Physicians Medical Center F
Physicians Medical Center F in Houma, LA publishes cash prices for 256 common procedures listed here, from its own machine-readable price file updated Sep 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 211 of 248 procedures and below it for 35. By typical cash price it ranks #55 of 67 Louisiana hospitals and #3 of 5 hospitals in the Houma, LA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
218 CORPORATE DR, HOUMA, LA 70360 Collected Nov 10, 2026 Source price file Check a bill from this hospital (985) 853-1390
Acute care hospital For-profit hospital No emergency department CCN 190241 · CMS hospital register NPI 1477509859
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD W/O THEN W/CONTRAST | $1,988.79 | $2,869.00 | $226.24–$2,371.23 | 95% above | 31% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W/O THEN W/CONTRAST | $1,988.79 | $2,869.00 | — | — | 31% |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 3 or more views | $149.04 | $215.00 | $33.11–$139.16 | 14% below | 31% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Radiologic examination, abdomen; 3 or more views | $149.04 | $215.00 | — | — | 31% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RADIOLOGIC EXAM, FOOT, TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 80% above | 31% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RADIOLOGIC EXAM, FOOT, TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US noninvasive physiologic studies of upper or lower extremity arteries, single, doppler | $495.64 | $715.00 | $110.11–$329.00 | 183% above | 31% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US noninvasive physiologic studies of upper or lower extremity arteries, single, doppler | $495.64 | $715.00 | — | — | 31% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM; WO CONTRAST | $1,158.34 | $1,671.00 | $139.16–$1,381.08 | 79% above | 31% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM; WO CONTRAST | $1,158.34 | $1,671.00 | — | — | 31% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination; orbits, complete, minimum of 4 views | $224.60 | $324.00 | $49.90–$226.24 | 4% above | 31% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Radiologic examination; orbits, complete, minimum of 4 views | $224.60 | $324.00 | — | — | 31% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUC MED-GASTRIC EMPTYING STUDY | $1,037.03 | $1,496.00 | $230.38–$1,236.44 | 89% above | 31% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC MED-GASTRIC EMPTYING STUDY | $1,037.03 | $1,496.00 | — | — | 31% |
| Breast ultrasound, complete, one breast one side CPT 76641 Unilateral breast unilateral real time with image documentation including axilla when performed: com | $253.02 | $365.00 | $139.16 | 51% above | 31% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Unilateral breast unilateral real time with image documentation including axilla when performed: com | $253.02 | $365.00 | — | — | 31% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Unilateral breast unilateral real time with image documentation including axilla when performed: lim | $253.02 | $365.00 | $99.09 | 51% above | 31% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Unilateral breast unilateral real time with image documentation including axilla when performed: lim | $253.02 | $365.00 | — | — | 31% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 COMPUTED TOMOGRAPHIC ANGIOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST | $2,026.22 | $2,923.00 | $450.14–$2,415.86 | 121% above | 31% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 COMPUTED TOMOGRAPHIC ANGIOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST | $2,026.22 | $2,923.00 | — | — | 31% |
| CT angiography (CTA) of the head CPT 70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERF | $1,671.31 | $2,411.00 | $226.24–$1,992.69 | 142% above | 31% |
| CT angiography (CTA) of the head inpatient CPT 70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERF | $1,671.31 | $2,411.00 | — | — | 31% |
| CT angiography (CTA) of the neck CPT 70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERF | $1,735.77 | $2,504.00 | $226.24–$2,069.56 | 151% above | 31% |
| CT angiography (CTA) of the neck inpatient CPT 70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERF | $1,735.77 | $2,504.00 | — | — | 31% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $2,353.41 | $3,395.00 | $226.24–$2,805.97 | 189% above | 31% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $2,353.41 | $3,395.00 | — | — | 31% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT - Computed tomography, abdomen and pelvis; without contrast material | $2,026.22 | $2,923.00 | $289.34–$2,415.86 | 80% above | 31% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT - Computed tomography, abdomen and pelvis; without contrast material | $2,026.22 | $2,923.00 | — | — | 31% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT - Computed tomography, abdomen and pelvis; with contrast material(s) | $2,623.07 | $3,784.00 | $474.10–$3,127.48 | 104% above | 31% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT - Computed tomography, abdomen and pelvis; with contrast material(s) | $2,623.07 | $3,784.00 | — | — | 31% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT - Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, | $2,987.00 | $4,309.00 | $474.10–$3,561.39 | 106% above | 31% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT - Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, | $2,987.00 | $4,309.00 | — | — | 31% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST | $1,811.33 | $2,613.00 | $226.24–$2,159.64 | 110% above | 31% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST | $1,811.33 | $2,613.00 | — | — | 31% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $1,326.09 | $1,913.00 | $139.16–$1,581.09 | 74% above | 31% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $1,326.09 | $1,913.00 | — | — | 31% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLARY SINUSES(WATERS) | $402.06 | $580.00 | $89.32–$630.00 | 36% below | 31% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT OF SINUS WATERS | $402.06 | $580.00 | $89.32–$630.00 | 36% below | 31% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE/JAW - MAXILLOFACIAL AREA/ W/O CONTRAST | $1,261.62 | $1,820.00 | $139.16–$1,504.23 | 102% above | 31% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLARY SINUSES(WATERS) | $402.06 | $580.00 | — | — | 31% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT OF SINUS WATERS | $402.06 | $580.00 | — | — | 31% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE/JAW - MAXILLOFACIAL AREA/ W/O CONTRAST | $1,261.62 | $1,820.00 | — | — | 31% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN; WO CONTRAST MAT | $1,027.32 | $1,482.00 | $139.16–$1,224.87 | 57% above | 31% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN; WO CONTRAST MAT | $1,027.32 | $1,482.00 | — | — | 31% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST MAT | $1,522.96 | $2,197.00 | $226.24–$1,815.82 | 112% above | 31% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/CONTRAST MAT | $1,522.96 | $2,197.00 | — | — | 31% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O CONTRAST FOLLOWED BY CONTRAST | $1,671.31 | $2,411.00 | $226.24–$1,992.69 | 83% above | 31% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O CONTRAST FOLLOWED BY CONTRAST | $1,671.31 | $2,411.00 | — | — | 31% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE; WO CONTRAST | $1,326.09 | $1,913.00 | $139.16–$1,581.09 | 75% above | 31% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE; WO CONTRAST | $1,326.09 | $1,913.00 | — | — | 31% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE W/O CONTRAST (NECK/SPINE) | $1,624.17 | $2,343.00 | $139.16–$1,936.49 | 120% above | 31% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE W/O CONTRAST (NECK/SPINE) | $1,624.17 | $2,343.00 | — | — | 31% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,735.77 | $2,504.00 | $226.24–$2,069.56 | 108% above | 31% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,735.77 | $2,504.00 | — | — | 31% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 us duplex scan extracranial arteries; complete | $690.43 | $996.00 | $153.38–$329.00 | 48% above | 31% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 us duplex scan extracranial arteries; complete | $690.43 | $996.00 | — | — | 31% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX, WITH CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERAL AND FURTHER SECTIONS | $1,895.21 | $2,734.00 | $226.24–$2,259.65 | 80% above | 31% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX, WITH CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERAL AND FURTHER SECTIONS | $1,895.21 | $2,734.00 | — | — | 31% |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; single view | $149.04 | $215.00 | $33.11–$99.09 | 12% above | 31% |
| Chest X-ray, 2 views inpatient CPT 71046 Radiologic examination, chest; single view | $149.04 | $215.00 | — | — | 31% |
| Chest X-ray, single view CPT 71045 Radiologic examination, elbow; complete, minimum of 3 views | $299.46 | $432.00 | $66.53–$99.09 | 170% above | 31% |
