$511.51	$1,625.00	$114.56–$1,283.75	—	69%
Short arm splint (forearm and hand) CPT 29125 Splint Short Arm Appl Static	$242.67	$739.00	$52.10–$583.81	84% above	67%
Short arm splint (forearm and hand) inpatient CPT 29125 Splint Short Arm Appl Static	$242.67	$739.00	$52.10–$583.81	—	67%
Short leg cast (below the knee) CPT 29405 Cast Application Short Leg	$511.51	$1,625.00	$114.56–$1,283.75	145% above	69%
Short leg cast (below the knee) inpatient CPT 29405 Cast Application Short Leg	$511.51	$1,625.00	$114.56–$1,283.75	—	69%
Short leg splint (calf to foot) CPT 29515 Splint Short Leg Appl	$297.67	$779.00	$54.92–$615.41	92% above	62%
Short leg splint (calf to foot) inpatient CPT 29515 Splint Short Leg Appl	$297.67	$779.00	$54.92–$615.41	—	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rpr Simp Sca Nec Axi Gen Tru Ext 0-2.5cm	$388.90	$985.00	$142.72–$778.15	96% above	61%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rpr Simp Sca Nec Axi Gen Tru Ext 0-2.5cm	$388.90	$985.00	$142.72–$778.15	—	61%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$388.90	$1,207.00	$37.03–$905.25	25% above	68%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$388.90	$1,070.00	$75.44–$845.30	25% above	64%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$388.90	$1,070.00	$75.44–$845.30	—	64%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$1,357.70	$5,662.00	$642.55–$4,472.98	168% above	76%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$1,357.70	$5,662.00	$642.55–$4,472.98	—	76%
Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tag	$388.90	$6,567.00	$142.72–$5,187.93	191% above	94%
Skin tag removal, up to 15 tags inpatient CPT 11200 Remove Skin Tag	$388.90	$6,567.00	$142.72–$5,187.93	—	94%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic WO Fluoro/CT Guide	$1,391.17	$3,561.00	$254.04–$2,813.19	203% above	61%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic WO Fluoro/CT Guide	$1,391.17	$3,561.00	$254.04–$2,813.19	—	61%
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 Simp Sca Nec Axi Gen Tru Ext 2.6-7.5cm	$388.90	$1,578.00	$181.46–$1,246.62	98% above	75%
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 Simp Sca Nec Axi Gen Tru Ext 2.6-7.5cm	$388.90	$1,578.00	$181.46–$1,246.62	—	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Rpr Simp Fac Ear Eye Nos Lip Muc-Mem 0-2.5cm	$388.90	$1,571.00	$181.46–$1,241.09	100% above	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Rpr Simp Fac Ear Eye Nos Lip Muc-Mem 0-2.5cm	$388.90	$1,571.00	$181.46–$1,241.09	—	75%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$388.90	$1,119.00	$78.89–$884.01	101% above	65%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$388.90	$1,230.00	$11.61–$922.50	101% above	68%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion	$388.90	$1,119.00	$78.89–$884.01	—	65%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W/ Imaging Guidance	$1,403.33	$5,823.00	$359.35–$4,600.17	117% above	76%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis W/ Imaging Guidance	$1,403.33	$5,823.00	$359.35–$4,600.17	—	76%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point(S); 1-2 Muscle	$582.62	$1,906.00	$134.37–$1,505.74	251% above	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point(S); 1-2 Muscle	$582.62	$1,906.00	$134.37–$1,505.74	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US Breast Bx,Clip Place	$3,055.00	$8,778.00	$34.95–$6,934.62	175% above	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC US Breast Bx,Clip Place	$3,055.00	$8,778.00	$34.95–$6,934.62	—	65%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct(S)	$3,942.94	$13,230.00	$481.27–$10,451.70	212% above	70%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of Sperm Duct(S)	$3,942.94	$13,230.00	$481.27–$10,451.70	—	70%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$388.90	$2,586.00	$58.06–$1,939.50	177% above	85%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$388.90	$2,436.00	$142.72–$1,924.44	177% above	84%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14	$388.90	$2,436.00	$142.72–$1,924.44	—	84%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Sq, W/WO Skin, 0-20sqcm	$711.13	$2,511.00	$3.16–$1,983.69	71% above	72%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Sq, W/WO Skin, 0-20sqcm	$711.13	$2,511.00	$3.16–$1,983.69	—	72%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service	$863.66	$2,788.00	$196.55–$2,202.52	82% above	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service	$863.66	$2,788.00	$196.55–$2,202.52	—	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Tx	$409.44	$1,301.00	$91.72–$1,027.79	336% above	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Tx	$409.44	$1,301.00	$91.72–$1,027.79	—	69%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1hr	$689.08	$1,832.00	$129.16–$1,447.28	135% above	62%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1hr	$689.08	$1,832.00	$129.16–$1,447.28	—	62%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Eye Exam, New Patient,Comprehesv	$258.03	$821.00	$57.88–$648.59	252% above	69%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC Eye Exam, New Patient,Comprehesv	$258.03	$821.00	$57.88–$648.59	—	69%
