Hospital Houma-Bayou Cane-Thibodaux, LA

Terrebonne General Medical Center - Parish

Listed in its price file as “Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System”.

Terrebonne General Medical Center - Parish in Houma, LA publishes cash prices for 373 common procedures listed here, from its own machine-readable price file updated Feb 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 354 of 369 procedures and below it for 14. By typical cash price it ranks #58 of 67 Louisiana hospitals and #4 of 5 hospitals in the Houma, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

8166 W Main St, Houma, LA 70360 Collected Nov 10, 2026 Source price file Check a bill from this hospital (985) 873-4141

Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 190008 · CMS hospital register NPI 1518924109

Financial assistance

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

Terrebonne General Medical Center - Parish 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 HC CT ABDOMEN W/WO CONTRAST	$1,707.13	$2,306.00	$156.80–$2,306.00	67% above	26%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST	$1,707.13	$2,306.00	$1,498.90–$2,306.00	—	26%
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABDOMEN 2 VIEWS	$233.93	$316.00	$22.26–$325.03	34% above	26%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABDOMEN 2 VIEWS	$233.93	$316.00	$205.40–$316.00	—	26%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP MINIMUM 3 VIEWS	$299.82	$405.00	$23.97–$405.00	141% above	26%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP MINIMUM 3 VIEWS	$299.82	$405.00	$263.25–$405.00	—	26%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,254.99	$1,695.25	$93.82–$1,695.25	93% above	26%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,254.99	$1,695.25	$1,101.91–$1,695.25	—	26%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY ESOPH W/ SCOUT CHEST RADIOGRAPH/IMG W/SNGL	$380.14	$513.50	$57.88–$528.44	76% above	26%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY ESOPH W/ SCOUT CHEST RADIOGRAPH/IMG W/SNGL	$380.14	$513.50	$333.78–$513.50	—	26%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$1,178.74	$1,592.25	$191.92–$1,592.25	114% above	26%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$1,178.74	$1,592.25	$1,034.96–$1,592.25	—	26%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT	$377.00	$509.25	$57.59–$509.25	125% above	26%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT	$377.00	$509.25	$331.01–$509.25	—	26%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED	$204.32	$276.00	$44.77–$276.00	22% above	26%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED	$204.32	$276.00	$179.40–$276.00	—	26%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$2,961.20	$4,000.00	$241.51–$4,000.00	223% above	26%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W/ AND W/O CONTRAS	$2,961.20	$4,000.00	$2,600.00–$4,000.00	—	26%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD CONTRAST	$3,177.92	$4,292.75	$157.12–$4,292.75	359% above	26%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD CONTRAST	$3,177.92	$4,292.75	$2,790.29–$4,292.75	—	26%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK CONTRAST	$2,783.34	$3,759.75	$157.12–$3,759.75	302% above	26%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK CONTRAST	$2,783.34	$3,759.75	$2,443.84–$3,759.75	—	26%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$1,401.76	$1,893.50	$157.12–$1,893.50	72% above	26%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$1,401.76	$1,893.50	$1,230.78–$1,893.50	—	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARD W/3D IMAGE	$1,135.25	$1,533.50	$184.50–$1,958.00	141% above	26%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARD W/3D IMAGE	$1,135.25	$1,533.50	$996.77–$1,533.50	—	26%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING	$1,091.76	$1,474.75	$63.91–$1,474.75	1200% above	26%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING	$1,091.76	$1,474.75	$958.59–$1,474.75	—	26%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$1,396.21	$1,886.00	$89.55–$1,886.00	24% above	26%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$1,396.21	$1,886.00	$1,225.90–$1,886.00	—	26%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$1,698.62	$2,294.50	$188.43–$2,294.50	32% above	26%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$1,698.62	$2,294.50	$1,491.42–$2,294.50	—	26%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELVIS W WO CONTRAST	$2,165.93	$2,925.75	$212.69–$2,925.75	50% above	26%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD PELVIS W WO CONTRAST	$2,165.93	$2,925.75	$1,901.74–$2,925.75	—	26%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$1,339.39	$1,809.25	$149.11–$1,809.25	56% above	26%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$1,339.39	$1,809.25	$1,176.01–$1,809.25	—	26%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,038.64	$1,403.00	$70.70–$1,403.00	36% above	26%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,038.64	$1,403.00	$911.95–$1,403.00	—	26%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,406.57	$1,900.00	$76.69–$1,900.00	125% above	26%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,406.57	$1,900.00	$1,235.00–$1,900.00	—	26%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$1,406.57	$1,900.00	$58.45–$1,900.00	114% above	26%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$1,406.57	$1,900.00	$1,235.00–$1,900.00	—	26%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$1,216.50	$1,643.25	$83.57–$1,643.25	70% above	26%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$1,216.50	$1,643.25	$1,068.11–$1,643.25	—	26%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$1,471.16	$1,987.25	$99.53–$1,987.25	61% above	26%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$1,471.16	$1,987.25	$1,291.71–$1,987.25	—	26%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,520.39	$2,053.75	$72.42–$2,053.75	101% above	26%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,520.39	$2,053.75	$1,334.94–$2,053.75	—	26%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$1,790.05	$2,418.00	$72.98–$2,418.00	143% above	26%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$1,790.05	$2,418.00	$1,571.70–$2,418.00	—	26%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,408.79	$1,903.00	$150.25–$1,903.00	69% above	26%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,408.79	$1,903.00	$1,236.95–$1,903.00	—	26%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN BILAT	$516.17	$697.25	$124.81–$797.00	—	26%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN BILAT	$516.17	$697.25	$453.21–$697.25	—	26%
Chest CT scan without and with contrast CPT 71270 HC CT SCAN THORAX DX W/WO CONTRAST	$1,318.10	$1,780.50	$120.04–$1,780.50	25% above	26%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT SCAN THORAX DX W/WO CONTRAST	$1,318.10	$1,780.50	$1,157.33–$1,780.50	—	26%
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS	$176.75	$238.75	$19.97–$238.75	33% above	26%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS	$176.75	$238.75	$155.19–$238.75	—	26%
Chest X-ray, single view CPT 71045 HC XRAY CHEST 1 VIEW	$166.57	$225.00	$14.86–$231.45	50% above	26%
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST 1 VIEW	$166.57	$225.00	$146.25–$225.00	—	26%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE	$166.94	$225.50	$21.13–$231.45	42% above	26%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE	$166.94	$225.50	$146.58–$225.50	—	26%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$481.20	$650.00	$62.47–$650.00	67% above	26%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$481.20	$650.00	$422.50–$650.00	—	26%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$359.60	$485.75	$25.68–$485.75	148% above	26%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$359.60	$485.75	$315.74–$485.75	—	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$185.08	$250.00	$19.41–$250.00	125% above	26%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$185.08	$250.00	$162.50–$250.00	—	26%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB FETAL EVAL EXAM TRANSABDOMFIRST GESTATI	$468.80	$633.25	$75.60–$675.82	77% above	26%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB FETAL EVAL EXAM TRANSABDOMFIRST GESTATI	$468.80	$633.25	$411.61–$633.25	—	26%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN THORAX DX W/O CONTRAST	$1,406.57	$1,900.00	$72.12–$1,900.00	96% above	26%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN THORAX DX W/O CONTRAST	$1,406.57	$1,900.00	$1,235.00–$1,900.00	—	26%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN THORAX DX W/CONTRAST	$1,269.80	$1,715.25	$98.09–$1,715.25	48% above	26%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN THORAX DX W/CONTRAST	$1,269.80	$1,715.25	$1,114.91–$1,715.25	—	26%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD DIAGNOSTIC BILAT	$450.84	$609.00	$95.53–$609.00	—	26%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD DIAGNOSTIC BILAT	$450.84	$609.00	$395.85–$609.00	—	26%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD DIAGNOSTIC UNILAT	$353.86	$478.00	$75.01–$478.00	191% above	26%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD DIAGNOSTIC UNILAT	$353.86	$478.00	$310.70–$478.00	—	26%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG BILAT	$407.17	$550.00	$98.45–$675.82	—	26%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG BILAT	$407.17	$550.00	$357.50–$550.00	—	26%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US DUPLEX UPPER OR LOWER EXT VENOUSCOMPLETE BIL	$925.38	$1,250.00	$130.34–$1,250.00	114% above	26%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US DUPLEX UPPER OR LOWER EXT VENOUSCOMPLETE BIL	$925.38	$1,250.00	$812.50–$1,250.00	—	26%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT COLOR DOPPLER	$1,150.43	$1,554.00	$108.09–$1,554.00	51% above	26%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT COLOR DOPPLER	$1,150.43	$1,554.00	$1,010.10–$1,554.00	—	26%