| Chest X-ray, single view inpatient CPT 71045 Radiologic examination, elbow; complete, minimum of 3 views | $299.46 | $432.00 | — | — | 31% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Radiologic examination; esophagus | $522.67 | $754.00 | $82.20–$116.12 | 346% above | 31% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Radiologic examination; esophagus | $522.67 | $754.00 | — | — | 31% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) | $4,480.15 | $6,463.00 | $115.44–$995.30 | 1454% above | 31% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) | $4,480.15 | $6,463.00 | — | — | 31% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY ONE OR MORE SITES AXIAL SKELETON | $476.92 | $688.00 | $105.95–$139.16 | 228% above | 31% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY ONE OR MORE SITES AXIAL SKELETON | $476.92 | $688.00 | — | — | 31% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton ( | $224.60 | $324.00 | $49.90–$99.09 | 173% above | 31% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton ( | $224.60 | $324.00 | — | — | 31% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX; WO CONTRAST MAT | $999.59 | $1,442.00 | $139.16–$1,191.81 | 39% above | 31% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX; WO CONTRAST MAT | $999.59 | $1,442.00 | — | — | 31% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W/CONTRAST MAT | $1,419.67 | $2,048.00 | $226.24–$1,692.67 | 66% above | 31% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX; W/CONTRAST MAT | $1,419.67 | $2,048.00 | — | — | 31% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $476.92 | $688.00 | $91.51–$171.31 | — | 31% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $476.92 | $688.00 | — | — | 31% |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $373.63 | $539.00 | $71.32–$133.51 | 207% above | 31% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $373.63 | $539.00 | — | — | 31% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXTREMITY ARTERIAL (BILATERAL) | $869.27 | $1,254.00 | $193.12–$329.00 | — | 31% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOWER EXTREMITY ARTERIAL (BILATERAL) | $869.27 | $1,254.00 | — | — | 31% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX SCAN OF EXTREMITY VEINS, BILATERAL, INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS | $869.27 | $1,254.00 | $193.12–$329.00 | — | 31% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX SCAN OF EXTREMITY VEINS, BILATERAL, INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS | $869.27 | $1,254.00 | — | — | 31% |
| Elbow X-ray, 2 views CPT 73070 RADIOLOGIC EXAMINATION FACIAL BONES; COMPLETE MINIMUM OF 3 VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 72% above | 31% |
| Elbow X-ray, 2 views inpatient CPT 73070 RADIOLOGIC EXAMINATION FACIAL BONES; COMPLETE MINIMUM OF 3 VIEWS | $224.60 | $324.00 | — | — | 31% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Radiologic examination, femur; 1 view | $224.60 | $324.00 | $49.90–$99.09 | 69% above | 31% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Radiologic examination, femur; 1 view | $224.60 | $324.00 | — | — | 31% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SKULL/ORBIT/SELLA/OUTER-MID-INNER EAR; WO CONTRAST | $2,035.24 | $2,936.00 | $139.16–$2,426.60 | 235% above | 31% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SKULL/ORBIT/SELLA/OUTER-MID-INNER EAR; WO CONTRAST | $2,035.24 | $2,936.00 | — | — | 31% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 RADIOLOGIC EXAMINATION SPINE,CERVICAL; COMPLETE,INCLUDING OBLIQUE AND FLEXION AND OR EXTENSION STUDI | $224.60 | $324.00 | $139.16–$267.79 | 43% above | 31% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 RADIOLOGIC EXAMINATION SPINE,CERVICAL; COMPLETE,INCLUDING OBLIQUE AND FLEXION AND OR EXTENSION STUDI | $224.60 | $324.00 | — | — | 31% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RADIOLOGIC HAND, MINIMUM OF THREE VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 95% above | 31% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 RADIOLOGIC HAND, MINIMUM OF THREE VIEWS | $224.60 | $324.00 | — | — | 31% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING INCLUDNG GALLBLADDER WHEN PRESENT | $1,886.20 | $2,721.00 | $419.03–$2,248.91 | 223% above | 31% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING INCLUDNG GALLBLADDER WHEN PRESENT | $1,886.20 | $2,721.00 | — | — | 31% |
| Hand X-ray, 2 views CPT 73120 RADIOLOGIC HUMERUS, MINIMUM OF TWO VIEWS | $224.60 | $324.00 | $49.90–$139.16 | 113% above | 31% |
| Hand X-ray, 2 views inpatient CPT 73120 RADIOLOGIC HUMERUS, MINIMUM OF TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RADIOLOGIC EXAMINATION ELBOW TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 104% above | 31% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 RADIOLOGIC EXAMINATION ELBOW TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAMINATION KNEE ONE OR TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 64% above | 31% |
| Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAMINATION KNEE ONE OR TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Knee X-ray, complete, 4 or more views CPT 73564 RADIOLOGIC EXAMINATION, MANDIBLE PARTIAL, LESS THAN 4 VIEWS | $224.60 | $324.00 | $49.90–$139.16 | 42% above | 31% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 RADIOLOGIC EXAMINATION, MANDIBLE PARTIAL, LESS THAN 4 VIEWS | $224.60 | $324.00 | — | — | 31% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WO CONTRAST | $1,158.34 | $1,671.00 | $139.16–$1,381.08 | 93% above | 31% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY WO CONTRAST | $1,158.34 | $1,671.00 | — | — | 31% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US COMMON BILE DUCT/GALL BLADDER/SPLEEN | $336.20 | $485.00 | $74.69–$139.16 | 29% above | 31% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US COMMON BILE DUCT/GALL BLADDER/SPLEEN | $336.20 | $485.00 | — | — | 31% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, plac | $448.50 | $647.00 | $99.64–$139.16 | 158% above | 31% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, plac | $448.50 | $647.00 | — | — | 31% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RADIOLOGIC EXAM, ANKLE, COMPLETE, MINIMUM OF THREE VIEWS | $279.36 | $403.00 | $62.06–$99.09 | 133% above | 31% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RADIOLOGIC EXAM, ANKLE, COMPLETE, MINIMUM OF THREE VIEWS | $279.36 | $403.00 | — | — | 31% |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia | $299.46 | $432.00 | $66.53–$289.34 | 71% below | 31% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia | $299.46 | $432.00 | — | — | 31% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) | $1,297.67 | $1,872.00 | $240.03–$1,155.00 | 52% above | 31% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) | $1,297.67 | $1,872.00 | — | — | 31% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RADIOLOGIC EXAM SPINE SINGLE VIEW SPECIFY LEVEL | $187.86 | $271.00 | $41.73–$139.16 | 8% below | 31% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 RADIOLOGIC EXAM SPINE SINGLE VIEW SPECIFY LEVEL | $187.86 | $271.00 | — | — | 31% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS NECK W/CONTRAST | $1,735.77 | $2,504.00 | $226.24–$2,069.56 | 151% above | 31% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISS NECK W/CONTRAST | $1,735.77 | $2,504.00 | — | — | 31% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS NECK/ WO CONTRAST | $1,288.66 | $1,859.00 | $139.16–$1,536.46 | 91% above | 31% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISS NECK/ WO CONTRAST | $1,288.66 | $1,859.00 | — | — | 31% |
| Neck soft tissue X-ray CPT 70360 RADIOLOGIC EXAM, SHOULDER, ONE VIEW | $196.87 | $284.00 | $43.74–$99.09 | 59% above | 31% |
| Neck soft tissue X-ray inpatient CPT 70360 RADIOLOGIC EXAM, SHOULDER, ONE VIEW | $196.87 | $284.00 | — | — | 31% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $1,158.34 | $1,671.00 | $139.16–$1,381.08 | 68% above | 31% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST | $1,158.34 | $1,671.00 | — | — | 31% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR FOLLOW UP | $141.41 | $204.00 | $31.42–$139.16 | 16% below | 31% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED OR FOLLOW UP | $141.41 | $204.00 | — | — | 31% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US OVARIES/PELVIC | $495.64 | $715.00 | $110.11–$139.16 | 77% above | 31% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US OVARIES/PELVIC | $495.64 | $715.00 | — | — | 31% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB | $533.07 | $769.00 | $115.44–$139.16 | 109% above | 31% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB | $533.07 | $769.00 | — | — | 31% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $561.49 | $810.00 | $115.44–$139.16 | 224% above | 31% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $561.49 | $810.00 | — | — | 31% |