Comprehensive eye exam, returning patient CPT 92014 Eye Exam, Est Patient,Comprehesv	$258.03	$821.00	$57.88–$648.59	302% above	69%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam, Est Patient,Comprehesv	$258.03	$821.00	$57.88–$648.59	—	69%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Au Basic Comprehension	$307.93	$980.00	$69.09–$774.20	196% above	69%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Au Basic Comprehension	$307.93	$980.00	$69.09–$774.20	—	69%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Min, W/O Pre, Cat 1	$1,483.79	$20,245.00	$598.56–$15,993.55	77% above	93%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care First 30-74min	$1,483.79	$3,921.00	$276.43–$3,097.59	77% above	62%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Min, W/O Pre, Cat 2	$1,483.79	$13,544.00	$598.56–$10,699.76	77% above	89%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Min, W/O Pre, Cat 2	$1,483.79	$13,544.00	$598.56–$10,699.76	—	89%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care First 30-74min	$1,483.79	$3,921.00	$276.43–$3,097.59	—	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Min, W/O Pre, Cat 1	$1,483.79	$20,245.00	$598.56–$15,993.55	—	93%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg, Awake & Drowsy	$563.32	$2,221.00	$109.96–$1,754.59	84% above	75%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg, Awake & Drowsy	$563.32	$2,221.00	$109.96–$1,754.59	—	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg/12 Lead	$122.44	$404.00	$28.48–$319.16	49% above	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg/12 Lead	$122.44	$404.00	$28.48–$319.16	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit	$154.95	$705.00	$49.70–$556.95	16% above	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Dept Visit	$154.95	$705.00	$49.70–$556.95	—	78%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit 2	$284.80	$940.00	$56.40–$742.60	67% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Dept Visit 2	$284.80	$940.00	$56.40–$742.60	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Dept Visit 3, W/O Pre, Cat 2	$497.09	$11,910.00	$180.37–$9,408.90	84% above	96%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Dept Visit 3, W/O Pre, Cat 1	$497.09	$18,610.00	$180.37–$14,701.90	84% above	97%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit 3	$497.09	$2,442.00	$103.50–$1,929.18	84% above	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Dept Visit 3, W/O Pre, Cat 1	$497.09	$18,610.00	$180.37–$14,701.90	—	97%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Visit 3	$497.09	$2,442.00	$103.50–$1,929.18	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Dept Visit 3, W/O Pre, Cat 2	$497.09	$11,910.00	$180.37–$9,408.90	—	96%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit 4, W/O Pre, Cat 2	$782.98	$12,609.00	$291.48–$9,961.11	84% above	94%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Dept Visit 4	$782.98	$3,855.00	$180.37–$3,045.45	84% above	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit 4, W/O Pre, Cat 1	$782.98	$19,310.00	$291.48–$15,254.90	84% above	96%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Dept Visit 4	$782.98	$3,855.00	$180.37–$3,045.45	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Dept Visit 4, W/O Pre, Cat 1	$782.98	$19,310.00	$291.48–$15,254.90	—	96%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Dept Visit 4, W/O Pre, Cat 2	$782.98	$12,609.00	$291.48–$9,961.11	—	94%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit 5	$1,122.89	$5,441.00	$291.48–$4,298.39	110% above	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit 5, W/O Pre, Cat 2	$1,122.89	$13,667.00	$424.89–$10,796.93	110% above	92%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit 5, W/O Pre, Cat 1	$1,122.89	$20,366.00	$424.89–$16,089.14	110% above	94%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Visit 5	$1,122.89	$5,441.00	$291.48–$4,298.39	—	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Dept Visit 5, W/O Pre, Cat 1	$1,122.89	$20,366.00	$424.89–$16,089.14	—	94%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Dept Visit 5, W/O Pre, Cat 2	$1,122.89	$13,667.00	$424.89–$10,796.93	—	92%
Exercise stress test, tracing only, the hospital charge CPT 93017 Z Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	66% above	68%
Exercise stress test, tracing only, the hospital charge CPT 93017 Z Dobutamine Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	66% above	68%
Exercise stress test, tracing only, the hospital charge CPT 93017 Lexiscan Nuc Med Stress	$563.32	$1,764.00	$124.36–$1,393.56	66% above	68%
Exercise stress test, tracing only, the hospital charge CPT 93017 Nuclear Med Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	66% above	68%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Lexiscan Nuc Med Stress	$563.32	$1,764.00	$124.36–$1,393.56	—	68%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Nuclear Med Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	—	68%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Z Dobutamine Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	—	68%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Z Stress Test	$563.32	$1,764.00	$124.36–$1,393.56	—	68%