Elbow X-ray, 2 views CPT 73070 HC ELBOW AP / LAT	$280.39	$378.75	$18.27–$378.75	115% above	26%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW AP / LAT	$280.39	$378.75	$246.19–$378.75	—	26%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$247.36	$334.13	$20.84–$334.13	87% above	26%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$247.36	$334.13	$217.18–$334.13	—	26%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITSELLAEAR W/O CONTRA	$1,188.92	$1,606.00	$86.41–$1,606.00	96% above	26%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITSELLAEAR W/O CONTRA	$1,188.92	$1,606.00	$1,043.90–$1,606.00	—	26%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$268.73	$363.00	$29.39–$363.00	71% above	26%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3VIEWS	$268.73	$363.00	$235.95–$363.00	—	26%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$250.41	$338.25	$18.55–$338.25	118% above	26%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$250.41	$338.25	$219.86–$338.25	—	26%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$1,196.70	$1,616.50	$218.70–$1,616.50	105% above	26%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$1,196.70	$1,616.50	$1,050.73–$1,616.50	—	26%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW	$233.19	$315.00	$19.99–$325.03	121% above	26%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW	$233.19	$315.00	$204.75–$315.00	—	26%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS	$231.25	$312.38	$17.70–$312.38	110% above	26%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS	$231.25	$312.38	$203.05–$312.38	—	26%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING 4 W/CPAP	$1,896.28	$2,561.50	$458.51–$2,635.96	29% above	26%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING 4 W/CPAP	$1,896.28	$2,561.50	$1,664.98–$2,561.50	—	26%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$267.90	$361.88	$27.10–$361.88	95% above	26%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$267.90	$361.88	$235.22–$361.88	—	26%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE	$259.11	$350.00	$31.10–$350.00	64% above	26%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE	$259.11	$350.00	$227.50–$350.00	—	26%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,272.21	$1,718.50	$72.70–$1,718.50	112% above	26%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,272.21	$1,718.50	$1,117.03–$1,718.50	—	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$470.83	$636.00	$50.47–$636.00	81% above	26%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$470.83	$636.00	$413.40–$636.00	—	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN THORAX LOW DOSE LUNG CANCER SCRN W/O CO	$222.09	$300.00	$53.70–$300.00	49% above	26%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN THORAX LOW DOSE LUNG CANCER SCRN W/O CO	$222.09	$300.00	$195.00–$300.00	—	26%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$277.34	$374.63	$20.55–$374.63	131% above	26%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG AP/LAT (TIBIA/FIBULA)	$277.34	$374.63	$243.51–$374.63	—	26%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$1,861.48	$2,514.50	$139.16–$2,514.50	121% above	26%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$1,861.48	$2,514.50	$1,634.42–$2,514.50	—	26%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,745.63	$2,358.00	$111.20–$2,358.00	91% above	26%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,745.63	$2,358.00	$1,532.70–$2,358.00	—	26%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$2,563.29	$3,462.50	$204.42–$3,462.50	103% above	26%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$2,563.29	$3,462.50	$2,250.63–$3,462.50	—	26%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,861.48	$2,514.50	$111.20–$2,514.50	78% above	26%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,861.48	$2,514.50	$1,634.42–$2,514.50	—	26%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$2,073.58	$2,801.00	$184.47–$2,801.00	51% above	26%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$2,073.58	$2,801.00	$1,820.65–$2,801.00	—	26%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,860.37	$2,513.00	$106.37–$2,513.00	80% above	26%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,860.37	$2,513.00	$1,633.45–$2,513.00	—	26%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$2,186.66	$2,953.75	$184.47–$2,953.75	59% above	26%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$2,186.66	$2,953.75	$1,919.94–$2,953.75	—	26%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$1,745.63	$2,358.00	$106.08–$2,358.00	82% above	26%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$1,745.63	$2,358.00	$1,532.70–$2,358.00	—	26%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$2,186.66	$2,953.75	$185.04–$2,953.75	59% above	26%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$2,186.66	$2,953.75	$1,919.94–$2,953.75	—	26%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$2,076.91	$2,805.50	$105.80–$2,805.50	119% above	26%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$2,076.91	$2,805.50	$1,823.58–$2,805.50	—	26%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W W/O CONTRAST	$2,289.38	$3,092.50	$203.28–$3,092.50	123% above	26%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W W/O CONTRAST	$2,289.38	$3,092.50	$2,010.13–$3,092.50	—	26%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,745.63	$2,358.00	$139.13–$2,358.00	112% above	26%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,745.63	$2,358.00	$1,532.70–$2,358.00	—	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$1,917.19	$2,589.75	$122.36–$2,589.75	124% above	26%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$1,917.19	$2,589.75	$1,683.34–$2,589.75	—	26%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$335.36	$453.00	$35.08–$453.00	65% above	26%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 OR 5 VIEWS	$335.36	$453.00	$294.45–$453.00	—	26%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$1,421.01	$1,919.50	$104.37–$1,919.50	105% above	26%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAS	$1,421.01	$1,919.50	$1,247.67–$1,919.50	—	26%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$1,310.15	$1,769.75	$78.67–$1,769.75	94% above	26%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTR	$1,310.15	$1,769.75	$1,150.34–$1,769.75	—	26%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$166.94	$225.50	$19.42–$231.45	34% above	26%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$166.94	$225.50	$146.58–$225.50	—	26%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT MULTIPLE	$3,240.85	$4,377.75	$296.88–$4,377.75	173% above	26%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT MULTIPLE	$3,240.85	$4,377.75	$2,845.54–$4,377.75	—	26%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET CT SCAN SKULL TO MID THIGH	$3,784.78	$5,112.50	$915.14–$5,112.50	94% above	26%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET CT SCAN SKULL TO MID THIGH	$3,784.78	$5,112.50	$3,323.13–$5,112.50	—	26%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,038.64	$1,403.00	$71.84–$1,403.00	50% above	26%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,038.64	$1,403.00	$911.95–$1,403.00	—	26%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB	$250.04	$337.75	$22.83–$337.75	49% above	26%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB	$250.04	$337.75	$219.54–$337.75	—	26%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$505.62	$683.00	$61.90–$683.00	81% above	26%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$505.62	$683.00	$443.95–$683.00	—	26%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WKS TRANSABD SINGLE GESTATION	$583.54	$788.25	$74.44–$788.25	129% above	26%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 14 WKS TRANSABD SINGLE GESTATION	$583.54	$788.25	$512.36–$788.25	—	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14WKS TRANSABD SINGLE GESTATION	$510.44	$689.50	$59.59–$689.50	123% above	26%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14WKS TRANSABD SINGLE GESTATION	$510.44	$689.50	$448.18–$689.50	—	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$610.75	$825.00	$42.78–$825.00	253% above	26%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$610.75	$825.00	$536.25–$825.00	—	26%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$183.04	$247.25	$22.26–$247.25	30% above	26%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS	$183.04	$247.25	$160.71–$247.25	—	26%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS W/PA CHEST	$233.93	$316.00	$25.11–$325.03	58% above	26%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS W/PA CHEST	$233.93	$316.00	$205.40–$316.00	—	26%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD SCREENING BILAT	$333.14	$450.00	$78.97–$450.00	—	26%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD SCREENING BILAT	$333.14	$450.00	$292.50–$450.00	—	26%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$211.54	$285.75	$21.98–$285.75	61% above	26%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$211.54	$285.75	$185.74–$285.75	—	26%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES PARANASAL COMP MINIMUM 3 VIEWS	$250.04	$337.75	$23.39–$337.75	53% above	26%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES PARANASAL COMP MINIMUM 3 VIEWS	$250.04	$337.75	$219.54–$337.75	—	26%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4VIEWS	$220.98	$298.50	$23.40–$325.03	67% above	26%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4VIEWS	$220.98	$298.50	$194.03–$298.50	—	26%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE	$1,896.28	$2,561.50	$437.67–$2,635.96	26% above	26%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE	$1,896.28	$2,561.50	$1,664.98–$2,561.50	—	26%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT SUPERV	$1,258.51	$1,700.00	$127.23–$1,700.00	101% above	26%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT SUPERV	$1,258.51	$1,700.00	$1,105.00–$1,700.00	—	26%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY SWALLOW FUNCT CINE/VIDEO W/ SCOUT NECK RAD	$422.90	$571.25	$82.67–$571.25	75% above	26%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY SWALLOW FUNCT CINE/VIDEO W/ SCOUT NECK RAD	$422.90	$571.25	$371.31–$571.25	—	26%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$182.67	$246.75	$23.12–$246.75	53% above	26%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> VIEWS	$182.67	$246.75	$160.39–$246.75	—	26%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$1,335.87	$1,804.50	$72.70–$1,804.50	77% above	26%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$1,335.87	$1,804.50	$1,172.92–$1,804.50	—	26%
Toe X-ray, 2 or more views CPT 73660 HC TOE OR TOES MIN 2VIEWS	$186.56	$252.00	$19.41–$252.00	66% above	26%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE OR TOES MIN 2VIEWS	$186.56	$252.00	$163.80–$252.00	—	26%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$265.03	$358.00	$64.08–$358.00	24% above	26%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$265.03	$358.00	$232.70–$358.00	—	26%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAG APPROACH	$250.04	$337.75	$48.19–$337.75	38% above	26%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAG APPROACH	$250.04	$337.75	$219.54–$337.75	—	26%
Ultrasound of the abdomen, complete CPT 76700 HC US ABD B-SCAN COMPLETE	$539.86	$729.25	$66.18–$729.25	79% above	26%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD B-SCAN COMPLETE	$539.86	$729.25	$474.01–$729.25	—	26%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM CONTENTS	$394.39	$532.75	$59.63–$532.75	83% above	26%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM CONTENTS	$394.39	$532.75	$346.29–$532.75	—	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$501.37	$677.25	$70.74–$677.25	99% above	26%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$501.37	$677.25	$440.21–$677.25	—	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI TRACT W/ SCOUT ABD RADIOGRAPH/IMG	$555.23	$750.00	$70.70–$750.00	119% above	26%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY UPPER GI TRACT W/ SCOUT ABD RADIOGRAPH/IMG	$555.23	$750.00	$487.50–$750.00	—	26%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS ROUTINE	$217.65	$294.00	$20.84–$294.00	70% above	26%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS ROUTINE	$217.65	$294.00	$191.10–$294.00	—	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX UPPER OR LOWER EXT VENOUSUNILAT OR LT	$570.03	$770.00	$83.29–$797.00	121% above	26%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX UPPER OR LOWER EXT VENOUSUNILAT OR LT	$570.03	$770.00	$500.50–$770.00	—	26%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW	$249.85	$337.50	$21.98–$337.50	129% above	26%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW	$249.85	$337.50	$219.38–$337.50	—	26%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$287.33	$388.13	$28.25–$388.13	140% above	26%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$287.33	$388.13	$252.28–$388.13	—	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$244.30	$330.00	$31.67–$330.00	93% above	26%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$244.30	$330.00	$214.50–$330.00	—	26%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1 VIEW	$161.57	$218.25	$18.27–$231.45	34% above	26%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1 VIEW	$161.57	$218.25	$141.86–$218.25	—	26%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$277.61	