Hospital McComb, MS

Southwest Mississippi Regional Medical Center

Southwest Mississippi Regional Medical Center in McComb, MS publishes cash prices for 434 common procedures listed here, from its own machine-readable price file updated Jun 9, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 201 of 409 procedures and below it for 199. By typical cash price it ranks #31 of 60 Mississippi hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

215 Marion Ave, , McComb, MS 39648 Collected Nov 11, 2026 Source price file Check a bill from this hospital

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Southwest Mississippi Regional Medical Center in McComb, MS:

Sep 24, 2025 Warning notice
Nov 13, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/o & w/dye	$793.20	$1,322.00	$139.56–$604.63	30% below	40%
Abdominal CT scan without and with contrast CPT 74170 Hc ct abdomen w/ wo contrast	$793.20	$1,322.00	$139.56–$604.63	30% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 Hc ct abdomen w/ wo contrast	$793.20	$1,322.00	$139.56–$604.63	—	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/o & w/dye	$793.20	$1,322.00	$139.56–$604.63	—	40%
Abdominal X-ray, 2 views CPT 74019 Hc xr abdomen 2 views	$154.80	$258.00	$85.17–$147.77	3% below	40%
Abdominal X-ray, 2 views CPT 74019 X-ray exam abdomen 2 views	$154.80	$258.00	$85.17–$147.77	3% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray exam abdomen 2 views	$154.80	$258.00	$85.17–$147.77	—	40%
Abdominal X-ray, 2 views inpatient CPT 74019 Hc xr abdomen 2 views	$154.80	$258.00	$85.17–$147.77	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 Hc ankle complete min 3 view	$111.00	$185.00	$63.23–$122.35	10% below	40%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle	$111.00	$185.00	$63.23–$122.35	10% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc ankle complete min 3 view	$111.00	$185.00	$63.23–$122.35	—	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle	$111.00	$185.00	$63.23–$122.35	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels	$133.20	$222.00	$87.50–$179.12	53% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc upper/lowr extr art 2 levels	$133.20	$222.00	$87.50–$179.12	53% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc upper/lowr extr art 2 levels	$133.20	$222.00	$87.50–$179.12	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/l xtremity art 2 levels	$133.20	$222.00	$87.50–$179.12	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc ct upper extremity w/o contrast	$342.60	$571.00	$85.17–$312.03	55% below	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye	$342.60	$571.00	$85.17–$312.03	55% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc ct upper extremity w/o contrast	$342.60	$571.00	$85.17–$312.03	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct upper extremity w/o dye	$342.60	$571.00	$85.17–$312.03	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst	$188.70	$314.50	$139.56–$247.37	15% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc esophagram	$188.70	$314.50	$139.56–$247.37	15% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst	$188.70	$314.50	$139.56–$247.37	—	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc esophagram	$188.70	$314.50	$139.56–$247.37	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body	$370.20	$617.00	$294.75–$558.37	43% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 Hc nm bone scan whole body	$370.20	$617.00	$294.75–$558.37	43% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body	$370.20	$617.00	$294.75–$558.37	—	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc nm bone scan whole body	$370.20	$617.00	$294.75–$558.37	—	40%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$132.00	$220.00	$85.17–$147.77	29% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 Hc us breast unilat complete	$132.00	$220.00	$85.17–$147.77	29% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$132.00	$220.00	$85.17–$147.77	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc us breast unilat complete	$132.00	$220.00	$85.17–$147.77	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited	$177.60	$296.00	$63.23–$138.11	13% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc us breast unilat limited	$177.60	$296.00	$63.23–$138.11	13% above	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited	$177.60	$296.00	$63.23–$138.11	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc us breast unilat limited	$177.60	$296.00	$63.23–$138.11	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc cta abd pelvis w/wo contrast	$1,126.80	$1,878.00	$287.72–$1,408.50	31% below	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct angio abd&pelv w/o&w/dye	$1,126.80	$1,878.00	$287.72–$1,408.50	31% below	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct angio abd&pelv w/o&w/dye	$1,126.80	$1,878.00	$287.72–$1,408.50	—	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc cta abd pelvis w/wo contrast	$1,126.80	$1,878.00	$287.72–$1,408.50	—	40%
CT angiography (CTA) of the head CPT 70496 Hc ct head angiography	$1,047.60	$1,746.00	$139.56–$604.63	1% below	40%
CT angiography (CTA) of the head CPT 70496 Ct angiography head	$1,047.60	$1,746.00	$139.56–$604.63	1% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 Hc ct head angiography	$1,047.60	$1,746.00	$139.56–$604.63	—	40%
CT angiography (CTA) of the head inpatient CPT 70496 Ct angiography head	$1,047.60	$1,746.00	$139.56–$604.63	—	40%
CT angiography (CTA) of the neck CPT 70498 Ct angiography neck	$1,118.10	$1,863.50	$139.56–$604.63	3% above	40%
CT angiography (CTA) of the neck CPT 70498 Hc cta neck w/ wo contrast	$1,118.10	$1,863.50	$139.56–$604.63	3% above	40%
CT angiography (CTA) of the neck inpatient CPT 70498 Ct angiography neck	$1,118.10	$1,863.50	$139.56–$604.63	—	40%
CT angiography (CTA) of the neck inpatient CPT 70498 Hc cta neck w/ wo contrast	$1,118.10	$1,863.50	$139.56–$604.63	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc ct chest angiography	$612.90	$1,021.50	$139.56–$604.63	46% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest	$612.90	$1,021.50	$139.56–$604.63	46% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc ct chest angiography	$612.90	$1,021.50	$139.56–$604.63	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest	$612.90	$1,021.50	$139.56–$604.63	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc cta heart w/contrast	$561.00	$935.00	$139.56–$701.25	44% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image	$561.00	$935.00	$139.56–$701.25	44% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio hrt w/3d image	$561.00	$935.00	$139.56–$701.25	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc cta heart w/contrast	$561.00	$935.00	$139.56–$701.25	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test	$59.40	$99.00	$19.05–$122.35	25% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc ct heart w/o cntrst w/ca score	$59.40	$99.00	$19.05–$122.35	25% below	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct hrt w/o dye w/ca test	$59.40	$99.00	$19.05–$122.35	—	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc ct heart w/o cntrst w/ca score	$59.40	$99.00	$19.05–$122.35	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc ct abd pelvis w/o contrast	$1,243.50	$2,072.50	$179.87–$312.03	5% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast	$1,243.50	$2,072.50	$179.87–$312.03	5% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc ct abd pelvis w/o contrast	$1,243.50	$2,072.50	$179.87–$312.03	—	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast	$1,243.50	$2,072.50	$179.87–$312.03	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast	$1,426.50	$2,377.50	$287.72–$604.63	11% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc ct abd pelvis w/contrast	$1,426.50	$2,377.50	$287.72–$604.63	11% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast	$1,426.50	$2,377.50	$287.72–$604.63	—	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc ct abd pelvis w/contrast	$1,426.50	$2,377.50	$287.72–$604.63	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc ct abd pelvis w/wo contrast	$1,460.10	$2,433.50	$287.72–$604.63	18% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns	$1,460.10	$2,433.50	$287.72–$604.63	18% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc ct abd pelvis w/wo contrast	$1,460.10	$2,433.50	$287.72–$604.63	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns	$1,460.10	$2,433.50	$287.72–$604.63	—	40%
CT scan of the abdomen with contrast CPT 74160 Hc ct abdomen w/contrast	$757.20	$1,262.00	$139.56–$604.63	22% below	40%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye	$757.20	$1,262.00	$139.56–$604.63	22% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye	$757.20	$1,262.00	$139.56–$604.63	—	40%
CT scan of the abdomen with contrast inpatient CPT 74160 Hc ct abdomen w/contrast	$757.20	$1,262.00	$139.56–$604.63	—	40%
CT scan of the abdomen without contrast CPT 74150 Hc ct abdomen w/o contrast	$666.90	$1,111.50	$85.17–$312.03	18% below	40%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye	$666.90	$1,111.50	$85.17–$312.03	18% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye	$666.90	$1,111.50	$85.17–$312.03	—	40%
CT scan of the abdomen without contrast inpatient CPT 74150 Hc ct abdomen w/o contrast	$666.90	$1,111.50	$85.17–$312.03	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc ct maxillofacial w/o contrast	$492.00	$820.00	$85.17–$312.03	25% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye	$492.00	$820.00	$85.17–$312.03	25% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye	$492.00	$820.00	$85.17–$312.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc ct maxillofacial w/o contrast	$492.00	$820.00	$85.17–$312.03	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 Hc ct head w/o contrast	$455.70	$759.50	$85.17–$312.03	39% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye	$455.70	$759.50	$85.17–$312.03	39% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye	$455.70	$759.50	$85.17–$312.03	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc ct head w/o contrast	$455.70	$759.50	$85.17–$312.03	—	40%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye	$685.20	$1,142.00	$139.56–$604.63	27% below	40%
CT scan of the head with contrast CPT 70460 Hc ct head w/contrast	$685.20	$1,142.00	$139.56–$604.63	27% below	40%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye	$685.20	$1,142.00	$139.56–$604.63	—	40%
CT scan of the head with contrast inpatient CPT 70460 Hc ct head w/contrast	$685.20	$1,142.00	$139.56–$604.63	—	40%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye	$858.00	$1,430.00	$139.56–$604.63	18% below	40%
CT scan of the head without and with contrast CPT 70470 Hc ct head w/ wo contrast	$858.00	$1,430.00	$139.56–$604.63	18% below	40%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye	$858.00	$1,430.00	$139.56–$604.63	—	40%
CT scan of the head without and with contrast inpatient CPT 70470 Hc ct head w/ wo contrast	$858.00	$1,430.00	$139.56–$604.63	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye	$594.90	$991.50	$85.17–$312.03	32% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc ct spine lumbar w/o contrast	$594.90	$991.50	$85.17–$312.03	32% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye	$594.90	$991.50	$85.17–$312.03	—	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc ct spine lumbar w/o contrast	$594.90	$991.50	$85.17–$312.03	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye	$630.90	$1,051.50	$85.17–$312.03	28% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc ct spine cervical w/o contrast	$630.90	$1,051.50	$85.17–$312.03	28% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye	$630.90	$1,051.50	$85.17–$312.03	—	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc ct spine cervical w/o contrast	$630.90	$1,051.50	$85.17–$312.03	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye	$666.90	$1,111.50	$139.56–$604.63	32% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 Hc ct pelvis w/contrast	$666.90	$1,111.50	$139.56–$604.63	32% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye	$666.90	$1,111.50	$139.56–$604.63	—	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc ct pelvis w/contrast	$666.90	$1,111.50	$139.56–$604.63	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc carotid duplex scan bilat	$370.20	$617.00	$179.87–$462.75	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study	$370.20	$617.00	$179.87–$462.75	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study	$370.20	$617.00	$179.87–$462.75	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc carotid duplex scan bilat	$370.20	$617.00	$179.87–$462.75	—	40%
Chest CT scan without and with contrast CPT 71270 Ct thorax w/o & w/dye	$885.30	$1,475.50	$139.56–$604.63	24% below	40%
Chest CT scan without and with contrast CPT 71270 Hc ct thorax w w/o contrast	$885.30	$1,475.50	$139.56–$604.63	24% below	40%
Chest CT scan without and with contrast inpatient CPT 71270 Hc ct thorax w w/o contrast	$885.30	$1,475.50	$139.56–$604.63	—	40%
Chest CT scan without and with contrast inpatient CPT 71270 Ct thorax w/o & w/dye	$885.30	$1,475.50	$139.56–$604.63	—	40%
Chest X-ray, 2 views CPT 71046 Hc xray chest 2 views	$86.40	$144.00	$63.23–$1,170.87	38% below	40%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views	$86.40	$144.00	$63.23–$1,170.87	38% below	40%
Chest X-ray, 2 views inpatient CPT 71046 Hc xray chest 2 views	$86.40	$144.00	$63.23–$1,170.87	—	40%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views	$86.40	$144.00	$63.23–$1,170.87	—	40%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view	$68.40	$114.00	$63.23–$1,170.87	35% below	40%
Chest X-ray, single view CPT 71045 Hc xray chest 1 view	$68.40	$114.00	$63.23–$1,170.87	35% below	40%
Chest X-ray, single view inpatient CPT 71045 Hc xray chest 1 view	$68.40	$114.00	$63.23–$1,170.87	—	40%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view	$68.40	$114.00	$63.23–$1,170.87	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone	$108.90	$181.50	$63.23–$122.35	at median	40%
Collarbone (clavicle) X-ray, complete CPT 73000 Hc clavicle complete	$108.90	$181.50	$63.23–$122.35	at median	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray exam of collar bone	$108.90	$181.50	$63.23–$122.35	—	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc clavicle complete	$108.90	$181.50	$63.23–$122.35	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc us retroperitoneal complete	$315.60	$526.00	$85.17–$425.90	8% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp	$315.60	$526.00	$85.17–$425.90	8% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp	$315.60	$526.00	$85.17–$425.90	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc us retroperitoneal complete	$315.60	$526.00	$85.17–$425.90	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial	$218.70	$364.50	$85.17–$273.38	8% below	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc bone density dxa axial skeleton	$218.70	$364.50	$85.17–$273.38	8% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc bone density dxa axial skeleton	$218.70	$364.50	$85.17–$273.38	—	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial	$218.70	$364.50	$85.17–$273.38	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc ct thorax w/o contrast	$612.90	$1,021.50	$85.17–$312.03	25% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye	$612.90	$1,021.50	$85.17–$312.03	25% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye	$612.90	$1,021.50	$85.17–$312.03	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc ct thorax w/o contrast	$612.90	$1,021.50	$85.17–$312.03	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc ct thorax w/contrast	$666.90	$1,111.50	$139.56–$604.63	33% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye	$666.90	$1,111.50	$139.56–$604.63	33% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc ct thorax w/contrast	$666.90	$1,111.50	$139.56–$604.63	—	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye	$666.90	$1,111.50	$139.56–$604.63	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi	$223.80	$373.00	$121.15–$204.65	—	40%
Diagnostic mammogram, both breasts CPT 77066 Hc diag mammo incl cad bil	$223.80	$373.00	$121.15–$204.65	17% above	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi	$223.80	$373.00	$121.15–$204.65	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 Hc diag mammo incl cad bil	$223.80	$373.00	$121.15–$204.65	—	40%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni	$223.80	$373.00	$94.67–$162.49	74% above	40%
Diagnostic mammogram, one breast CPT 77065 Hc diag mammo incl cad uni	$223.80	$373.00	$94.67–$162.49	74% above	40%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni	$223.80	$373.00	$94.67–$162.49	—	40%
Diagnostic mammogram, one breast inpatient CPT 77065 Hc diag mammo incl cad uni	$223.80	$373.00	$94.67–$162.49	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc duplex l extrem art/bpg bilat	$349.50	$582.50	$179.87–$436.88	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$349.50	$582.50	$179.87–$436.88	25% below	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc duplex l extrem art/bpg bilat	$349.50	$582.50	$179.87–$436.88	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$349.50	$582.50	$179.87–$436.88	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc duplex scan ext vein bilat	$512.10	$853.50	$179.87–$640.13	—	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$512.10	$853.50	$179.87–$640.13	16% above	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc duplex scan ext vein bilat	$512.10	$853.50	$179.87–$640.13	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$512.10	$853.50	$179.87–$640.13	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete	$964.20	$1,607.00	$377.42–$1,205.25	at median	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc echo 2d w/spec/color/complete	$964.20	$1,607.00	$377.42–$1,205.25	at median	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete	$964.20	$1,607.00	$377.42–$1,205.25	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc echo 2d w/spec/color/complete	$964.20	$1,607.00	$377.42–$1,205.25	—	40%
Elbow X-ray, 2 views CPT 73070 Hc elbow 2 view	$73.50	$122.50	$63.23–$122.35	37% below	40%
Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow	$73.50	$122.50	$63.23–$122.35	37% below	40%
Elbow X-ray, 2 views inpatient CPT 73070 Hc elbow 2 view	$73.50	$122.50	$63.23–$122.35	—	40%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray exam of elbow	$73.50	$122.50	$63.23–$122.35	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 Hc ct orbit/sella/ear w/o contrast	$492.00	$820.00	$85.17–$312.03	30% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye	$492.00	$820.00	$85.17–$312.03	30% below	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc ct orbit/sella/ear w/o contrast	$492.00	$820.00	$85.17–$312.03	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbit/ear/fossa w/o dye	$492.00	$820.00	$85.17–$312.03	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 Hc facial bones comp min 3 views	$159.60	$266.00	$85.17–$151.04	5% above	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones	$159.60	$266.00	$85.17–$151.04	5% above	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray exam of facial bones	$159.60	$266.00	$85.17–$151.04	—	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc facial bones comp min 3 views	$159.60	$266.00	$85.17–$151.04	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm	$73.50	$122.50	$63.23–$122.35	35% below	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc forearm 2 view	$73.50	$122.50	$63.23–$122.35	35% below	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray exam of forearm	$73.50	$122.50	$63.23–$122.35	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc forearm 2 view	$73.50	$122.50	$63.23–$122.35	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc nm hepatobiliary scan w/glbldr	$389.40	$649.00	$294.75–$558.37	32% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging	$389.40	$649.00	$294.75–$558.37	32% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc nm hepatobiliary scan w/glbldr	$389.40	$649.00	$294.75–$558.37	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging	$389.40	$649.00	$294.75–$558.37	—	40%
Hand X-ray, 2 views CPT 73120 Hc hand 2 view	$136.80	$228.00	$85.17–$151.04	22% above	40%
Hand X-ray, 2 views CPT 73120 X-ray exam of hand	$136.80	$228.00	$85.17–$151.04	22% above	40%
Hand X-ray, 2 views inpatient CPT 73120 X-ray exam of hand	$136.80	$228.00	$85.17–$151.04	—	40%