Eye exam, returning patient, intermediate CPT 92012 Eye Exam, Est Patient,Intermed	$258.03	$821.00	$57.88–$648.59	302% above	69%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye Exam, Est Patient,Intermed	$258.03	$821.00	$57.88–$648.59	—	69%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins	$292.37	$1,127.00	$90.79–$845.25	134% above	74%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins	$292.37	$930.00	$153.45–$734.70	134% above	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins	$292.37	$930.00	$153.45–$734.70	—	69%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration Init	$408.95	$1,108.00	$78.11–$875.32	142% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration Init	$408.95	$1,108.00	$78.11–$875.32	—	63%
IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy 1hr	$408.95	$1,285.00	$90.59–$1,015.15	94% above	68%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Therapy 1hr	$408.95	$1,285.00	$90.59–$1,015.15	—	68%
IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj IV Push	$408.95	$1,300.00	$32.36–$1,027.00	272% above	69%
IV push of a medicine, first drug CPT 96374 Bubble Saline Inj IV Push Initial	$408.95	$1,300.00	$2.70–$1,027.00	272% above	69%
IV push of a medicine, first drug inpatient CPT 96374 Bubble Saline Inj IV Push Initial	$408.95	$1,300.00	$2.70–$1,027.00	—	69%
IV push of a medicine, first drug inpatient CPT 96374 Ther/Proph/Diag Inj IV Push	$408.95	$1,300.00	$32.36–$1,027.00	—	69%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Subq/Im	$134.59	$435.00	$17.66–$343.65	139% above	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Subq/Im	$134.59	$435.00	$17.66–$343.65	—	69%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$292.37	$918.00	$151.47–$725.22	147% above	68%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$292.37	$1,300.00	$124.02–$1,675.96	147% above	78%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation	$292.37	$918.00	$151.47–$725.22	—	68%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$563.32	$3,483.00	$204.08–$2,751.57	211% above	84%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$563.32	$3,483.00	$204.08–$2,751.57	—	84%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-ED (1-15m)	$76.07	$284.00	$20.02–$2,273.19	97% above	73%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuro. Rehab. (1-15m)	$76.07	$284.00	$20.02–$224.36	97% above	73%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuroms Re-ED (1-15m)	$76.07	$284.00	$20.02–$224.36	97% above	73%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuro-Rehab (1-15m)	$76.07	$284.00	$20.02–$224.36	97% above	73%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuromuscular Re-ED (1-15m)	$76.07	$284.00	$20.02–$2,273.19	—	73%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuroms Re-ED (1-15m)	$76.07	$284.00	$20.02–$224.36	—	73%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuro-Rehab (1-15m)	$76.07	$284.00	$20.02–$224.36	—	73%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuro. Rehab. (1-15m)	$76.07	$284.00	$20.02–$224.36	—	73%
New patient office visit, about 30 minutes CPT 99203 Office/Outpt Visit,New,Levl III	$62.85	$821.00	$37.83–$648.59	17% below	92%
New patient office visit, about 30 minutes CPT 99203 Outpatient Visit New, Levl III	$62.85	$821.00	$37.83–$648.59	17% below	92%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$80.78	$1,120.00	$69.79–$1,355.93	6% above	93%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpt Visit,New,Levl III	$62.85	$821.00	$37.83–$648.59	—	92%
New patient office visit, about 30 minutes inpatient CPT 99203 Outpatient Visit New, Levl III	$62.85	$821.00	$37.83–$648.59	—	92%
New patient office visit, about 45 minutes CPT 99204 Office/Outpt Visit,New,Levl IV	$68.48	$821.00	$56.77–$648.59	26% below	92%
New patient office visit, about 45 minutes CPT 99204 Outpatient Visit New, Levl IV	$68.48	$821.00	$56.77–$648.59	26% below	92%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$131.36	$1,273.00	$114.03–$954.75	42% above	90%
New patient office visit, about 45 minutes inpatient CPT 99204 Outpatient Visit New, Levl IV	$68.48	$821.00	$56.77–$648.59	—	92%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpt Visit,New,Levl IV	$68.48	$821.00	$56.77–$648.59	—	92%
New patient office visit, about 60 minutes CPT 99205 Outpatient Visit New, Levl V	$75.54	$821.00	$56.77–$648.59	34% below	91%
New patient office visit, about 60 minutes CPT 99205 Office/Outpt Visit,New,Levl V	$75.54	$821.00	$27.00–$648.59	34% below	91%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$178.54	$1,390.00	$156.21–$1,042.50	56% above	87%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpt Visit,New,Levl V	$75.54	$821.00	$27.00–$648.59	—	91%