$375.00	$20.84–$375.00	157% above	26%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$277.61	$375.00	$243.75–$375.00	—	26%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$192.48	$260.00	$27.11–$260.00	87% above	26%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$192.48	$260.00	$169.00–$260.00	—	26%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$185.08	$250.00	$17.98–$250.00	72% above	26%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$185.08	$250.00	$162.50–$250.00	—	26%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP MINIMUM 3 VIEWS	$279.83	$378.00	$22.26–$378.00	126% above	26%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP MINIMUM 3 VIEWS	$279.83	$378.00	$245.70–$378.00	—	26%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$170.08	$229.75	$24.83–$231.45	34% above	26%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$170.08	$229.75	$149.34–$229.75	—	26%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$161.57	$218.25	$22.27–$231.45	42% above	26%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$161.57	$218.25	$141.86–$218.25	—	26%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$282.24	$381.25	$24.82–$381.25	85% above	26%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$282.24	$381.25	$247.81–$381.25	—	26%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$305.37	$412.50	$33.66–$412.50	41% above	26%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$305.37	$412.50	$268.13–$412.50	—	26%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP LAT	$233.93	$316.00	$19.97–$325.03	52% above	26%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP LAT	$233.93	$316.00	$205.40–$316.00	—	26%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP MINIMUM 3 VIEWS	$226.72	$306.25	$25.11–$306.25	93% above	26%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP MINIMUM 3 VIEWS	$226.72	$306.25	$199.06–$306.25	—	26%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL AP LAT	$192.85	$260.50	$24.82–$260.50	34% above	26%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL AP LAT	$192.85	$260.50	$169.33–$260.50	—	26%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$233.93	$316.00	$16.85–$325.03	77% above	26%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$233.93	$316.00	$205.40–$316.00	—	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM COCCYX MIN 2VIEWS	$183.04	$247.25	$20.84–$247.25	31% above	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM COCCYX MIN 2VIEWS	$183.04	$247.25	$160.71–$247.25	—	26%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ACTH blood test CPT 82024 HC ACTH	$152.50	$206.00	$37.85–$206.00	41% above	26%
ACTH blood test inpatient CPT 82024 HC ACTH	$152.50	$206.00	$133.90–$206.00	—	26%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$52.75	$71.25	$5.19–$71.25	162% above	26%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$52.75	$71.25	$46.31–$71.25	—	26%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$52.75	$71.25	$5.08–$71.25	170% above	26%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$52.75	$71.25	$46.31–$71.25	—	26%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$194.70	$263.00	$46.68–$263.00	76% above	26%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$194.70	$263.00	$170.95–$263.00	—	26%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM	$54.23	$73.25	$4.85–$73.25	247% above	26%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM	$54.23	$73.25	$47.61–$73.25	—	26%
Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE	$300.38	$405.75	$39.93–$405.75	211% above	26%
Aldosterone blood test CPT 82088 HC ALDOSTERONE- SERUM	$300.38	$405.75	$39.93–$405.75	211% above	26%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE	$300.38	$405.75	$263.74–$405.75	—	26%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE- SERUM	$300.38	$405.75	$263.74–$405.75	—	26%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$49.79	$67.25	$5.08–$67.25	166% above	26%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS TOTAL	$49.79	$67.25	$5.08–$67.25	166% above	26%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$49.79	$67.25	$43.71–$67.25	—	26%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS TOTAL	$49.79	$67.25	$43.71–$67.25	—	26%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST SINGLE ALLERGEN IGE EACH	$18.51	$25.00	$5.12–$25.00	77% above	26%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE	$18.51	$25.00	$5.12–$25.00	77% above	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST SINGLE ALLERGEN IGE EACH	$18.51	$25.00	$16.25–$25.00	—	26%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE	$18.51	$25.00	$16.25–$25.00	—	26%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$85.32	$115.25	$16.43–$115.25	58% above	26%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL SCREEN	$90.50	$122.25	$16.43–$122.25	68% above	26%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (TUMOR MARK)	$85.32	$115.25	$74.91–$115.25	—	26%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL SCREEN	$90.50	$122.25	$79.46–$122.25	—	26%
Ammonia blood test CPT 82140 HC AMMONIA BLOOD	$78.66	$106.25	$14.28–$106.25	57% above	26%
Ammonia blood test CPT 82140 HC STONERISK PRO-AMMONIA UR	$78.66	$106.25	$14.28–$106.25	57% above	26%
Ammonia blood test inpatient CPT 82140 HC STONERISK PRO-AMMONIA UR	$78.66	$106.25	$69.06–$106.25	—	26%
Ammonia blood test inpatient CPT 82140 HC AMMONIA BLOOD	$78.66	$106.25	$69.06–$106.25	—	26%
Amylase blood test CPT 82150 HC AMYLASE URINE	$62.00	$83.75	$6.35–$83.75	177% above	26%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID - RL	$62.00	$83.75	$6.35–$83.75	177% above	26%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$62.00	$83.75	$6.35–$83.75	177% above	26%
Amylase blood test CPT 82150 HC AMYLASE	$65.70	$88.75	$6.35–$88.75	194% above	26%
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE	$62.00	$83.75	$54.44–$83.75	—	26%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$62.00	$83.75	$54.44–$83.75	—	26%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID - RL	$62.00	$83.75	$54.44–$83.75	—	26%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$65.70	$88.75	$57.69–$88.75	—	26%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$109.56	$148.00	$12.69–$148.00	140% above	26%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$109.56	$148.00	$96.20–$148.00	—	26%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$104.75	$141.50	$11.85–$141.50	135% above	26%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$104.75	$141.50	$91.98–$141.50	—	26%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$121.22	$163.75	$38.47–$163.75	82% above	26%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$121.22	$163.75	$106.44–$163.75	—	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLD CULTURE	$117.71	$159.00	$8.45–$159.00	303% above	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE	$117.71	$159.00	$8.45–$159.00	303% above	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ROUTINE AEROBIC	$117.71	$159.00	$8.45–$159.00	303% above	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESP CULT CYSTIC FIBROSIS	$117.71	$159.00	$8.45–$159.00	303% above	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE	$117.71	$159.00	$103.35–$159.00	—	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ROUTINE AEROBIC	$117.71	$159.00	$103.35–$159.00	—	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESP CULT CYSTIC FIBROSIS	$117.71	$159.00	$103.35–$159.00	—	26%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPINAL FLD CULTURE	$117.71	$159.00	$103.35–$159.00	—	26%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$184.70	$249.50	$8.29–$249.50	426% above	26%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$184.70	$249.50	$162.18–$249.50	—	26%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$54.78	$74.00	$4.84–$74.00	223% above	26%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$54.78	$74.00	$48.10–$74.00	—	26%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE G M LEVEL IV	$167.12	$225.75	$30.53–$225.75	97% above	26%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY	$2,327.50	$3,144.00	$30.53–$3,144.00	2640% above	26%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE G M LEVEL IV	$167.12	$225.75	$146.74–$225.75	—	26%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY	$2,327.50	$3,144.00	$2,043.60–$3,144.00	—	26%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$104.94	$141.75	$10.11–$141.75	133% above	26%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$104.94	$141.75	$92.14–$141.75	—	26%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$10.18	$13.75	$2.99–$23.35	23% above	26%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$10.18	$13.75	$8.94–$13.75	—	26%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTATIVE	$35.53	$48.00	$3.85–$48.00	153% above	26%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTATIVE	$35.53	$48.00	$31.20–$48.00	—	26%
Blood lead test CPT 83655 HC LEAD BLOOD	$45.90	$62.00	$11.87–$62.00	63% above	26%
Blood lead test inpatient CPT 83655 HC LEAD BLOOD	$45.90	$62.00	$40.30–$62.00	—	26%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE BLOOD OR UR	$65.33	$88.25	$7.37–$88.25	104% above	26%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE BLOOD OR UR	$65.33	$88.25	$57.36–$88.25	—	26%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB REF ABO TYPE	$22.21	$30.00	$2.98–$319.06	51% below	26%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC C-BLOOD TYPING ABO	$22.21	$30.00	$2.98–$319.06	51% below	26%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE	$22.21	$30.00	$19.50–$30.00	—	26%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC C-BLOOD TYPING ABO	$22.21	$30.00	$19.50–$30.00	—	26%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN BLOOD	$45.90	$62.00	$3.87–$62.00	173% above	26%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN BLOOD	$45.90	$62.00	$40.30–$62.00	—	26%
C-peptide blood test CPT 84681 HC C PEPTIDE	$90.32	$122.00	$20.39–$122.00	63% above	26%