Hand X-ray, 2 views inpatient CPT 73120 Hc hand 2 view	$136.80	$228.00	$85.17–$151.04	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel	$111.00	$185.00	$63.23–$122.35	1% below	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc calcaneus min 2 view	$111.00	$185.00	$63.23–$122.35	1% below	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray exam of heel	$111.00	$185.00	$63.23–$122.35	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc calcaneus min 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc polysom 6>yrs / 4+ par cpap	$1,689.00	$2,815.00	$718.93–$2,111.25	12% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm	$1,689.00	$2,815.00	$718.93–$2,111.25	12% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc polysom 6>yrs / 4+ par cpap	$1,689.00	$2,815.00	$718.93–$2,111.25	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm	$1,689.00	$2,815.00	$718.93–$2,111.25	—	40%
Knee X-ray, 3 views CPT 73562 Hc knee 3 view	$111.00	$185.00	$63.23–$122.35	16% below	40%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3	$111.00	$185.00	$63.23–$122.35	16% below	40%
Knee X-ray, 3 views inpatient CPT 73562 Hc knee 3 view	$111.00	$185.00	$63.23–$122.35	—	40%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3	$111.00	$185.00	$63.23–$122.35	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more	$136.80	$228.00	$85.17–$151.04	3% below	40%
Knee X-ray, complete, 4 or more views CPT 73564 Hc knee complete min 4 view	$136.80	$228.00	$85.17–$151.04	3% below	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray exam knee 4 or more	$136.80	$228.00	$85.17–$151.04	—	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc knee complete min 4 view	$136.80	$228.00	$85.17–$151.04	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc ct extrem lower w/o contrast	$353.40	$589.00	$85.17–$312.03	54% below	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye	$353.40	$589.00	$85.17–$312.03	54% below	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct lower extremity w/o dye	$353.40	$589.00	$85.17–$312.03	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc ct extrem lower w/o contrast	$353.40	$589.00	$85.17–$312.03	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc us abdomen limited	$177.60	$296.00	$85.17–$425.90	34% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen	$177.60	$296.00	$85.17–$425.90	34% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen	$177.60	$296.00	$85.17–$425.90	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc us abdomen limited	$177.60	$296.00	$85.17–$425.90	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc us extremity nonvas limited	$150.00	$250.00	$85.17–$147.77	24% below	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/nonvasc xtr strux	$150.00	$250.00	$85.17–$147.77	24% below	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us lmtd jt/nonvasc xtr strux	$150.00	$250.00	$85.17–$147.77	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc us extremity nonvas limited	$150.00	$250.00	$85.17–$147.77	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc ct thorax lung cancer screen wo contrast	$133.80	$223.00	$63.23–$167.25	25% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c-	$133.80	$223.00	$63.23–$167.25	25% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c-	$133.80	$223.00	$63.23–$167.25	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc ct thorax lung cancer screen wo contrast	$133.80	$223.00	$63.23–$167.25	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg	$111.00	$185.00	$63.23–$122.35	11% below	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc tibia and fibula 2 view	$111.00	$185.00	$63.23–$122.35	11% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc tibia and fibula 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray exam of lower leg	$111.00	$185.00	$63.23–$122.35	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 Hc mra head w/o contrast	$716.40	$1,194.00	$179.87–$750.74	37% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye	$716.40	$1,194.00	$179.87–$750.74	37% below	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr angiography head w/o dye	$716.40	$1,194.00	$179.87–$750.74	—	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc mra head w/o contrast	$716.40	$1,194.00	$179.87–$750.74	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri breast c-+ w/cad bi	$487.76	$812.93	$318.82–$609.70	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hc mri breast w or w/o contrst bilat w/cad	$487.76	$812.93	$318.82–$609.70	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri breast c-+ w/cad bi	$487.76	$812.93	$318.82–$609.70	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hc mri breast w or w/o contrst bilat w/cad	$487.76	$812.93	$318.82–$609.70	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye	$740.40	$1,234.00	$179.87–$750.74	34% below	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc mri low ext joint w/o contrast	$740.40	$1,234.00	$179.87–$750.74	34% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc mri low ext joint w/o contrast	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc mri lower ext joint w/wo contrast	$858.00	$1,430.00	$287.72–$1,187.85	48% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye	$858.00	$1,430.00	$287.72–$1,187.85	48% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc mri lower ext joint w/wo contrast	$858.00	$1,430.00	$287.72–$1,187.85	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye	$858.00	$1,430.00	$287.72–$1,187.85	—	40%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye	$807.90	$1,346.50	$179.87–$750.74	41% below	40%
MRI of the abdomen without contrast CPT 74181 Hc mri abdomen w/o contrast	$807.90	$1,346.50	$179.87–$750.74	41% below	40%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye	$807.90	$1,346.50	$179.87–$750.74	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 Hc mri abdomen w/o contrast	$807.90	$1,346.50	$179.87–$750.74	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc mri abdomen w/wo contrast	$990.00	$1,650.00	$287.72–$1,187.85	49% below	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye	$990.00	$1,650.00	$287.72–$1,187.85	49% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc mri abdomen w/wo contrast	$990.00	$1,650.00	$287.72–$1,187.85	—	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye	$990.00	$1,650.00	$287.72–$1,187.85	—	40%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye	$740.40	$1,234.00	$179.87–$750.74	45% below	40%
MRI of the brain, no contrast dye CPT 70551 Hc mri brain w/o contrast	$740.40	$1,234.00	$179.87–$750.74	45% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 Hc mri brain w/o contrast	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye	$1,161.90	$1,936.50	$287.72–$1,187.85	44% below	40%
MRI of the brain, with and without contrast dye CPT 70553 Hc mri brain w/wo contrast	$1,161.90	$1,936.50	$287.72–$1,187.85	44% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye	$1,161.90	$1,936.50	$287.72–$1,187.85	—	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc mri brain w/wo contrast	$1,161.90	$1,936.50	$287.72–$1,187.85	—	40%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye	$774.30	$1,290.50	$179.87–$750.74	40% below	40%
MRI of the lower back, no contrast dye CPT 72148 Hc mri spine lumbar w/o contrast	$774.30	$1,290.50	$179.87–$750.74	40% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc mri spine lumbar w/o contrast	$774.30	$1,290.50	$179.87–$750.74	—	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye	$774.30	$1,290.50	$179.87–$750.74	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 Hc mri spine lumbar w/wo contrast	$1,235.70	$2,059.50	$287.72–$1,187.85	36% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye	$1,235.70	$2,059.50	$287.72–$1,187.85	36% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc mri spine lumbar w/wo contrast	$1,235.70	$2,059.50	$287.72–$1,187.85	—	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye	$1,235.70	$2,059.50	$287.72–$1,187.85	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye	$774.30	$1,290.50	$179.87–$750.74	43% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc mri spine thoracic w/o contrast	$774.30	$1,290.50	$179.87–$750.74	43% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye	$774.30	$1,290.50	$179.87–$750.74	—	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc mri spine thoracic w/o contrast	$774.30	$1,290.50	$179.87–$750.74	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc mri spine cervical w/wo contrast	$1,287.90	$2,146.50	$287.72–$1,187.85	31% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye	$1,287.90	$2,146.50	$287.72–$1,187.85	31% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye	$1,287.90	$2,146.50	$287.72–$1,187.85	—	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc mri spine cervical w/wo contrast	$1,287.90	$2,146.50	$287.72–$1,187.85	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye	$740.40	$1,234.00	$179.87–$750.74	42% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc mri spine cervical w/o contast	$740.40	$1,234.00	$179.87–$750.74	42% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc mri spine cervical w/o contast	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of the pelvis without and with contrast CPT 72197 Hc mri pelvis w/wo contrast	$858.00	$1,430.00	$287.72–$1,187.85	51% below	40%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye	$858.00	$1,430.00	$287.72–$1,187.85	51% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc mri pelvis w/wo contrast	$858.00	$1,430.00	$287.72–$1,187.85	—	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye	$858.00	$1,430.00	$287.72–$1,187.85	—	40%
MRI of the pelvis, no contrast dye CPT 72195 Hc mri pelvis w/o contrast	$757.50	$1,262.50	$179.87–$750.74	34% below	40%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye	$757.50	$1,262.50	$179.87–$750.74	34% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc mri pelvis w/o contrast	$757.50	$1,262.50	$179.87–$750.74	—	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye	$757.50	$1,262.50	$179.87–$750.74	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye	$740.40	$1,234.00	$179.87–$750.74	37% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc mri any jt upper extremity w/o contrast matrl	$740.40	$1,234.00	$179.87–$750.74	37% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc mri any jt upper extremity w/o contrast matrl	$740.40	$1,234.00	$179.87–$750.74	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye	$740.40	$1,234.00	$179.87–$750.74	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc spine cervical 4 or 5 view	$198.30	$330.50	$85.17–$151.04	4% above	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws	$198.30	$330.50	$85.17–$151.04	4% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray exam neck spine 4/5vws	$198.30	$330.50	$85.17–$151.04	—	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc spine cervical 4 or 5 view	$198.30	$330.50	$85.17–$151.04	—	40%
Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye	$666.90	$1,111.50	$139.56–$604.63	30% below	40%
Neck soft tissue CT scan with contrast CPT 70491 Hc ct neck w/contrast	$666.90	$1,111.50	$139.56–$604.63	30% below	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc ct neck w/contrast	$666.90	$1,111.50	$139.56–$604.63	—	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/dye	$666.90	$1,111.50	$139.56–$604.63	—	40%
Neck soft tissue CT scan without contrast CPT 70490 Hc ct neck w/o contrast	$639.60	$1,066.00	$85.17–$312.03	18% below	40%
Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye	$639.60	$1,066.00	$85.17–$312.03	18% below	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc ct neck w/o contrast	$639.60	$1,066.00	$85.17–$312.03	—	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o dye	$639.60	$1,066.00	$85.17–$312.03	—	40%
Neck soft tissue X-ray CPT 70360 Hc neck soft tissue	$116.10	$193.50	$63.23–$122.35	8% above	40%
Neck soft tissue X-ray CPT 70360 X-ray exam of neck	$116.10	$193.50	$63.23–$122.35	8% above	40%
Neck soft tissue X-ray inpatient CPT 70360 X-ray exam of neck	$116.10	$193.50	$63.23–$122.35	—	40%
Neck soft tissue X-ray inpatient CPT 70360 Hc neck soft tissue	$116.10	$193.50	$63.23–$122.35	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult	$1,920.00	$3,200.00	$1,020.72–$2,400.00	at median	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc mycardial perfusion multi stdy	$1,920.00	$3,200.00	$1,020.72–$2,400.00	at median	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult	$1,920.00	$3,200.00	$1,020.72–$2,400.00	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc mycardial perfusion multi stdy	$1,920.00	$3,200.00	$1,020.72–$2,400.00	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet image w/ct skull-thigh	$2,172.00	$3,620.00	$1,157.03–$2,715.00	27% below	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc pet w/ct skull base to mid thigh pi	$2,172.00	$3,620.00	$1,157.03–$2,715.00	27% below	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc pet w/ct skull base to mid thigh pi	$2,172.00	$3,620.00	$1,157.03–$2,715.00	—	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet image w/ct skull-thigh	$2,172.00	$3,620.00	$1,157.03–$2,715.00	—	40%
Pelvic CT scan without contrast CPT 72192 Hc ct pelvis w/o contrast	$576.60	$961.00	$85.17–$312.03	29% below	40%
Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye	$576.60	$961.00	$85.17–$312.03	29% below	40%
Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o dye	$576.60	$961.00	$85.17–$312.03	—	40%
Pelvic CT scan without contrast inpatient CPT 72192 Hc ct pelvis w/o contrast	$576.60	$961.00	$85.17–$312.03	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc us pelvic limited	$147.00	$245.00	$85.17–$425.90	30% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited	$147.00	$245.00	$85.17–$425.90	30% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited	$147.00	$245.00	$85.17–$425.90	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc us pelvic limited	$147.00	$245.00	$85.17–$425.90	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc us pelvic complete	$223.50	$372.50	$85.17–$425.90	26% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete	$223.50	$372.50	$85.17–$425.90	26% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc us pelvic complete	$223.50	$372.50	$85.17–$425.90	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete	$223.50	$372.50	$85.17–$425.90	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus	$203.40	$339.00	$85.17–$254.25	41% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc us ob >14 wks single fetus	$203.40	$339.00	$85.17–$254.25	41% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus	$203.40	$339.00	$85.17–$254.25	—	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc us ob >14 wks single fetus	$203.40	$339.00	$85.17–$254.25	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus	$203.40	$339.00	$85.17–$254.25	33% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc us ob <14 wks single fetus	$203.40	$339.00	$85.17–$254.25	33% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc us ob <14 wks single fetus	$203.40	$339.00	$85.17–$254.25	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus	$203.40	$339.00	$85.17–$254.25	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s)	$139.20	$232.00	$85.17–$230.37	34% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc us ob limited 1 or > fetus	$139.20	$232.00	$85.17–$230.37	34% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s)	$139.20	$232.00	$85.17–$230.37	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc us ob limited 1 or > fetus	$139.20	$232.00	$85.17–$230.37	—	40%
Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views	$139.20	$232.00	$63.23–$122.35	14% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 Hc ribs unilateral 2 view	$139.20	$232.00	$63.23–$122.35	14% above	40%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray exam ribs uni 2 views	$139.20	$232.00	$63.23–$122.35	—	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc ribs unilateral 2 view	$139.20	$232.00	$63.23–$122.35	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc ribs unilateral min 3 view	$136.80	$228.00	$85.17–$151.04	13% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest	$136.80	$228.00	$85.17–$151.04	13% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-ray exam unilat ribs/chest	$136.80	$228.00	$85.17–$151.04	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc ribs unilateral min 3 view	$136.80	$228.00	$85.17–$151.04	—	40%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad	$223.80	$373.00	$100.04–$165.51	—	40%
Screening mammogram, both breasts CPT 77067 Hc screen mammo incl cad	$223.80	$373.00	$100.04–$165.51	30% above	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad	$223.80	$373.00	$100.04–$165.51	—	40%
Screening mammogram, both breasts inpatient CPT 77067 Hc screen mammo incl cad	$223.80	$373.00	$100.04–$165.51	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc shoulder complete min 2 view	$108.90	$181.50	$63.23–$122.35	20% below	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder	$108.90	$181.50	$63.23–$122.35	20% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc shoulder complete min 2 view	$108.90	$181.50	$63.23–$122.35	—	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder	$108.90	$181.50	$63.23–$122.35	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 Hc sinuses paransl comp min 3 view	$162.30	$270.50	$63.23–$122.35	14% above	40%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses	$162.30	$270.50	$63.23–$122.35	14% above	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray exam of sinuses	$162.30	$270.50	$63.23–$122.35	—	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc sinuses paransl comp min 3 view	$162.30	$270.50	$63.23–$122.35	—	40%
Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull	$168.60	$281.00	$85.17–$151.04	22% above	40%
Skull X-ray, fewer than 4 views CPT 70250 Hc skull < 4 views	$168.60	$281.00	$85.17–$151.04	22% above	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray exam of skull	$168.60	$281.00	$85.17–$151.04	—	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc skull < 4 views	$168.60	$281.00	$85.17–$151.04	—	40%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param	$1,593.90	$2,656.50	$718.93–$1,992.38	24% above	40%
Sleep study in a lab (polysomnography) CPT 95810 Hc polysom >6 yrs >4 paramtr	$1,593.90	$2,656.50	$718.93–$1,992.38	24% above	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc polysom >6 yrs >4 paramtr	$1,593.90	$2,656.50	$718.93–$1,992.38	—	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param	$1,593.90	$2,656.50	$718.93–$1,992.38	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress tte complete	$642.60	$1,071.00	$377.42–$803.25	24% above	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc echo tthrc r-t 2d w/wo m-mode rest&strs cont ecg	$642.60	$1,071.00	$377.42–$803.25	24% above	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress tte complete	$642.60	$1,071.00	$377.42–$803.25	—	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc echo tthrc r-t 2d w/wo m-mode rest&strs cont ecg	$642.60	$1,071.00	$377.42–$803.25	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc swallowing function with video	$360.60	$601.00	$139.56–$247.37	50% above	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+	$360.60	$601.00	$139.56–$247.37	50% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc swallowing function with video	$360.60	$601.00	$139.56–$247.37	—	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+	$360.60	$601.00	$139.56–$247.37	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/>	$111.00	$185.00	$63.23–$122.35	8% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc xray femur min 2 views	$111.00	$185.00	$63.23–$122.35	8% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray exam of femur 2/>	$111.00	$185.00	$63.23–$122.35	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc xray femur min 2 views	$111.00	$185.00	$63.23–$122.35	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc ct spine thoracic w/o contrast	$594.90	$991.50	$85.17–$312.03	33% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye	$594.90	$991.50	$85.17–$312.03	33% below	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc ct spine thoracic w/o contrast	$594.90	$991.50	$85.17–$312.03	—	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct chest spine w/o dye	$594.90	$991.50	$85.17–$312.03	—	40%
Toe X-ray, 2 or more views CPT 73660 Hc toe min 2 view	$111.00	$185.00	$63.23–$122.35	at median	40%
Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s)	$111.00	$185.00	$63.23–$122.35	at median	40%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray exam of toe(s)	$111.00	$185.00	$63.23–$122.35	—	40%
Toe X-ray, 2 or more views inpatient CPT 73660 Hc toe min 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
Transvaginal pelvic ultrasound CPT 76830 Hc us transvaginal	$223.50	$372.50	$85.17–$279.38	26% below	40%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob	$223.50	$372.50	$85.17–$279.38	26% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob	$223.50	$372.50	$85.17–$279.38	—	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc us transvaginal	$223.50	$372.50	$85.17–$279.38	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 Hc us ob transvaginal	$223.50	$372.50	$85.17–$230.37	17% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric	$223.50	$372.50	$85.17–$230.37	17% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc us ob transvaginal	$223.50	$372.50	$85.17–$230.37	—	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric	$223.50	$372.50	$85.17–$230.37	—	40%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete	$325.20	$542.00	$85.17–$425.90	16% below	40%