New patient office visit, about 60 minutes inpatient CPT 99205 Outpatient Visit New, Levl V	$75.54	$821.00	$56.77–$648.59	—	91%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpt Visit,New,Levl II	$50.12	$821.00	$32.87–$648.59	16% below	94%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Outpatient Visit New, Levl II	$50.12	$821.00	$32.87–$648.59	16% below	94%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Outpatient Visit New, Levl II	$50.12	$821.00	$32.87–$648.59	—	94%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpt Visit,New,Levl II	$50.12	$821.00	$32.87–$648.59	—	94%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 O/P Mnt-Dsmt Individual Initial; Ea 15min	$75.00	$257.00	$18.12–$203.03	143% above	71%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP Mnt Individual Initial; Ea 15min	$75.00	$257.00	$18.12–$203.03	143% above	71%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 O/P Mnt-Dsmt Individual Initial; Ea 15min	$75.00	$257.00	$18.12–$203.03	—	71%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OP Mnt Individual Initial; Ea 15min	$75.00	$257.00	$18.12–$203.03	—	71%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Ergonomic Eval - Low	$195.33	$713.00	$72.35–$563.27	72% above	73%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Home Evaluation - Low	$195.33	$713.00	$72.35–$563.27	72% above	73%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation - Low	$195.33	$713.00	$72.35–$563.27	72% above	73%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Home Evaluation - Low	$195.33	$713.00	$72.35–$563.27	—	73%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation - Low	$195.33	$713.00	$72.35–$563.27	—	73%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Ergonomic Eval - Low	$195.33	$713.00	$72.35–$563.27	—	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Home Evaluation - High	$184.73	$713.00	$73.95–$563.27	45% above	74%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation - High	$184.73	$713.00	$73.95–$563.27	45% above	74%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Ergonomic Eval - High	$184.73	$713.00	$73.95–$563.27	45% above	74%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation - High	$184.73	$713.00	$73.95–$563.27	—	74%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Home Evaluation - High	$184.73	$713.00	$73.95–$563.27	—	74%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Ergonomic Eval - High	$184.73	$713.00	$73.95–$563.27	—	74%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Home Evaluation - Low	$184.73	$657.00	$73.95–$519.03	69% above	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Ergonomic Eval - Low	$184.73	$657.00	$73.95–$519.03	69% above	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation - Low	$184.73	$657.00	$73.95–$519.03	69% above	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Ergonomic Eval - Low	$184.73	$657.00	$73.95–$519.03	—	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Home Evaluation - Low	$184.73	$657.00	$73.95–$519.03	—	72%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation - Low	$184.73	$657.00	$73.95–$519.03	—	72%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Home Evaluation - Mod	$184.73	$704.00	$73.95–$556.16	50% above	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Ergonomic Eval - Mod	$184.73	$704.00	$73.95–$556.16	50% above	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation - Mod	$184.73	$704.00	$73.95–$556.16	50% above	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Home Evaluation - Mod	$184.73	$704.00	$73.95–$556.16	—	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Ergonomic Eval - Mod	$184.73	$704.00	$73.95–$556.16	—	74%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation - Mod	$184.73	$704.00	$73.95–$556.16	—	74%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy (1-15m)	$61.27	$281.00	$19.81–$221.99	58% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy (1-15m)	$61.27	$281.00	$19.81–$221.99	58% above	78%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Sm Manual Therapy (1-15m)	$61.27	$300.00	$21.15–$237.00	58% above	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy (1-15m)	$61.27	$281.00	$19.81–$221.99	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Manual Therapy (1-15m)	$61.27	$281.00	$19.81–$221.99	—	78%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Sm Manual Therapy (1-15m)	$61.27	$300.00	$21.15–$237.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Ex (1-15m)	$66.39	$213.00	$16.21–$168.27	75% above	69%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sm Stab Tab (1-15m)	$66.39	$302.00	$12.28–$238.58	75% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sm Ther Ex (1-15m)	$66.39	$302.00	$16.21–$238.58	75% above	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Procedure 1-15m	$66.39	$213.00	$16.21–$168.27	75% above	69%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Therapeutic Exer (1-15m)	$66.39	$213.00	$16.21–$168.27	75% above	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Therapeutic Exer (1-15m)	$66.39	$213.00	$16.21–$168.27	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Sm Ther Ex (1-15m)	$66.39	$302.00	$16.21–$238.58	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Sm Stab Tab (1-15m)	$66.39	$302.00	$12.28–$238.58	—	78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Ex (1-15m)	$66.39	$213.00	$16.21–$168.27	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Procedure 1-15m	$66.39	$213.00	$16.21–$168.27	—	69%
Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Visit,New,18-39	$221.57	$705.00	$49.70–$556.95	39% above	69%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive Visit,New,18-39	$221.57	$705.00	$49.70–$556.95	—	69%
Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit,New,40-64	$268.82	$855.00	$141.08–$675.45	91% above	69%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit,New,40-64	$268.82	$855.00	$141.08–$675.45	—	69%
Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Visit,New,65 & Over	$289.72	$921.00	$115.18–$727.59	107% above	69%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Preventive Visit,New,65 & Over	$289.72	$921.00	$115.18–$727.59	—	69%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Preventive Visit,Est,18-39	$200.96	$639.00	$45.05–$504.81	91% above	69%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Preventive Visit,Est,18-39	$200.96	$639.00	$45.05–$504.81	—	69%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Preventive Visit,Est,40-64	$219.25	$698.00	$115.17–$551.42	78% above	69%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Preventive Visit,Est,40-64	$219.25	$698.00	$115.17–$551.42	—	69%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Visit,Est,65 & Over	$231.12	$735.00	$51.82–$580.65	87% above	69%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Preventive Visit,Est,65 & Over	$231.12	$735.00	$51.82–$580.65	—	69%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$292.37	$866.00	$86.13–$684.14	132% above	66%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$292.37	$1,301.00	$126.84–$1,253.06	132% above	78%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$292.37	$866.00	$86.13–$684.14	—	66%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes	$292.37	$930.00	$153.45–$734.70	208% above	69%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes	$292.37	$1,102.00	$60.67–$1,586.35	208% above	73%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes	$292.37	$930.00	$153.45–$734.70	—	69%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes	$292.37	$930.00	$153.45–$734.70	121% above	69%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes	$292.37	$1,155.00	$80.83–$1,280.17	121% above	75%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes	$292.37	$930.00	$153.45–$734.70	—	69%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes	$292.37	$1,260.00	$120.62–$945.00	158% above	77%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes	$292.37	$930.00	$153.45–$734.70	158% above	69%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes	$292.37	$930.00	$153.45–$734.70	—	69%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$60.81	$226.00	$10.43–$903.36	218% above	73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$60.81	$194.00	$13.68–$153.26	218% above	69%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$60.81	$194.00	$13.68–$153.26	—	69%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Outpatient Visit Est, Levl V	$67.77	$821.00	$56.77–$648.59	10% below	92%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office/Outpt Visit,Est,Levl V	$67.77	$821.00	$56.77–$648.59	10% below	92%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$113.65	$1,222.00	$122.41–$916.50	50% above	91%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Outpatient Visit Est, Levl V	$67.77	$821.00	$56.77–$648.59	—	92%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Office/Outpt Visit,Est,Levl V	$67.77	$821.00	$56.77–$648.59	—	92%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office/Outpt Visit,Est,Levl III	$46.61	$821.00	$37.83–$648.59	18% below	94%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Outpatient Visit Est, Levl III	$46.61	$821.00	$37.83–$648.59	18% below	94%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$61.08	$1,025.00	$56.06–$1,027.21	7% above	94%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office/Outpt Visit,Est,Levl III	$46.61	$821.00	$37.83–$648.59	—	94%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Outpatient Visit Est, Levl III	$46.61	$821.00	$37.83–$648.59	—	94%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Outpatient Visit Est, Levl IV	$58.60	$821.00	$56.77–$648.59	11% below	93%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit,Est,Levl IV	$58.60	$821.00	$56.77–$648.59	11% below	93%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$90.05	$1,120.00	$82.50–$1,012.64	36% above	92%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpt Visit,Est,Levl IV	$58.60	$821.00	$56.77–$648.59	—	93%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Outpatient Visit Est, Levl IV	$58.60	$821.00	$56.77–$648.59	—	93%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit Est, Levl II	$38.84	$821.00	$32.87–$648.59	28% below	95%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit,Est,Levl II	$38.84	$821.00	$32.87–$648.59	28% below	95%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpt Visit,Est,Levl II	$38.84	$821.00	$32.87–$648.59	—	95%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpatient Visit Est, Levl II	$38.84	$821.00	$32.87–$648.59	—	95%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consultation,Level III	$52.97	$250.00	$41.25–$197.50	58% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$80.78	$393.00	$64.85–$294.75	36% below	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consultation,Level III	$52.97	$250.00	$41.25–$197.50	—	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consultation,Level IV	$57.89	$277.00	$45.71–$218.83	61% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$131.36	$510.00	$84.15–$382.50	11% below	74%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consultation,Level IV	$57.89	$277.00	$45.71–$218.83	—	79%