C-peptide blood test CPT 84681 HC C PEPTIDE SERUM - RL	$90.32	$122.00	$20.39–$122.00	63% above	26%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE SERUM - RL	$90.32	$122.00	$79.30–$122.00	—	26%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$90.32	$122.00	$79.30–$122.00	—	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$38.13	$51.50	$5.08–$51.50	64% above	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP	$38.13	$51.50	$5.08–$51.50	64% above	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$38.13	$51.50	$33.48–$51.50	—	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP	$38.13	$51.50	$33.48–$51.50	—	26%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$133.44	$180.25	$36.52–$180.25	79% above	26%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$133.44	$180.25	$117.16–$180.25	—	26%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$70.51	$95.25	$20.39–$95.25	44% above	26%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$70.51	$95.25	$61.91–$95.25	—	26%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$70.51	$95.25	$20.39–$95.25	32% above	26%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$70.51	$95.25	$61.91–$95.25	—	26%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$76.07	$102.75	$38.48–$128.28	3% above	26%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$76.07	$102.75	$66.79–$102.75	—	26%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$62.37	$84.25	$5.06–$84.25	214% above	26%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$62.37	$84.25	$54.76–$84.25	—	26%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$85.32	$115.25	$18.58–$115.25	44% above	26%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$85.32	$115.25	$74.91–$115.25	—	26%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA AB	$98.46	$133.00	$12.62–$133.00	155% above	26%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB-IGM	$98.46	$133.00	$12.62–$133.00	155% above	26%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB TOTAL ACIF CSF	$98.46	$133.00	$12.62–$133.00	155% above	26%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB (IGM) IFA CSF	$98.46	$133.00	$12.62–$133.00	155% above	26%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB-IGM	$98.46	$133.00	$86.45–$133.00	—	26%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA AB	$98.46	$133.00	$86.45–$133.00	—	26%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB (IGM) IFA CSF	$98.46	$133.00	$86.45–$133.00	—	26%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB TOTAL ACIF CSF	$98.46	$133.00	$86.45–$133.00	—	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA TMA	$132.33	$178.75	$34.39–$178.75	118% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$148.06	$200.00	$34.39–$200.00	144% above	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA TMA	$132.33	$178.75	$116.19–$178.75	—	26%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$148.06	$200.00	$130.00–$200.00	—	26%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$73.84	$99.75	$13.12–$99.75	47% above	26%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$73.84	$99.75	$64.84–$99.75	—	26%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$72.73	$98.25	$7.61–$98.25	170% above	26%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$72.73	$98.25	$63.86–$98.25	—	26%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$79.95	$108.00	$6.34–$108.00	186% above	26%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$79.95	$108.00	$70.20–$108.00	—	26%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$188.41	$254.50	$10.35–$254.50	145% above	26%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$188.41	$254.50	$165.43–$254.50	—	26%
Cortisol blood test, total CPT 82533 HC CORTISOL SALIVA	$34.05	$46.00	$15.97–$47.27	11% below	26%
Cortisol blood test, total CPT 82533 HC CORTISOL	$91.24	$123.25	$15.97–$123.25	140% above	26%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVA	$34.05	$46.00	$29.90–$46.00	—	26%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$91.24	$123.25	$80.11–$123.25	—	26%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE CK TOTAL	$57.19	$77.25	$6.38–$77.25	156% above	26%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$60.70	$82.00	$6.38–$82.00	172% above	26%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE CK TOTAL	$57.19	$77.25	$50.21–$77.25	—	26%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$60.70	$82.00	$53.30–$82.00	—	26%
Creatinine blood test CPT 82565 HC CREATININE-BLOOD	$39.98	$54.00	$5.02–$54.00	128% above	26%
Creatinine blood test inpatient CPT 82565 HC CREATININE-BLOOD	$39.98	$54.00	$35.10–$54.00	—	26%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG	$83.65	$113.00	$14.10–$113.00	112% above	26%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN	$83.65	$113.00	$14.10–$113.00	112% above	26%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG	$83.65	$113.00	$73.45–$113.00	—	26%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN	$83.65	$113.00	$73.45–$113.00	—	26%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANT	$85.13	$115.00	$9.98–$115.00	70% above	26%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANT	$85.13	$115.00	$74.75–$115.00	—	26%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$106.05	$143.25	$21.79–$143.25	82% above	26%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$106.05	$143.25	$93.11–$143.25	—	26%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN PANEL	$161.39	$218.00	$60.90–$218.00	412% above	26%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$161.39	$218.00	$60.90–$218.00	412% above	26%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN PANEL	$161.39	$218.00	$141.70–$218.00	—	26%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$161.39	$218.00	$141.70–$218.00	—	26%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$138.99	$187.75	$6.87–$187.75	264% above	26%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$138.99	$187.75	$122.04–$187.75	—	26%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EB VIRUS VCA IGM	$70.70	$95.50	$17.78–$95.50	39% above	26%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA	$70.70	$95.50	$17.78–$95.50	39% above	26%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EB VIRUS VCA IGM	$70.70	$95.50	$62.08–$95.50	—	26%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA	$70.70	$95.50	$62.08–$95.50	—	26%
Estradiol blood test CPT 82670 HC ESTRADIOL	$138.62	$187.25	$27.38–$187.25	124% above	26%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$138.62	$187.25	$121.71–$187.25	—	26%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$120.85	$163.25	$18.21–$163.25	111% above	26%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$120.85	$163.25	$106.11–$163.25	—	26%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$123.82	$167.25	$19.24–$167.25	19% above	26%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$123.82	$167.25	$108.71–$167.25	—	26%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$86.99	$117.50	$13.36–$117.50	89% above	26%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$86.99	$117.50	$76.38–$117.50	—	26%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$51.82	$70.00	$9.53–$70.00	67% above	26%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$51.82	$70.00	$45.50–$70.00	—	26%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$54.97	$74.25	$14.41–$74.25	38% above	26%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$54.97	$74.25	$48.26–$74.25	—	26%
Free T3 thyroid hormone test CPT 84481 HC T3FREE	$143.80	$194.25	$12.02–$194.25	218% above	26%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3FREE	$143.80	$194.25	$126.26–$194.25	—	26%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE	$98.27	$132.75	$8.84–$132.75	181% above	26%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE	$98.27	$132.75	$86.29–$132.75	—	26%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$90.13	$121.75	$24.96–$121.75	44% above	26%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$90.13	$121.75	$79.14–$121.75	—	26%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT	$64.78	$87.50	$7.06–$87.50	160% above	26%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT	$64.78	$87.50	$56.88–$87.50	—	26%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$72.55	$98.00	$4.65–$98.00	345% above	26%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$72.55	$98.00	$63.70–$98.00	—	26%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$52.75	$71.25	$12.61–$71.25	17% above	26%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$52.75	$71.25	$12.61–$71.25	17% above	26%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$52.75	$71.25	$46.31–$71.25	—	26%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$52.75	$71.25	$46.31–$71.25	—	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA TMA	$132.33	$178.75	$34.39–$178.75	117% above	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$148.06	$200.00	$34.39–$200.00	143% above	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA TMA	$132.33	$178.75	$116.19–$178.75	—	26%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$148.06	$200.00	$130.00–$200.00	—	26%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGA	$36.64	$49.50	$14.15–$49.50	20% below	26%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM	$36.64	$49.50	$14.15–$49.50	20% below	26%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$36.64	$49.50	$14.15–$49.50	20% below	26%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB EACH	$40.16	$54.25	$14.15–$54.25	12% below	26%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM	$36.64	$49.50	$32.18–$49.50	—	26%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGA	$36.64	$49.50	$32.18–$49.50	—	26%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$36.64	$49.50	$32.18–$49.50	—	26%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB EACH	$40.16	$54.25	$35.26–$54.25	—	26%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$39.24	$53.00	$6.46–$53.00	36% below	26%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$39.24	$53.00	$34.45–$53.00	—	26%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$513.95	$694.25	$83.40–$694.25	191% above	26%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$513.95	$694.25	$451.26–$694.25	—	26%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$36.64	$49.50	$12.87–$49.50	8% above	26%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 HIV2 SGL ASSAY	$38.87	$52.50	$12.87–$52.50	14% above	26%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$36.64	$49.50	$32.18–$49.50	—	26%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 HIV2 SGL ASSAY	$38.87	$52.50	$34.13–$52.50	—	26%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPVHIGH RISK TYPES POOLED RESULT	$92.54	$125.00	$34.39–$125.00	64% above	26%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV MRNA E6/E7 POOLED RESULT	$148.06	$200.00	$34.39–$200.00	162% above	26%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPVHIGH RISK TYPES POOLED RESULT	$92.54	$125.00	$81.25–$125.00	—	26%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV MRNA E6/E7 POOLED RESULT	$148.06	$200.00	$130.00–$200.00	—	26%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$54.41	$73.50	$9.52–$73.50	64% above	26%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$54.41	$73.50	$47.77–$73.50	—	26%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$19.62	$26.50	$2.32–$26.50	80% above	26%
Hemoglobin blood test CPT 85018 HC HEMOGLOBINOPATHY EVAL HEMOGLOBIN-RL	$19.62	$26.50	$2.32–$26.50	80% above	26%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBINOPATHY EVAL HEMOGLOBIN-RL	$19.62	$26.50	$17.23–$26.50	—	26%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$19.62	$26.50	$17.23–$26.50	—	26%
Hepatitis B core antibody test (total) CPT 86704 HC HBCAB	$47.01	$63.50	$11.81–$63.50	63% above	26%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCAB	$47.01	$63.50	$41.27–$63.50	—	26%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$81.62	$110.25	$10.53–$110.25	181% above	26%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$81.62	$110.25	$71.66–$110.25	—	26%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$79.21	$107.00	$10.12–$107.00	116% above	26%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$79.21	$107.00	$69.55–$107.00	—	26%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$57.56	$77.75	$13.98–$77.75	28% above	26%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$57.56	$77.75	$50.54–$77.75	—	26%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$179.89	$243.00	$41.98–$243.00	46% above	26%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$179.89	$243.00	$157.95–$243.00	—	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM	$50.90	$68.75	$12.93–$68.75	73% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$50.90	$68.75	$12.93–$68.75	73% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG INDEX CSF	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM ABS IFA	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM BY IFA CSF	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 IGG CSF	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM IFA TITER	$54.04	$73.00	$12.93–$73.00	84% above	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM	$50.90	$68.75	$44.69–$68.75	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$50.90	$68.75	$44.69–$68.75	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG TYPE SPECIFIC AB	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG INDEX CSF	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM IFA TITER	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM BY IFA CSF	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 IGG CSF	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM ABS IFA	$54.04	$73.00	$47.45–$73.00	—	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG CSF	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM ABS IFA	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV-2 INHIBITION STUDY	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG INDEX CSF	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM IFA TITER	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM BY IFA CSF	$78.84	$106.50	$18.96–$106.50	78% above	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG CSF	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM IFA TITER	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG INDEX CSF	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG TYPE SPECIFIC AB	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV-2 INHIBITION STUDY	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM BY IFA CSF	$78.84	$106.50	$69.23–$106.50	—	26%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM ABS IFA	$78.84	$106.50	$69.23–$106.50	—	26%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENS	$78.47	$106.00	$12.69–$106.00	80% above	26%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENS	$78.47	$106.00	$68.90–$106.00	—	26%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES PLASMA	$137.33	$185.50	$17.56–$185.50	140% above	26%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES PLASMA	$137.33	$185.50	$120.58–$185.50	—	26%