Ultrasound of the abdomen, complete CPT 76700 Hs us addomen complete	$325.20	$542.00	$85.17–$425.90	16% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hs us addomen complete	$325.20	$542.00	$85.17–$425.90	—	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete	$325.20	$542.00	$85.17–$425.90	—	40%
Ultrasound of the scrotum and testicles CPT 76870 Hc us scrotum	$151.50	$252.50	$85.17–$230.37	44% below	40%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum	$151.50	$252.50	$85.17–$230.37	44% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc us scrotum	$151.50	$252.50	$85.17–$230.37	—	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum	$151.50	$252.50	$85.17–$230.37	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck	$183.00	$305.00	$85.17–$230.37	33% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc us soft tissue head/neck/thyroid	$183.00	$305.00	$85.17–$230.37	33% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc us soft tissue head/neck/thyroid	$183.00	$305.00	$85.17–$230.37	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck	$183.00	$305.00	$85.17–$230.37	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst	$251.70	$419.50	$139.56–$247.37	12% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc upper gi tract w/o kub	$251.70	$419.50	$139.56–$247.37	12% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc upper gi tract w/o kub	$251.70	$419.50	$139.56–$247.37	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst	$251.70	$419.50	$139.56–$247.37	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 Hc humerus min 2 view	$81.90	$136.50	$63.23–$122.35	32% below	40%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus	$81.90	$136.50	$63.23–$122.35	32% below	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc humerus min 2 view	$81.90	$136.50	$63.23–$122.35	—	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray exam of humerus	$81.90	$136.50	$63.23–$122.35	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study	$256.20	$427.00	$85.17–$320.25	23% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc duplex scan ext vein unilat/limited	$256.20	$427.00	$85.17–$320.25	23% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study	$256.20	$427.00	$85.17–$320.25	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc duplex scan ext vein unilat/limited	$256.20	$427.00	$85.17–$320.25	—	40%
Wrist X-ray, 2 views CPT 73100 Hc wrist 2 view	$111.00	$185.00	$63.23–$122.35	5% below	40%
Wrist X-ray, 2 views CPT 73100 X-ray exam of wrist	$111.00	$185.00	$63.23–$122.35	5% below	40%
Wrist X-ray, 2 views inpatient CPT 73100 X-ray exam of wrist	$111.00	$185.00	$63.23–$122.35	—	40%
Wrist X-ray, 2 views inpatient CPT 73100 Hc wrist 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 Hc wrist complete min 3 view	$81.90	$136.50	$63.23–$122.35	33% below	40%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist	$81.90	$136.50	$63.23–$122.35	33% below	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc wrist complete min 3 view	$81.90	$136.50	$63.23–$122.35	—	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist	$81.90	$136.50	$63.23–$122.35	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc xray hip unil 2-3 views	$111.00	$185.00	$63.23–$122.35	6% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views	$111.00	$185.00	$63.23–$122.35	6% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc xray hip unil 2-3 views	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the abdomen, 1 view CPT 74018 Hc xray abdomen 1 view	$114.30	$190.50	$63.23–$122.35	11% below	40%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view	$114.30	$190.50	$63.23–$122.35	11% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view	$114.30	$190.50	$63.23–$122.35	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc xray abdomen 1 view	$114.30	$190.50	$63.23–$122.35	—	40%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle	$111.00	$185.00	$63.23–$122.35	3% below	40%
X-ray of the ankle, 2 views CPT 73600 Hc ankle 2 view	$111.00	$185.00	$63.23–$122.35	3% below	40%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the ankle, 2 views inpatient CPT 73600 Hc ankle 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s)	$73.50	$122.50	$63.23–$122.35	32% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 Hc finger min 2 view	$73.50	$122.50	$63.23–$122.35	32% below	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc finger min 2 view	$73.50	$122.50	$63.23–$122.35	—	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s)	$73.50	$122.50	$63.23–$122.35	—	40%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot	$111.00	$185.00	$63.23–$122.35	1% below	40%
X-ray of the foot, 2 views CPT 73620 Hc foot 2 view	$111.00	$185.00	$63.23–$122.35	1% below	40%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the foot, 2 views inpatient CPT 73620 Hc foot 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot	$111.00	$185.00	$63.23–$122.35	9% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 Hc foot complete min 3 view	$111.00	$185.00	$63.23–$122.35	9% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc foot complete min 3 view	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the hand, 3 or more views CPT 73130 Hc hand min 3 view	$81.90	$136.50	$63.23–$122.35	34% below	40%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand	$81.90	$136.50	$63.23–$122.35	34% below	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand	$81.90	$136.50	$63.23–$122.35	—	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc hand min 3 view	$81.90	$136.50	$63.23–$122.35	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 Hc knee 1 or 2 view	$111.00	$185.00	$63.23–$122.35	8% below	40%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2	$111.00	$185.00	$63.23–$122.35	8% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc knee 1 or 2 view	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2	$111.00	$185.00	$63.23–$122.35	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws	$133.80	$223.00	$85.17–$151.04	5% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc spine lumbosacral 2 or 3 view	$133.80	$223.00	$85.17–$151.04	5% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc spine lumbosacral 2 or 3 view	$133.80	$223.00	$85.17–$151.04	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws	$133.80	$223.00	$85.17–$151.04	—	40%
X-ray of the lower back, 4 or more views CPT 72110 Hc spine lumbosacral min 4 view	$133.80	$223.00	$85.17–$151.04	35% below	40%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws	$133.80	$223.00	$85.17–$151.04	35% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws	$133.80	$223.00	$85.17–$151.04	—	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc spine lumbosacral min 4 view	$133.80	$223.00	$85.17–$151.04	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws	$136.80	$228.00	$85.17–$151.04	6% above	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc spine thoracic 2 view	$136.80	$228.00	$85.17–$151.04	6% above	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws	$136.80	$228.00	$85.17–$151.04	—	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc spine thoracic 2 view	$136.80	$228.00	$85.17–$151.04	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones	$116.10	$193.50	$63.23–$122.35	15% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 Hc nasal complete min 3 views	$116.10	$193.50	$63.23–$122.35	15% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc nasal complete min 3 views	$116.10	$193.50	$63.23–$122.35	—	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones	$116.10	$193.50	$63.23–$122.35	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw	$169.50	$282.50	$63.23–$151.04	24% above	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc spine cervical 2 or 3 view	$169.50	$282.50	$63.23–$151.04	24% above	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc spine cervical 2 or 3 view	$169.50	$282.50	$63.23–$151.04	—	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw	$169.50	$282.50	$63.23–$151.04	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis	$118.80	$198.00	$85.17–$151.04	12% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc pelvis 1 or 2 view	$118.80	$198.00	$85.17–$151.04	12% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis	$118.80	$198.00	$85.17–$151.04	—	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc pelvis 1 or 2 view	$118.80	$198.00	$85.17–$151.04	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc sacrum coccyx min 2 view	$112.50	$187.50	$63.23–$122.35	16% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone	$112.50	$187.50	$63.23–$122.35	16% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc sacrum coccyx min 2 view	$112.50	$187.50	$63.23–$122.35	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone	$112.50	$187.50	$63.23–$122.35	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
ACTH blood test CPT 82024 Assay of acth	$111.00	$185.00	$34.76–$57.87	20% below	40%
ACTH blood test CPT 82024 Hc acth	$111.00	$185.00	$34.76–$57.87	20% below	40%
ACTH blood test inpatient CPT 82024 Hc acth	$111.00	$185.00	$34.76–$57.87	—	40%
ACTH blood test inpatient CPT 82024 Assay of acth	$111.00	$185.00	$34.76–$57.87	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt)	$27.60	$46.00	$4.77–$7.94	1% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc transferace alt sgpt	$27.60	$46.00	$4.77–$7.94	1% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc transferace alt sgpt	$27.60	$46.00	$4.77–$7.94	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt)	$27.60	$46.00	$4.77–$7.94	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot)	$27.60	$46.00	$4.66–$7.76	1% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc transferase ast sgot	$27.60	$46.00	$4.66–$7.76	1% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot)	$27.60	$46.00	$4.66–$7.76	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc transferase ast sgot	$27.60	$46.00	$4.66–$7.76	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$130.80	$218.00	$42.87–$61.69	9% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc acute hepatitis panel	$130.80	$218.00	$42.87–$61.69	9% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc acute hepatitis panel	$130.80	$218.00	$42.87–$61.69	—	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$130.80	$218.00	$42.87–$61.69	—	40%
Albumin blood test CPT 82040 Hc albumin serum/plasma/wb	$26.10	$43.50	$4.46–$7.41	12% below	40%
Albumin blood test CPT 82040 Assay of serum albumin	$26.10	$43.50	$4.46–$7.41	12% below	40%
Albumin blood test inpatient CPT 82040 Hc albumin serum/plasma/wb	$26.10	$43.50	$4.46–$7.41	—	40%
Albumin blood test inpatient CPT 82040 Assay of serum albumin	$26.10	$43.50	$4.46–$7.41	—	40%
Aldosterone blood test CPT 82088 Hc adosterone urine	$122.40	$204.00	$36.68–$61.06	11% above	40%
Aldosterone blood test CPT 82088 Assay of aldosterone	$122.40	$204.00	$36.68–$61.06	11% above	40%
Aldosterone blood test inpatient CPT 82088 Assay of aldosterone	$122.40	$204.00	$36.68–$61.06	—	40%
Aldosterone blood test inpatient CPT 82088 Hc adosterone urine	$122.40	$204.00	$36.68–$61.06	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 Hc total alkaline phosphatase alk phos frac	$30.00	$50.00	$4.66–$7.76	at median	40%
Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase	$30.00	$50.00	$4.66–$7.76	at median	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay alkaline phosphatase	$30.00	$50.00	$4.66–$7.76	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc total alkaline phosphatase alk phos frac	$30.00	$50.00	$4.66–$7.76	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea	$67.27	$112.12	$4.70–$7.82	426% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc allergy carmine/red dye (mfcrde)	$67.27	$112.12	$4.70–$7.82	426% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea	$67.27	$112.12	$4.70–$7.82	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc allergy carmine/red dye (mfcrde)	$67.27	$112.12	$4.70–$7.82	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein serum	$54.60	$91.00	$8.99–$16.60	8% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc alpha feto protein serum	$54.60	$91.00	$8.99–$16.60	8% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein serum	$54.60	$91.00	$8.99–$16.60	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc alpha feto protein serum	$54.60	$91.00	$8.99–$16.60	—	40%
Ammonia blood test CPT 82140 Hc ammonia (mayo)	$157.96	$263.27	$13.11–$18.29	115% above	40%
Ammonia blood test CPT 82140 Assay of ammonia	$157.96	$263.27	$13.11–$18.29	115% above	40%
Ammonia blood test inpatient CPT 82140 Assay of ammonia	$157.96	$263.27	$13.11–$18.29	—	40%
Ammonia blood test inpatient CPT 82140 Hc ammonia (mayo)	$157.96	$263.27	$13.11–$18.29	—	40%
Amylase blood test CPT 82150 Hc amylase fluid	$66.72	$111.20	$5.83–$9.71	66% above	40%
Amylase blood test CPT 82150 Assay of amylase	$66.72	$111.20	$5.83–$9.71	66% above	40%
Amylase blood test inpatient CPT 82150 Assay of amylase	$66.72	$111.20	$5.83–$9.71	—	40%
Amylase blood test inpatient CPT 82150 Hc amylase fluid	$66.72	$111.20	$5.83–$9.71	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc ccp antibody	$48.00	$80.00	$11.66–$19.39	5% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody	$48.00	$80.00	$11.66–$19.39	5% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc ccp antibody	$48.00	$80.00	$11.66–$19.39	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody	$48.00	$80.00	$11.66–$19.39	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc antinuclear ab ana	$51.90	$86.50	$10.88–$14.38	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies	$51.90	$86.50	$10.88–$14.38	14% below	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies	$51.90	$86.50	$10.88–$14.38	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc antinuclear ab ana	$51.90	$86.50	$10.88–$14.38	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide	$74.10	$123.50	$35.33–$50.86	30% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc natriuretic peptide	$74.10	$123.50	$35.33–$50.86	30% below	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc natriuretic peptide	$74.10	$123.50	$35.33–$50.86	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide	$74.10	$123.50	$35.33–$50.86	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic	$60.00	$100.00	$7.76–$12.91	13% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc culture bone marrrow	$60.00	$100.00	$7.76–$12.91	13% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture othr specimn aerobic	$60.00	$100.00	$7.76–$12.91	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc culture bone marrrow	$60.00	$100.00	$7.76–$12.91	—	40%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca	$69.60	$116.00	$7.61–$12.67	22% above	40%
Basic metabolic panel (blood test) CPT 80048 Hc basic metabolic panel	$69.60	$116.00	$7.61–$12.67	22% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 Hc basic metabolic panel	$69.60	$116.00	$7.61–$12.67	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca	$69.60	$116.00	$7.61–$12.67	—	40%
Bilirubin blood test, total CPT 82247 Hc bilirubin total	$27.00	$45.00	$4.52–$7.51	14% above	40%
Bilirubin blood test, total CPT 82247 Bilirubin total	$27.00	$45.00	$4.52–$7.51	14% above	40%
Bilirubin blood test, total inpatient CPT 82247 Hc bilirubin total	$27.00	$45.00	$4.52–$7.51	—	40%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin total	$27.00	$45.00	$4.52–$7.51	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist	$30.08	$50.14	$38.89–$74.24	62% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc surg path level iv	$30.08	$50.14	$38.89–$74.24	62% below	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist	$30.08	$50.14	$38.89–$74.24	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc surg path level iv	$30.08	$50.14	$38.89–$74.24	—	40%
Blood culture for bacteria CPT 87040 Hc cult blood pediatric	$60.00	$100.00	$9.29–$15.48	33% below	40%
Blood culture for bacteria CPT 87040 Blood culture for bacteria	$60.00	$100.00	$9.29–$15.48	33% below	40%
Blood culture for bacteria inpatient CPT 87040 Hc cult blood pediatric	$60.00	$100.00	$9.29–$15.48	—	40%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria	$60.00	$100.00	$9.29–$15.48	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture	$9.00	$15.00	$2.70–$4.00	12% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc venipuncture	$9.00	$15.00	$2.70–$4.00	12% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc venipuncture	$9.00	$15.00	$2.70–$4.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture	$9.00	$15.00	$2.70–$4.00	—	40%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant	$32.40	$54.00	$3.54–$5.93	18% above	40%
Blood glucose (sugar) test CPT 82947 Hc glucose blood quan	$32.40	$54.00	$3.54–$5.93	18% above	40%
Blood glucose (sugar) test inpatient CPT 82947 Hc glucose blood quan	$32.40	$54.00	$3.54–$5.93	—	40%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant	$32.40	$54.00	$3.54–$5.93	—	40%
Blood lead test CPT 83655 Assay of lead	$36.90	$61.50	$10.90–$18.14	11% below	40%
Blood lead test CPT 83655 Hc lead	$36.90	$61.50	$10.90–$18.14	11% below	40%
Blood lead test inpatient CPT 83655 Assay of lead	$36.90	$61.50	$10.90–$18.14	—	40%
Blood lead test inpatient CPT 83655 Hc lead	$36.90	$61.50	$10.90–$18.14	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc pregnancy test serum	$39.00	$65.00	$6.77–$11.26	15% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay	$39.00	$65.00	$6.77–$11.26	15% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc pregnancy test serum	$39.00	$65.00	$6.77–$11.26	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay	$39.00	$65.00	$6.77–$11.26	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo	$100.76	$167.93	$59.98–$179.12	87% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc blood typing serologic abo	$100.76	$167.93	$59.98–$179.12	87% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo	$100.76	$167.93	$59.98–$179.12	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc blood typing serologic abo	$100.76	$167.93	$59.98–$179.12	—	40%
Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen	$28.20	$47.00	$3.56–$5.92	7% below	40%
Blood urea nitrogen (BUN) test CPT 84520 Hc urea nitrogen quan	$28.20	$47.00	$3.56–$5.92	7% below	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc urea nitrogen quan	$28.20	$47.00	$3.56–$5.92	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of urea nitrogen	$28.20	$47.00	$3.56–$5.92	—	40%
C-peptide blood test CPT 84681 Assay of c-peptide	$63.60	$106.00	$18.73–$30.97	15% below	40%
C-peptide blood test CPT 84681 Hc c-peptide	$63.60	$106.00	$18.73–$30.97	15% below	40%
C-peptide blood test inpatient CPT 84681 Hc c-peptide	$63.60	$106.00	$18.73–$30.97	—	40%
C-peptide blood test inpatient CPT 84681 Assay of c-peptide	$63.60	$106.00	$18.73–$30.97	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein	$46.80	$78.00	$4.66–$6.96	46% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc c reactive protein	$46.80	$78.00	$4.66–$6.96	46% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc c reactive protein	$46.80	$78.00	$4.66–$6.96	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein	$46.80	$78.00	$4.66–$6.96	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 Hc c diff toxin b by pcr	$68.28	$113.80	$33.54–$52.58	23% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe	$68.28	$113.80	$33.54–$52.58	23% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc c diff toxin b by pcr	$68.28	$113.80	$33.54–$52.58	—	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe	$68.28	$113.80	$33.54–$52.58	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 Hc ia quant ca 19-9	$71.40	$119.00	$18.73–$23.55	at median	40%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9	$71.40	$119.00	$18.73–$23.55	at median	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc ia quant ca 19-9	$71.40	$119.00	$18.73–$23.55	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9	$71.40	$119.00	$18.73–$23.55	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc ia quant ca 125	$75.30	$125.50	$18.73–$23.55	6% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125	$75.30	$125.50	$18.73–$23.55	6% below	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125	$75.30	$125.50	$18.73–$23.55	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc ia quant ca 125	$75.30	$125.50	$18.73–$23.55	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc sars-cov-2 rna from combo genexpert	$92.40	$154.00	$46.20–$115.50	107% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb	$92.40	$154.00	$46.20–$115.50	107% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb	$92.40	$154.00	$46.20–$115.50	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc sars-cov-2 rna from combo genexpert	$92.40	$154.00	$46.20–$115.50	—	40%