Speech and language evaluation CPT 92523 HC St Sp Prod + Comp/Exp Eval	$420.79	$1,121.00	$66.74–$885.59	120% above	62%
Speech and language evaluation inpatient CPT 92523 HC St Sp Prod + Comp/Exp Eval	$420.79	$1,121.00	$66.74–$885.59	—	62%
Speech therapy session, individual CPT 92507 St Speech/Lang Therapy	$173.00	$469.00	$29.01–$370.51	104% above	63%
Speech therapy session, individual CPT 92507 St Procedure 1-15m	$173.00	$469.00	$49.56–$370.51	104% above	63%
Speech therapy session, individual inpatient CPT 92507 St Procedure 1-15m	$173.00	$469.00	$49.56–$370.51	—	63%
Speech therapy session, individual inpatient CPT 92507 St Speech/Lang Therapy	$173.00	$469.00	$29.01–$370.51	—	63%
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$307.93	$917.00	$64.65–$724.43	141% above	66%
Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test	$307.93	$917.00	$64.65–$724.43	—	66%
Spirometry before and after a bronchodilator CPT 94060 HC Bronchodilator Response Pft	$563.32	$1,731.00	$122.04–$1,367.49	153% above	67%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Bronchodilator Response Pft	$563.32	$1,731.00	$122.04–$1,367.49	—	67%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Ther Act (1-15 Min)	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Neonatal Tx (1-15m)	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Ther Act (1-15 Min)	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Neonatal Tx (1-15m)	$83.95	$243.00	$12.10–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Procedure 1-15m	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Dynamic Therap Act 1-15m	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Transfer Training (1-15m)	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Transfer Trng (1-15m)	$83.95	$243.00	$13.35–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 St Home Program (1-15m)	$83.95	$243.00	$13.10–$191.97	108% above	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Ther Act (1-15 Min)	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Transfer Training (1-15m)	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Dynamic Therap Act 1-15m	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Procedure 1-15m	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 St Home Program (1-15m)	$83.95	$243.00	$13.10–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Ther Act (1-15 Min)	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Neonatal Tx (1-15m)	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Transfer Trng (1-15m)	$83.95	$243.00	$13.35–$191.97	—	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Neonatal Tx (1-15m)	$83.95	$243.00	$12.10–$191.97	—	65%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$242.67	$736.00	$117.72–$581.44	133% above	67%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$242.67	$736.00	$117.72–$581.44	—	67%
Visual field test, extended CPT 92083 Visual Field Exam,Extended	$242.67	$728.00	$51.32–$575.12	438% above	67%
Visual field test, extended inpatient CPT 92083 Visual Field Exam,Extended	$242.67	$728.00	$51.32–$575.12	—	67%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$145.92	$498.00	$82.17–$393.42	3% above	71%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$145.92	$498.00	$82.17–$393.42	—	71%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscv2 Vac 30mcg Trs-Suc Im	$131.10	$403.00	$66.50–$318.37	38% above	67%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscv2 Vac 30mcg Trs-Suc Im	$131.10	$403.00	$66.50–$318.37	—	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$208.48	$2,958.98	$208.48–$2,337.59	at median	93%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$208.48	$757.00	$2.40–$598.03	at median	72%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use	$208.48	$757.00	$2.40–$598.03	—	72%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$208.48	$2,958.98	$208.48–$2,337.59	—	93%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$71.05	$116.00	$19.14–$91.64	1% above	39%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$71.05	$116.00	$19.14–$91.64	—	39%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$33.31	$488.99	$33.31–$386.30	6% below	93%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Immunizatio, Im, <7 Yo	$33.31	$202.00	$33.31–$159.58	6% below	84%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$33.31	$502.83	$33.31–$397.24	6% below	93%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$33.31	$488.99	$33.31–$386.30	—	93%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$33.31	$502.83	$33.31–$397.24	—	