Insulin blood test CPT 83525 HC INSULIN	$82.73	$111.75	$11.20–$111.75	136% above	26%
Insulin blood test inpatient CPT 83525 HC INSULIN	$82.73	$111.75	$72.64–$111.75	—	26%
Iron blood test (serum iron) CPT 83540 HC IRON	$49.79	$67.25	$6.34–$67.25	129% above	26%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$49.79	$67.25	$43.71–$67.25	—	26%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$49.79	$67.25	$8.57–$67.25	52% above	26%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$49.79	$67.25	$43.71–$67.25	—	26%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$205.99	$278.25	$8.51–$278.25	250% above	26%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$205.99	$278.25	$180.86–$278.25	—	26%
LH (luteinizing hormone) test CPT 83002 HC LH	$120.85	$163.25	$18.15–$163.25	124% above	26%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$120.85	$163.25	$106.11–$163.25	—	26%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$68.66	$92.75	$11.34–$92.75	143% above	26%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$68.66	$92.75	$60.29–$92.75	—	26%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-BLOOD OR BODY FLUID	$50.90	$68.75	$5.92–$68.75	144% above	26%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-BLOOD OR BODY FLUID	$50.90	$68.75	$44.69–$68.75	—	26%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$67.74	$91.50	$6.75–$91.50	149% above	26%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$67.74	$91.50	$59.48–$91.50	—	26%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL7 TESTS	$211.36	$285.50	$8.01–$285.50	313% above	26%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL7 TESTS	$211.36	$285.50	$185.58–$285.50	—	26%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$108.45	$146.50	$16.69–$146.50	115% above	26%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$108.45	$146.50	$95.23–$146.50	—	26%
Magnesium blood test CPT 83735 HC STONE/URORISK-MAGNESIUM UR	$57.19	$77.25	$6.57–$77.25	156% above	26%
Magnesium blood test CPT 83735 HC MAGNESIUM	$57.19	$77.25	$6.57–$77.25	156% above	26%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$57.19	$77.25	$50.21–$77.25	—	26%
Magnesium blood test inpatient CPT 83735 HC STONE/URORISK-MAGNESIUM UR	$57.19	$77.25	$50.21–$77.25	—	26%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA CSF	$52.93	$71.50	$12.62–$71.50	63% above	26%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA CSF	$52.93	$71.50	$12.62–$71.50	63% above	26%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$56.08	$75.75	$12.62–$75.75	73% above	26%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA	$56.08	$75.75	$12.62–$75.75	73% above	26%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGM BY IFA CSF	$52.93	$71.50	$46.48–$71.50	—	26%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGG BY IFA CSF	$52.93	$71.50	$46.48–$71.50	—	26%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA	$56.08	$75.75	$49.24–$75.75	—	26%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$56.08	$75.75	$49.24–$75.75	—	26%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$19.62	$26.50	$5.08–$26.50	15% below	26%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$19.62	$26.50	$17.23–$26.50	—	26%
Mumps immunity blood test CPT 86735 HC MUMPS IGG BY IFA CSF	$64.41	$87.00	$12.79–$87.00	109% above	26%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$64.41	$87.00	$12.79–$87.00	109% above	26%
Mumps immunity blood test CPT 86735 HC MUMPS IGM BY IFA CSF	$64.41	$87.00	$12.79–$87.00	109% above	26%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG	$656.65	$887.00	$12.79–$887.00	2029% above	26%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGM BY IFA CSF	$64.41	$87.00	$56.55–$87.00	—	26%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG BY IFA CSF	$64.41	$87.00	$56.55–$87.00	—	26%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODIES IGM (EIA)	$64.41	$87.00	$56.55–$87.00	—	26%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG	$656.65	$887.00	$576.55–$887.00	—	26%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$74.03	$100.00	$18.02–$100.00	52% above	26%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$74.03	$100.00	$65.00–$100.00	—	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL	$54.78	$74.00	$18.02–$74.00	24% above	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL-REF LAB ONLY	$74.03	$100.00	$18.02–$100.00	68% above	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING	$74.03	$100.00	$18.02–$100.00	68% above	26%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC	$74.03	$100.00	$18.02–$100.00	68% above	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL	$54.78	$74.00	$48.10–$74.00	—	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC	$74.03	$100.00	$65.00–$100.00	—	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING	$74.03	$100.00	$65.00–$100.00	—	26%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL-REF LAB ONLY	$74.03	$100.00	$65.00–$100.00	—	26%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR THIN PREP SCREENING	$88.84	$120.00	$15.87–$120.00	199% above	26%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR THIN PREP SCREENING	$88.84	$120.00	$78.00–$120.00	—	26%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT	$168.79	$228.00	$40.45–$228.00	84% above	26%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT	$168.79	$228.00	$148.20–$228.00	—	26%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL	$47.01	$63.50	$5.89–$63.50	126% above	26%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$47.01	$63.50	$5.89–$63.50	126% above	26%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL	$47.01	$63.50	$41.27–$63.50	—	26%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$47.01	$63.50	$41.27–$63.50	—	26%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$46.08	$62.25	$4.65–$62.25	173% above	26%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$46.08	$62.25	$40.46–$62.25	—	26%
Potassium blood test CPT 84132 HC POTASSIUM	$37.57	$50.75	$4.66–$50.75	112% above	26%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$37.57	$50.75	$32.99–$50.75	—	26%
Progesterone blood test CPT 84144 HC PROGESTERONE	$81.25	$109.75	$20.44–$109.75	46% above	26%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$81.25	$109.75	$71.34–$109.75	—	26%
Prolactin blood test CPT 84146 HC PROLACTIN	$123.82	$167.25	$18.99–$167.25	89% above	26%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$123.82	$167.25	$108.71–$167.25	—	26%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$50.71	$68.50	$4.20–$68.50	250% above	26%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$50.71	$68.50	$44.52–$68.50	—	26%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRESUMPANY NUMBER OF CLASS DIRECT OPT	$26.47	$35.75	$12.35–$36.54	12% above	26%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRESUMPANY NUMBER OF CLASS DIRECT OPT	$26.47	$35.75	$23.24–$35.75	—	26%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN	$71.25	$96.25	$16.18–$96.25	168% above	26%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN	$71.25	$96.25	$62.56–$96.25	—	26%
Renin blood test CPT 84244 HC RENIN ACTIVITY	$166.94	$225.50	$21.55–$225.50	176% above	26%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY	$166.94	$225.50	$146.58–$225.50	—	26%
Rh blood typing CPT 86901 HC C-BLOOD RH TYPE	$30.54	$41.25	$2.98–$96.95	43% above	26%
Rh blood typing CPT 86901 HC BB REF RH TYPE	$30.54	$41.25	$2.98–$96.95	43% above	26%
Rh blood typing inpatient CPT 86901 HC BB REF RH TYPE	$30.54	$41.25	$26.81–$41.25	—	26%
Rh blood typing inpatient CPT 86901 HC C-BLOOD RH TYPE	$30.54	$41.25	$26.81–$41.25	—	26%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$28.13	$38.00	$5.56–$38.00	20% above	26%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$28.13	$38.00	$24.70–$38.00	—	26%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG	$77.36	$104.50	$14.10–$104.50	131% above	26%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$83.84	$113.25	$14.10–$113.25	151% above	26%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$83.84	$113.25	$14.10–$113.25	151% above	26%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG	$77.36	$104.50	$67.92–$104.50	—	26%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$83.84	$113.25	$73.61–$113.25	—	26%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$83.84	$113.25	$73.61–$113.25	—	26%
Sodium blood test CPT 84295 HC SODIUM BLOOD	$37.39	$50.50	$4.71–$50.50	109% above	26%
Sodium blood test inpatient CPT 84295 HC SODIUM BLOOD	$37.39	$50.50	$32.83–$50.50	—	26%
Stool ova and parasites exam CPT 87177 HC EXAM PARA URINE/B.F.	$88.28	$119.25	$8.72–$119.25	191% above	26%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA URINE/B.F.	$88.28	$119.25	$77.51–$119.25	—	26%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$18.14	$24.50	$3.23–$24.50	26% above	26%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$18.14	$24.50	$15.93–$24.50	—	26%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$28.69	$38.75	$12.98–$38.75	1% above	26%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS	$54.60	$73.75	$12.98–$73.75	93% above	26%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODIES	$28.69	$38.75	$25.19–$38.75	—	26%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS	$54.60	$73.75	$47.94–$73.75	—	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$52.19	$70.50	$4.18–$70.50	283% above	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY)	$52.19	$70.50	$4.18–$70.50	283% above	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$52.19	$70.50	$45.83–$70.50	—	26%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY)	$52.19	$70.50	$45.83–$70.50	—	26%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST	$234.49	$316.75	$60.74–$316.75	87% above	26%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST	$234.49	$316.75	$205.89–$316.75	—	26%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$107.90	$145.75	$25.29–$145.75	80% above	26%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$107.90	$145.75	$94.74–$145.75	—	26%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB EACH	$65.70	$88.75	$14.26–$88.75	70% above	26%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$71.25	$96.25	$14.26–$96.25	84% above	26%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$75.51	$102.00	$14.26–$102.00	95% above	26%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB EACH	$65.70	$88.75	$57.69–$88.75	—	26%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$71.25	$96.25	$62.56–$96.25	—	26%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$75.51	$102.00	$66.30–$102.00	—	26%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$94.76	$128.00	$16.46–$128.00	130% above	26%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$94.76	$128.00	$83.20–$128.00	—	26%