Calcium blood test, total CPT 82310 Assay of calcium	$28.20	$47.00	$4.64–$7.73	at median	40%
Calcium blood test, total CPT 82310 Hc calcium serum	$28.20	$47.00	$4.64–$7.73	at median	40%
Calcium blood test, total inpatient CPT 82310 Hc calcium serum	$28.20	$47.00	$4.64–$7.73	—	40%
Calcium blood test, total inpatient CPT 82310 Assay of calcium	$28.20	$47.00	$4.64–$7.73	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen	$63.00	$105.00	$17.06–$28.42	35% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 Hc cea plasma	$63.00	$105.00	$17.06–$28.42	35% below	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc cea plasma	$63.00	$105.00	$17.06–$28.42	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen	$63.00	$105.00	$17.06–$28.42	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster antibody	$57.30	$95.50	$11.59–$19.31	6% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 Hc varicella zoster ab	$57.30	$95.50	$11.59–$19.31	6% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-zoster antibody	$57.30	$95.50	$11.59–$19.31	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc varicella zoster ab	$57.30	$95.50	$11.59–$19.31	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc c. trach misc amp rna	$63.16	$105.27	$31.58–$52.58	6% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe	$63.16	$105.27	$31.58–$52.58	6% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe	$63.16	$105.27	$31.58–$52.58	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc c. trach misc amp rna	$63.16	$105.27	$31.58–$52.58	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel	$84.00	$140.00	$12.05–$20.22	53% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc lipid panel	$84.00	$140.00	$12.05–$20.22	53% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel	$84.00	$140.00	$12.05–$20.22	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc lipid panel	$84.00	$140.00	$12.05–$20.22	—	40%
Complete blood count (CBC) with differential CPT 85025 Hc compl cbc w/plt w/auto diff	$44.40	$74.00	$6.99–$11.65	13% above	40%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc	$44.40	$74.00	$6.99–$11.65	13% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 Hc compl cbc w/plt w/auto diff	$44.40	$74.00	$6.99–$11.65	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc	$44.40	$74.00	$6.99–$11.65	—	40%
Complete blood count (CBC), no differential CPT 85027 Complete cbc automated	$40.80	$68.00	$5.82–$9.69	16% above	40%
Complete blood count (CBC), no differential CPT 85027 Hc compl autom cbc w/plt	$40.80	$68.00	$5.82–$9.69	16% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 Hc compl autom cbc w/plt	$40.80	$68.00	$5.82–$9.69	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated	$40.80	$68.00	$5.82–$9.69	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel	$108.00	$180.00	$9.50–$15.83	30% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 Hc client custom chem 24	$108.00	$180.00	$9.50–$15.83	30% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel	$108.00	$180.00	$9.50–$15.83	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc client custom chem 24	$108.00	$180.00	$9.50–$15.83	—	40%
Cortisol blood test, total CPT 82533 Total cortisol	$123.00	$205.00	$14.67–$24.43	132% above	40%
Cortisol blood test, total CPT 82533 Hc cortisol serum	$123.00	$205.00	$14.67–$24.43	132% above	40%
Cortisol blood test, total inpatient CPT 82533 Total cortisol	$123.00	$205.00	$14.67–$24.43	—	40%
Cortisol blood test, total inpatient CPT 82533 Hc cortisol serum	$123.00	$205.00	$14.67–$24.43	—	40%
Creatine kinase (CK) blood test, total CPT 82550 Hc cpk	$36.00	$60.00	$5.86–$9.76	11% below	40%
Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk)	$36.00	$60.00	$5.86–$9.76	11% below	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc cpk	$36.00	$60.00	$5.86–$9.76	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of ck (cpk)	$36.00	$60.00	$5.86–$9.76	—	40%
Creatinine blood test CPT 82565 Assay of creatinine	$28.20	$47.00	$4.61–$7.68	4% below	40%
Creatinine blood test CPT 82565 Hc creatinine serum	$28.20	$47.00	$4.61–$7.68	4% below	40%
Creatinine blood test inpatient CPT 82565 Assay of creatinine	$28.20	$47.00	$4.61–$7.68	—	40%
Creatinine blood test inpatient CPT 82565 Hc creatinine serum	$28.20	$47.00	$4.61–$7.68	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv antibody	$35.28	$58.80	$12.95–$21.57	19% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc cytomegalovirus cmv	$35.28	$58.80	$12.95–$21.57	19% below	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc cytomegalovirus cmv	$35.28	$58.80	$12.95–$21.57	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv antibody	$35.28	$58.80	$12.95–$21.57	—	40%
D-dimer blood test (blood clot marker) CPT 85379 Hc d-dimer p	$79.04	$131.74	$8.99–$10.08	26% above	40%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant	$79.04	$131.74	$8.99–$10.08	26% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc d-dimer p	$79.04	$131.74	$8.99–$10.08	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant	$79.04	$131.74	$8.99–$10.08	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc dhea-s	$67.20	$112.00	$20.01–$33.32	21% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone	$67.20	$112.00	$20.01–$33.32	21% below	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc dhea-s	$67.20	$112.00	$20.01–$33.32	—	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone	$67.20	$112.00	$20.01–$33.32	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test prsmv chem anlyzr	$192.00	$320.00	$55.93–$87.79	249% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc fentanyl screen urine	$192.00	$320.00	$55.93–$87.79	249% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc fentanyl screen urine	$192.00	$320.00	$55.93–$87.79	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug test prsmv chem anlyzr	$192.00	$320.00	$55.93–$87.79	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel	$54.00	$90.00	$6.31–$10.51	12% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc electrolyte panel	$54.00	$90.00	$6.31–$10.51	12% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte panel	$54.00	$90.00	$6.31–$10.51	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc electrolyte panel	$54.00	$90.00	$6.31–$10.51	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hc ebv viral capsid vca	$32.65	$54.42	$16.33–$23.55	42% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca	$32.65	$54.42	$16.33–$23.55	42% below	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-barr capsid vca	$32.65	$54.42	$16.33–$23.55	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc ebv viral capsid vca	$32.65	$54.42	$16.33–$23.55	—	40%
Estradiol blood test CPT 82670 Hc estradiol	$81.95	$136.58	$25.15–$41.87	3% below	40%
Estradiol blood test CPT 82670 Assay of estradiol	$81.95	$136.58	$25.15–$41.87	3% below	40%
Estradiol blood test inpatient CPT 82670 Hc estradiol	$81.95	$136.58	$25.15–$41.87	—	40%
Estradiol blood test inpatient CPT 82670 Assay of estradiol	$81.95	$136.58	$25.15–$41.87	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 Hc gonadotropin fsh	$54.00	$90.00	$16.72–$27.84	29% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh)	$54.00	$90.00	$16.72–$27.84	29% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc gonadotropin fsh	$54.00	$90.00	$16.72–$27.84	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh)	$54.00	$90.00	$16.72–$27.84	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 Hc calprotectin fecal	$198.72	$331.20	$17.67–$29.41	58% above	40%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal	$198.72	$331.20	$17.67–$29.41	58% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal	$198.72	$331.20	$17.67–$29.41	—	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc calprotectin fecal	$198.72	$331.20	$17.67–$29.41	—	40%
Ferritin blood test (iron stores) CPT 82728 Assay of ferritin	$70.80	$118.00	$12.27–$20.43	4% above	40%
Ferritin blood test (iron stores) CPT 82728 Hc ferritin	$70.80	$118.00	$12.27–$20.43	4% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin	$70.80	$118.00	$12.27–$20.43	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 Hc ferritin	$70.80	$118.00	$12.27–$20.43	—	40%
Fibrinogen blood test CPT 85384 Hc fibrinogen activity	$43.50	$72.50	$8.75–$12.73	18% below	40%
Fibrinogen blood test CPT 85384 Fibrinogen activity	$43.50	$72.50	$8.75–$12.73	18% below	40%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen activity	$43.50	$72.50	$8.75–$12.73	—	40%
Fibrinogen blood test inpatient CPT 85384 Hc fibrinogen activity	$43.50	$72.50	$8.75–$12.73	—	40%
Folate (folic acid) blood test CPT 82746 Hc folic acid	$60.00	$100.00	$13.23–$18.73	13% above	40%
Folate (folic acid) blood test CPT 82746 Assay of folic acid serum	$60.00	$100.00	$13.23–$18.73	13% above	40%
Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum	$60.00	$100.00	$13.23–$18.73	—	40%
Folate (folic acid) blood test inpatient CPT 82746 Hc folic acid	$60.00	$100.00	$13.23–$18.73	—	40%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3)	$50.40	$84.00	$15.25–$25.38	5% below	40%
Free T3 thyroid hormone test CPT 84481 Hc t3 free	$50.40	$84.00	$15.25–$25.38	5% below	40%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3)	$50.40	$84.00	$15.25–$25.38	—	40%
Free T3 thyroid hormone test inpatient CPT 84481 Hc t3 free	$50.40	$84.00	$15.25–$25.38	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine	$50.40	$84.00	$8.12–$13.51	42% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc thyroxine free	$50.40	$84.00	$8.12–$13.51	42% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine	$50.40	$84.00	$8.12–$13.51	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc thyroxine free	$50.40	$84.00	$8.12–$13.51	—	40%
Free testosterone test CPT 84402 Hc free testosterone	$60.30	$100.50	$22.92–$38.16	21% below	40%
Free testosterone test CPT 84402 Assay of free testosterone	$60.30	$100.50	$22.92–$38.16	21% below	40%
Free testosterone test inpatient CPT 84402 Assay of free testosterone	$60.30	$100.50	$22.92–$38.16	—	40%
Free testosterone test inpatient CPT 84402 Hc free testosterone	$60.30	$100.50	$22.92–$38.16	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc ggt	$27.60	$46.00	$6.48–$10.79	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of ggt	$27.60	$46.00	$6.48–$10.79	5% below	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay of ggt	$27.60	$46.00	$6.48–$10.79	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc ggt	$27.60	$46.00	$6.48–$10.79	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc glucose prenatal 1 hr pp	$30.00	$50.00	$4.28–$7.17	11% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test	$30.00	$50.00	$4.28–$7.17	11% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test	$30.00	$50.00	$4.28–$7.17	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc glucose prenatal 1 hr pp	$30.00	$50.00	$4.28–$7.17	—	40%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt)	$55.50	$92.50	$11.58–$19.43	17% below	40%
Glucose tolerance test, 3 samples CPT 82951 Hc gtt 1st three specimens	$55.50	$92.50	$11.58–$19.43	17% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc gtt 1st three specimens	$55.50	$92.50	$11.58–$19.43	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt)	$55.50	$92.50	$11.58–$19.43	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob	$63.16	$105.27	$31.58–$52.58	10% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc genprobe-gc	$63.16	$105.27	$31.58–$52.58	10% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc genprobe-gc	$63.16	$105.27	$31.58–$52.58	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob	$63.16	$105.27	$31.58–$52.58	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj	$153.18	$255.30	$76.59–$120.44	23% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc quant rna pcr	$153.18	$255.30	$76.59–$120.44	23% below	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj	$153.18	$255.30	$76.59–$120.44	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc quant rna pcr	$153.18	$255.30	$76.59–$120.44	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy	$24.68	$41.13	$12.34–$20.54	40% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 Hc hiv-1 and hiv-2 single result	$24.68	$41.13	$12.34–$20.54	40% below	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy	$24.68	$41.13	$12.34–$20.54	—	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc hiv-1 and hiv-2 single result	$24.68	$41.13	$12.34–$20.54	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc hiv-1 ag w/hiv 1 & hiv 2 ab	$50.40	$84.00	$21.67–$36.08	25% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$50.40	$84.00	$21.67–$36.08	25% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab	$50.40	$84.00	$21.67–$36.08	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc hiv-1 ag w/hiv 1 & hiv 2 ab	$50.40	$84.00	$21.67–$36.08	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc glycosylated hemoglobin	$54.00	$90.00	$8.74–$14.54	18% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test	$54.00	$90.00	$8.74–$14.54	18% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test	$54.00	$90.00	$8.74–$14.54	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc glycosylated hemoglobin	$54.00	$90.00	$8.74–$14.54	—	40%
Hemoglobin blood test CPT 85018 Hc hemoglobin	$15.30	$25.50	$2.13–$3.55	6% below	40%
Hemoglobin blood test CPT 85018 Hemoglobin	$15.30	$25.50	$2.13–$3.55	6% below	40%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$15.30	$25.50	$2.13–$3.55	—	40%
Hemoglobin blood test inpatient CPT 85018 Hc hemoglobin	$15.30	$25.50	$2.13–$3.55	—	40%
Hepatitis B core antibody test (total) CPT 86704 Hep b core antibody total	$45.60	$76.00	$10.85–$17.42	3% above	40%
Hepatitis B core antibody test (total) CPT 86704 Hc hepatitis b core ab	$45.60	$76.00	$10.85–$17.42	3% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hep b core antibody total	$45.60	$76.00	$10.85–$17.42	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc hepatitis b core ab	$45.60	$76.00	$10.85–$17.42	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody	$40.50	$67.50	$9.67–$16.09	7% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc hepatitis b surface ab	$40.50	$67.50	$9.67–$16.09	7% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc hepatitis b surface ab	$40.50	$67.50	$9.67–$16.09	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody	$40.50	$67.50	$9.67–$16.09	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia	$27.60	$46.00	$9.30–$13.90	39% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc hep b surface ag	$27.60	$46.00	$9.30–$13.90	39% below	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc hep b surface ag	$27.60	$46.00	$9.30–$13.90	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia	$27.60	$46.00	$9.30–$13.90	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test	$63.60	$106.00	$12.84–$17.48	6% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 Hc hepatitis c antibody	$63.60	$106.00	$12.84–$17.48	6% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test	$63.60	$106.00	$12.84–$17.48	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc hepatitis c antibody	$63.60	$106.00	$12.84–$17.48	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj	$105.00	$175.00	$38.56–$52.59	34% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc hcv rna by pcr quantitative	$105.00	$175.00	$38.56–$52.59	34% below	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj	$105.00	$175.00	$38.56–$52.59	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc hcv rna by pcr quantitative	$105.00	$175.00	$38.56–$52.59	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 Hc herpes simplex type 1	$23.74	$39.57	$11.87–$19.77	23% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test	$23.74	$39.57	$11.87–$19.77	23% below	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test	$23.74	$39.57	$11.87–$19.77	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc herpes simplex type 1	$23.74	$39.57	$11.87–$19.77	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test	$36.00	$60.00	$17.42–$29.01	6% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 Hc herpes simplex type 2	$36.00	$60.00	$17.42–$29.01	6% below	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test	$36.00	$60.00	$17.42–$29.01	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc herpes simplex type 2	$36.00	$60.00	$17.42–$29.01	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc c reactive protein high sensitivity	$39.30	$65.50	$11.66–$19.39	24% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs	$39.30	$65.50	$11.66–$19.39	24% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs	$39.30	$65.50	$11.66–$19.39	—	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc c reactive protein high sensitivity	$39.30	$65.50	$11.66–$19.39	—	40%
Homocysteine blood test CPT 83090 Hc homocysteine	$36.72	$61.20	$16.13–$25.28	62% below	40%
Homocysteine blood test CPT 83090 Assay of homocystine	$36.72	$61.20	$16.13–$25.28	62% below	40%
Homocysteine blood test inpatient CPT 83090 Assay of homocystine	$36.72	$61.20	$16.13–$25.28	—	40%
Homocysteine blood test inpatient CPT 83090 Hc homocysteine	$36.72	$61.20	$16.13–$25.28	—	40%
Insulin blood test CPT 83525 Assay of insulin	$42.60	$71.00	$10.29–$17.13	10% below	40%
Insulin blood test CPT 83525 Hc insulin level	$42.60	$71.00	$10.29–$17.13	10% below	40%
Insulin blood test inpatient CPT 83525 Hc insulin level	$42.60	$71.00	$10.29–$17.13	—	40%
Insulin blood test inpatient CPT 83525 Assay of insulin	$42.60	$71.00	$10.29–$17.13	—	40%
Iron blood test (serum iron) CPT 83540 Hc iron (liver tissue)	$87.98	$146.64	$5.82–$9.70	152% above	40%
Iron blood test (serum iron) CPT 83540 Assay of iron	$87.98	$146.64	$5.82–$9.70	152% above	40%
Iron blood test (serum iron) inpatient CPT 83540 Hc iron (liver tissue)	$87.98	$146.64	$5.82–$9.70	—	40%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron	$87.98	$146.64	$5.82–$9.70	—	40%
Iron-binding capacity (TIBC) test CPT 83550 Hc iron binding capacity	$54.00	$90.00	$7.87–$13.10	31% above	40%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test	$54.00	$90.00	$7.87–$13.10	31% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc iron binding capacity	$54.00	$90.00	$7.87–$13.10	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test	$54.00	$90.00	$7.87–$13.10	—	40%
Kidney function blood test panel CPT 80069 Renal function panel	$75.00	$125.00	$7.81–$13.01	2% below	40%
Kidney function blood test panel CPT 80069 Hc renal function panel	$75.00	$125.00	$7.81–$13.01	2% below	40%
Kidney function blood test panel inpatient CPT 80069 Hc renal function panel	$75.00	$125.00	$7.81–$13.01	—	40%
Kidney function blood test panel inpatient CPT 80069 Renal function panel	$75.00	$125.00	$7.81–$13.01	—	40%
LH (luteinizing hormone) test CPT 83002 Hc gonadotropin lh	$54.00	$90.00	$16.67–$27.74	36% below	40%
LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh)	$54.00	$90.00	$16.67–$27.74	36% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh)	$54.00	$90.00	$16.67–$27.74	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 Hc gonadotropin lh	$54.00	$90.00	$16.67–$27.74	—	40%
Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid	$54.00	$90.00	$8.71–$11.45	2% below	40%
Lactate (lactic acid) blood test CPT 83605 Hc lactic acid	$54.00	$90.00	$8.71–$11.45	2% below	40%
Lactate (lactic acid) blood test inpatient CPT 83605 Assay of lactic acid	$54.00	$90.00	$8.71–$11.45	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc lactic acid	$54.00	$90.00	$8.71–$11.45	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme	$78.00	$130.00	$5.44–$9.04	155% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 Hc ldh	$78.00	$130.00	$5.44–$9.04	155% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (ld) (ldh) enzyme	$78.00	$130.00	$5.44–$9.04	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc ldh	$78.00	$130.00	$5.44–$9.04	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 Hc lipase	$49.80	$83.00	$6.20–$10.32	29% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase	$49.80	$83.00	$6.20–$10.32	29% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc lipase	$49.80	$83.00	$6.20–$10.32	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase	$49.80	$83.00	$6.20–$10.32	—	40%
Liver function blood test panel CPT 80076 Hc hepatic function panel	$78.00	$130.00	$7.35–$12.24	14% above	40%
Liver function blood test panel CPT 80076 Hepatic function panel	$78.00	$130.00	$7.35–$12.24	14% above	40%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel	$78.00	$130.00	$7.35–$12.24	—	40%
Liver function blood test panel inpatient CPT 80076 Hc hepatic function panel	$78.00	$130.00	$7.35–$12.24	—	40%
Lyme disease antibody test CPT 86618 Hc borrelia burgdorferi	$65.10	$108.50	$15.33–$23.55	24% above	40%
Lyme disease antibody test CPT 86618 Lyme disease antibody	$65.10	$108.50	$15.33–$23.55	24% above	40%