93%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Immunizatio, Im, <7 Yo	$33.31	$202.00	$33.31–$159.58	—	84%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$117.41	$183.00	$30.20–$144.57	10% above	36%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$117.41	$1,723.34	$117.41–$1,361.44	10% above	93%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$117.41	$183.00	$30.20–$144.57	—	36%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$117.41	$1,723.34	$117.41–$1,361.44	—	93%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION	$136.15	$1,724.69	$136.15–$1,362.51	72% above	92%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$136.15	$2,012.22	$2.01–$1,589.65	72% above	93%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$136.15	$2,012.22	$2.01–$1,589.65	—	93%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION	$136.15	$1,724.69	$136.15–$1,362.51	—	92%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$22.35	$285.00	$19.77–$225.15	26% below	92%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$22.35	$285.00	$19.77–$225.15	—	92%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Vhpv9 Vacc 2/3 Dose Sched Im Use	$350.53	$1,245.00	$87.77–$983.55	30% above	72%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Vhpv9 Vacc 2/3 Dose Sched Im Use	$350.53	$1,245.00	$87.77–$983.55	—	72%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$79.38	$476.00	$33.56–$376.04	4% below	83%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$79.38	$476.00	$33.56–$376.04	—	83%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$44.14	$147.00	$24.26–$116.13	5% above	70%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$44.14	$147.00	$24.26–$116.13	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$77.42	$1,221.93	$77.42–$965.32	8% above	94%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$77.42	$471.00	$33.21–$372.09	8% above	84%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$77.42	$1,221.93	$77.42–$965.32	—	94%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$77.42	$471.00	$33.21–$372.09	—	84%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$195.32	$2,585.11	$182.25–$2,042.24	36% above	92%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$195.32	$1,137.00	$80.16–$898.23	36% above	83%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$195.32	$1,137.00	$80.16–$898.23	—	83%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$195.32	$2,585.11	$182.25–$2,042.24	—	92%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$34.84	$274.00	$34.84–$216.46	11% below	87%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$34.84	$490.31	$34.84–$387.34	11% below	93%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$34.84	$274.00	$34.84–$216.46	—	87%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$34.84	$490.31	$34.84–$387.34	—	93%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$14.87	$222.34	$14.87–$175.65	34% below	93%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$14.87	$60.00	$9.90–$47.40	34% below	75%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$14.87	$60.00	$9.90–$47.40	—	75%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$14.87	$222.34	$14.87–$175.65	—	93%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Quadrivalent	$83.49	$460.00	$32.43–$363.40	11% above	82%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Quadrivalent	$83.49	$460.00	$32.43–$363.40	—	82%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese Encephalitis Vaccine Inactivated Im	$336.40	$1,057.00	$16.64–$835.03	—	68%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Japanese Encephalitis Vaccine Inactivated Im	$336.40	$1,057.00	$16.64–$835.03	—	68%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Virus Immunization, Subcut	$108.10	$546.00	$38.49–$431.34	49% above	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$108.10	$1,548.11	$108.10–$1,223.01	49% above	93%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Virus Immunization, Subcut	$108.10	$546.00	$38.49–$431.34	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$108.10	$1,548.11	$108.10–$1,223.01	—	93%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$316.53	$351.00	$57.92–$316.53	113% above	10%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$316.53	$351.00	$57.92–$316.53	—	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use	$189.95	$969.00	$159.89–$765.51	20% above	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use	$189.95	$969.00	$159.89–$765.51	—	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$195.91	$2,746.51	$193.63–$2,169.74	63% above	93%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$195.91	$1,261.00	$88.90–$996.19	63% above	84%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$195.91	$1,261.00	$88.90–$996.19	—	84%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$195.91	$2,746.51	$193.63–$2,169.74	—	93%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prtn & Outer Memb Vesic Vacc Im	$270.18	$423.00	$29.82–$334.17	29% above	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$270.18	$3,797.17	$267.70–$2,999.76	29% above	93%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb-4c Recombnt Prtn & Outer Memb Vesic