Total IgE blood test CPT 82785 HC IGE-IMMUNOGLOBULIN	$71.07	$96.00	$16.13–$96.00	85% above	26%
Total IgE blood test inpatient CPT 82785 HC IGE-IMMUNOGLOBULIN	$71.07	$96.00	$62.40–$96.00	—	26%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$47.38	$64.00	$4.26–$64.00	208% above	26%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$47.38	$64.00	$41.60–$64.00	—	26%
Total thyroxine (T4) blood test CPT 84436 HC T4 TOTAL	$102.35	$138.25	$5.86–$138.25	297% above	26%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 TOTAL	$102.35	$138.25	$89.86–$138.25	—	26%
Total triiodothyronine (T3) blood test CPT 84480 HC T3	$37.76	$51.00	$7.83–$51.00	14% below	26%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3	$37.76	$51.00	$33.15–$51.00	—	26%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$57.00	$77.00	$12.50–$77.00	40% above	26%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$57.00	$77.00	$50.05–$77.00	—	26%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS RNA QUAL TMA	$107.34	$145.00	$34.39–$145.00	95% above	26%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS RNA QUAL TMA	$107.34	$145.00	$94.25–$145.00	—	26%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$60.33	$81.50	$5.63–$81.50	152% above	26%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$60.33	$81.50	$52.98–$81.50	—	26%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$134.92	$182.25	$12.22–$182.25	221% above	26%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$134.92	$182.25	$118.46–$182.25	—	26%
Uric acid blood test CPT 84550 HC URIC ACID	$42.94	$58.00	$4.43–$58.00	145% above	26%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$42.94	$58.00	$37.70–$58.00	—	26%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO	$53.67	$72.50	$3.11–$72.50	121% above	26%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO	$53.67	$72.50	$47.13–$72.50	—	26%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE	$25.73	$34.75	$2.20–$34.75	191% above	26%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO AUTO	$27.76	$37.50	$2.20–$37.50	214% above	26%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE	$25.73	$34.75	$22.59–$34.75	—	26%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO AUTO	$27.76	$37.50	$24.38–$37.50	—	26%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE COLONY COUNT	$88.84	$120.00	$7.91–$120.00	141% above	26%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE COLONY COUNT	$88.84	$120.00	$78.00–$120.00	—	26%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT	$92.54	$125.00	$5.66–$125.00	371% above	26%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT	$92.54	$125.00	$81.25–$125.00	—	26%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE	$65.33	$88.25	$8.15–$88.25	220% above	26%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE	$65.33	$88.25	$57.36–$88.25	—	26%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$63.30	$85.50	$14.78–$85.50	58% above	26%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$63.30	$85.50	$55.58–$85.50	—	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$146.02	$197.25	$29.01–$197.25	88% above	26%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$146.02	$197.25	$128.21–$197.25	—	26%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1-25 DIHYRDOXY	$178.97	$241.75	$20.52–$241.75	75% above	26%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1-25 DIHYRDOXY	$178.97	$241.75	$157.14–$241.75	—	26%
Zinc blood test CPT 84630 HC ZINC SERUM - RL	$59.78	$80.75	$11.16–$80.75	82% above	26%
Zinc blood test inpatient CPT 84630 HC ZINC SERUM - RL	$59.78	$80.75	$52.49–$80.75	—	26%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG MATERNAL SCREEN	$57.74	$78.00	$14.75–$78.00	16% above	26%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$57.74	$78.00	$14.75–$78.00	16% above	26%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$57.74	$78.00	$50.70–$78.00	—	26%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG MATERNAL SCREEN	$57.74	$78.00	$50.70–$78.00	—	26%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST 1ST LESION STEREOTACTIC GUIDANCE	$3,048.93	$4,118.50	$590.00–$4,118.50	302% above	26%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST 1ST LESION STEREOTACTIC GUIDANCE	$3,048.93	$4,118.50	$2,677.03–$4,118.50	—	26%
Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$12,807.19	$17,300.00	$604.02–$17,300.00	172% above	26%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$12,807.19	$17,300.00	$11,245.00–$17,300.00	—	26%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$1,651.61	$2,231.00	$84.74–$2,231.00	175% above	26%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$1,651.61	$2,231.00	$1,450.15–$2,231.00	—	26%
Catheter ablation for atrial fibrillation CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH INS REPS MULT ELEC	$35,771.11	$48,319.75	$737.65–$61,173.57	121% above	26%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EVAL W/TRANSSEPTAL CATH INS REPS MULT ELEC	$35,771.11	$48,319.75	$31,407.84–$48,319.75	—	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE NONSURG (ANY AG	$89.95	$121.50	$21.75–$6,661.00	92% below	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE NONSURG (ANY AG	$89.95	$121.50	$78.98–$121.50	—	26%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE 0-28 DA	$89.95	$121.50	$21.75–$6,661.00	88% below	26%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE 0-28 DA	$89.95	$121.50	$78.98–$121.50	—	26%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$2,306.22	$3,115.25	$557.63–$3,115.25	166% above	26%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$2,306.22	$3,115.25	$2,024.91–$3,115.25	—	26%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,815.96	$2,453.00	$439.09–$2,955.34	109% above	26%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,815.96	$2,453.00	$1,594.45–$2,453.00	—	26%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,749.88	$2,363.75	$423.11–$2,363.75	113% above	26%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,749.88	$2,363.75	$1,536.44–$2,363.75	—	26%
Coronary stent placement, one artery CPT 92928 HC PERC TRANSCATH PLCMNT INTRACOR STENT ANGIOPLAST	$24,178.94	$32,661.00	$459.53–$32,661.00	172% above	26%
Coronary stent placement, one artery inpatient CPT 92928 HC PERC TRANSCATH PLCMNT INTRACOR STENT ANGIOPLAST	$24,178.94	$32,661.00	$21,229.65–$32,661.00	—	26%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAG	$151.02	$204.00	$11.41–$1,226.00	97% above	26%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAG	$151.02	$204.00	$132.60–$204.00	—	26%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTAT	$78.66	$106.25	$19.02–$1,226.00	21% above	26%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTAT	$78.66	$106.25	$69.06–$106.25	—	26%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$333.14	$450.00	$80.55–$1,226.00	107% above	26%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$333.14	$450.00	$292.50–$450.00	—	26%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$1,689.36	$2,282.00	$389.00–$2,282.00	235% above	26%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$1,689.36	$2,282.00	$1,483.30–$2,282.00	—	26%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$335.54	$453.25	$45.69–$1,226.00	154% above	26%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$335.54	$453.25	$294.61–$453.25	—	26%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION DRAINAGE SINGLE	$366.45	$495.00	$88.60–$1,226.00	68% above	26%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION DRAINAGE SINGLE	$366.45	$495.00	$321.75–$495.00	—	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS INTERMEDIATE JOINT/BURSA	$366.08	$494.50	$88.52–$1,226.00	42% above	26%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS INTERMEDIATE JOINT/BURSA	$366.08	$494.50	$321.43–$494.50	—	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$677.37	$915.00	$163.78–$1,226.00	94% above	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$677.37	$915.00	$594.75–$915.00	—	26%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$7,122.43	$9,621.00	$535.02–$17,000.00	87% above	26%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$7,122.43	$9,621.00	$6,253.65–$9,621.00	—	26%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL W/IMAGING GUIDANCE	$1,311.44	$1,771.50	$317.10–$2,137.00	69% above	26%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL W/IMAGING GUIDANCE	$1,311.44	$1,771.50	$1,151.48–$1,771.50	—	26%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ INTERLAMINAR - LUM/SAC/CAUDAL W/OU	$956.10	$1,291.50	$231.18–$2,137.00	139% above	26%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ INTERLAMINAR - LUM/SAC/CAUDAL W/OU	$956.10	$1,291.50	$839.48–$1,291.50	—	26%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESION TRUNKARMSLEGS BGN <.5CM	$833.58	$1,126.00	$201.55–$2,137.00	117% above	26%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESION TRUNKARMSLEGS BGN <.5CM	$833.58	$1,126.00	$731.90–$1,126.00	—	26%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC LESION FACEEARSEYELDNSLP BGN <.5CM	$498.41	$673.25	$120.51–$2,137.00	1% above	26%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC LESION FACEEARSEYELDNSLP BGN <.5CM	$498.41	$673.25	$437.61–$673.25	—	26%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$366.08	$494.50	$42.66–$1,226.00	144% above	26%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$366.08	$494.50	$321.43–$494.50	—	26%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ ANES/STEROID OCCIPITAL	$546.16	$737.75	$132.06–$1,226.00	111% above	26%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ ANES/STEROID OCCIPITAL	$546.16	$737.75	$479.54–$737.75	—	26%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A V	$22,575.45	$30,495.00	$1,646.00–$30,495.00	113% above	26%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A V	$22,575.45	$30,495.00	$19,821.75–$30,495.00	—	26%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS W/IMAGE GUIDE	$3,048.56	$4,118.00	$590.00–$4,118.00	418% above	26%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS W/IMAGE GUIDE	$3,048.56	$4,118.00	$2,676.70–$4,118.00	—	26%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$366.08	$494.50	$88.52–$1,226.00	12% below	26%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$366.08	$494.50	$321.43–$494.50	—	26%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$429.19	$579.75	$103.78–$1,226.00	54% above	26%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$429.19	$579.75	$376.84–$579.75	—	26%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,621.26	$2,190.00	$392.01–$2,261.90	115% above	26%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$1,621.26	$2,190.00	$1,423.50–$2,190.00	—	26%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,621.26	$2,190.00	$392.01–$2,261.90	159% above	26%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$1,621.26	$2,190.00	$1,423.50–$2,190.00	—	26%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESW LITHOTRIPSY	$7,248.46	$9,791.25	$1,752.63–$13,506.00	81% above	26%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC ESW LITHOTRIPSY	$7,248.46	$9,791.25	$6,364.31–$9,791.25	—	26%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SPLINT SHORT ARM STATIC	$231.34	$312.50	$31.65–$1,226.00	75% above	26%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$231.34	$312.50	$31.65–$319.06	75% above	26%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SPLINT SHORT ARM STATIC	$231.34	$312.50	$203.13–$312.50	—	26%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$231.34	$312.50	$203.13–$312.50	—	26%