Lyme disease antibody test inpatient CPT 86618 Hc borrelia burgdorferi	$65.10	$108.50	$15.33–$23.55	—	40%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody	$65.10	$108.50	$15.33–$23.55	—	40%
Magnesium blood test CPT 83735 Hc magnesium stool electrolyte & osmo panel	$46.28	$77.14	$6.03–$10.03	30% above	40%
Magnesium blood test CPT 83735 Assay of magnesium	$46.28	$77.14	$6.03–$10.03	30% above	40%
Magnesium blood test inpatient CPT 83735 Hc magnesium stool electrolyte & osmo panel	$46.28	$77.14	$6.03–$10.03	—	40%
Magnesium blood test inpatient CPT 83735 Assay of magnesium	$46.28	$77.14	$6.03–$10.03	—	40%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody	$30.00	$50.00	$11.59–$19.31	21% below	40%
Measles (rubeola) antibody test CPT 86765 Hc rubeola ab igg	$30.00	$50.00	$11.59–$19.31	21% below	40%
Measles (rubeola) antibody test inpatient CPT 86765 Hc rubeola ab igg	$30.00	$50.00	$11.59–$19.31	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody	$30.00	$50.00	$11.59–$19.31	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 Hc heterophile ab screen	$35.70	$59.50	$4.66–$7.76	12% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen	$35.70	$59.50	$4.66–$7.76	12% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc heterophile ab screen	$35.70	$59.50	$4.66–$7.76	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen	$35.70	$59.50	$4.66–$7.76	—	40%
Mumps immunity blood test CPT 86735 Mumps antibody	$155.04	$258.40	$11.75–$19.55	207% above	40%
Mumps immunity blood test CPT 86735 Hc mumps ab igm	$155.04	$258.40	$11.75–$19.55	207% above	40%
Mumps immunity blood test inpatient CPT 86735 Mumps antibody	$155.04	$258.40	$11.75–$19.55	—	40%
Mumps immunity blood test inpatient CPT 86735 Hc mumps ab igm	$155.04	$258.40	$11.75–$19.55	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free	$80.70	$134.50	$16.55–$23.55	43% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc psa free	$80.70	$134.50	$16.55–$23.55	43% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free	$80.70	$134.50	$16.55–$23.55	—	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc psa free	$80.70	$134.50	$16.55–$23.55	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total	$66.00	$110.00	$16.55–$23.55	13% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc psa total	$66.00	$110.00	$16.55–$23.55	13% below	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total	$66.00	$110.00	$16.55–$23.55	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc psa total	$66.00	$110.00	$16.55–$23.55	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone	$96.00	$160.00	$37.15–$61.85	24% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 Hc parathyroid hormone	$96.00	$160.00	$37.15–$61.85	24% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone	$96.00	$160.00	$37.15–$61.85	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc parathyroid hormone	$96.00	$160.00	$37.15–$61.85	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc ptt plasma or whole bld	$41.10	$68.50	$5.41–$9.00	4% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial	$41.10	$68.50	$5.41–$9.00	4% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc ptt plasma or whole bld	$41.10	$68.50	$5.41–$9.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial	$41.10	$68.50	$5.41–$9.00	—	40%
Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus	$32.74	$54.56	$4.27–$7.11	21% above	40%
Phosphorus (phosphate) blood test CPT 84100 Hc phosphorus stool	$32.74	$54.56	$4.27–$7.11	21% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 Assay of phosphorus	$32.74	$54.56	$4.27–$7.11	—	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 Hc phosphorus stool	$32.74	$54.56	$4.27–$7.11	—	40%
Potassium blood test CPT 84132 Hc potassium	$31.80	$53.00	$4.28–$6.89	17% above	40%
Potassium blood test CPT 84132 Assay of serum potassium	$31.80	$53.00	$4.28–$6.89	17% above	40%
Potassium blood test inpatient CPT 84132 Hc potassium	$31.80	$53.00	$4.28–$6.89	—	40%
Potassium blood test inpatient CPT 84132 Assay of serum potassium	$31.80	$53.00	$4.28–$6.89	—	40%
Progesterone blood test CPT 84144 Assay of progesterone	$49.80	$83.00	$18.77–$31.26	42% below	40%
Progesterone blood test CPT 84144 Hc progesterone	$49.80	$83.00	$18.77–$31.26	42% below	40%
Progesterone blood test inpatient CPT 84144 Assay of progesterone	$49.80	$83.00	$18.77–$31.26	—	40%
Progesterone blood test inpatient CPT 84144 Hc progesterone	$49.80	$83.00	$18.77–$31.26	—	40%
Prolactin blood test CPT 84146 Hc prolactin	$47.70	$79.50	$17.44–$29.04	49% below	40%
Prolactin blood test CPT 84146 Assay of prolactin	$47.70	$79.50	$17.44–$29.04	49% below	40%
Prolactin blood test inpatient CPT 84146 Hc prolactin	$47.70	$79.50	$17.44–$29.04	—	40%
Prolactin blood test inpatient CPT 84146 Assay of prolactin	$47.70	$79.50	$17.44–$29.04	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc prothrombin time	$24.62	$41.04	$3.86–$5.90	10% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time	$24.62	$41.04	$3.86–$5.90	10% below	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time	$24.62	$41.04	$3.86–$5.90	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc prothrombin time	$24.62	$41.04	$3.86–$5.90	—	40%
Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic	$29.79	$49.65	$14.90–$17.96	at median	40%
Rapid flu test (influenza antigen) CPT 87804 Hc influenza a antigen	$29.79	$49.65	$14.90–$17.96	at median	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic	$29.79	$49.65	$14.90–$17.96	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc influenza a antigen	$29.79	$49.65	$14.90–$17.96	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic	$29.75	$49.59	$14.88–$17.96	14% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc strep a assay w/optic	$29.75	$49.59	$14.88–$17.96	14% below	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic	$29.75	$49.59	$14.88–$17.96	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc strep a assay w/optic	$29.75	$49.59	$14.88–$17.96	—	40%
Renin blood test CPT 84244 Assay of renin	$60.90	$101.50	$19.79–$32.96	4% below	40%
Renin blood test CPT 84244 Hc renin	$60.90	$101.50	$19.79–$32.96	4% below	40%
Renin blood test inpatient CPT 84244 Assay of renin	$60.90	$101.50	$19.79–$32.96	—	40%
Renin blood test inpatient CPT 84244 Hc renin	$60.90	$101.50	$19.79–$32.96	—	40%
Rh blood typing CPT 86901 Hc blood typing rh d	$40.61	$67.68	$26.45–$54.54	8% above	40%
Rh blood typing CPT 86901 Blood typing serologic rh(d)	$40.61	$67.68	$26.45–$54.54	8% above	40%
Rh blood typing inpatient CPT 86901 Hc blood typing rh d	$40.61	$67.68	$26.45–$54.54	—	40%
Rh blood typing inpatient CPT 86901 Blood typing serologic rh(d)	$40.61	$67.68	$26.45–$54.54	—	40%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant	$36.00	$60.00	$5.10–$8.50	7% above	40%
Rheumatoid factor (RF) test CPT 86431 Hc rheumatoid factor quant	$36.00	$60.00	$5.10–$8.50	7% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc rheumatoid factor quant	$36.00	$60.00	$5.10–$8.50	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant	$36.00	$60.00	$5.10–$8.50	—	40%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$30.90	$51.50	$12.95–$21.57	24% below	40%
Rubella antibody test (immunity check) CPT 86762 Hc rubella (blood bank)	$30.90	$51.50	$12.95–$21.57	24% below	40%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc rubella (blood bank)	$30.90	$51.50	$12.95–$21.57	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$30.90	$51.50	$12.95–$21.57	—	40%
Sodium blood test CPT 84295 Assay of serum sodium	$28.20	$47.00	$4.33–$7.22	15% below	40%
Sodium blood test CPT 84295 Hc sodium	$28.20	$47.00	$4.33–$7.22	15% below	40%
Sodium blood test inpatient CPT 84295 Hc sodium	$28.20	$47.00	$4.33–$7.22	—	40%
Sodium blood test inpatient CPT 84295 Assay of serum sodium	$28.20	$47.00	$4.33–$7.22	—	40%
Stool ova and parasites exam CPT 87177 Ova and parasites smears	$24.61	$41.01	$8.01–$13.33	40% below	40%
Stool ova and parasites exam CPT 87177 Hc ova & parasites dir smr w id	$24.61	$41.01	$8.01–$13.33	40% below	40%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears	$24.61	$41.01	$8.01–$13.33	—	40%
Stool ova and parasites exam inpatient CPT 87177 Hc ova & parasites dir smr w id	$24.61	$41.01	$8.01–$13.33	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc occult blood feces	$29.40	$49.00	$3.94–$6.61	39% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces	$29.40	$49.00	$3.94–$6.61	39% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces	$29.40	$49.00	$3.94–$6.61	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc occult blood feces	$29.40	$49.00	$3.94–$6.61	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc occult blood fhg qual 1-3	$28.66	$47.76	$13.50–$15.76	65% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$28.66	$47.76	$13.50–$15.76	65% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$28.66	$47.76	$13.50–$15.76	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc occult blood fhg qual 1-3	$28.66	$47.76	$13.50–$15.76	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc trep pallidum ab ifa csf(mzw83) 63486	$108.52	$180.86	$11.92–$19.99	176% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum	$108.52	$180.86	$11.92–$19.99	176% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum	$108.52	$180.86	$11.92–$19.99	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc trep pallidum ab ifa csf(mzw83) 63486	$108.52	$180.86	$11.92–$19.99	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual	$60.58	$100.96	$3.84–$6.45	140% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc syphilis test nontrep qual (rrprs)	$60.58	$100.96	$3.84–$6.45	140% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc syphilis test nontrep qual (rrprs)	$60.58	$100.96	$3.84–$6.45	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual	$60.58	$100.96	$3.84–$6.45	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc quantiferon tb gold	$134.74	$224.56	$55.78–$92.87	28% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure	$134.74	$224.56	$55.78–$92.87	28% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc quantiferon tb gold	$134.74	$224.56	$55.78–$92.87	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure	$134.74	$224.56	$55.78–$92.87	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc total testosterone	$74.10	$123.50	$23.23–$38.69	6% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone	$74.10	$123.50	$23.23–$38.69	6% below	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone	$74.10	$123.50	$23.23–$38.69	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc total testosterone	$74.10	$123.50	$23.23–$38.69	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc microsomal ab lkm ab	$52.50	$87.50	$13.10–$16.52	86% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each	$52.50	$87.50	$13.10–$16.52	86% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each	$52.50	$87.50	$13.10–$16.52	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc microsomal ab lkm ab	$52.50	$87.50	$13.10–$16.52	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc tsh	$58.20	$97.00	$15.12–$24.37	9% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone	$58.20	$97.00	$15.12–$24.37	9% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc tsh	$58.20	$97.00	$15.12–$24.37	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone	$58.20	$97.00	$15.12–$24.37	—	40%
Total IgE blood test CPT 82785 Hc immunoglobulin e (ige)	$48.30	$80.50	$14.81–$21.76	at median	40%
Total IgE blood test CPT 82785 Assay of ige	$48.30	$80.50	$14.81–$21.76	at median	40%
Total IgE blood test inpatient CPT 82785 Assay of ige	$48.30	$80.50	$14.81–$21.76	—	40%
Total IgE blood test inpatient CPT 82785 Hc immunoglobulin e (ige)	$48.30	$80.50	$14.81–$21.76	—	40%
Total cholesterol blood test CPT 82465 Hc cholesterol total	$36.00	$60.00	$3.92–$6.57	30% above	40%
Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol	$36.00	$60.00	$3.92–$6.57	30% above	40%
Total cholesterol blood test inpatient CPT 82465 Assay bld/serum cholesterol	$36.00	$60.00	$3.92–$6.57	—	40%
Total cholesterol blood test inpatient CPT 82465 Hc cholesterol total	$36.00	$60.00	$3.92–$6.57	—	40%
Total thyroxine (T4) blood test CPT 84436 Hc thyroxine total	$59.64	$99.40	$6.18–$10.29	59% above	40%
Total thyroxine (T4) blood test CPT 84436 Assay of total thyroxine	$59.64	$99.40	$6.18–$10.29	59% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 Hc thyroxine total	$59.64	$99.40	$6.18–$10.29	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 Assay of total thyroxine	$59.64	$99.40	$6.18–$10.29	—	40%
Total triiodothyronine (T3) blood test CPT 84480 Hc t3 total	$42.60	$71.00	$12.76–$21.24	10% below	40%
Total triiodothyronine (T3) blood test CPT 84480 Assay triiodothyronine (t3)	$42.60	$71.00	$12.76–$21.24	10% below	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Assay triiodothyronine (t3)	$42.60	$71.00	$12.76–$21.24	—	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc t3 total	$42.60	$71.00	$12.76–$21.24	—	40%
Transferrin blood test CPT 84466 Hc transferrin	$37.20	$62.00	$8.71–$12.63	17% below	40%
Transferrin blood test CPT 84466 Assay of transferrin	$37.20	$62.00	$8.71–$12.63	17% below	40%
Transferrin blood test inpatient CPT 84466 Hc transferrin	$37.20	$62.00	$8.71–$12.63	—	40%
Transferrin blood test inpatient CPT 84466 Assay of transferrin	$37.20	$62.00	$8.71–$12.63	—	40%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif	$90.00	$150.00	$31.58–$52.58	88% above	40%
Trichomonas test (NAAT) CPT 87661 Hc genprobe trichomonas	$90.00	$150.00	$31.58–$52.58	88% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif	$90.00	$150.00	$31.58–$52.58	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 Hc genprobe trichomonas	$90.00	$150.00	$31.58–$52.58	—	40%
Triglycerides blood test CPT 84478 Hc triglycerides fluid	$156.00	$260.00	$5.17–$8.67	370% above	40%
Triglycerides blood test CPT 84478 Assay of triglycerides	$156.00	$260.00	$5.17–$8.67	370% above	40%
Triglycerides blood test inpatient CPT 84478 Hc triglycerides fluid	$156.00	$260.00	$5.17–$8.67	—	40%
Triglycerides blood test inpatient CPT 84478 Assay of triglycerides	$156.00	$260.00	$5.17–$8.67	—	40%
Troponin test, quantitative CPT 84484 Hc troponin	$67.20	$112.00	$11.22–$14.74	14% below	40%
Troponin test, quantitative CPT 84484 Assay of troponin quant	$67.20	$112.00	$11.22–$14.74	14% below	40%
Troponin test, quantitative inpatient CPT 84484 Assay of troponin quant	$67.20	$112.00	$11.22–$14.74	—	40%
Troponin test, quantitative inpatient CPT 84484 Hc troponin	$67.20	$112.00	$11.22–$14.74	—	40%
Uric acid blood test CPT 84550 Hc uric acid blood	$28.20	$47.00	$4.07–$6.78	10% below	40%
Uric acid blood test CPT 84550 Assay of blood/uric acid	$28.20	$47.00	$4.07–$6.78	10% below	40%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid	$28.20	$47.00	$4.07–$6.78	—	40%
Uric acid blood test inpatient CPT 84550 Hc uric acid blood	$28.20	$47.00	$4.07–$6.78	—	40%
Urinalysis with microscope exam, automated CPT 81001 Hc urinalysis with micro	$25.20	$42.00	$2.85–$4.75	11% below	40%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope	$25.20	$42.00	$2.85–$4.75	11% below	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc urinalysis with micro	$25.20	$42.00	$2.85–$4.75	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope	$25.20	$42.00	$2.85–$4.75	—	40%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope	$14.40	$24.00	$2.03–$3.37	5% below	40%
Urinalysis without microscope exam, automated CPT 81003 Hc urinalysis automat w/o micro	$14.40	$24.00	$2.03–$3.37	5% below	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope	$14.40	$24.00	$2.03–$3.37	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc urinalysis automat w/o micro	$14.40	$24.00	$2.03–$3.37	—	40%
Urinalysis without microscope exam, manual CPT 81002 Hc urinalysis nonauto w/o micro	$5.40	$9.00	$3.13–$3.83	63% below	40%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope	$5.40	$9.00	$3.13–$3.83	63% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc urinalysis nonauto w/o micro	$5.40	$9.00	$3.13–$3.83	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope	$5.40	$9.00	$3.13–$3.83	—	40%
Urine culture for bacteria, with colony count CPT 87086 Hc bact culture urine quan ct	$47.10	$78.50	$7.26–$12.10	13% above	40%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count	$47.10	$78.50	$7.26–$12.10	13% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc bact culture urine quan ct	$47.10	$78.50	$7.26–$12.10	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count	$47.10	$78.50	$7.26–$12.10	—	40%
Urine microalbumin (albumin) test CPT 82043 Hc albumin microalbumin	$52.80	$88.00	$5.20–$8.66	68% above	40%
Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative	$52.80	$88.00	$5.20–$8.66	68% above	40%
Urine microalbumin (albumin) test inpatient CPT 82043 Ur albumin quantitative	$52.80	$88.00	$5.20–$8.66	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 Hc albumin microalbumin	$52.80	$88.00	$5.20–$8.66	—	40%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$39.00	$65.00	$7.75–$9.47	2% below	40%
Urine pregnancy test, read by color change CPT 81025 Hc pregnancy test urine	$39.00	$65.00	$7.75–$9.47	2% below	40%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$39.00	$65.00	$7.75–$9.47	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 Hc pregnancy test urine	$39.00	$65.00	$7.75–$9.47	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12	$60.00	$100.00	$13.57–$22.59	5% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc vitamin b-12 level	$60.00	$100.00	$13.57–$22.59	5% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc vitamin b-12 level	$60.00	$100.00	$13.57–$22.59	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12	$60.00	$100.00	$13.57–$22.59	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy	$85.80	$143.00	$26.64–$44.36	24% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc hydroxyvitamin d2 and d3 serum	$85.80	$143.00	$26.64–$44.36	24% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc hydroxyvitamin d2 and d3 serum	$85.80	$143.00	$26.64–$44.36	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy	$85.80	$143.00	$26.64–$44.36	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit d 1 25-dihydroxy	$69.30	$115.50	$34.65–$57.68	44% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc vitamin d1 25 dihydroxy	$69.30	$115.50	$34.65–$57.68	44% below	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc vitamin d1 25 dihydroxy	$69.30	$115.50	$34.65–$57.68	—	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit d 1 25-dihydroxy	$69.30	$115.50	$34.65–$57.68	—	40%
Zinc blood test CPT 84630 Assay of zinc	$37.50	$62.50	$10.25–$17.06	34% below	40%
Zinc blood test CPT 84630 Hc zinc	$37.50	$62.50	$10.25–$17.06	34% below	40%
Zinc blood test inpatient CPT 84630 Hc zinc	$37.50	$62.50	$10.25–$17.06	—	40%
Zinc blood test inpatient CPT 84630 Assay of zinc	$37.50	$62.50	$10.25–$17.06	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test	$63.00	$105.00	$13.09–$14.91	11% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc hcg quant	$63.00	$105.00	$13.09–$14.91	11% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc hcg quant	$63.00	$105.00	$13.09–$14.91	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test	$63.00	$105.00	$13.09–$14.91	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$2,148.54	$3,580.90	$844.05–$4,506.48	27% below	40%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal of adenoids	$2,148.54	$3,580.90	$844.05–$4,506.48	—	40%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy	$27,794.58	$46,324.30	$34,743.23–$46,324.30	—	40%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$27,794.58	$46,324.30	$2,488.15–$34,743.23	—	40%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery	$65,523.89	$109,206.48	$3,098.59–$81,904.86	—	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr	$9,950.11	$16,583.52	$2,242.69–$12,437.64	24% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Arthroscop rotator cuff repr	$9,557.49	$15,929.15	$2,242.69–$11,946.86	19% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Arthroscop rotator cuff repr	$9,950.11	$16,583.52	$2,242.69–$12,437.64	24% above	40%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr	$9,950.11	$16,583.52	$2,242.69–$12,437.64	—	40%
Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 Arthroscop rotator cuff repr	$9,557.49	$15,929.15	$2,242.69–$11,946.86	—	40%
Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 Arthroscop rotator cuff repr	$9,950.11	$16,583.52	$2,242.69–$12,437.64	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc	$2,064.00	$3,440.00	$187.31–$2,251.44	19% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc sterotactic loc breast bx	$2,064.00	$3,440.00	$187.31–$2,251.44	19% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc sterotactic loc breast bx	$2,064.00	$3,440.00	$187.31–$2,251.44	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc	$2,064.00	$3,440.00	$187.31–$2,251.44	—	40%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus	$25,667.53	$42,779.21	$1,029.01–$32,084.41	—	40%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus	$4,387.19	$7,311.98	$1,029.01–$5,483.99	40% below	40%
