Merit Health Womans Hospital
Merit Health Womans Hospital in Flowood, MS publishes cash prices for 204 common procedures listed here, from its own machine-readable price file updated Dec 17, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Mississippi median for 181 of 202 procedures and below it for 21. Select a procedure to compare it with other hospitals nearby.
1026 North Flowood Dr, Flowood, MS 39232 Collected Nov 12, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete CR | $197.45 | $897.48 | $46.45–$897.48 | 24% above | 78% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete DR | $197.45 | $897.48 | $46.45–$897.48 | 24% above | 78% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete DR | $197.45 | $897.48 | $104.11–$717.98 | — | 78% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete CR | $197.45 | $897.48 | $104.11–$717.98 | — | 78% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $246.63 | $1,121.04 | $50.12–$1,121.04 | 100% above | 78% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $246.63 | $1,121.04 | $50.12–$1,121.04 | 100% above | 78% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $246.63 | $1,121.04 | $50.12–$1,121.04 | 100% above | 78% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $246.63 | $1,121.04 | $50.12–$1,121.04 | 100% above | 78% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $246.63 | $1,121.04 | $130.04–$896.83 | — | 78% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $246.63 | $1,121.04 | $130.04–$896.83 | — | 78% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $246.63 | $1,121.04 | $130.04–$896.83 | — | 78% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $246.63 | $1,121.04 | $130.04–$896.83 | — | 78% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM | $583.00 | $2,650.00 | $81.46–$2,650.00 | — | 78% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US ABUS Bilat Complete CM | $629.64 | $2,862.00 | $81.46–$2,862.00 | — | 78% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral | $629.64 | $2,862.00 | $81.46–$2,862.00 | — | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US ABUS LT Complete CM | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US ABUS RT Complete CM | $314.82 | $1,431.00 | $81.46–$1,431.00 | 70% above | 78% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM | $583.00 | $2,650.00 | $307.40–$2,120.00 | — | 78% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US ABUS Bilat Complete CM | $629.64 | $2,862.00 | $331.99–$2,289.60 | — | 78% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral | $629.64 | $2,862.00 | $331.99–$2,289.60 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US ABUS LT Complete CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US ABUS RT Complete CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral CM | $583.00 | $2,650.00 | $67.32–$2,650.00 | — | 78% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral | $629.64 | $2,862.00 | $67.32–$2,862.00 | — | 78% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $314.82 | $1,431.00 | $67.32–$1,431.00 | 101% above | 78% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM | $314.82 | $1,431.00 | $67.32–$1,431.00 | 101% above | 78% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM | $314.82 | $1,431.00 | $67.32–$1,431.00 | 101% above | 78% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $314.82 | $1,431.00 | $67.32–$1,431.00 | 101% above | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral CM | $583.00 | $2,650.00 | $307.40–$2,120.00 | — | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral | $629.64 | $2,862.00 | $331.99–$2,289.60 | — | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $314.82 | $1,431.00 | $166.00–$1,144.80 | — | 78% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR | $200.30 | $910.44 | $41.62–$910.44 | 43% above | 78% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR | $200.30 | $910.44 | $41.62–$910.44 | 43% above | 78% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR | $200.30 | $910.44 | $105.61–$728.35 | — | 78% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR | $200.30 | $910.44 | $105.61–$728.35 | — | 78% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR | $129.73 | $589.68 | $30.77–$589.68 | 23% above | 78% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR | $129.73 | $589.68 | $30.77–$589.68 | 23% above | 78% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR | $129.73 | $589.68 | $30.77–$589.68 | 23% above | 78% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR | $129.73 | $589.68 | $68.40–$471.74 | — | 78% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR | $129.73 | $589.68 | $68.40–$471.74 | — | 78% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR | $129.73 | $589.68 | $68.40–$471.74 | — | 78% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right CR | $188.54 | $857.00 | $42.41–$857.00 | 73% above | 78% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left CR | $203.62 | $925.56 | $42.41–$925.56 | 87% above | 78% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR | $203.62 | $925.56 | $42.41–$925.56 | 87% above | 78% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR | $203.62 | $925.56 | $42.41–$925.56 | 87% above | 78% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right CR | $188.54 | $857.00 | $99.41–$685.60 | — | 78% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR | $203.62 | $925.56 | $107.36–$740.45 | — | 78% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR | $203.62 | $925.56 | $107.36–$740.45 | — | 78% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left CR | $203.62 | $925.56 | $107.36–$740.45 | — | 78% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $375.41 | $1,706.40 | $81.46–$1,706.40 | 10% above | 78% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $375.41 | $1,706.40 | $197.94–$1,365.12 | — | 78% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $125.18 | $569.00 | $51.28–$569.00 | 47% below | 78% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $125.18 | $569.00 | $66.00–$455.20 | — | 78% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $329.12 | $1,496.00 | $65.00–$1,496.00 | — | 78% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $355.45 | $1,615.68 | $65.00–$1,615.68 | — | 78% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $460.47 | $2,093.04 | $65.00–$2,093.04 | — | 78% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $329.12 | $1,496.00 | $173.54–$1,196.80 | — | 78% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $355.45 | $1,615.68 | $187.42–$1,292.54 | — | 78% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $460.47 | $2,093.04 | $242.79–$1,674.43 | — | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $213.18 | $969.00 | $65.00–$969.00 | 66% above | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $230.23 | $1,046.52 | $65.00–$1,046.52 | 79% above | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $230.23 | $1,046.52 | $65.00–$1,046.52 | 79% above | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $230.23 | $1,046.52 | $65.00–$1,046.52 | 79% above | 78% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $230.23 | $1,046.52 | $65.00–$1,046.52 | 79% above | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $213.18 | $969.00 | $112.40–$775.20 | — | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $230.23 | $1,046.52 | $121.40–$837.22 | — | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $230.23 | $1,046.52 | $121.40–$837.22 | — | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $230.23 | $1,046.52 | $121.40–$837.22 | — | 78% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $230.23 | $1,046.52 | $121.40–$837.22 | — | 78% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $1,083.22 | $4,923.72 | $181.55–$4,923.72 | — | 78% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $1,083.22 | $4,923.72 | $181.55–$4,923.72 | — | 78% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $1,083.22 | $4,923.72 | $571.15–$3,938.98 | — | 78% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $1,083.22 | $4,923.72 | $571.15–$3,938.98 | — | 78% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Transthoracic Echo 2D Doppler Comp | $1,268.55 | $5,766.12 | $215.23–$5,766.12 | 32% above | 78% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Transthoracic Echo 2D Doppler Comp | $1,268.55 | $5,766.12 | $668.87–$4,612.90 | — | 78% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $285.12 | $1,296.00 | $43.19–$1,296.00 | 157% above | 78% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com | $285.12 | $1,296.00 | $43.19–$1,296.00 | 157% above | 78% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR - XR Elbow Com | $285.12 | $1,296.00 | $150.34–$1,036.80 | — | 78% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $285.12 | $1,296.00 | $150.34–$1,036.80 | — | 78% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 V Bilateral DR | $304.60 | $1,384.56 | $38.01–$1,384.56 | — | 78% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR | $152.30 | $692.28 | $38.01–$692.28 | 36% above | 78% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR | $152.30 | $692.28 | $38.01–$692.28 | 36% above | 78% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 V Bilateral DR | $304.60 | $1,384.56 | $160.61–$1,107.65 | — | 78% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR | $152.30 | $692.28 | $80.30–$553.82 | — | 78% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR | $152.30 | $692.28 | $80.30–$553.82 | — | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $529.37 | $2,406.24 | $81.46–$2,406.24 | 98% above | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $529.37 | $2,406.24 | $81.46–$2,406.24 | 98% above | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $529.37 | $2,406.24 | $81.46–$2,406.24 | 98% above | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $529.37 | $2,406.24 | $279.12–$1,924.99 | — | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $529.37 | $2,406.24 | $279.12–$1,924.99 | — | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $529.37 | $2,406.24 | $279.12–$1,924.99 | — | 78% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt | $654.59 | $2,975.40 | $58.52–$2,975.40 | 232% above | 78% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt | $654.59 | $2,975.40 | $58.52–$2,975.40 | 232% above | 78% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt | $654.59 | $2,975.40 | $345.15–$2,380.32 | — | 78% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt | $654.59 | $2,975.40 | $345.15–$2,380.32 | — | 78% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR | $180.10 | $818.64 | $42.83–$818.64 | 44% above | 78% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left CR | $180.10 | $818.64 | $42.83–$818.64 | 44% above | 78% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR | $180.10 | $818.64 | $42.83–$818.64 | 44% above | 78% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right CR | $180.10 | $818.64 | $42.83–$818.64 | 44% above | 78% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR | $180.10 | $818.64 | $94.96–$654.91 | — | 78% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR | $180.10 | $818.64 | $94.96–$654.91 | — | 78% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left CR | $180.10 | $818.64 | $94.96–$654.91 | — | 78% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right CR | $180.10 | $818.64 | $94.96–$654.91 | — | 78% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU | $273.72 | $1,244.16 | $42.83–$1,244.16 | 30% above | 78% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU | $273.72 | $1,244.16 | $144.32–$995.33 | — | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS NON OB | $433.86 | $1,972.08 | $81.46–$1,972.08 | 45% above | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete | $433.86 | $1,972.08 | $81.46–$1,972.08 | 45% above | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete | $433.86 | $1,972.08 | $228.76–$1,577.66 | — | 78% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS NON OB | $433.86 | $1,972.08 | $228.76–$1,577.66 | — | 78% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $510.36 | $2,319.84 | $81.46–$2,319.84 | 48% above | 78% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $510.36 | $2,319.84 | $269.10–$1,855.87 | — | 78% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal | $478.76 | $2,176.20 | $81.46–$2,176.20 | 59% above | 78% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal | $478.76 | $2,176.20 | $252.44–$1,740.96 | — | 78% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited | $273.24 | $1,242.00 | $81.46–$1,242.00 | 29% above | 78% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited | $273.24 | $1,242.00 | $144.07–$993.60 | — | 78% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR | $162.52 | $738.72 | $47.05–$738.72 | 33% above | 78% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR | $162.52 | $738.72 | $47.05–$738.72 | 33% above | 78% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right CR | $162.52 | $738.72 | $47.05–$738.72 | 33% above | 78% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left CR | $162.52 | $738.72 | $47.05–$738.72 | 33% above | 78% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left CR | $162.52 | $738.72 | $85.69–$590.98 | — | 78% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR | $162.52 | $738.72 | $85.69–$590.98 | — | 78% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right CR | $162.52 | $738.72 | $85.69–$590.98 | — | 78% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR | $162.52 | $738.72 | $85.69–$590.98 | — | 78% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $245.08 | $1,114.00 | $52.48–$1,114.00 | 56% above | 78% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $245.08 | $1,114.00 | $52.48–$1,114.00 | 56% above | 78% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $245.08 | $1,114.00 | $129.22–$891.20 | — | 78% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $245.08 | $1,114.00 | $129.22–$891.20 | — | 78% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $238.26 | $1,083.00 | $65.00–$1,083.00 | — | 78% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $257.32 | $1,169.64 | $65.00–$1,169.64 | — | 78% |
| Screening mammogram, both breasts CPT 77067 77067 BR-DIG MAMMO SCRN UN | $238.26 | $1,083.00 | $65.00–$1,083.00 | 39% above | 78% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $257.32 | $1,169.64 | $65.00–$1,169.64 | 50% above | 78% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $257.32 | $1,169.64 | $65.00–$1,169.64 | 50% above | 78% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $238.26 | $1,083.00 | $125.63–$866.40 | — | 78% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $257.32 | $1,169.64 | $135.68–$935.71 | — | 78% |