Short leg cast (below the knee) CPT 29405 HC APPLICATION CAST SHORT LEG	$135.47	$183.00	$32.76–$1,226.00	35% below	26%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION CAST SHORT LEG	$135.47	$183.00	$118.95–$183.00	—	26%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION SPLINT LOWER LEG	$280.76	$379.25	$39.54–$1,226.00	81% above	26%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SPLINT LOWER LEG	$280.76	$379.25	$246.51–$379.25	—	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$295.01	$398.50	$35.65–$1,226.00	49% above	26%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$295.01	$398.50	$259.03–$398.50	—	26%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$367.93	$497.00	$88.96–$1,226.00	19% above	26%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$367.93	$497.00	$323.05–$497.00	—	26%
Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$148.06	$200.00	$35.80–$1,226.00	11% above	26%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$148.06	$200.00	$130.00–$200.00	—	26%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DX	$440.29	$594.75	$106.46–$2,137.00	4% below	26%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DX	$440.29	$594.75	$386.59–$594.75	—	26%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$302.78	$409.00	$46.98–$1,226.00	54% above	26%
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 SIM REP S/N/A/G/T/E 2.6-7.5C	$302.78	$409.00	$265.85–$409.00	—	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$381.25	$515.00	$44.54–$1,226.00	96% above	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$381.25	$515.00	$334.75–$515.00	—	26%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$947.95	$1,280.50	$229.21–$1,280.50	390% above	26%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$947.95	$1,280.50	$832.33–$1,280.50	—	26%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$974.42	$1,316.25	$85.76–$2,137.00	51% above	26%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$974.42	$1,316.25	$855.56–$1,316.25	—	26%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$573.73	$775.00	$138.72–$1,226.00	246% above	26%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$573.73	$775.00	$503.75–$775.00	—	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST 1ST LESION US GUIDANCE	$1,110.45	$1,500.00	$268.50–$4,009.95	at median	26%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST 1ST LESION US GUIDANCE	$1,110.45	$1,500.00	$975.00–$1,500.00	—	26%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,828.54	$2,470.00	$442.13–$4,631.31	108% above	26%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,828.54	$2,470.00	$1,605.50–$2,470.00	—	26%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,815.96	$2,453.00	$439.09–$3,647.00	134% above	26%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,815.96	$2,453.00	$1,594.45–$2,453.00	—	26%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,695.29	$2,290.00	$409.91–$3,647.00	172% above	26%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,695.29	$2,290.00	$1,488.50–$2,290.00	—	26%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,938.29	$2,618.25	$468.67–$4,631.31	127% above	26%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,938.29	$2,618.25	$1,701.86–$2,618.25	—	26%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,739.15	$2,349.25	$420.52–$3,647.00	148% above	26%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,739.15	$2,349.25	$1,527.01–$2,349.25	—	26%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,687.33	$2,279.25	$389.00–$3,647.00	105% above	26%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,687.33	$2,279.25	$1,481.51–$2,279.25	—	26%
Vein ablation, radiofrequency, first vein CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$4,601.70	$6,216.00	$1,112.66–$9,446.00	94% above	26%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC RF ABLATION VEIN 1ST W/ IMAGE	$4,601.70	$6,216.00	$4,040.40–$6,216.00	—	26%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$888.36	$1,200.00	$214.80–$1,226.00	113% above	26%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$888.36	$1,200.00	$780.00–$1,200.00	—	26%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$500.26	$675.75	$31.33–$1,131.62	5% above	26%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$500.26	$675.75	$439.24–$675.75	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$444.18	$600.00	$5.84–$600.00	373% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$444.18	$600.00	$5.84–$600.00	373% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$444.18	$600.00	$5.84–$600.00	373% above	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$444.18	$600.00	$390.00–$600.00	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$444.18	$600.00	$390.00–$600.00	—	26%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$444.18	$600.00	$390.00–$600.00	—	26%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSIONUP TO 1HR	$447.33	$604.25	$90.47–$897.84	53% above	26%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSIONUP TO 1HR	$447.33	$604.25	$392.76–$604.25	—	26%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$1,163.01	$1,571.00	$170.00–$2,769.00	39% above	26%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$1,163.01	$1,571.00	$1,021.15–$1,571.00	—	26%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE DROWSY	$528.02	$713.25	$127.67–$753.68	72% above	26%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE DROWSY	$528.02	$713.25	$463.61–$713.25	—	26%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$277.61	$375.00	$5.45–$375.00	239% above	26%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$277.61	$375.00	$243.75–$375.00	—	26%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$170.27	$230.00	$9.14–$1,800.00	28% above	26%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$170.27	$230.00	$149.50–$230.00	—	26%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$277.61	$375.00	$33.60–$1,800.00	63% above	26%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$277.61	$375.00	$243.75–$375.00	—	26%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$629.26	$850.00	$56.79–$1,800.00	133% above	26%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$629.26	$850.00	$552.50–$850.00	—	26%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$1,188.18	$1,605.00	$96.97–$1,800.00	179% above	26%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$1,188.18	$1,605.00	$1,043.25–$1,605.00	—	26%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$1,643.47	$2,220.00	$140.72–$2,220.00	208% above	26%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$1,643.47	$2,220.00	$1,443.00–$2,220.00	—	26%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$706.25	$954.00	$32.84–$954.00	108% above	26%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$706.25	$954.00	$620.10–$954.00	—	26%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION INITIAL 31 MIN - 1 HOUR	$277.61	$375.00	$23.11–$663.00	64% above	26%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION INITIAL 31 MIN - 1 HOUR	$277.61	$375.00	$243.75–$375.00	—	26%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THER/PROPH/DIAG - UP TO ONE HOUR	$425.67	$575.00	$44.16–$663.00	102% above	26%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THER/PROPH/DIAG - UP TO ONE HOUR	$425.67	$575.00	$373.75–$575.00	—	26%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$370.15	$500.00	$26.08–$663.00	236% above	26%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INITIAL SUBSTANCE/DRUG	$370.15	$500.00	$325.00–$500.00	—	26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION	$129.55	$175.00	$11.00–$663.00	130% above	26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION	$129.55	$175.00	$113.75–$175.00	—	26%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NRV CNDJ TEST 7-8 STUDIES	$629.26	$850.00	$59.88–$1,018.00	247% above	26%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NRV CNDJ TEST 7-8 STUDIES	$629.26	$850.00	$552.50–$850.00	—	26%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$96.24	$130.00	$30.17–$193.00	149% above	26%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$96.24	$130.00	$30.17–$193.00	149% above	26%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$96.24	$130.00	$84.50–$130.00	—	26%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$96.24	$130.00	$84.50–$130.00	—	26%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT NEW LEVL III 30-44 MIN	$107.34	$145.00	$37.83–$145.00	41% above	26%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT NEW LEVL III 30-44 MIN	$107.34	$145.00	$94.25–$145.00	—	26%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT NEW LEVL IV 45-59 MIN	$114.75	$155.00	$56.11–$155.00	24% above	26%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT NEW LEVL IV 45-59 MIN	$114.75	$155.00	$100.75–$155.00	—	26%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT NEW LEVL V 60-74 MIN	$122.15	$165.00	$56.77–$165.00	7% above	26%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT NEW LEVL V 60-74 MIN	$122.15	$165.00	$107.25–$165.00	—	26%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT NEW LEVL II 15-29 MIN	$99.94	$135.00	$32.87–$135.00	68% above	26%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT NEW LEVL II 15-29 MIN	$99.94	$135.00	$87.75–$135.00	—	26%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$66.63	$90.00	$25.26–$132.00	116% above	26%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$66.63	$90.00	$58.50–$90.00	—	26%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$185.08	$250.00	$72.35–$267.16	63% above	26%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$185.08	$250.00	$162.50–$250.00	—	26%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$199.88	$270.00	$74.48–$274.97	57% above	26%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$199.88	$270.00	$175.50–$270.00	—	26%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$170.82	$230.75	$74.48–$274.97	56% above	26%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$170.82	$230.75	$149.99–$230.75	—	26%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEXITY 30 MINS	$185.63	$250.75	$74.48–$274.97	51% above	26%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEXITY 30 MINS	$185.63	$250.75	$162.99–$250.75	—	26%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$63.11	$85.25	$25.49–$193.00	63% above	26%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$63.11	$85.25	$25.49–$193.00	63% above	26%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$63.11	$85.25	$55.41–$85.25	—	26%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$63.11	$85.25	$55.41–$85.25	—	26%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$58.30	$78.75	$10.96–$193.00	54% above	26%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$58.30	$78.75	$10.96–$193.00	54% above	26%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$58.30	$78.75	$51.19–$78.75	—	26%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$58.30	$78.75	$51.19–$78.75	—	26%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT EST LEVL V 40-54 MIN	$122.15	$165.00	$55.53–$165.00	62% above	26%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT EST LEVL V 40-54 