Bunion correction with removal of part of the big toe joint one side CPT 28292 Correction hallux valgus	$2,869.44	$4,782.40	$1,029.01–$4,508.62	61% below	40%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus	$26,469.94	$44,116.56	$1,029.01–$33,087.42	—	40%
Bunion correction with removal of part of the big toe joint inpatient one side CPT 28292 Correction hallux valgus	$2,869.44	$4,782.40	$1,029.01–$4,508.62	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 L hrt artery/ventricle angio	$3,778.80	$6,298.00	$2,265.87–$4,723.50	33% below	40%
Cardiac catheterization with coronary angiogram one side CPT 93458 Hc left heart cath complete	$3,778.80	$6,298.00	$2,265.87–$4,723.50	33% below	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L hrt artery/ventricle angio	$3,778.80	$6,298.00	$2,265.87–$4,723.50	—	40%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc left heart cath complete	$3,778.80	$6,298.00	$2,265.87–$4,723.50	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc cardioversion elective	$789.60	$1,316.00	$439.19–$987.00	35% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext	$789.60	$1,316.00	$439.19–$987.00	35% above	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc cardioversion elective	$789.60	$1,316.00	$439.19–$987.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext	$789.60	$1,316.00	$439.19–$987.00	—	40%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$3,893.16	$6,488.60	$637.43–$4,866.45	62% above	40%
Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery	$2,909.36	$4,848.94	$637.43–$3,636.71	21% above	40%
Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery	$2,980.35	$4,967.25	$637.43–$3,725.44	24% above	40%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery	$3,893.16	$6,488.60	$637.43–$4,866.45	—	40%
Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery	$2,909.36	$4,848.94	$637.43–$3,636.71	—	40%
Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery	$2,980.35	$4,967.25	$637.43–$3,725.44	—	40%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,816.79	$3,027.99	$810.18–$3,169.24	29% below	40%
Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,750.66	$2,917.76	$810.18–$3,169.24	31% below	40%
Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,816.79	$3,027.99	$810.18–$3,169.24	29% below	40%
Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,816.79	$3,027.99	$810.18–$3,169.24	—	40%
Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,750.66	$2,917.76	$810.18–$3,169.24	—	40%
Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp	$1,816.79	$3,027.99	$810.18–$3,169.24	—	40%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery	$7,741.75	$12,902.92	$2,449.95–$12,902.92	—	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$3,676.86	$6,128.10	$631.77–$4,596.08	172% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older	$3,805.52	$6,342.53	$631.77–$4,756.90	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc circumcision	$2,609.40	$4,349.00	$1,885.13–$4,349.00	314% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$2,609.40	$4,349.00	$1,885.13–$4,349.00	314% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc circumcision	$2,609.40	$4,349.00	$1,885.13–$4,349.00	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block	$3,805.52	$6,342.53	$1,885.13–$6,342.53	—	40%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate	$3,805.52	$6,342.53	$614.24–$6,342.53	—	40%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us	$13,276.45	$22,127.42	$405.94–$16,595.57	—	40%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$1,869.52	$3,115.87	$405.94–$2,336.90	18% above	40%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal	$20,663.09	$34,438.49	$405.94–$25,828.87	—	40%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,924.49	$3,207.49	$405.94–$2,405.62	49% above	40%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy	$10,768.30	$17,947.17	$405.94–$13,460.38	—	40%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,673.41	$2,789.02	$308.78–$2,091.77	65% above	40%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$13,276.45	$22,127.42	$308.78–$16,595.57	—	40%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$5,551.20	$9,252.00	$810.18–$6,939.00	18% above	40%
Complex cataract surgery with lens implant one side CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$5,551.20	$9,252.00	$810.18–$6,939.00	18% above	40%
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$5,551.20	$9,252.00	$810.18–$6,939.00	—	40%
Complex cataract surgery with lens implant inpatient one side CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$5,551.20	$9,252.00	$810.18–$6,939.00	—	40%
Coronary stent placement, one artery CPT 92928 Prq card stent w/angio 1 vsl	$13,559.40	$22,599.00	$7,849.55–$16,949.25	51% above	40%
Coronary stent placement, one artery CPT 92928 Hc prq card stent w/angio 1 vslld	$13,559.40	$22,599.00	$7,849.55–$16,949.25	51% above	40%
Coronary stent placement, one artery inpatient CPT 92928 Prq card stent w/angio 1 vsl	$13,559.40	$22,599.00	$7,849.55–$16,949.25	—	40%
Coronary stent placement, one artery inpatient CPT 92928 Hc prq card stent w/angio 1 vslld	$13,559.40	$22,599.00	$7,849.55–$16,949.25	—	40%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment	$6,130.47	$10,217.45	$1,101.58–$7,663.09	104% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cystoscopy and treatment	$5,984.48	$9,974.13	$1,101.58–$7,480.60	99% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cystoscopy and treatment	$6,130.47	$10,217.45	$1,101.58–$7,663.09	104% above	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment	$13,825.95	$23,043.25	$1,101.58–$17,282.44	—	40%
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 Cystoscopy and treatment	$5,984.48	$9,974.13	$1,101.58–$7,480.60	—	40%
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 Cystoscopy and treatment	$6,130.47	$10,217.45	$1,101.58–$7,663.09	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$2,484.22	$4,140.37	$224.97–$3,105.28	247% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$9,602.94	$16,004.90	$224.97–$12,003.68	—	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage	$24,112.64	$40,187.74	$988.25–$30,140.81	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$871.91	$1,453.18	$429.28–$2,058.34	50% below	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Create eardrum opening	$3,107.53	$5,179.22	$429.28–$3,884.42	77% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Create eardrum opening	$3,826.84	$6,378.06	$429.28–$4,783.55	118% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Create eardrum opening	$871.91	$1,453.18	$429.28–$2,058.34	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient one side CPT 69436 Create eardrum opening	$3,107.53	$5,179.22	$429.28–$3,884.42	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient one side CPT 69436 Create eardrum opening	$3,826.84	$6,378.06	$429.28–$4,783.55	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc rmvl impct ear wax uni w/irig	$66.00	$110.00	$54.66–$110.00	16% above	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni	$66.00	$110.00	$54.66–$110.00	16% above	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni	$66.00	$110.00	$54.66–$110.00	—	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc rmvl impct ear wax uni w/irig	$66.00	$110.00	$54.66–$110.00	—	40%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni	$38.40	$64.00	$54.66–$82.54	52% below	40%
Earwax removal with instruments, one ear CPT 69210 Hc removal cerumen impaction	$38.40	$64.00	$54.66–$82.54	52% below	40%
Earwax removal with instruments, one ear inpatient CPT 69210 Hc removal cerumen impaction	$38.40	$64.00	$54.66–$82.54	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni	$38.40	$64.00	$54.66–$82.54	—	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus	$3,772.65	$6,287.75	$990.17–$5,123.28	19% above	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Exploration maxillary sinus	$5,372.65	$8,954.41	$990.17–$6,715.81	70% above	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Exploration maxillary sinus	$3,772.65	$6,287.75	$990.17–$5,123.28	—	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient one side CPT 31256 Exploration maxillary sinus	$5,372.65	$8,954.41	$990.17–$6,715.81	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus	$5,543.75	$9,239.59	$1,516.71–$9,619.27	42% above	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Endoscopy maxillary sinus	$3,589.21	$5,982.01	$1,516.71–$9,619.27	8% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Endoscopy maxillary sinus	$5,840.18	$9,733.64	$1,516.71–$9,619.27	50% above	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy maxillary sinus	$5,543.75	$9,239.59	$1,516.71–$9,619.27	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient one side CPT 31267 Endoscopy maxillary sinus	$3,589.21	$5,982.01	$1,516.71–$9,619.27	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient one side CPT 31267 Endoscopy maxillary sinus	$5,840.18	$9,733.64	$1,516.71–$9,619.27	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc inj intrlamnr crv/thrc w/imag	$579.00	$965.00	$252.66–$962.31	7% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$579.00	$965.00	$252.66–$962.31	7% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc	$579.00	$965.00	$252.66–$962.31	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc inj intrlamnr crv/thrc w/imag	$579.00	$965.00	$252.66–$962.31	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$11,319.82	$18,866.37	$5,742.11–$18,866.37	121% above	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc	$11,319.82	$18,866.37	$5,742.11–$18,866.37	—	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$43,621.81	$72,703.01	$5,742.11–$72,703.01	365% above	40%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc	$43,621.81	$72,703.01	$5,742.11–$72,703.01	—	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,911.35	$8,185.59	$3,247.60–$8,185.59	at median	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,911.35	$8,185.59	$3,247.60–$8,185.59	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,136.52	$1,894.20	$116.35–$1,420.65	50% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$13,276.45	$22,127.42	$116.35–$16,595.57	—	40%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$5,309.70	$8,849.50	$1,755.26–$8,107.26	59% above	40%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy	$17,836.18	$29,726.97	$1,755.26–$22,295.23	—	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$8,040.56	$13,400.94	$1,755.26–$10,050.71	38% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph	$8,040.56	$13,400.94	$1,755.26–$10,050.71	—	40%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder	$13,184.21	$21,973.69	$16,480.27–$21,973.69	—	40%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$2,992.13	$4,986.88	$1,029.01–$4,508.62	39% below	40%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe	$28,074.76	$46,791.27	$1,029.01–$35,093.45	—	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group	$4,802.50	$8,004.16	$880.16–$6,003.12	8% above	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group	$4,802.50	$8,004.16	$880.16–$6,003.12	—	40%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty	$24,713.90	$41,189.83	$30,892.37–$41,189.83	—	40%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy	$16,396.36	$27,327.27	$20,495.45–$27,327.27	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography	$135.00	$225.00	$168.75–$225.00	35% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc inj contrst/saline sis/hysterosalpin	$135.00	$225.00	$168.75–$225.00	35% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc inj contrst/saline sis/hysterosalpin	$135.00	$225.00	$168.75–$225.00	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for hysterography	$135.00	$225.00	$168.75–$225.00	—	40%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$7,473.99	$12,456.65	$1,453.09–$9,342.49	94% above	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation	$7,473.99	$12,456.65	$1,453.09–$9,342.49	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$3,656.86	$6,094.77	$988.25–$4,571.08	5% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy	$3,656.86	$6,094.77	$988.25–$4,571.08	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$3,622.50	$6,037.50	$60.34–$4,528.13	1553% above	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 Drainage of skin abscess	$3,872.17	$6,453.61	$60.34–$4,840.21	1667% above	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 Drainage of skin abscess	$5,474.81	$9,124.69	$60.34–$6,843.52	2398% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$13,885.26	$23,142.10	$60.34–$17,356.58	—	40%
Incision and drainage of a simple or single skin abscess inpatient one side CPT 10060 Drainage of skin abscess	$3,872.17	$6,453.61	$60.34–$4,840.21	—	40%
Incision and drainage of a simple or single skin abscess inpatient one side CPT 10060 Drainage of skin abscess	$5,474.81	$9,124.69	$60.34–$6,843.52	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$14,864.47	$24,774.12	$1,101.77–$18,580.59	346% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr	$6,218.03	$10,363.39	$1,101.77–$7,772.54	87% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr	$6,571.61	$10,952.69	$1,101.77–$8,214.52	97% above	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr	$13,452.00	$22,420.00	$1,101.77–$16,815.00	—	40%
Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr	$6,218.03	$10,363.39	$1,101.77–$7,772.54	—	40%
Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr	$6,571.61	$10,952.69	$1,101.77–$8,214.52	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$360.60	$601.00	$24.83–$450.75	45% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc arthrocentesis/inj major joint	$360.60	$601.00	$24.83–$450.75	45% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us	$360.60	$601.00	$24.83–$450.75	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc arthrocentesis/inj major joint	$360.60	$601.00	$24.83–$450.75	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc arthrocentesis interm joint	$360.60	$601.00	$20.78–$450.75	64% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us	$360.60	$601.00	$20.78–$450.75	64% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us	$360.60	$601.00	$20.78–$450.75	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc arthrocentesis interm joint	$360.60	$601.00	$20.78–$450.75	—	40%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery	$5,082.42	$8,470.70	$1,029.01–$6,353.03	27% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Knee arthroscopy/surgery	$4,739.50	$7,899.17	$1,029.01–$5,924.38	19% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Knee arthroscopy/surgery	$5,082.42	$8,470.70	$1,029.01–$6,353.03	27% above	40%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery	$5,082.42	$8,470.70	$1,029.01–$6,353.03	—	40%
Knee arthroscopy with meniscus trim inpatient one side CPT 29881 Knee arthroscopy/surgery	$4,739.50	$7,899.17	$1,029.01–$5,924.38	—	40%
Knee arthroscopy with meniscus trim inpatient one side CPT 29881 Knee arthroscopy/surgery	$5,082.42	$8,470.70	$1,029.01–$6,353.03	—	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap gastric bypass/roux-en-y	$13,772.65	$22,954.42	$17,215.82–$22,954.42	—	40%
Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 Lap place gastr adj device	$13,772.65	$22,954.42	$9,580.88–$22,954.42	—	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$9,985.52	$16,642.53	$3,955.23–$12,481.90	92% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy	$15,540.56	$25,900.93	$3,955.23–$19,425.70	—	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$20,989.72	$34,982.87	$2,870.86–$26,237.15	54% above	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less	$19,103.44	$31,839.07	$2,870.86–$23,879.30	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$17,983.20	$29,972.00	$1,755.26–$22,479.00	163% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Lap ing hernia repair init	$13,317.32	$22,195.54	$1,755.26–$16,646.66	95% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Lap ing hernia repair init	$14,343.38	$23,905.64	$1,755.26–$17,929.23	110% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init	$17,983.20	$29,972.00	$1,755.26–$22,479.00	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient one side CPT 49650 Lap ing hernia repair init	$13,317.32	$22,195.54	$1,755.26–$16,646.66	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient one side CPT 49650 Lap ing hernia repair init	$14,343.38	$23,905.64	$1,755.26–$17,929.23	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$8,817.77	$14,696.28	$1,755.26–$11,022.21	26% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Lap ing hernia repair recur	$8,817.77	$14,696.28	$1,755.26–$11,022.21	26% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur	$8,817.77	$14,696.28	$1,755.26–$11,022.21	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient one side CPT 49651 Lap ing hernia repair recur	$8,817.77	$14,696.28	$1,755.26–$11,022.21	—	40%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Lap rmvl gastr adj all parts	$13,772.65	$22,954.42	$3,501.10–$22,954.42	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$6,199.20	$10,332.00	$1,755.26–$8,107.26	at median	40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa	$19,103.44	$31,839.07	$1,755.26–$23,879.30	—	40%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap sleeve gastrectomy	$13,772.65	$22,954.42	$17,215.82–$22,954.42	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc inter. lac. < 2.5cm total body	$609.60	$1,016.00	$129.16–$762.00	149% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$609.60	$1,016.00	$129.16–$762.00	149% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc inter. lac. < 2.5cm total body	$609.60	$1,016.00	$129.16–$762.00	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/<	$609.60	$1,016.00	$129.16–$762.00	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 Hc inj interlaminar lmbr/sac	$579.00	$965.00	$252.66–$1,237.12	11% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac	$579.00	$965.00	$252.66–$1,237.12	11% above	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac	$579.00	$965.00	$252.66–$1,237.12	—	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc inj interlaminar lmbr/sac	$579.00	$965.00	$252.66–$1,237.12	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s	$3,119.59	$5,199.32	$328.26–$3,899.49	416% above	40%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj foramen epidural l/s	$3,119.59	$5,199.32	$328.26–$3,899.49	416% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s	$3,119.59	$5,199.32	$328.26–$3,899.49	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj foramen epidural l/s	$3,119.59	$5,199.32	$328.26–$3,899.49	—	40%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$8,254.07	$13,756.78	$894.75–$10,317.59	202% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Partial mastectomy	$4,679.83	$7,799.71	$894.75–$5,849.78	71% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Partial mastectomy	$8,254.07	$13,756.78	$894.75–$10,317.59	202% above	40%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy	$8,254.07	$13,756.78	$894.75–$10,317.59	—	40%
Lumpectomy (partial mastectomy) inpatient one side CPT 19301 Partial mastectomy	$4,679.83	$7,799.71	$894.75–$5,849.78	—	40%
Lumpectomy (partial mastectomy) inpatient one side CPT 19301 Partial mastectomy	$8,254.07	$13,756.78	$894.75–$10,317.59	—	40%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete	$9,762.85	$16,271.42	$1,754.62–$12,203.57	122% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mast simple complete	$7,546.84	$12,578.07	$1,754.62–$9,433.55	72% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mast simple complete	$9,762.85	$16,271.42	$1,754.62–$12,203.57	122% above	40%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete	$10,632.70	$17,721.17	$1,754.62–$13,290.88	—	40%
Mastectomy (total removal of the breast) inpatient one side CPT 19303 Mast simple complete	$7,546.84	$12,578.07	$1,754.62–$9,433.55	—	40%
Mastectomy (total removal of the breast) inpatient one side CPT 19303 Mast simple complete	$9,762.85	$16,271.42	$1,754.62–$12,203.57	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$5,084.96	$8,474.94	$988.25–$6,356.21	102% above	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$5,316.40	$8,860.66	$988.25–$6,645.50	—	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 stage h/n/hf/g	$19,764.26	$32,940.44	$200.91–$24,705.33	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm<	$15,984.51	$26,640.85	$73.91–$19,980.64	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$3,434.05	$5,723.41	$81.13–$4,292.56	795% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/<	$3,434.05	$5,723.41	$81.13–$4,292.56	—	40%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$2,776.45	$4,627.42	$182.85–$4,627.42	1519% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$2,776.45	$4,627.42	$182.85–$4,627.42	—	40%