| Rib X-ray, one side, 2 views CPT 71100 RADIOLOGIC EXAM SKULL, LESS THAN FOUR VIEWS, W/WO STEREO | $224.60 | $324.00 | $49.90–$99.09 | 59% above | 31% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 RADIOLOGIC EXAM SKULL, LESS THAN FOUR VIEWS, W/WO STEREO | $224.60 | $324.00 | — | — | 31% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RADIOLOGIC EXAM RIBS, UNILATERAL, TWO VIEWS | $224.60 | $324.00 | $49.90–$139.16 | 52% above | 31% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RADIOLOGIC EXAM RIBS, UNILATERAL, TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Screening mammogram, both breasts CPT 77067 Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to la | $47.14 | $68.00 | $10.47–$119.00 | 63% below | 31% |
| Screening mammogram, both breasts inpatient CPT 77067 Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to la | $47.14 | $68.00 | — | — | 31% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RADIOLOGIC WRIST, COMPLETE, MINIMUM OF THREE VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 71% above | 31% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RADIOLOGIC WRIST, COMPLETE, MINIMUM OF THREE VIEWS | $224.60 | $324.00 | — | — | 31% |
| Sinus X-ray, complete, 3 or more views CPT 70220 RADIOLOGIC EXAM, SPINE, LUMBOSACRAL, MINIMUM OF FOUR VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 37% above | 31% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 RADIOLOGIC EXAM, SPINE, LUMBOSACRAL, MINIMUM OF FOUR VIEWS | $224.60 | $324.00 | — | — | 31% |
| Skull X-ray, fewer than 4 views CPT 70250 RADIOLOGIC EXAM SPIN,CERVICAL;MINIMUM OF FOUR VIEWS | $187.86 | $271.00 | $41.73–$139.16 | 42% above | 31% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 RADIOLOGIC EXAM SPIN,CERVICAL;MINIMUM OF FOUR VIEWS | $187.86 | $271.00 | — | — | 31% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY; SLEEP - CPAP | $2,987.00 | $4,309.00 | $663.59–$2,369.95 | 99% above | 31% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY; SLEEP - CPAP | $2,987.00 | $4,309.00 | — | — | 31% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Motion fluoroscopic evaluation of swallowing function by cine or video recording | $411.07 | $593.00 | $226.24 | 70% above | 31% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Motion fluoroscopic evaluation of swallowing function by cine or video recording | $411.07 | $593.00 | — | — | 31% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, hip, during operative procedure | $279.36 | $403.00 | $62.06–$99.09 | 134% above | 31% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Radiologic examination, hip, during operative procedure | $279.36 | $403.00 | — | — | 31% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE; WO CONTRAST | $1,288.66 | $1,859.00 | $139.16–$1,536.46 | 70% above | 31% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE; WO CONTRAST | $1,288.66 | $1,859.00 | — | — | 31% |
| Toe X-ray, 2 or more views CPT 73660 RADIOLOGIC EXAMINATION,SPINE,LUMBOSACRAL; COMPLETE, INCLUDING BENDING VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 99% above | 31% |
| Toe X-ray, 2 or more views inpatient CPT 73660 RADIOLOGIC EXAMINATION,SPINE,LUMBOSACRAL; COMPLETE, INCLUDING BENDING VIEWS | $224.60 | $324.00 | — | — | 31% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC - TRANSVAGINAL | $411.07 | $593.00 | $91.32–$139.16 | 93% above | 31% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC - TRANSVAGINAL | $411.07 | $593.00 | — | — | 31% |
| Transvaginal ultrasound during pregnancy CPT 76817 ULTRASOUND, RETROPERITONEAL(RENAL,AORTA,NODES) | $476.92 | $688.00 | $105.95–$139.16 | 163% above | 31% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULTRASOUND, RETROPERITONEAL(RENAL,AORTA,NODES) | $476.92 | $688.00 | — | — | 31% |
| Ultrasound of the abdomen, complete CPT 76700 US GENERAL ABDOMEN | $663.39 | $957.00 | $115.44–$147.38 | 120% above | 31% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US GENERAL ABDOMEN | $663.39 | $957.00 | — | — | 31% |
| Ultrasound of the scrotum and testicles CPT 76870 US ECHO SCROTUM & CONTENTS | $336.20 | $485.00 | $74.69–$139.16 | 56% above | 31% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US ECHO SCROTUM & CONTENTS | $336.20 | $485.00 | — | — | 31% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE OF HEAD AND NECK (EG. THYROID,PARATHYROID,PATOTID) | $476.92 | $688.00 | $105.95–$139.16 | 89% above | 31% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE OF HEAD AND NECK (EG. THYROID,PARATHYROID,PATOTID) | $476.92 | $688.00 | — | — | 31% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RADIOLOGIC EXAM ABDOMEN, COMPLETE, ENCLUDING DECUBITUS AND/OR ERECT VIEWS | $149.04 | $215.00 | $33.11–$215.00 | 41% below | 31% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RADIOLOGIC EXAM ABDOMEN, COMPLETE, ENCLUDING DECUBITUS AND/OR ERECT VIEWS | $149.04 | $215.00 | — | — | 31% |
| Upper arm X-ray (humerus), 2 views CPT 73060 RADIOLOGIC SHOULDER, COMPLETE, MINIMUM OF TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 75% above | 31% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 RADIOLOGIC SHOULDER, COMPLETE, MINIMUM OF TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX SCAN OF EXTREMITY VEINS, UNILATERAL, INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVER | $709.84 | $1,024.00 | $139.16–$329.00 | 176% above | 31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX SCAN OF EXTREMITY VEINS, UNILATERAL, INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVER | $709.84 | $1,024.00 | — | — | 31% |
| Wrist X-ray, 2 views CPT 73100 RADIOLOGY-STANDING XRAY BOTH KNEES | $224.60 | $324.00 | $49.90–$99.09 | 106% above | 31% |
| Wrist X-ray, 2 views inpatient CPT 73100 RADIOLOGY-STANDING XRAY BOTH KNEES | $224.60 | $324.00 | — | — | 31% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RADIOLOGICAL EXAM, STANDING SPINE | $187.86 | $271.00 | $41.73–$99.09 | 57% above | 31% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RADIOLOGICAL EXAM, STANDING SPINE | $187.86 | $271.00 | — | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included both sides CPT 73502 Radiologic examination, hips, bilateral, with pelvis when performed; 2 views | $279.36 | $403.00 | $62.06–$99.09 | — | 31% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient both sides CPT 73502 Radiologic examination, hips, bilateral, with pelvis when performed; 2 views | $279.36 | $403.00 | — | — | 31% |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 2 views | $141.41 | $204.00 | $29.12–$82.20 | 17% above | 31% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic examination, abdomen; 2 views | $141.41 | $204.00 | — | — | 31% |
| X-ray of the ankle, 2 views CPT 73600 RADIOLOGIC EXAM CHEST,TWO VIEWS,FRONTAL AND LATERAL;WITH APICAL LORDOTIC PROCEDURE | $196.87 | $284.00 | $43.74–$99.09 | 82% above | 31% |
| X-ray of the ankle, 2 views inpatient CPT 73600 RADIOLOGIC EXAM CHEST,TWO VIEWS,FRONTAL AND LATERAL;WITH APICAL LORDOTIC PROCEDURE | $196.87 | $284.00 | — | — | 31% |
| X-ray of the finger(s), 2 or more views CPT 73140 RADIOLOGIC FOREARM, TWO VIEWS | $196.87 | $284.00 | $43.74–$99.09 | 92% above | 31% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RADIOLOGIC FOREARM, TWO VIEWS | $196.87 | $284.00 | — | — | 31% |
| X-ray of the foot, 2 views CPT 73620 RADIOLOGIC EXAM, KNEE, ONE OR TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 109% above | 31% |
| X-ray of the foot, 2 views inpatient CPT 73620 RADIOLOGIC EXAM, KNEE, ONE OR TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 RADIOLOGIC EXAM HIP, UNILATERAL, ONE VIEW | $178.15 | $257.00 | $39.58–$99.09 | 44% above | 31% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RADIOLOGIC EXAM HIP, UNILATERAL, ONE VIEW | $178.15 | $257.00 | — | — | 31% |
| X-ray of the hand, 3 or more views CPT 73130 RADIOLOGIC HAND, TWO VIEWS | $224.60 | $324.00 | $49.90–$99.09 | 77% above | 31% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RADIOLOGIC HAND, TWO VIEWS | $224.60 | $324.00 | — | — | 31% |
| X-ray of the knee, 1 or 2 views CPT 73560 RADIOLOGIC EXAM, NECK SOFT TISSUE | $214.89 | $310.00 | $47.74–$99.09 | 89% above | 31% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RADIOLOGIC EXAM, NECK SOFT TISSUE | $214.89 | $310.00 | — | — | 31% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADIOLOGIC EXAM SPINE,CERVICAL,TWO OR THREE VIEWS | $187.86 | $271.00 | $41.73–$139.16 | 23% above | 31% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RADIOLOGIC EXAM SPINE,CERVICAL,TWO OR THREE VIEWS | $187.86 | $271.00 | — | — | 31% |