Vacc Im	$270.18	$423.00	$29.82–$334.17	—	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$270.18	$3,797.17	$267.70–$2,999.76	—	93%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 Vaccine for Intramuscular Use	$283.79	$1,612.00	$113.65–$1,273.48	34% above	82%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pcv13 Vaccine for Intramuscular Use	$283.79	$1,612.00	$113.65–$1,273.48	—	82%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$344.19	$2,180.00	$153.69–$1,722.20	7% above	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$344.19	$4,729.62	$333.44–$3,736.40	7% above	93%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$344.19	$4,729.62	$333.44–$3,736.40	—	93%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use	$344.19	$2,180.00	$153.69–$1,722.20	—	84%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$146.82	$952.00	$67.12–$752.08	9% above	85%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$146.82	$952.00	$67.12–$752.08	—	85%
Polio vaccine, inactivated (IPV) CPT 90713 Poliomyleitis Immunizatn,Inactv,Sub-Q	$50.85	$265.00	$18.68–$209.35	22% above	81%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyleitis Immunizatn,Inactv,Sub-Q	$50.85	$265.00	$18.68–$209.35	—	81%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$633.99	$981.00	$93.17–$774.99	134% above	35%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$633.99	$981.00	$93.17–$774.99	—	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$349.75	$1,017.00	$12.03–$803.43	43% above	66%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$349.75	$4,767.28	$336.09–$3,766.15	43% above	93%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$349.75	$1,017.00	$12.03–$803.43	—	66%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$349.75	$4,767.28	$336.09–$3,766.15	—	93%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular 335999	$349.44	$698.00	$49.21–$551.42	47% below	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$349.44	$6,649.43	$265.08–$5,253.05	47% below	95%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$349.44	$6,893.26	$265.08–$5,445.68	47% below	95%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$349.44	$6,893.26	$265.08–$5,445.68	—	95%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$349.44	$6,649.43	$265.08–$5,253.05	—	95%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Intramuscular 335999	$349.44	$698.00	$49.21–$551.42	—	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$112.51	$182.00	$30.03–$143.78	18% above	38%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$112.51	$182.00	$30.03–$143.78	—	38%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster Vacc Recombinant Adjuvanted Im Njx	$245.68	$862.00	$142.23–$680.98	50% above	71%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster Vacc Recombinant Adjuvanted Im Njx	$245.68	$862.00	$142.23–$680.98	—	71%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$37.36	$749.84	$37.36–$592.37	16% below	95%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$37.36	$368.00	$25.94–$290.72	16% below	90%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$37.36	$749.84	$37.36–$592.37	—	95%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$37.36	$368.00	$25.94–$290.72	—	90%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Yo, Im	$42.98	$491.00	$34.62–$387.89	33% below	91%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$42.98	$804.72	$42.98–$635.73	33% below	95%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$42.98	$804.72	$42.98–$635.73	—	95%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Yo, Im	$42.98	$491.00	$34.62–$387.89	—	91%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine, Im	$115.50	$366.00	$25.80–$289.14	63% below	68%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine, Im	$115.50	$366.00	$25.80–$289.14	—	68%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Immunization Sq/Im/Pq/ID 1st Vaccine	$216.00	$432.00	$30.46–$341.28	435% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Immunization Sq/Im/Pq/ID 1st Vaccine	$216.00	$432.00	$30.46–$341.28	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Immunization Sq/Im/Pq/ID Add Vaccine	$137.50	$275.00	$19.39–$217.25	400% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Immunization Sq/Im/Pq/ID Add Vaccine	$137.50	$275.00	$19.39–$217.25	—	50%
Yellow fever vaccine, live CPT 90717 Yellow Fever Immunizatn,Live,Sub-Q	$160.35	$560.00	$92.40–$442.40	—	71%
Yellow fever vaccine, live inpatient CPT 90717 Yellow Fever Immunizatn,Live,Sub-Q	$160.35	$560.00	$92.40–$442.40	—	71%

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

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

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

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

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

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

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

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

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

Source file: https://www.northoaks.org/documents/2026/451834769_north-oaks-medical-center_standardcharges.csv