Open Roux-en-Y gastric bypass through an abdominal incision inpatient CPT 43846 Gastric bypass for obesity	$37,548.38	$62,580.64	$46,935.48–$62,580.64	—	40%
Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent	$13,193.36	$21,988.93	$6,253.74–$16,491.70	49% above	40%
Pacemaker implant (dual chamber) CPT 33208 Hc pacemaker insert dual chamber	$13,193.36	$21,988.93	$6,253.74–$16,491.70	49% above	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc pacemaker insert dual chamber	$13,193.36	$21,988.93	$6,253.74–$16,491.70	—	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt heart pm atrial & vent	$27,053.17	$45,088.61	$6,253.74–$33,816.46	—	40%
Paracentesis with imaging guidance CPT 49083 Hc paracentesis abd w/guidance	$480.00	$800.00	$317.70–$1,302.81	30% below	40%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$480.00	$800.00	$317.70–$1,302.81	30% below	40%
Paracentesis with imaging guidance inpatient CPT 49083 Hc paracentesis abd w/guidance	$480.00	$800.00	$317.70–$1,302.81	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging	$13,734.38	$22,890.63	$317.70–$17,167.97	—	40%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$5,190.58	$8,650.97	$894.75–$6,488.23	167% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Removal of breast lesion	$4,318.67	$7,197.78	$894.75–$5,398.34	122% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Removal of breast lesion	$5,224.27	$8,707.11	$894.75–$6,530.33	168% above	40%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$5,190.58	$8,650.97	$894.75–$6,488.23	—	40%
Removal of a breast lump, open surgery inpatient one side CPT 19120 Removal of breast lesion	$4,318.67	$7,197.78	$894.75–$5,398.34	—	40%
Removal of a breast lump, open surgery inpatient one side CPT 19120 Removal of breast lesion	$5,224.27	$8,707.11	$894.75–$6,530.33	—	40%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$3,249.38	$5,415.64	$85.46–$4,061.73	1065% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$20,622.71	$34,371.18	$85.46–$25,778.39	—	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,640.29	$2,733.82	$620.32–$2,050.37	70% above	40%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind	$1,640.29	$2,733.82	$620.32–$2,050.37	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,604.83	$2,674.72	$620.32–$2,006.04	66% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind	$1,604.83	$2,674.72	$620.32–$2,006.04	—	40%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$5,906.10	$9,843.50	$844.05–$7,382.63	5% below	40%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Repair of nasal septum	$5,906.10	$9,843.50	$844.05–$7,382.63	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$9,600.00	$16,000.00	$1,101.58–$12,000.00	11% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hc lithotripsy	$9,600.00	$16,000.00	$1,101.58–$12,000.00	11% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Hc lithotripsy	$9,600.00	$16,000.00	$1,101.58–$12,000.00	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting of kidney stone	$15,624.23	$26,040.39	$1,101.58–$19,530.29	—	40%
Short arm splint (forearm and hand) CPT 29125 Hc application forearm splint	$155.40	$259.00	$118.62–$259.00	21% above	40%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$155.40	$259.00	$118.62–$259.00	21% above	40%
Short arm splint (forearm and hand) inpatient CPT 29125 Hc application forearm splint	$155.40	$259.00	$118.62–$259.00	—	40%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$155.40	$259.00	$118.62–$259.00	—	40%
Short leg cast (below the knee) CPT 29405 Hc application lower leg cast	$192.00	$320.00	$38.69–$369.04	5% above	40%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$192.00	$320.00	$38.69–$369.04	5% above	40%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$192.00	$320.00	$38.69–$369.04	—	40%
Short leg cast (below the knee) inpatient CPT 29405 Hc application lower leg cast	$192.00	$320.00	$38.69–$369.04	—	40%
Short leg splint (calf to foot) CPT 29515 Hc application short leg splint	$144.00	$240.00	$33.78–$219.26	1% below	40%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint	$144.00	$240.00	$33.78–$219.26	1% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 Hc application short leg splint	$144.00	$240.00	$33.78–$219.26	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint	$144.00	$240.00	$33.78–$219.26	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$1,029.01–$11,050.49	50% above	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$1,029.01–$11,050.49	50% above	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$1,029.01–$11,050.49	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient one side CPT 29824 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$1,029.01–$11,050.49	—	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$11,050.49–$14,733.98	113% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$11,050.49–$14,733.98	113% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$11,050.49–$14,733.98	—	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient one side CPT 29826 Shoulder arthroscopy/surgery	$8,840.39	$14,733.98	$11,050.49–$14,733.98	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc laceration repair simple	$285.00	$475.00	$182.85–$475.00	55% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$285.00	$475.00	$182.85–$475.00	55% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc laceration repair simple	$285.00	$475.00	$182.85–$475.00	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/<	$9,212.17	$15,353.62	$182.85–$15,353.62	—	40%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion	$4,444.33	$7,407.21	$70.63–$5,555.41	1769% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion	$17,874.39	$29,790.65	$70.63–$22,342.99	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$20,961.97	$34,936.61	$108.85–$26,202.46	—	40%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15	$4,909.91	$8,183.18	$182.85–$8,183.18	3497% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15	$21,389.72	$35,649.54	$182.85–$35,649.54	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc lumbar puncture	$841.80	$1,403.00	$252.66–$1,052.25	77% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr	$841.80	$1,403.00	$252.66–$1,052.25	77% above	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc lumbar puncture	$841.80	$1,403.00	$252.66–$1,052.25	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr	$20,744.92	$34,574.86	$252.66–$25,931.15	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$285.00	$475.00	$182.85–$475.00	50% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc sim lac 2.6-7.5cm total body	$285.00	$475.00	$182.85–$475.00	50% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc sim lac 2.6-7.5cm total body	$285.00	$475.00	$182.85–$475.00	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$9,212.17	$15,353.62	$182.85–$15,353.62	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$285.00	$475.00	$182.85–$475.00	55% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Laceration simple	$285.00	$475.00	$182.85–$475.00	55% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Laceration simple	$285.00	$475.00	$182.85–$475.00	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/<	$9,234.54	$15,390.90	$182.85–$15,390.90	—	40%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$10,409.93	$17,349.88	$1,581.02–$13,012.41	57% above	40%
TURP (transurethral resection of the prostate) inpatient CPT 52601 Prostatectomy (turp)	$12,367.01	$20,611.69	$1,581.02–$15,458.77	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$17,874.39	$29,790.65	$60.63–$22,342.99	—	40%
Thoracentesis with imaging guidance CPT 32555 Hc thoracentesis w/imaging guide	$510.00	$850.00	$254.87–$859.12	40% below	40%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$510.00	$850.00	$254.87–$859.12	40% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 Hc thoracentesis w/imaging guide	$510.00	$850.00	$254.87–$859.12	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging	$20,824.04	$34,706.73	$254.87–$26,030.05	—	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids	$2,866.82	$4,778.03	$844.05–$4,506.48	at median	40%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Remove tonsils and adenoids	$2,866.82	$4,778.03	$844.05–$4,506.48	—	40%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids	$2,344.43	$3,907.38	$1,797.24–$8,220.23	17% below	40%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove tonsils and adenoids	$2,344.43	$3,907.38	$1,797.24–$8,220.23	—	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$2,194.75	$3,657.92	$844.05–$4,506.48	1% below	40%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Removal of tonsils	$2,194.75	$3,657.92	$844.05–$4,506.48	—	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils	$1,866.74	$3,111.24	$1,797.24–$8,220.23	39% below	40%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Removal of tonsils	$1,866.74	$3,111.24	$1,797.24–$8,220.23	—	40%
Total hip replacement CPT 27130 Total hip arthroplasty	$23,012.05	$38,353.42	$11,840.64–$38,353.42	83% above	40%
Total hip replacement one side CPT 27130 Total hip arthroplasty	$23,012.05	$38,353.42	$11,840.64–$38,353.42	83% above	40%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty	$24,713.90	$41,189.83	$11,840.64–$41,189.83	—	40%
Total hip replacement inpatient one side CPT 27130 Total hip arthroplasty	$23,012.05	$38,353.42	$11,840.64–$38,353.42	—	40%
Total knee replacement CPT 27447 Total knee arthroplasty	$20,071.48	$33,452.46	$9,625.20–$25,089.35	81% above	40%
Total knee replacement one side CPT 27447 Total knee arthroplasty	$19,129.20	$31,882.00	$9,625.20–$23,911.50	72% above	40%
Total knee replacement one side CPT 27447 Total knee arthroplasty	$20,071.48	$33,452.46	$9,625.20–$25,089.35	81% above	40%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty	$22,295.53	$37,159.22	$9,625.20–$27,869.42	—	40%
Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty	$19,129.20	$31,882.00	$9,625.20–$23,911.50	—	40%
Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty	$20,071.48	$33,452.46	$9,625.20–$25,089.35	—	40%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$9,214.23	$15,357.05	$1,755.26–$11,517.79	76% above	40%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal of thyroid	$9,214.23	$15,357.05	$1,755.26–$11,517.79	—	40%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$3,638.23	$6,063.72	$570.40–$4,547.79	92% above	40%
Trigger finger release surgery one side CPT 26055 Incise finger tendon sheath	$2,737.81	$4,563.02	$570.40–$3,422.27	44% above	40%
Trigger finger release surgery one side CPT 26055 Incise finger tendon sheath	$2,990.45	$4,984.08	$570.40–$3,738.06	58% above	40%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath	$3,638.23	$6,063.72	$570.40–$4,547.79	—	40%
Trigger finger release surgery inpatient one side CPT 26055 Incise finger tendon sheath	$2,737.81	$4,563.02	$570.40–$3,422.27	—	40%
Trigger finger release surgery inpatient one side CPT 26055 Incise finger tendon sheath	$2,990.45	$4,984.08	$570.40–$3,738.06	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc biopsy breast uls guided	$900.00	$1,500.00	$176.36–$2,251.44	45% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$900.00	$1,500.00	$176.36–$2,251.44	45% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc biopsy breast uls guided	$900.00	$1,500.00	$176.36–$2,251.44	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag	$900.00	$1,500.00	$176.36–$2,251.44	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm	$2,128.28	$3,547.13	$530.45–$2,660.35	10% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm	$13,808.85	$23,014.75	$530.45–$17,261.06	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$1,869.82	$3,116.37	$317.70–$2,337.28	61% above	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple	$13,840.90	$23,068.17	$317.70–$17,301.13	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj	$2,512.88	$4,188.14	$317.70–$3,141.11	116% above	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj	$13,903.09	$23,171.81	$317.70–$17,378.86	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare	$2,022.73	$3,371.22	$530.45–$2,636.00	25% above	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare	$14,422.40	$24,037.34	$530.45–$18,028.01	—	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion	$1,988.81	$3,314.68	$317.70–$2,486.01	62% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion	$13,847.80	$23,079.67	$317.70–$17,309.75	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$1,190.75	$1,984.58	$317.70–$1,488.44	22% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash	$13,826.21	$23,043.68	$317.70–$17,282.76	—	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd w/transmural drain cyst	$13,772.65	$22,954.42	$1,574.03–$17,215.82	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$5,229.33	$8,715.55	$1,581.02–$7,064.05	29% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cystouretero w/lithotripsy	$4,168.84	$6,948.06	$1,581.02–$7,064.05	3% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cystouretero w/lithotripsy	$5,229.33	$8,715.55	$1,581.02–$7,064.05	29% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy	$15,624.23	$26,040.39	$1,581.02–$19,530.29	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient one side CPT 52353 Cystouretero w/lithotripsy	$4,168.84	$6,948.06	$1,581.02–$7,064.05	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient one side CPT 52353 Cystouretero w/lithotripsy	$5,229.33	$8,715.55	$1,581.02–$7,064.05	—	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$6,902.78	$11,504.64	$461.12–$7,064.05	29% above	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/uretero w/lithotripsy	$4,722.37	$7,870.62	$1,581.02–$7,064.05	12% below	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/uretero w/lithotripsy	$6,902.78	$11,504.64	$1,581.02–$8,628.48	29% above	40%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy	$14,299.42	$23,832.37	$461.12–$7,064.05	—	40%
Ureteroscopy with laser stone breaking and stent placement inpatient one side CPT 52356 Cysto/uretero w/lithotripsy	$4,722.37	$7,870.62	$1,581.02–$7,064.05	—	40%
Ureteroscopy with laser stone breaking and stent placement inpatient one side CPT 52356 Cysto/uretero w/lithotripsy	$6,902.78	$11,504.64	$1,581.02–$8,628.48	—	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$4,523.41	$7,539.02	$2,321.84–$7,539.02	—	40%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care	$4,440.76	$7,401.26	$2,214.50–$7,401.26	—	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$2,733.64	$4,556.07	$631.77–$3,417.05	76% above	40%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s)	$2,733.64	$4,556.07	$631.77–$3,417.05	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/<	$3,774.56	$6,290.94	$129.16–$4,718.21	969% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/<	$21,140.48	$35,234.13	$129.16–$26,425.60	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service	$303.59	$505.98	$28.01–$607.49	23% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 Hc transfusion blood or blood components	$303.59	$505.98	$28.01–$607.49	23% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc transfusion blood or blood components	$303.59	$505.98	$28.01–$607.49	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service	$12,248.02	$20,413.36	$28.01–$15,310.02	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc airway inhalation treatment	$195.00	$325.00	$146.85–$282.62	193% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$195.00	$325.00	$146.85–$282.62	193% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc airway inhalation treatment	$195.00	$325.00	$146.85–$282.62	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$195.00	$325.00	$146.85–$282.62	—	40%
Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr	$357.99	$596.65	$242.88–$447.49	at median	40%
Chemotherapy IV infusion, first hour CPT 96413 Hc chemo admin venous initial hr	$357.99	$596.65	$242.88–$447.49	at median	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc chemo admin venous initial hr	$357.99	$596.65	$242.88–$447.49	—	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr	$357.99	$596.65	$242.88–$447.49	—	40%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour	$1,260.00	$2,100.00	$541.40–$755.56	18% above	40%
Critical care, first 30 to 74 minutes CPT 99291 Hc er critical care 1st hr	$1,260.00	$2,100.00	$541.40–$755.56	18% above	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour	$1,260.00	$2,100.00	$541.40–$755.56	—	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc er critical care 1st hr	$1,260.00	$2,100.00	$541.40–$755.56	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc eeg awake and drowsy	$323.40	$539.00	$206.69–$432.71	1% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy	$323.40	$539.00	$206.69–$432.71	1% above	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc eeg awake and drowsy	$323.40	$539.00	$206.69–$432.71	—	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy	$323.40	$539.00	$206.69–$432.71	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc ekg 12 lead tracing only	$114.90	$191.50	$43.50–$82.54	24% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$114.90	$191.50	$43.50–$82.54	24% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc ekg 12 lead tracing only	$114.90	$191.50	$43.50–$82.54	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing	$114.90	$191.50	$43.50–$82.54	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit	$121.80	$203.00	$56.74–$67.47	17% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc er visit level 1	$121.80	$203.00	$56.74–$67.47	17% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit	$121.80	$203.00	$56.74–$67.47	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc er visit level 1	$121.80	$203.00	$56.74–$67.47	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit	$211.80	$353.00	$102.85–$122.56	9% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc er visit level 2	$211.80	$353.00	$102.85–$122.56	9% above	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc er visit level 2	$211.80	$353.00	$102.85–$122.56	—	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit	$211.80	$353.00	$102.85–$122.56	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc er visit level 3	$361.80	$603.00	$181.02–$221.29	at median	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit	$361.80	$603.00	$181.02–$221.29	at median	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc er visit level 3	$361.80	$603.00	$181.02–$221.29	—	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit	$361.80	$603.00	$181.02–$221.29	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit	$601.80	$1,003.00	$284.30–$365.50	8% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc er visit level 4	$601.80	$1,003.00	$284.30–$365.50	8% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit	$601.80	$1,003.00	$284.30–$365.50	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc er visit level 4	$601.80	$1,003.00	$284.30–$365.50	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit	$1,201.80	$2,003.00	$408.09–$537.38	49% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc er visit level 5	$1,201.80	$2,003.00	$408.09–$537.38	49% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc er visit level 5	$1,201.80	$2,003.00	$408.09–$537.38	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit	$1,201.80	$2,003.00	$408.09–$537.38	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test	$420.00	$700.00	$206.69–$432.71	10% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc cardiac stress test	$420.00	$700.00	$206.69–$432.71	10% above	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc cardiac stress test	$420.00	$700.00	$206.69–$432.71	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test	$420.00	$700.00	$206.69–$432.71	—	40%
Family therapy with the patient, 50 minutes CPT 90847 Hc family psych therapy w/pt	$168.00	$280.00	$104.44–$567.71	6% above	40%
Family therapy with the patient, 50 minutes CPT 90847 Family psytx w/pt 50 min	$168.00	$280.00	$104.44–$567.71	6% above	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc family psych therapy w/pt	$168.00	$280.00	$104.44–$567.71	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psytx w/pt 50 min	$168.00	$280.00	$104.44–$567.71	—	40%
Group psychotherapy session CPT 90853 Group psychotherapy	$90.00	$150.00	$58.52–$567.71	24% below	40%
Group psychotherapy session CPT 90853 Hc group psychotherapy	$90.00	$150.00	$58.52–$567.71	24% below	40%
Group psychotherapy session inpatient CPT 90853 Hc group psychotherapy	$90.00	$150.00	$58.52–$567.71	—	40%