| X-ray of the lower back, 4 or more views CPT 72110 RADIOLOGIC EXAM, SPINE, THORACIC, TWO VIEWS | $187.86 | $271.00 | $41.73–$139.16 | 13% below | 31% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RADIOLOGIC EXAM, SPINE, THORACIC, TWO VIEWS | $187.86 | $271.00 | — | — | 31% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RADIOLOGIC EXAMINATION CALCANEUS MINIMUM OF TWO VIEWS | $243.31 | $351.00 | $54.05–$139.16 | 58% above | 31% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RADIOLOGIC EXAMINATION CALCANEUS MINIMUM OF TWO VIEWS | $243.31 | $351.00 | — | — | 31% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $224.60 | $324.00 | $49.90–$99.09 | 91% above | 31% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, osseous survey; complete (axial and appendicular skeleton) | $597.54 | $862.00 | $82.20–$132.75 | 408% above | 31% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $224.60 | $324.00 | — | — | 31% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Radiologic examination, osseous survey; complete (axial and appendicular skeleton) | $597.54 | $862.00 | — | — | 31% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAM STRESS VIEW ANY JOINT STRESS APPLIED BY A PHYSICIAN | $1,083.47 | $1,563.00 | $82.20–$240.70 | 654% above | 31% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RADIOLOGIC EXAM STRESS VIEW ANY JOINT STRESS APPLIED BY A PHYSICIAN | $1,083.47 | $1,563.00 | — | — | 31% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAM RIBS, INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS | $279.36 | $403.00 | $62.06–$139.16 | 112% above | 31% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RADIOLOGIC EXAM RIBS, INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF THREE VIEWS | $279.36 | $403.00 | — | — | 31% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADIOLOGY-EXAMINATION WRIST TWO VEIWS | $224.60 | $324.00 | $49.90–$99.09 | 60% above | 31% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RADIOLOGY-EXAMINATION WRIST TWO VEIWS | $224.60 | $324.00 | — | — | 31% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ammonia blood test CPT 82140 Ammonia | $84.57 | $122.00 | $6.12–$67.10 | 69% above | 31% |
| Ammonia blood test inpatient CPT 82140 Ammonia | $84.57 | $122.00 | — | — | 31% |
| H. pylori antibody blood test CPT 86677 BLOODWORK-H. PYLORI | $84.57 | $122.00 | $7.08–$67.10 | 85% above | 31% |
| H. pylori antibody blood test inpatient CPT 86677 BLOODWORK-H. PYLORI | $84.57 | $122.00 | — | — | 31% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 BLOODWORK-HEPATITIS B SURFACE | $141.41 | $204.00 | $4.34–$112.20 | 286% above | 31% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 BLOODWORK-HEPATITIS B SURFACE | $141.41 | $204.00 | — | — | 31% |
| Rh blood typing CPT 86901 BLOOD TYPING-TYPE & HOLD, RH | $84.57 | $122.00 | $1.26–$67.10 | 295% above | 31% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING-TYPE & HOLD, RH | $84.57 | $122.00 | — | — | 31% |
| Sodium blood test CPT 84295 BLOODWORK-SODIUM | $29.11 | $42.00 | $2.02–$23.10 | 63% above | 31% |
| Sodium blood test inpatient CPT 84295 BLOODWORK-SODIUM | $29.11 | $42.00 | — | — | 31% |
| Total cholesterol blood test CPT 82465 BLOODWORK-CHOLESTEROL | $37.43 | $54.00 | $1.83–$29.70 | 143% above | 31% |
| Total cholesterol blood test inpatient CPT 82465 BLOODWORK-CHOLESTEROL | $37.43 | $54.00 | — | — | 31% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY, PRIMARY UNDER AGE 12 | $2,426.89 | $3,501.00 | $1,391.00–$3,252.11 | 20% below | 31% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY, PRIMARY UNDER AGE 12 | $2,426.89 | $3,501.00 | — | — | 31% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and d | $16,983.40 | $24,500.00 | $2,494.00–$14,775.92 | 11% above | 31% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and d | $16,983.40 | $24,500.00 | — | — | 31% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis | $5,955.28 | $8,591.00 | $890.00–$3,860.56 | at median | 31% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis | $5,955.28 | $8,591.00 | — | — | 31% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $2,800.53 | $4,040.00 | $1,890.00–$3,860.56 | 56% above | 31% |
| Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY | $2,800.53 | $4,040.00 | — | — | 31% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ACL REPAIR/RECONS | $5,499.16 | $7,933.00 | $2,494.00–$7,427.19 | 44% below | 31% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPICALLY AIDED ACL REPAIR/RECONS | $5,499.16 | $7,933.00 | — | — | 31% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER, WITH ROTATOR CUFF REPAIR | $8,065.38 | $11,635.00 | $2,494.00–$7,427.19 | 13% below | 31% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY, SHOULDER, WITH ROTATOR CUFF REPAIR | $8,065.38 | $11,635.00 | — | — | 31% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NASAL/SINUS ENDO W/CONTROL OF NOSEBLEED | $4,491.24 | $6,479.00 | $1,890.00–$6,754.75 | 16% above | 31% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 NASAL/SINUS ENDO W/CONTROL OF NOSEBLEED | $4,491.24 | $6,479.00 | — | — | 31% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST PERCUTANEOUS W/DEVICE | $2,353.41 | $3,395.00 | $1,080.00–$1,704.22 | 211% above | 31% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST PERCUTANEOUS W/DEVICE | $2,353.41 | $3,395.00 | — | — | 31% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 MONITORING OF INTERSTITIAL FLUID PRESSURE (INCLUDES INSERTION OF DEVICE EG WICK CATHETER TECHNIQUE N | $535.15 | $772.00 | $1,890.00–$3,588.00 | 85% below | 31% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 MONITORING OF INTERSTITIAL FLUID PRESSURE (INCLUDES INSERTION OF DEVICE EG WICK CATHETER TECHNIQUE N | $535.15 | $772.00 | — | — | 31% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY; KELLER MCBRIDE OR MAYO TYPE PROCED | $6,414.18 | $9,253.00 | $1,890.00–$3,588.00 | 49% above | 31% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION HALLUX VALGUS (BUNION) WITH OR WITHOUT SESAMOIDECTOMY; KELLER MCBRIDE OR MAYO TYPE PROCED | $6,414.18 | $9,253.00 | — | — | 31% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL NEUROPLASTY | $3,808.44 | $5,494.00 | $1,391.00–$2,420.00 | 114% above | 31% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL NEUROPLASTY | $3,808.44 | $5,494.00 | — | — | 31% |
| Cataract surgery with lens implant CPT 66984 EXTRACAPSULAR CATARACT (ECC) W/PHACO | $2,940.55 | $4,242.00 | $1,391.00–$2,510.34 | 35% above | 31% |
| Cataract surgery with lens implant inpatient CPT 66984 EXTRACAPSULAR CATARACT (ECC) W/PHACO | $2,940.55 | $4,242.00 | — | — | 31% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE | $1,978.39 | $2,854.00 | $792.71–$924.00 | 283% above | 31% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE | $1,978.39 | $2,854.00 | — | — | 31% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $2,389.46 | $3,447.00 | $1,391.00–$2,420.00 | 52% above | 31% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION | $2,389.46 | $3,447.00 | — | — | 31% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK | $980.88 | $1,415.00 | $1,391.00–$2,420.00 | 14% below | 31% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK | $980.88 | $1,415.00 | — | — | 31% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT DISTAL RADIAL FRACTURE W/O MANIPULATION | $1,671.31 | $2,411.00 | $210.00–$513.00 | 487% above | 31% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT DISTAL RADIAL FRACTURE W/O MANIPULATION | $1,671.31 | $2,411.00 | — | — | 31% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH POLYPECTOMY | $3,371.03 | $4,863.00 | $1,080.00–$1,246.84 | 289% above | 31% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH POLYPECTOMY | $3,371.03 | $4,863.00 | — | — | 31% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY | $2,959.27 | $4,269.00 | $1,080.00–$1,246.84 | 241% above | 31% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY | $2,959.27 | $4,269.00 | — | — | 31% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $2,650.80 | $3,824.00 | $948.43–$1,179.00 | 223% above | 31% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $2,650.80 | $3,824.00 | — | — | 31% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY W/LOOP ELECTRODE EXC-CERVIX | $1,978.39 | $2,854.00 | $1,391.00–$3,101.64 | 24% above | 31% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY W/LOOP ELECTRODE EXC-CERVIX | $1,978.39 | $2,854.00 | — | — | 31% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY OF CERVIX OR D&C | $1,409.97 | $2,034.00 | $210.00–$513.00 | 409% above | 31% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY OF CERVIX OR D&C | $1,409.97 | $2,034.00 | — | — | 31% |
| Complex cataract surgery with lens implant CPT 66982 EXTACAPSULAR CATARACT ECC WITH PHACO, COMPLICATED | $3,136.04 | $4,524.00 | $1,391.00–$2,510.34 | 6% below | 31% |