MIN	$122.15	$165.00	$107.25–$165.00	—	26%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT EST LEVL III 20-29 MIN	$107.34	$145.00	$37.83–$145.00	89% above	26%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT EST LEVL III 20-29 MIN	$107.34	$145.00	$94.25–$145.00	—	26%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT EST LEVL IV 30-39 MIN	$114.75	$155.00	$48.01–$155.00	73% above	26%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT EST LEVL IV 30-39 MIN	$114.75	$155.00	$100.75–$155.00	—	26%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT EST LEVL II 10-19 MIN	$99.94	$135.00	$27.86–$135.00	86% above	26%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT EST LEVL II 10-19 MIN	$99.94	$135.00	$87.75–$135.00	—	26%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH EXPRESSION	$274.10	$370.25	$169.45–$639.83	43% above	26%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH EXPRESSION	$274.10	$370.25	$240.66–$370.25	—	26%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$158.98	$214.75	$32.79–$225.42	87% above	26%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$158.98	$214.75	$139.59–$214.75	—	26%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$561.15	$758.00	$16.56–$797.00	340% above	26%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$561.15	$758.00	$492.70–$758.00	—	26%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE PRE/POST ADMIN	$615.74	$831.75	$24.84–$831.75	176% above	26%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE PRE/POST ADMIN	$615.74	$831.75	$540.64–$831.75	—	26%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES ONE ON ONE EA 15 MINS	$96.24	$130.00	$8.76–$193.00	138% above	26%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES ONE ON ONE EA 15 MINS	$96.24	$130.00	$8.76–$193.00	138% above	26%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES ONE ON ONE EA 15 MINS	$96.24	$130.00	$84.50–$130.00	—	26%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES ONE ON ONE EA 15 MINS	$96.24	$130.00	$84.50–$130.00	—	26%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$214.69	$290.00	$62.28–$319.06	106% above	26%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$214.69	$290.00	$188.50–$290.00	—	26%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 influenza (adjuvanted) 45 mcg/0.5 mL Syrg 0.5 mL S	$417.66	$564.17	$83.49–$564.17	308% above	26%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 influenza (adjuvanted) 45 mcg/0.5 mL Syrg 0.5 mL S	$417.66	$564.17	$366.71–$564.17	—	26%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 30 mcg/0.3 mL Susp 0.3 mL Syringe	$829.85	$1,120.97	$131.10–$1,120.97	771% above	26%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 30 mcg/0.3 mL Susp 0.3 mL Syringe	$829.85	$1,120.97	$728.63–$1,120.97	—	26%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine (live) 1350 unit/0.5 mL Su	$935.01	$1,263.01	$203.64–$1,263.01	347% above	26%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine (live) 1350 unit/0.5 mL Su	$935.01	$1,263.01	$820.96–$1,263.01	—	26%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syr	$303.97	$410.61	$67.52–$410.61	334% above	26%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syr	$303.97	$410.61	$266.90–$410.61	—	26%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphpertus(acel)tet ped (PF) 15-10-5 Lf-mcg-Lf/0.5	$143.01	$193.18	$31.79–$193.18	304% above	26%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphpertus(acel)tet ped (PF) 15-10-5 Lf-mcg-Lf/0.5	$143.01	$193.18	$125.57–$193.18	—	26%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-hepatitis B recombinant-IPV 10 mcg-25Lf-25 mc	$525.05	$709.24	$109.84–$709.24	391% above	26%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-hepatitis B recombinant-IPV 10 mcg-25Lf-25 mc	$525.05	$709.24	$461.01–$709.24	—	26%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP / HiB / IPV combined 15Lf-20mcg-5Lf- 62 DU/0.	$678.01	$915.86	$127.27–$915.86	756% above	26%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTaP / HiB / IPV combined 15Lf-20mcg-5Lf- 62 DU/0.	$678.01	$915.86	$595.31–$915.86	—	26%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 influenza (Egg-FREE) 135 mcg/0.5 mL Soln 0.5 mL Sy	$417.66	$564.17	$50.00–$564.17	1778% above	26%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 influenza (Egg-FREE) 135 mcg/0.5 mL Soln 0.5 mL Sy	$417.66	$564.17	$366.71–$564.17	—	26%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza 45 mcg/0.5 mL Syrg 0.5 mL Syringe	$96.45	$130.28	$22.35–$130.28	221% above	26%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza 45 mcg/0.5 mL Syrg 0.5 mL Syringe	$96.45	$130.28	$84.68–$130.28	—	26%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Syrg 1 mL	$363.27	$490.71	$50.00–$490.71	408% above	26%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL	$363.27	$490.71	$50.00–$490.71	408% above	26%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Syrg 1 mL	$363.27	$490.71	$318.96–$490.71	—	26%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL	$363.27	$490.71	$318.96–$490.71	—	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus (PF) 10 mcg/0.5 mL Susp 0.5 mL V	$108.96	$147.18	$26.35–$147.18	179% above	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus (PF) 5 mcg/0.5 mL Susp 0.5 mL Vi	$139.32	$188.20	$31.67–$188.20	257% above	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus (PF) 10 mcg/0.5 mL Syrg 0.5 mL S	$143.44	$193.76	$31.67–$193.76	268% above	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus (PF) 10 mcg/0.5 mL Susp 0.5 mL V	$108.96	$147.18	$95.67–$147.18	—	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus (PF) 5 mcg/0.5 mL Susp 0.5 mL Vi	$139.32	$188.20	$122.33–$188.20	—	26%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus (PF) 10 mcg/0.5 mL Syrg 0.5 mL S	$143.44	$193.76	$125.94–$193.76	—	26%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus B polysac-tetanus toxoid 10 mcg/0.5 mL	$64.30	$86.86	$14.08–$86.86	186% above	26%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus B polysac-tetanus toxoid 10 mcg/0.5 mL	$64.30	$86.86	$56.46–$86.86	—	26%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza (High-Dose) 180 mcg/0.5 mL Syrg 0.5 mL S	$417.66	$564.17	$83.49–$564.17	453% above	26%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza (High-Dose) 180 mcg/0.5 mL Syrg 0.5 mL S	$417.66	$564.17	$366.71–$564.17	—	26%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR 0.5ML VIAL	$38.87	$52.50	$9.40–$52.50	46% below	26%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR 0.5ML VIAL	$38.87	$52.50	$34.13–$52.50	—	26%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles mumps and rubella vaccine 1000-12500 TCID5	$467.78	$631.88	$113.11–$631.88	214% above	26%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles mumps and rubella vaccine 1000-12500 TCID5	$467.78	$631.88	$410.72–$631.88	—	26%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 meningococcal ACWY (MenQuadfi) IM vaccine 10 mcg/0	$861.68	$1,163.96	$182.29–$1,163.96	618% above	26%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 meningococcal ACWY (MenQuadfi) IM vaccine 10 mcg/0	$861.68	$1,163.96	$756.57–$1,163.96	—	26%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vaccine (PF) 50-50-50-25 mcg	$1,224.23	$1,653.69	$251.35–$1,653.69	487% above	26%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vaccine (PF) 50-50-50-25 mcg	$1,224.23	$1,653.69	$1,074.90–$1,653.69	—	26%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumoc 13-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL	$1,102.67	$1,489.49	$257.99–$1,489.49	420% above	26%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumoc 13-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL	$1,102.67	$1,489.49	$968.17–$1,489.49	—	26%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumoc 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL	$1,504.30	$2,032.01	$312.90–$2,032.01	367% above	26%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumoc 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL	$1,504.30	$2,032.01	$1,320.81–$2,032.01	—	26%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE (PNEUMOVAX 23)	$76.92	$103.90	$18.60–$341.77	43% below	26%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal vaccine 25 mcg/0.5 mL Soln 0.5 mL Syr	$572.05	$772.73	$133.47–$772.73	324% above	26%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE (PNEUMOVAX 23)	$76.92	$103.90	$67.54–$103.90	—	26%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal vaccine 25 mcg/0.5 mL Soln 0.5 mL Syr	$572.05	$772.73	$502.27–$772.73	—	26%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe	$2,907.45	$3,927.40	$589.50–$3,927.40	468% above	26%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe	$2,907.45	$3,927.40	$2,552.81–$3,927.40	—	26%
Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE (IMOVAX)	$434.85	$587.40	$105.14–$906.46	33% below	26%
Rabies vaccine, one dose CPT 90675 rabies vaccine PCEC 2.5 unit Susr 1 each Vial	$1,599.18	$2,160.18	$313.68–$2,160.18	145% above	26%
Rabies vaccine, one dose CPT 90675 rabies vaccine PCEC 2.5 unit Susr 1 each KIT	$2,123.49	$2,868.42	$313.68–$2,868.42	225% above	26%
Rabies vaccine, one dose CPT 90675 rabies vaccinehuman diploid 2.5 unit Solr 1 each V	$2,292.55	$3,096.79	$313.68–$3,096.79	251% above	26%
Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE (IMOVAX)	$434.85	$587.40	$381.81–$587.40	—	26%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine PCEC 2.5 unit Susr 1 each Vial	$1,599.18	$2,160.18	$1,404.12–$2,160.18	—	26%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine PCEC 2.5 unit Susr 1 each KIT	$2,123.49	$2,868.42	$1,864.47–$2,868.42	—	26%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccinehuman diploid 2.5 unit Solr 1 each V	$2,292.55	$3,096.79	$2,012.91–$3,096.79	—	26%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine live 2 mL Soln 2 mL Tube	$545.45	$736.79	$108.91–$736.79	472% above	26%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine live 2 mL Soln 2 mL Tube	$545.45	$736.79	$478.91–$736.79	—	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR	$91.87	$124.10	$22.21–$124.10	106% above	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphther. tox (PF) 5-2 Lf unit/0.5 mL	$217.00	$293.13	$32.82–$293.13	388% above	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR	$91.87	$124.10	$80.66–$124.10	—	26%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphther. tox (PF) 5-2 Lf unit/0.5 mL	$217.00	$293.13	$190.53–$293.13	—	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL	$180.41	$243.70	$39.81–$243.70	182% above	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Susp	$238.57	$322.26	$39.81–$322.26	273% above	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUSS(ACEL)TET VAC(PF) (ADULT) 2 Lf-(2.5-5-3	$238.57	$322.26	$39.81–$322.26	273% above	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL	$180.41	$243.70	$158.41–$243.70	—	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUSS(ACEL)TET VAC(PF) (ADULT) 2 Lf-(2.5-5-3	$238.57	$322.26	$209.47–$322.26	—	26%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL Susp	$238.57	$322.26	$209.47–$322.26	—	26%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION 1 VACCINE	$79.21	$107.00	$15.60–$176.61	96% above	26%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION 1 VACCINE	$79.21	$107.00	$69.55–$107.00	—	26%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN	$33.31	$45.00	$11.17–$45.00	21% above	26%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC SUBSEQUENT IMMUNIZATION ADMIN	$33.31	$45.00	$29.25–$45.00	—	26%

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.tghealthsystem.com/documents/price-transparency/720880258_terrebonne-general-health-system_standardcharges.csv