Group psychotherapy session inpatient CPT 90853 Group psychotherapy	$90.00	$150.00	$58.52–$567.71	—	40%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg monit/reprt up to 48 hrs	$119.10	$198.50	$70.86–$94.55	43% below	40%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Hc xtrnl ecg & 48 hr record scan stor w/r&i reduced hrs	$119.10	$198.50	$70.86–$94.55	43% below	40%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Hc xtrnl ecg & 48 hr record scan stor w/r&i reduced hrs	$119.10	$198.50	$70.86–$94.55	—	40%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg monit/reprt up to 48 hrs	$119.10	$198.50	$70.86–$94.55	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init	$261.00	$435.00	$159.05–$326.25	42% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc infusion hydration initial	$261.00	$435.00	$159.05–$326.25	42% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc infusion hydration initial	$261.00	$435.00	$159.05–$326.25	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init	$261.00	$435.00	$159.05–$326.25	—	40%
IV infusion of a medicine, first hour CPT 96365 Hc iv infusion initial up to 1hr	$261.00	$435.00	$159.05–$326.25	16% above	40%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$261.00	$435.00	$159.05–$326.25	16% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$261.00	$435.00	$159.05–$326.25	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc iv infusion initial up to 1hr	$261.00	$435.00	$159.05–$326.25	—	40%
IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push	$280.80	$468.00	$159.05–$351.00	106% above	40%
IV push of a medicine, first drug CPT 96374 Hc injection iv push init	$280.80	$468.00	$159.05–$351.00	106% above	40%
IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push	$280.80	$468.00	$159.05–$351.00	—	40%
IV push of a medicine, first drug inpatient CPT 96374 Hc injection iv push init	$280.80	$468.00	$159.05–$351.00	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc injection im or subq	$54.00	$90.00	$48.44–$67.50	9% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im	$54.00	$90.00	$48.44–$67.50	9% below	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc injection im or subq	$54.00	$90.00	$48.44–$67.50	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im	$54.00	$90.00	$48.44–$67.50	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc psychiatric diag eval	$150.00	$250.00	$104.44–$567.71	7% below	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation	$150.00	$250.00	$104.44–$567.71	7% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc psychiatric diag eval	$150.00	$250.00	$104.44–$567.71	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych diagnostic evaluation	$150.00	$250.00	$104.44–$567.71	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 Hc ot neuromuscular ed 15 min	$34.50	$57.50	$29.57–$36.51	35% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$34.50	$57.50	$29.57–$36.51	35% below	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc ot neuromuscular ed 15 min	$34.50	$57.50	$29.57–$36.51	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$34.50	$57.50	$29.57–$36.51	—	40%
Occupational therapy evaluation, low complexity CPT 97165 Hc ot eval low complex 30min	$114.90	$191.50	$75.94–$84.12	8% below	40%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min	$114.90	$191.50	$75.94–$84.12	8% below	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min	$114.90	$191.50	$75.94–$84.12	—	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc ot eval low complex 30min	$114.90	$191.50	$75.94–$84.12	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min	$151.80	$253.00	$71.78–$86.62	1% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc pt eval high complex 45min	$151.80	$253.00	$71.78–$86.62	1% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc pt eval high complex 45min	$151.80	$253.00	$71.78–$86.62	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min	$151.80	$253.00	$71.78–$86.62	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min	$114.90	$191.50	$71.78–$86.62	2% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc pt eval low complex 20min	$114.90	$191.50	$71.78–$86.62	2% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min	$114.90	$191.50	$71.78–$86.62	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc pt eval low complex 20min	$114.90	$191.50	$71.78–$86.62	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc pt eval mod complex 30 min	$151.80	$253.00	$71.78–$86.62	18% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min	$151.80	$253.00	$71.78–$86.62	18% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc pt eval mod complex 30 min	$151.80	$253.00	$71.78–$86.62	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min	$151.80	$253.00	$71.78–$86.62	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc pt manual therapy ea 15 min	$36.30	$60.50	$23.73–$32.62	38% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions	$36.30	$60.50	$23.73–$32.62	38% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc pt manual therapy ea 15 min	$36.30	$60.50	$23.73–$32.62	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions	$36.30	$60.50	$23.73–$32.62	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$33.30	$55.50	$25.76–$35.08	38% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc ost - oral/mot ex dysarthria e 15	$33.30	$55.50	$25.76–$35.08	38% below	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$33.30	$55.50	$25.76–$35.08	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc ost - oral/mot ex dysarthria e 15	$33.30	$55.50	$25.76–$35.08	—	40%
Psychotherapy session, 30 minutes CPT 90832 Hc psytx pt &/or family 30 min	$108.00	$180.00	$104.44–$567.71	7% above	40%
Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes	$108.00	$180.00	$104.44–$567.71	7% above	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hc psytx pt &/or family 30 min	$108.00	$180.00	$104.44–$567.71	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx w pt 30 minutes	$108.00	$180.00	$104.44–$567.71	—	40%
Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes	$150.00	$250.00	$104.44–$567.71	7% above	40%
Psychotherapy session, 45 minutes CPT 90834 Hc psytx pt &/or family 45 min	$150.00	$250.00	$104.44–$567.71	7% above	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hc psytx pt &/or family 45 min	$150.00	$250.00	$104.44–$567.71	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx w pt 45 minutes	$150.00	$250.00	$104.44–$567.71	—	40%
Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes	$150.00	$250.00	$104.44–$567.71	19% above	40%
Psychotherapy session, 60 minutes CPT 90837 Hc psytx pt & /or family 60 min	$150.00	$250.00	$104.44–$567.71	19% above	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 Hc psytx pt & /or family 60 min	$150.00	$250.00	$104.44–$567.71	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx w pt 60 minutes	$150.00	$250.00	$104.44–$567.71	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc behavior chng smoking 3-10 min	$30.00	$50.00	$13.53–$50.00	9% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$30.00	$50.00	$13.53–$50.00	9% below	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc behavior chng smoking 3-10 min	$30.00	$50.00	$13.53–$50.00	—	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$30.00	$50.00	$13.53–$50.00	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc office visit est level 5	$183.55	$305.91	$94.31–$121.62	1% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est	$183.55	$305.91	$94.31–$121.62	1% below	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc office visit est level 5	$183.55	$305.91	$94.31–$121.62	—	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est	$183.55	$305.91	$94.31–$121.62	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc office visit est level 3	$84.98	$141.63	$43.29–$55.77	19% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est	$84.98	$141.63	$43.29–$55.77	19% below	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc office visit est level 3	$84.98	$141.63	$43.29–$55.77	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est	$84.98	$141.63	$43.29–$55.77	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc office visit est level 4	$130.52	$217.53	$66.75–$86.12	1% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est	$130.52	$217.53	$66.75–$86.12	1% below	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est	$130.52	$217.53	$66.75–$86.12	—	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc office visit est level 4	$130.52	$217.53	$66.75–$86.12	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est	$104.62	$174.36	$21.65–$27.78	36% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc office visit est level 2	$104.62	$174.36	$21.65–$27.78	36% above	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est	$104.62	$174.36	$21.65–$27.78	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc office visit est level 2	$104.62	$174.36	$21.65–$27.78	—	40%
Speech and language evaluation CPT 92523 Hc speech sound lang comprehen	$354.60	$591.00	$163.61–$314.91	89% above	40%
Speech and language evaluation CPT 92523 Speech sound lang comprehen	$354.60	$591.00	$163.61–$314.91	89% above	40%
Speech and language evaluation inpatient CPT 92523 Hc speech sound lang comprehen	$354.60	$591.00	$163.61–$314.91	—	40%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen	$354.60	$591.00	$163.61–$314.91	—	40%
Speech therapy session, individual CPT 92507 Hc speech/hearing therapy indiv	$66.60	$111.00	$67.17–$105.82	46% below	40%
Speech therapy session, individual CPT 92507 Speech/hearing therapy	$66.60	$111.00	$67.17–$105.82	46% below	40%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy	$66.60	$111.00	$67.17–$105.82	—	40%
Speech therapy session, individual inpatient CPT 92507 Hc speech/hearing therapy indiv	$66.60	$111.00	$67.17–$105.82	—	40%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$119.40	$199.00	$109.07–$217.41	11% below	40%
Spirometry (breathing test) CPT 94010 Hc spirometry	$119.40	$199.00	$109.07–$217.41	11% below	40%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$119.40	$199.00	$109.07–$217.41	—	40%
Spirometry (breathing test) inpatient CPT 94010 Hc spirometry	$119.40	$199.00	$109.07–$217.41	—	40%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$240.00	$400.00	$206.69–$432.71	4% below	40%
Spirometry before and after a bronchodilator CPT 94060 Hc spirometry pre/post dilator	$240.00	$400.00	$206.69–$432.71	4% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc spirometry pre/post dilator	$240.00	$400.00	$206.69–$432.71	—	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$240.00	$400.00	$206.69–$432.71	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc ot functional activ ea 15 min	$34.50	$57.50	$32.67–$37.69	36% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities	$34.50	$57.50	$32.67–$37.69	36% below	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities	$34.50	$57.50	$32.67–$37.69	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc ot functional activ ea 15 min	$34.50	$57.50	$32.67–$37.69	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$134.34	$223.90	$81.80–$96.25	28% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc phlebotomy therapeutic	$134.34	$223.90	$81.80–$96.25	28% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$134.34	$223.90	$81.80–$96.25	—	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc phlebotomy therapeutic	$134.34	$223.90	$81.80–$96.25	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Mississippi	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid vacc 2024-25 (12 yrs up) (moderna)(pf) 50 mcg/0.5 ml im syringe [508018]	$425.40	$709.00	$531.75–$709.00	255% above	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Covid vacc 2024-25 (12 yrs up) (moderna)(pf) 50 mcg/0.5 ml im syringe [508018]	$425.40	$709.00	$531.75–$709.00	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphpertus(acel)tet ped(pf) 25 lf unit-58 mcg-10 lf/0.5ml im syringe [19451]	$86.10	$143.50	$107.63–$143.50	115% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Diphpertus(acel)tet ped(pf) 25 lf unit-58 mcg-10 lf/0.5ml im syringe [19451]	$86.10	$143.50	$107.63–$143.50	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu vaccine ts 2024-25(6mos up)(pf) 45 mcg(15mcg x3)/0.5 ml im syringe [205338]	$56.94	$94.90	$11.73–$18.39	2% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu vaccine ts 2024-25(6mos up)(pf) 45 mcg(15mcg x3)/0.5 ml im syringe [205338]	$56.94	$94.90	$11.73–$18.39	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a and b virus vaccine(pf)720 elisa unit-20 mcg/ml im syringe [117318]	$356.37	$593.95	$445.46–$593.95	119% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis a and b virus vaccine(pf)720 elisa unit-20 mcg/ml im syringe [117318]	$356.37	$593.95	$445.46–$593.95	—	40%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a vaccine (pf) 1440 elisa unit/ml intramuscular syringe [117131]	$233.96	$389.94	$292.46–$389.94	219% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a vaccine (pf) 1440 elisa unit/ml intramuscular syringe [117131]	$233.96	$389.94	$292.46–$389.94	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a virus vaccine (pf) 25 unit/0.5 ml intramuscular suspension [91045]	$110.96	$184.93	$138.70–$184.93	142% above	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a virus vaccine (pf) 25 unit/0.5 ml intramuscular suspension [91045]	$110.96	$184.93	$138.70–$184.93	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b virus vaccine recomb (pf) 20 mcg/ml intramuscular syringe [116993]	$196.22	$327.04	$56.57–$73.77	162% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b virus vaccine recomb (pf) 20 mcg/ml intramuscular susp [117065]	$207.73	$346.22	$56.57–$73.77	178% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b virus vaccine recomb (pf) 20 mcg/ml intramuscular syringe [116993]	$196.22	$327.04	$56.57–$73.77	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b virus vaccine recomb (pf) 20 mcg/ml intramuscular susp [117065]	$207.73	$346.22	$56.57–$73.77	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis b virus vaccine recomb (pf) 10 mcg/0.5 ml im syringe [117061]	$84.97	$141.61	$22.94–$141.61	2% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis b virus vaccine recomb (pf) 10 mcg/0.5 ml im syringe [117061]	$84.97	$141.61	$22.94–$141.61	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus b polysaccharid conj-tetanus tox(pf) 10 mcg/0.5 ml im soln [11931]	$36.16	$60.27	$45.20–$60.27	73% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus b polysaccharid conj-tetanus tox(pf) 10 mcg/0.5 ml im soln [11931]	$36.16	$60.27	$45.20–$60.27	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu vaccine qs2023-24(65yr up)(pf)240 mcg/0.7 ml intramuscular syringe [201166]	$192.85	$321.42	$29.30–$61.61	359% above	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu vaccine qs2023-24(65yr up)(pf)240 mcg/0.7 ml intramuscular syringe [201166]	$192.85	$321.42	$29.30–$61.61	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measlesmumpsrubella vaccine live(pf)1000-12500tcid50/0.5 ml subcut [10512]	$261.40	$435.67	$326.75–$435.67	222% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measlesmumpsrubella vaccine live(pf)1000-12500tcid50/0.5 ml subcut [10512]	$261.40	$435.67	$326.75–$435.67	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal a conj vacc 2 of 2(pf) 10 mcg/0.5 ml (final) im solution [169651]	$444.15	$740.25	$105.99–$116.59	102% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningoc vac acyw-135 dip(pf) 10 mcg-5 mcg/0.5 ml im kit (2 vials) [101034]	$444.15	$740.25	$105.99–$116.59	102% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningoc vac acyw-135 dip(pf) 10 mcg-5 mcg/0.5 ml im kit (2 vials) [101034]	$444.15	$740.25	$105.99–$116.59	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal a conj vacc 2 of 2(pf) 10 mcg/0.5 ml (final) im solution [169651]	$444.15	$740.25	$105.99–$116.59	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningoco cyw-135 vacc 1 of 2(pf) 5 mcg x3/0.5 ml(final) im solution [169652]	$404.45	$674.09	$148.90–$197.18	226% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal b vac4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5ml im syringe [168940]	$631.50	$1,052.50	$148.90–$197.18	409% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningoco cyw-135 vacc 1 of 2(pf) 5 mcg x3/0.5 ml(final) im solution [169652]	$404.45	$674.09	$148.90–$197.18	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal b vac4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5ml im syringe [168940]	$631.50	$1,052.50	$148.90–$197.18	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-val conj vaccine-dip crm (pf) 0.5 ml im syringe [103895]	$639.08	$1,065.13	$123.15–$236.08	81% above	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-val conj vaccine-dip crm (pf) 0.5 ml im syringe [103895]	$639.08	$1,065.13	$123.15–$236.08	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-valent conj vaccine-dip crm (pf) 0.5 ml im syringe [194507]	$761.34	$1,268.90	$951.68–$1,268.90	60% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-valent conj vaccine-dip crm (pf) 0.5 ml im syringe [194507]	$761.34	$1,268.90	$951.68–$1,268.90	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23 polyvalent vaccine 25 mcg/0.5 ml injection solution [11037]	$351.25	$585.41	$54.18–$125.63	79% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23 polyvalent vaccine 25 mcg/0.5 ml injection solution [11037]	$351.25	$585.41	$54.18–$125.63	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine 40 unit-8 unit-32 unit/0.5 ml injection suspension [108802]	$1,204.50	$2,007.50	$1,505.63–$2,007.50	2911% above	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus vaccine 40 unit-8 unit-32 unit/0.5 ml injection suspension [108802]	$1,204.50	$2,007.50	$1,505.63–$2,007.50	—	40%
Rabies vaccine, one dose CPT 90675 Rabies vaccine purified chicken embryo cell (pf) 2.5 unit im susp [22120]	$910.96	$1,518.27	$312.86–$479.68	189% above	40%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine purified chicken embryo cell (pf) 2.5 unit im susp [22120]	$910.96	$1,518.27	$312.86–$479.68	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella-zoster glycop e vaccine (vial 2 of 2) 50 mcg im suspension [183471]	$558.42	$930.70	$151.41–$698.03	21% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella-zoster glycoe vacc-as01b adj(pf) 50 mcg/0.5 ml im susp kit [183469]	$558.42	$930.70	$151.41–$698.03	21% above	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella-zoster glycoe vacc-as01b adj(pf) 50 mcg/0.5 ml im susp kit [183469]	$558.42	$930.70	$151.41–$698.03	—	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella-zoster glycop e vaccine (vial 2 of 2) 50 mcg im suspension [183471]	$558.42	$930.70	$151.41–$698.03	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria tox (pf) 5 lf unit-2 lf unit/0.5 ml im syringe [118050]	$104.96	$174.94	$131.21–$174.94	60% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus and diphtheria tox (pf) 5 lf unit-2 lf unit/0.5 ml im syringe [118050]	$104.96	$174.94	$131.21–$174.94	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphthpertussis(acell)tetanus 2.5 lf unit-8 mcg-5 lf/0.5 ml im susp [162994]	$134.14	$223.56	$167.67–$223.56	41% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphthpertussis(acel)tetanus 2.5 lf unit-8 mcg-5 lf/0.5ml im syringe [162993]	$134.14	$223.56	$167.67–$223.56	41% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphthpertussis(acell)tetanus 2.5 lf unit-8 mcg-5 lf/0.5 ml im susp [162994]	$134.14	$223.56	$167.67–$223.56	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphthpertussis(acel)tetanus 2.5 lf unit-8 mcg-5 lf/0.5ml im syringe [162993]	$134.14	$223.56	$167.67–$223.56	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$85.80	$143.00	$48.44–$107.25	58% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc admin immunization 1 vaccine	$85.80	$143.00	$48.44–$107.25	58% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc admin immunization 1 vaccine	$85.80	$143.00	$48.44–$107.25	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$85.80	$143.00	$48.44–$107.25	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add	$42.60	$71.00	$53.25–$71.00	35% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc admin immunizatn ea addl vaccine	$42.60	$71.00	$53.25–$71.00	35% above	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add	$42.60	$71.00	$53.25–$71.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc admin immunizatn ea addl vaccine	$42.60	$71.00	$53.25–$71.00	—	40%

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

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

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

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

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

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

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

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

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

Source file: https://cdn.accureg.net/trans/smrmc/640468873_Southwest-Mississippi-Regional-Medical-Center_standardcharges.csv