| Complex cataract surgery with lens implant inpatient CPT 66982 EXTACAPSULAR CATARACT ECC WITH PHACO, COMPLICATED | $3,136.04 | $4,524.00 | — | — | 31% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO WITH INSERTION OF URETERAL STENT | $4,491.24 | $6,479.00 | $1,391.00–$3,747.82 | 114% above | 31% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO WITH INSERTION OF URETERAL STENT | $4,491.24 | $6,479.00 | — | — | 31% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,083.47 | $1,563.00 | $690.99–$924.00 | 66% above | 31% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $1,083.47 | $1,563.00 | — | — | 31% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D & C - DIAGNOSTIC OR THERAPEUTIC | $1,988.79 | $2,869.00 | $1,391.00–$3,101.64 | 1% below | 31% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D & C - DIAGNOSTIC OR THERAPEUTIC | $1,988.79 | $2,869.00 | — | — | 31% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUC.LESION LOCAL ANES. FIRST LESION | $533.07 | $769.00 | $210.00–$513.00 | 448% above | 31% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUC.LESION LOCAL ANES. FIRST LESION | $533.07 | $769.00 | — | — | 31% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPNOPLASTY WITH OSSICULAR CHAIN RECONSTRUCTION,WITH PROSTHESIS | $3,912.42 | $5,644.00 | $1,080.00–$1,675.34 | 161% above | 31% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPNOPLASTY WITH OSSICULAR CHAIN RECONSTRUCTION,WITH PROSTHESIS | $3,912.42 | $5,644.00 | — | — | 31% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED VAGINAL FOREIGN BODY | $1,577.72 | $2,276.00 | $68.30–$513.00 | 2327% above | 31% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal impacted cerumen using irrigation/lavage, unilateral | $561.49 | $810.00 | $68.30–$513.00 | 764% above | 31% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED VAGINAL FOREIGN BODY | $1,577.72 | $2,276.00 | — | — | 31% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal impacted cerumen using irrigation/lavage, unilateral | $561.49 | $810.00 | — | — | 31% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $2,166.25 | $3,125.00 | $206.17–$513.00 | 1243% above | 31% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY | $2,166.25 | $3,125.00 | — | — | 31% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASO/OROGASTRIC TUBE PLACEMENT NECESS PHYS SKILL | $1,261.62 | $1,820.00 | $1,890.00–$6,754.75 | 82% below | 31% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASO/OROGASTRIC TUBE PLACEMENT NECESS PHYS SKILL | $1,261.62 | $1,820.00 | — | — | 31% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL SINUS ENDOSCOPY, SURGICAL WITH MAXILLARY ANTROSTOMY | $4,491.24 | $6,479.00 | $1,890.00–$6,754.75 | 26% below | 31% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASAL SINUS ENDOSCOPY, SURGICAL WITH MAXILLARY ANTROSTOMY | $4,491.24 | $6,479.00 | — | — | 31% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASAL/SINUS ENDOSCOPY W/BX, POLYPECTOPY OR DEBRIDEMENT | $4,491.24 | $6,479.00 | $1,391.00–$6,754.75 | 34% below | 31% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NASAL/SINUS ENDOSCOPY W/BX, POLYPECTOPY OR DEBRIDEMENT | $4,491.24 | $6,479.00 | — | — | 31% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster | $2,064.35 | $2,978.00 | $776.06–$924.00 | 172% above | 31% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster | $2,064.35 | $2,978.00 | — | — | 31% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal injection of a pharmacologic agent (separate procedure) | $775.00 | $1,118.00 | $210.00–$513.00 | 155% above | 31% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal injection of a pharmacologic agent (separate procedure) | $775.00 | $1,118.00 | — | — | 31% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves | $2,064.35 | $2,978.00 | $871.00–$1,008.24 | 187% above | 31% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves | $2,064.35 | $2,978.00 | — | — | 31% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR ANTERIOR ABDOMINAL HERNIA, INITIAL, INC, IMPLANT MESH/OTHER PROSETHESIS < 10CM | $8,512.50 | $12,280.00 | $1,890.00–$3,860.56 | at median | 31% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 REPAIR ANTERIOR ABDOMINAL HERNIA, INITIAL, INC, IMPLANT MESH/OTHER PROSETHESIS < 10CM | $8,512.50 | $12,280.00 | — | — | 31% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANTERIOR ABDOMINAL HERNIA, INITIAL, INC IMPLANT MESH/OTHER PROSTHESIS > 10CM REDUCIBLE | $6,941.70 | $10,014.00 | $1,890.00–$3,860.56 | 64% above | 31% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANTERIOR ABDOMINAL HERNIA, INITIAL, INC IMPLANT MESH/OTHER PROSTHESIS > 10CM REDUCIBLE | $6,941.70 | $10,014.00 | — | — | 31% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY, DIAGNOSTIC | $1,485.53 | $2,143.00 | $871.00–$948.43 | 194% above | 31% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY, DIAGNOSTIC | $1,485.53 | $2,143.00 | — | — | 31% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECSYTECTOMY | $7,616.19 | $10,987.00 | $2,982.00–$6,001.53 | 151% above | 31% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECSYTECTOMY | $7,616.19 | $10,987.00 | — | — | 31% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANG | $8,065.38 | $11,635.00 | $2,982.00–$6,001.53 | 122% above | 31% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLECYSTECTOMY W/CHOLANG | $8,065.38 | $11,635.00 | — | — | 31% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy; | $8,298.30 | $11,971.00 | $890.00–$6,001.53 | 51% above | 31% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy; | $8,298.30 | $11,971.00 | — | — | 31% |
| Hammertoe correction surgery CPT 28285 HAMMERTOE, ONE TOE | $3,967.88 | $5,724.00 | $1,391.00–$3,398.82 | 23% above | 31% |
| Hammertoe correction surgery inpatient CPT 28285 HAMMERTOE, ONE TOE | $3,967.88 | $5,724.00 | — | — | 31% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BY SIMPLE LIGATURE | $3,117.32 | $4,497.00 | $871.00–$948.43 | 525% above | 31% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BY SIMPLE LIGATURE | $3,117.32 | $4,497.00 | — | — | 31% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, INTERNAL AN EXTERNAL, SIMPLE | $2,314.59 | $3,339.00 | $1,391.00–$2,910.53 | 28% above | 31% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY, INTERNAL AN EXTERNAL, SIMPLE | $2,314.59 | $3,339.00 | — | — | 31% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft | $15,634.43 | $22,554.00 | $2,888.00–$14,775.92 | 11% below | 31% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft | $15,634.43 | $22,554.00 | — | — | 31% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HYSTERECTOMY, TOTAL ABDOMINAL | $10,436.13 | $15,055.00 | $1,890.00–$5,303.54 | 317% above | 31% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HYSTERECTOMY, TOTAL ABDOMINAL | $10,436.13 | $15,055.00 | — | — | 31% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM | $1,605.45 | $2,316.00 | $210.00–$513.00 | 1114% above | 31% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM | $1,605.45 | $2,316.00 | — | — | 31% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY WITH ENDOMETRIAL ABLATION ENDOMETRIAL RESECTION ELECTROSURGICAL ABLATION THERMOABLATION | $4,976.48 | $7,179.00 | $1,890.00–$5,303.54 | 72% above | 31% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY WITH ENDOMETRIAL ABLATION ENDOMETRIAL RESECTION ELECTROSURGICAL ABLATION THERMOABLATION | $4,976.48 | $7,179.00 | — | — | 31% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY WITH SAMPLING(BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY W/WO D & C | $4,248.62 | $6,129.00 | $1,391.00–$3,101.64 | 115% above | 31% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY WITH SAMPLING(BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY W/WO D & C | $4,248.62 | $6,129.00 | — | — | 31% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION IUD | $1,344.11 | $1,939.00 | $77.75–$1,614.71 | 622% above | 31% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION IUD | $1,344.11 | $1,939.00 | — | — | 31% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS | $2,166.25 | $3,125.00 | $210.00–$513.00 | 890% above | 31% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS | $2,166.25 | $3,125.00 | — | — | 31% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA, 6 MO. TO 5 YRS | $4,611.17 | $6,652.00 | $1,890.00–$3,860.56 | 46% above | 31% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERNIA, 6 MO. TO 5 YRS | $4,611.17 | $6,652.00 | — | — | 31% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ""fascia | $430.48 | $621.00 | $210.00–$513.00 | 81% above | 31% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ""fascia | $430.48 | $621.00 | — | — | 31% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/ASPIRA/INJECTION MAJOR JOINT | $2,035.24 | $2,936.00 | $210.00–$513.00 | 688% above | 31% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO/ASPIRA/INJECTION MAJOR JOINT | $2,035.24 | $2,936.00 | — | — | 31% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $318.18 | $459.00 | $135.37–$513.00 | 230% above | 31% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $318.18 | $459.00 | — | — | 31% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION-INTERMEDIATE JOINT-ANKLE | $533.07 | $769.00 | $210.00–$513.00 | 106% above | 31% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION-INTERMEDIATE JOINT-ANKLE | $533.07 | $769.00 | — | — | 31% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIRATION INJECTION SMALL JOINT BURSA CYST | $411.07 | $593.00 | $210.00–$513.00 | 59% above | 31% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIRATION INJECTION SMALL JOINT BURSA CYST | $411.07 | $593.00 | — | — | 31% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY, KNEE WITH MENISCUS REPAIR | $5,499.16 | $7,933.00 | $1,890.00–$3,588.00 | 28% below | 31% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY, KNEE WITH MENISCUS REPAIR | $5,499.16 | $7,933.00 | — | — | 31% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY-KNEE-MENISC-MEDIAL OR LATERA | $4,928.65 | $7,110.00 | $1,890.00–$3,588.00 | 41% above | 31% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY-KNEE-MENISC-MEDIAL OR LATERA | $4,928.65 | $7,110.00 | — | — | 31% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY KNEE W/MENISCECTOMY | $5,853.38 | $8,444.00 | $1,890.00–$3,588.00 | 59% above | 31% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY KNEE W/MENISCECTOMY | $5,853.38 | $8,444.00 | — | — | 31% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY DEBRIDEMENT/SHAVING OF CART | $5,088.09 | $7,340.00 | $1,890.00–$3,588.00 | 27% above | 31% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY DEBRIDEMENT/SHAVING OF CART | $5,088.09 | $7,340.00 | — | — | 31% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTERO | $12,666.84 | $18,273.00 | $2,494.00–$6,001.53 | 12% below | 31% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTERO | $12,666.84 | $18,273.00 | — | — | 31% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP BAND NONCOVERED, SURGICAL GASTRIC RESTRICTIVE PROCEDURE PLACEMENT OF ADJUSTABLE GASTRIC BAND | $12,666.84 | $18,273.00 | $2,494.00–$10,445.72 | — | 31% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAPAROSCOPY, SURGICAL GASTRIC RESTRICTIVE PROCEDURE PLACEMENT OF ADJUSTABLE GASTRIC BAND | $12,666.84 | $18,273.00 | $2,494.00–$10,445.72 | — | 31% |
| Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 LAP BAND NONCOVERED, SURGICAL GASTRIC RESTRICTIVE PROCEDURE PLACEMENT OF ADJUSTABLE GASTRIC BAND | $12,666.84 | $18,273.00 | — | — | 31% |
| Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 LAPAROSCOPY, SURGICAL GASTRIC RESTRICTIVE PROCEDURE PLACEMENT OF ADJUSTABLE GASTRIC BAND | $12,666.84 | $18,273.00 | — | — | 31% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $5,824.27 | $8,402.00 | $2,494.00–$6,001.53 | 23% above | 31% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY | $5,824.27 | $8,402.00 | — | — | 31% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGUS GASTRIC FUNDOPLASTY (NISSEN TOUPET PROCEDURES) | $7,169.77 | $10,343.00 | $2,494.00–$10,445.72 | 14% above | 31% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGUS GASTRIC FUNDOPLASTY (NISSEN TOUPET PROCEDURES) | $7,169.77 | $10,343.00 | — | — | 31% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; | $11,472.46 | $16,550.00 | $2,494.00–$10,445.72 | 5% above | 31% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; | $11,472.46 | $16,550.00 | — | — | 31% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) an | $11,472.46 | $16,550.00 | $2,494.00–$10,445.72 | 102% above | 31% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) an | $11,472.46 | $16,550.00 | — | — | 31% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPIC INGUNAL HERNIA REPAIR | $6,414.18 | $9,253.00 | $2,494.00–$6,001.53 | 39% above | 31% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPAROSCOPIC INGUNAL HERNIA REPAIR | $6,414.18 | $9,253.00 | — | — | 31% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCOPY, REPAIR RECURRENT INGUINAL HERNIA | $6,414.18 | $9,253.00 | $2,494.00–$6,001.53 | 17% below | 31% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPAROSCOPY, REPAIR RECURRENT INGUINAL HERNIA | $6,414.18 | $9,253.00 | — | — | 31% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laparoscopy, gastric restrictive procedure; removal of adjustable gastric restrictive device and sub | $5,209.40 | $7,515.00 | $2,748.00–$3,723.66 | 1% above | 31% |
| Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Laparoscopy, gastric restrictive procedure; removal of adjustable gastric restrictive device and sub | $5,209.40 | $7,515.00 | — | — | 31% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY WITH PARTIAL OR TOTAL OOPHORECTOMY OR SALPINGECTOMU | $8,980.41 | $12,955.00 | $2,494.00–$6,001.53 | 47% above | 31% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY WITH PARTIAL OR TOTAL OOPHORECTOMY OR SALPINGECTOMU | $8,980.41 | $12,955.00 | — | — | 31% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrecto | $16,539.75 | $23,860.00 | $2,494.00–$10,445.72 | 35% above | 31% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrecto | $16,539.75 | $23,860.00 | — | — | 31% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 LENS INCISION DISCISSION SECONDARY MEMBRANE CATARACT-LASER SURGERY | $2,688.92 | $3,879.00 | $629.40–$924.00 | 483% above | 31% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 LENS INCISION DISCISSION SECONDARY MEMBRANE CATARACT-LASER SURGERY | $2,688.92 | $3,879.00 | — | — | 31% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK 2.5CM OR LESS | $980.88 | $1,415.00 | $210.00–$513.00 | 181% above | 31% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK 2.5CM OR LESS | $980.88 | $1,415.00 | — | — | 31% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster | $2,064.35 | $2,978.00 | $776.06–$924.00 | 166% above | 31% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster | $2,064.35 | $2,978.00 | — | — | 31% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Under Insertion of Central Venous Access Device | $3,119.40 | $4,500.00 | $776.06–$924.00 | 679% above | 31% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Under Insertion of Central Venous Access Device | $3,119.40 | $4,500.00 | — | — | 31% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR OR SACRAL SINGLE LEVEL | $1,043.96 | $1,506.00 | $871.00–$1,008.24 | 70% above | 31% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR OR SACRAL SINGLE LEVEL | $1,043.96 | $1,506.00 | — | — | 31% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LUMBAR LAMINECTOMY ONE INERSPACE, LUMBAR (INCLUDING OPEN OR ENDOSCOPICALLY-ASSISTED APPROACH) | $12,096.34 | $17,450.00 | $5,210.00–$7,427.19 | 56% above | 31% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LUMBAR LAMINECTOMY ONE INERSPACE, LUMBAR (INCLUDING OPEN OR ENDOSCOPICALLY-ASSISTED APPROACH) | $12,096.34 | $17,450.00 | — | — | 31% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 arthrodesis combined posterior or posterolateral technique with posterior interbody technique includ | $13,624.85 | $19,655.00 | $2,499.00–$15,990.00 | 45% below | 31% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 arthrodesis combined posterior or posterolateral technique with posterior interbody technique includ | $13,624.85 | $19,655.00 | — | — | 31% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare inter | $13,624.85 | $19,655.00 | $2,888.00–$14,775.92 | 54% below | 31% |
| Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare inter | $13,624.85 | $19,655.00 | — | — | 31% |
| Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY(UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, | $12,096.34 | $17,450.00 | $5,210.00–$7,427.19 | — | 31% |
| Lumbar laminectomy (spinal decompression), one level inpatient both sides CPT 63047 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY(UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, | $12,096.34 | $17,450.00 | — | — | 31% |
| Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral tr | $13,624.85 | $19,655.00 | $2,494.00–$14,775.92 | 14% below | 31% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral tr | $13,624.85 | $19,655.00 | — | — | 31% |
| Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY; PARTIAL-WITH AXILLARY LYMPHA | $11,313.02 | $16,320.00 | $1,391.00–$3,761.49 | 154% above | 31% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY; PARTIAL-WITH AXILLARY LYMPHA | $11,313.02 | $16,320.00 | — | — | 31% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE | $4,928.65 | $7,110.00 | $1,890.00–$6,502.62 | 5% above | 31% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SUBCUTANEOUS | $5,424.29 | $7,825.00 | $1,890.00–$6,502.62 | 15% above | 31% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY, SIMPLE | $4,928.65 | $7,110.00 | — | — | 31% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY, SUBCUTANEOUS | $5,424.29 | $7,825.00 | — | — | 31% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of missed abortion, completed surgically; second trimester | $3,360.63 | $4,848.00 | $1,391.00–$3,101.64 | 77% above | 31% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment of missed abortion, completed surgically; second trimester | $3,360.63 | $4,848.00 | — | — | 31% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION, TRUNK, ARMS OR LEGS 0.5CM OR LESS | $2,353.41 | $3,395.00 | $757.39–$924.00 | 513% above | 31% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION, TRUNK, ARMS OR LEGS 0.5CM OR LESS | $2,353.41 | $3,395.00 | — | — | 31% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE OTHER BENIGN LESION INCLUDING MARGINS | $2,353.41 | $3,395.00 | $757.39–$924.00 | 377% above | 31% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE OTHER BENIGN LESION INCLUDING MARGINS | $2,353.41 | $3,395.00 | — | — | 31% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, SIMPLE, SINGEL | $2,166.25 | $3,125.00 | $210.00–$513.00 | 1344% above | 31% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE, SIMPLE, SINGEL | $2,166.25 | $3,125.00 | — | — | 31% |
| Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL BLOCK | $626.65 | $904.00 | $210.00–$513.00 | 143% above | 31% |
| Occipital nerve block (injection for headaches) CPT 64405 OCCULAR SURFACE RECONSTRUCTION, LIMBAL STEM CELL ALLOGRAFT | $6,721.27 | $9,696.00 | $210.00–$513.00 | 2502% above | 31% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL BLOCK | $626.65 | $904.00 | — | — | 31% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCULAR SURFACE RECONSTRUCTION, LIMBAL STEM CELL ALLOGRAFT | $6,721.27 | $9,696.00 | — | — | 31% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 GASTRIC RESTRICTIVE PROCEDURE WITH GASTRIC BYPASS FOR MORBID OBESITY WITH SHORT LIMB ROUXEN Y GASTRO | $12,666.84 | $18,273.00 | $890.00–$9,136.50 | — | 31% |
| Open Roux-en-Y gastric bypass through an abdominal incision inpatient CPT 43846 GASTRIC RESTRICTIVE PROCEDURE WITH GASTRIC BYPASS FOR MORBID OBESITY WITH SHORT LIMB ROUXEN Y GASTRO | $12,666.84 | $18,273.00 | — | — | 31% |
| Partial knee replacement (one compartment) CPT 27446 Arthroplasty, UNICONDYLAR knee, condyle and plateau; medial OR lateral compartment | $7,813.06 | $11,271.00 | $2,888.00–$14,775.92 | 47% below | 31% |
| Partial knee replacement (one compartment) inpatient CPT 27446 Arthroplasty, UNICONDYLAR knee, condyle and plateau; medial OR lateral compartment | $7,813.06 | $11,271.00 | — | — | 31% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL PARTIAL OR COMPLETE | $2,166.25 | $3,125.00 | $210.00–$513.00 | 423% above | 31% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL PARTIAL OR COMPLETE | $2,166.25 | $3,125.00 | — | — | 31% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,158.34 | $1,671.00 | $300.78–$1,179.00 | 52% above | 31% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $1,158.34 | $1,671.00 | — | — | 31% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluorosc | $2,064.35 | $2,978.00 | $1,391.00–$2,420.00 | 103% above | 31% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluorosc | $2,064.35 | $2,978.00 | — | — | 31% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST BIOPSY/REMOVAL OF MASS | $2,456.01 | $3,543.00 | $1,391.00–$3,761.49 | 58% above | 31% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION BREAST BIOPSY/REMOVAL OF MASS | $2,456.01 | $3,543.00 | — | — | 31% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL IMPACTED CERUMEN | $635.66 | $917.00 | $210.00–$513.00 | 128% above | 31% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL IMPACTED CERUMEN | $635.66 | $917.00 | — | — | 31% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy | $5,675.23 | $8,187.00 | $2,494.00–$6,001.53 | 2% above | 31% |
| Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy | $5,675.23 | $8,187.00 | — | — | 31% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENGIN, COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,650.80 | $3,824.00 | $871.00–$948.43 | 252% above | 31% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENGIN, COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,650.80 | $3,824.00 | — | — | 31% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk | $2,623.07 | $3,784.00 | $871.00–$948.43 | 319% above | 31% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk | $2,623.07 | $3,784.00 | — | — | 31% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY MULTIPLE PROCEDURE | $5,499.16 | $7,933.00 | $1,391.00–$3,252.11 | 4% below | 31% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTORHINOPLASTY | $7,104.61 | $10,249.00 | $1,391.00–$3,252.11 | 24% above | 31% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY MULTIPLE PROCEDURE | $5,499.16 | $7,933.00 | — | — | 31% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTORHINOPLASTY | $7,104.61 | $10,249.00 | — | — | 31% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $10,147.06 | $14,638.00 | $2,254.25–$5,210.00 | 153% above | 31% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $10,147.06 | $14,638.00 | — | — | 31% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF SHORT ARM CAST | $402.06 | $580.00 | $210.00–$513.00 | 124% above | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF SHORT ARM CAST | $402.06 | $580.00 | — | — | 31% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE | $8,065.38 | $11,635.00 | $2,494.00–$5,210.00 | 29% above | 31% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 ARTHROSCOPY DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE | $8,065.38 | $11,635.00 | — | — | 31% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY WITH OR WITHOUT C | $8,065.38 | $11,635.00 | $210.00–$7,427.19 | 98% above | 31% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY SHOULDER DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY WITH OR WITHOUT C | $8,065.38 | $11,635.00 | — | — | 31% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE UROFLOWMETRY | $1,043.96 | $1,506.00 | $210.00–$513.00 | 427% above | 31% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE UROFLOWMETRY | $1,043.96 | $1,506.00 | — | — | 31% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCTURE ASPIRATION OF ABSCESS OR CYST | $1,792.62 | $2,586.00 | $210.00–$513.00 | 478% above | 31% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCTURE ASPIRATION OF ABSCESS OR CYST | $1,792.62 | $2,586.00 | — | — | 31% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 excision, malignant lesion, trunk, arms, legs; lesion 0.5 cm or less | $2,353.41 | $3,395.00 | $757.39–$924.00 | 364% above | 31% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 excision, malignant lesion, trunk, arms, legs; lesion 0.5 cm or less | $2,353.41 | $3,395.00 | — | — | 31% |
| Skin tag removal, up to 15 tags CPT 11200 EXCISION SKIN TAG | $1,709.43 | $2,466.00 | $210.00–$513.00 | 1181% above | 31% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 EXCISION SKIN TAG | $1,709.43 | $2,466.00 | — | — | 31% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE,THERAPUTIC, FOR DRAINAGE OF CSF (NEEDLE AND CATHERER | $1,569.40 | $2,264.00 | $776.06–$924.00 | 242% above | 31% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic | $1,569.40 | $2,264.00 | $776.06–$924.00 | 242% above | 31% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal puncture, lumbar, diagnostic | $1,569.40 | $2,264.00 | — | — | 31% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE,THERAPUTIC, FOR DRAINAGE OF CSF (NEEDLE AND CATHERER | $1,569.40 | $2,264.00 | — | — | 31% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA WITHOUT PLASTIC REPAIR | $4,201.49 | $6,061.00 | $210.00–$513.00 | 2039% above | 31% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA WITHOUT PLASTIC REPAIR | $4,201.49 | $6,061.00 | — | — | 31% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 | $522.67 | $754.00 | $210.00–$513.00 | 169% above | 31% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 | $522.67 | $754.00 | — | — | 31% |
| TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS | $3,136.04 | $4,524.00 | $2,310.00–$5,253.98 | 34% below | 31% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS | $3,136.04 | $4,524.00 | — | — | 31% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TARSAL TUNNEL RELEASE/DECOMPRESSION | $5,796.54 | $8,362.00 | $210.00–$513.00 | 2899% above | 31% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TARSAL TUNNEL RELEASE/DECOMPRESSION | $5,796.54 | $8,362.00 | — | — | 31% |
| Thoracentesis with imaging guidance CPT 32555 **Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent | $1,493.85 | $2,155.00 | $782.84–$924.00 | 131% above | 31% |
| Thoracentesis with imaging guidance inpatient CPT 32555 **Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent | $1,493.85 | $2,155.00 | — | — | 31% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILLECTOMY & ADENOIDECTOMY UNDER 12YR | $4,845.47 | $6,990.00 | $1,391.00–$3,252.11 | 14% above | 31% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 TONSILLECTOMY & ADENOIDECTOMY UNDER 12YR | $4,845.47 | $6,990.00 | — | — | 31% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY AGE 12 OR OVER | $3,371.03 | $4,863.00 | $1,391.00–$6,022.42 | 12% above | 31% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSILLECTOMY AGE 12 OR OVER | $3,371.03 | $4,863.00 | — | — | 31% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TORIC Astigmatism correcting function of intraocular lens COMMERCIAL | $2,436.60 | $3,515.00 | $1,391.00–$6,022.42 | 11% below | 31% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY PRIMARY OR SECONDARY UNDER AGE 12 | $3,537.40 | $5,103.00 | $1,391.00–$6,022.42 | 30% above | 31% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TORIC Astigmatism correcting function of intraocular lens COMMERCIAL | $2,436.60 | $3,515.00 | — | — | 31% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY PRIMARY OR SECONDARY UNDER AGE 12 | $3,537.40 | $5,103.00 | — | — | 31% |
| Total hip replacement CPT 27130 ARTHROPLASTY,ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACMENT (TOTAL HIP ARTHROPLASTY) WITH OR | $15,634.43 | $22,554.00 | $2,888.00–$14,775.92 | 6% above | 31% |
| Total hip replacement inpatient CPT 27130 ARTHROPLASTY,ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACMENT (TOTAL HIP ARTHROPLASTY) WITH OR | $15,634.43 | $22,554.00 | — | — | 31% |
| Total knee replacement CPT 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella res | $7,813.06 | $11,271.00 | $2,888.00–$14,775.92 | 37% below | 31% |
| Total knee replacement inpatient CPT 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella res | $7,813.06 | $11,271.00 | — | — | 31% |
| Total shoulder replacement CPT 23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, tota | $12,637.73 | $18,231.00 | $2,888.00–$14,775.92 | 22% below | 31% |
| Total shoulder replacement inpatient CPT 23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, tota | $12,637.73 | $18,231.00 | — | — | 31% |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, total or subtotal for malignancy; with limited neck dissection | $3,136.04 | $4,524.00 | $2,494.00–$6,001.53 | 41% below | 31% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy, total or subtotal for malignancy; with limited neck dissection | $3,136.04 | $4,524.00 | — | — | 31% |
| Trigger finger release surgery CPT 26055 TRIGGER POINTS SINGLE OR MULTIPLE THREE OR MORE MUSCLES | $1,633.87 | $2,357.00 | $1,080.00–$1,682.85 | 8% above | 31% |
| Trigger finger release surgery inpatient CPT 26055 TRIGGER POINTS SINGLE OR MULTIPLE THREE OR MORE MUSCLES | $1,633.87 | $2,357.00 | — | — | 31% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SINUS ENDOSCOPY WITH DACRYOCYSTORHINOSTOMY | $4,676.33 | $6,746.00 | $210.00–$513.00 | 2720% above | 31% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SINUS ENDOSCOPY WITH DACRYOCYSTORHINOSTOMY | $4,676.33 | $6,746.00 | — | — | 31% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP WITH FULGURATION OF OVIDUCTS | $4,143.95 | $5,978.00 | $2,494.00–$6,001.53 | 14% below | 31% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP WITH FULGURATION OF OVIDUCTS | $4,143.95 | $5,978.00 | — | — | 31% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST WITH PLACEMENT OF BREAST LOCALIZATION DENICE WHEN PERFORMED, AND IMAGING OF THE BIOPSY | $2,828.26 | $4,080.00 | $1,080.00–$1,704.22 | 155% above | 31% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY BREAST WITH PLACEMENT OF BREAST LOCALIZATION DENICE WHEN PERFORMED, AND IMAGING OF THE BIOPSY | $2,828.26 | $4,080.00 | — | — | 31% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD WITH BALLOON DILATION OF ESOPHAGUS* | $2,792.21 | $4,028.00 | $1,080.00–$1,933.67 | 218% above | 31% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD WITH BALLOON DILATION OF ESOPHAGUS* | $2,792.21 | $4,028.00 | — | — | 31% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY | $2,100.40 | $3,030.00 | $975.80–$1,179.00 | 171% above | 31% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD WITH BIOPSY | $2,100.40 | $3,030.00 | — | — | 31% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunu | $2,166.25 | $3,125.00 | $975.80–$1,179.00 | 248% above | 31% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunu | $2,166.25 | $3,125.00 | — | — | 31% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD WITH POLYPECTOMY | $1,735.77 | $2,504.00 | $1,080.00–$1,933.67 | 103% above | 31% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD WITH POLYPECTOMY | $1,735.77 | $2,504.00 | — | — | 31% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/INSERT G'WIRE-DILATION OVER G'WIRE | $2,792.21 | $4,028.00 | $975.80–$1,179.00 | 298% above | 31% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/INSERT G'WIRE-DILATION OVER G'WIRE | $2,792.21 | $4,028.00 | — | — | 31% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD (ESOPHAGO GASTRO DUODENOSCOPY) | $1,569.40 | $2,264.00 | $975.80–$1,179.00 | 90% above | 31% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD (ESOPHAGO GASTRO DUODENOSCOPY) | $1,569.40 | $2,264.00 | — | — | 31% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy laser litho (ureteral cathe | $8,262.25 | $11,919.00 | $2,310.00–$5,253.98 | 103% above | 31% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy laser litho (ureteral cathe | $8,262.25 | $11,919.00 | — | — | 31% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indw | $8,821.66 | $12,726.00 | $2,310.00–$5,253.98 | 119% above | 31% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indw | $8,821.66 | $12,726.00 | — | — | 31% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL | $2,288.25 | $3,301.00 | $1,391.00–$2,420.00 | — | 31% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL | $2,288.25 | $3,301.00 | — | — | 31% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION ANY METHOD OF FLAT WARTS MOLLUSCUM CONTAGIOSUM UP TO 14 LESIONS | $439.49 | $634.00 | $210.00–$513.00 | 213% above | 31% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION ANY METHOD OF FLAT WARTS MOLLUSCUM CONTAGIOSUM UP TO 14 LESIONS | $439.49 | $634.00 | — | — | 31% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN, AND SUBCUTANEOUS TISSUE | $1,792.62 | $2,586.00 | $210.00–$513.00 | 330% above | 31% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN, AND SUBCUTANEOUS TISSUE | $1,792.62 | $2,586.00 | — | — | 31% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TREATMENT OF DISTAL RADIAL FX OR EPIPHYSEAL SEPARATION, W/WO FX OF ULNAR SYLOID, W/WO EXTERNAL | $5,377.15 | $7,757.00 | $2,494.00–$7,427.19 | 20% below | 31% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPEN TREATMENT OF DISTAL RADIAL FX OR EPIPHYSEAL SEPARATION, W/WO FX OF ULNAR SYLOID, W/WO EXTERNAL | $5,377.15 | $7,757.00 | — | — | 31% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transluminal dilation of aqueous outflow canal; without retention of device or stent | $4,761.59 | $6,869.00 | $168.00–$3,777.95 | 902% above | 31% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transluminal dilation of aqueous outflow canal; without retention of device or stent | $4,761.59 | $6,869.00 | — | — | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 nonpressurized inhalation treatment for acute airway obstruction | $196.87 | $284.00 | $43.74–$228.40 | 110% above | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 nsertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; | $3,576.22 | $5,159.00 | $79.00–$794.49 | 3707% above | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 nonpressurized inhalation treatment for acute airway obstruction | $196.87 | $284.00 | — | — | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 nsertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; | $3,576.22 | $5,159.00 | — | — | 31% |
| Comprehensive eye exam, returning patient CPT 92014 OPHTHAMOLOGICAL EXAMINATION AND EVALUATION UNDER GENERAL ANESTHESIA WITH OR WITHOUT MANIPULATION OF | $1,792.62 | $2,586.00 | $143.94–$2,137.33 | 2694% above | 31% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 OPHTHAMOLOGICAL EXAMINATION AND EVALUATION UNDER GENERAL ANESTHESIA WITH OR WITHOUT MANIPULATION OF | $1,792.62 | $2,586.00 | — | — | 31% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first | $2,064.35 | $2,978.00 | $458.61–$2,590.86 | 146% above | 31% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first | $2,064.35 | $2,978.00 | — | — | 31% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM, ROUTINE ECG 12 LEADS | $159.44 | $230.00 | $16.89–$126.50 | 175% above | 31% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM, ROUTINE ECG 12 LEADS | $159.44 | $230.00 | — | — | 31% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-TECHNICAL COMPONENT | $84.57 | $122.00 | $18.79–$70.00 | 3% above | 31% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-TECHNICAL COMPONENT | $84.57 | $122.00 | — | — | 31% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $690.43 | $996.00 | $153.38–$547.80 | 308% above | 31% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $690.43 | $996.00 | — | — | 31% |
| IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, u | $690.43 | $996.00 | $153.38–$547.80 | 227% above | 31% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, u | $690.43 | $996.00 | — | — | 31% |
| IV push of a medicine, first drug CPT 96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr | $522.67 | $754.00 | $116.12–$414.70 | 375% above | 31% |
| IV push of a medicine, first drug inpatient CPT 96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr | $522.67 | $754.00 | — | — | 31% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THORACENTESIS , PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION,INTIAL OR SUBSEQUENT | $1,176.36 | $1,697.00 | $73.77–$933.35 | 1985% above | 31% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THORACENTESIS , PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION,INTIAL OR SUBSEQUENT | $1,176.36 | $1,697.00 | — | — | 31% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION | $377.79 | $545.00 | $150.00–$299.75 | 219% above | 31% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION | $377.79 | $545.00 | — | — | 31% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES; 9-10 STUDIES | $626.65 | $904.00 | $139.22–$497.20 | 246% above | 31% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES; 9-10 STUDIES | $626.65 | $904.00 | — | — | 31% |
| Spirometry (breathing test) CPT 94010 Incentive Spirometry Instruct | $47.14 | $68.00 | $10.47–$93.00 | 63% below | 31% |
| Spirometry (breathing test) inpatient CPT 94010 Incentive Spirometry Instruct | $47.14 | $68.00 | — | — | 31% |
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.