| Screening mammogram, both breasts inpatient CPT 77067 77067 BR-DIG MAMMO SCRN UN | $238.26 | $1,083.00 | $125.63–$866.40 | — | 78% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $257.32 | $1,169.64 | $135.68–$935.71 | — | 78% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $257.32 | $1,169.64 | $135.68–$935.71 | — | 78% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $157.77 | $717.12 | $42.68–$717.12 | 16% above | 78% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $157.77 | $717.12 | $42.68–$717.12 | 16% above | 78% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $157.77 | $717.12 | $42.68–$717.12 | 16% above | 78% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $157.77 | $717.12 | $42.68–$717.12 | 16% above | 78% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V CR | $156.82 | $712.80 | $42.84–$712.80 | 14% above | 78% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR | $156.82 | $712.80 | $42.84–$712.80 | 14% above | 78% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V CR | $156.82 | $712.80 | $82.68–$570.24 | — | 78% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR | $156.82 | $712.80 | $82.68–$570.24 | — | 78% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR | $217.64 | $989.28 | $47.66–$989.28 | 80% above | 78% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR | $217.64 | $989.28 | $47.66–$989.28 | 80% above | 78% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR | $217.64 | $989.28 | $114.76–$791.42 | — | 78% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR | $217.64 | $989.28 | $114.76–$791.42 | — | 78% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL | $472.82 | $2,149.20 | $81.46–$2,149.20 | 57% above | 78% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $472.82 | $2,149.20 | $81.46–$2,149.20 | 57% above | 78% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $472.82 | $2,149.20 | $249.31–$1,719.36 | — | 78% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL | $472.82 | $2,149.20 | $249.31–$1,719.36 | — | 78% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $671.46 | $3,052.08 | $81.46–$3,052.08 | 150% above | 78% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $671.46 | $3,052.08 | $354.04–$2,441.66 | — | 78% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $715.18 | $3,250.80 | $81.46–$3,250.80 | 84% above | 78% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $715.18 | $3,250.80 | $377.09–$2,600.64 | — | 78% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents | $458.57 | $2,084.40 | $81.46–$2,084.40 | 70% above | 78% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents | $458.57 | $2,084.40 | $241.79–$1,667.52 | — | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $454.53 | $2,066.04 | $81.46–$2,066.04 | 67% above | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $454.53 | $2,066.04 | $81.46–$2,066.04 | 67% above | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $454.53 | $2,066.04 | $239.66–$1,652.83 | — | 78% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $454.53 | $2,066.04 | $239.66–$1,652.83 | — | 78% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR | $175.11 | $795.96 | $42.84–$795.96 | 45% above | 78% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right CR | $175.11 | $795.96 | $42.84–$795.96 | 45% above | 78% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR | $175.11 | $795.96 | $42.84–$795.96 | 45% above | 78% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left CR | $175.11 | $795.96 | $42.84–$795.96 | 45% above | 78% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left CR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right CR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $669.79 | $3,044.52 | $81.46–$3,044.52 | 102% above | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $669.79 | $3,044.52 | $81.46–$3,044.52 | 102% above | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $669.79 | $3,044.52 | $81.46–$3,044.52 | 102% above | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $669.79 | $3,044.52 | $81.46–$3,044.52 | 102% above | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $669.79 | $3,044.52 | $353.16–$2,435.62 | — | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $669.79 | $3,044.52 | $353.16–$2,435.62 | — | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $669.79 | $3,044.52 | $353.16–$2,435.62 | — | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $669.79 | $3,044.52 | $353.16–$2,435.62 | — | 78% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right CR | $609.70 | $2,771.37 | $46.45–$2,771.37 | 424% above | 78% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left CR | $609.70 | $2,771.37 | $46.45–$2,771.37 | 424% above | 78% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right CR | $609.70 | $2,771.37 | $321.48–$2,217.10 | — | 78% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left CR | $609.70 | $2,771.37 | $321.48–$2,217.10 | — | 78% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $157.77 | $717.12 | $56.37–$717.12 | 29% above | 78% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $157.77 | $717.12 | $56.37–$717.12 | 29% above | 78% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $157.77 | $717.12 | $56.37–$717.12 | 29% above | 78% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $157.77 | $717.12 | $56.37–$717.12 | 29% above | 78% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $188.42 | $856.44 | $64.65–$856.44 | 59% above | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $188.42 | $856.44 | $64.65–$856.44 | 59% above | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $188.42 | $856.44 | $99.35–$685.15 | — | 78% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $188.42 | $856.44 | $99.35–$685.15 | — | 78% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR | $106.21 | $482.76 | $38.61–$482.76 | 17% below | 78% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR | $106.21 | $482.76 | $38.61–$482.76 | 17% below | 78% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR | $315.53 | $1,434.24 | $46.57–$1,434.24 | — | 78% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR | $157.77 | $717.12 | $46.57–$717.12 | 29% above | 78% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR | $157.77 | $717.12 | $46.57–$717.12 | 29% above | 78% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR | $157.77 | $717.12 | $46.57–$717.12 | 29% above | 78% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR | $157.77 | $717.12 | $46.57–$717.12 | 29% above | 78% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR | $315.53 | $1,434.24 | $166.37–$1,147.39 | — | 78% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR | $157.77 | $717.12 | $83.19–$573.70 | — | 78% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR | $281.79 | $1,280.88 | $50.12–$1,280.88 | — | 78% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR | $140.90 | $640.44 | $50.12–$640.44 | 14% above | 78% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR | $140.90 | $640.44 | $50.12–$640.44 | 14% above | 78% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR | $140.90 | $640.44 | $50.12–$640.44 | 14% above | 78% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR | $140.90 | $640.44 | $50.12–$640.44 | 14% above | 78% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR | $281.79 | $1,280.88 | $148.58–$1,024.70 | — | 78% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR | $140.90 | $640.44 | $74.29–$512.35 | — | 78% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR | $140.90 | $640.44 | $74.29–$512.35 | — | 78% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR | $140.90 | $640.44 | $74.29–$512.35 | — | 78% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR | $140.90 | $640.44 | $74.29–$512.35 | — | 78% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $251.38 | $1,142.64 | $47.05–$1,142.64 | — | 78% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR | $125.69 | $571.32 | $47.05–$571.32 | 4% above | 78% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR | $125.69 | $571.32 | $47.05–$571.32 | 4% above | 78% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR | $125.69 | $571.32 | $47.05–$571.32 | 4% above | 78% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR | $125.69 | $571.32 | $47.05–$571.32 | 4% above | 78% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $251.38 | $1,142.64 | $132.55–$914.11 | — | 78% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR | $125.69 | $571.32 | $66.27–$457.06 | — | 78% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR | $125.69 | $571.32 | $66.27–$457.06 | — | 78% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR | $125.69 | $571.32 | $66.27–$457.06 | — | 78% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR | $125.69 | $571.32 | $66.27–$457.06 | — | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $172.97 | $786.24 | $52.15–$786.24 | 23% above | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $172.97 | $786.24 | $52.15–$786.24 | 23% above | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $172.97 | $786.24 | $91.20–$628.99 | — | 78% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $172.97 | $786.24 | $91.20–$628.99 | — | 78% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR | $175.11 | $795.96 | $39.81–$795.96 | 35% above | 78% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR | $175.11 | $795.96 | $39.81–$795.96 | 35% above | 78% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR | $175.11 | $795.96 | $92.33–$636.77 | — | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR | $183.88 | $835.82 | $51.88–$835.82 | 35% above | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR | $183.88 | $835.82 | $51.88–$835.82 | 35% above | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR | $183.88 | $835.82 | $96.96–$668.66 | — | 78% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR | $183.88 | $835.82 | $96.96–$668.66 | — | 78% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR | $159.25 | $723.85 | $41.02–$723.85 | 18% above | 78% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR | $159.25 | $723.85 | $41.02–$723.85 | 18% above | 78% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR | $159.25 | $723.85 | $83.97–$579.08 | — | 78% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR | $159.25 | $723.85 | $83.97–$579.08 | — | 78% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 L550140 TRANSFERASE ALT 889 | $83.60 | $380.00 | $4.77–$380.00 | 207% above | 78% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $90.29 | $410.40 | $4.77–$410.40 | 232% above | 78% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 L550140 TRANSFERASE ALT 889 | $83.60 | $380.00 | $44.08–$304.00 | — | 78% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $90.29 | $410.40 | $47.61–$328.32 | — | 78% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 L550140 TRANSFERASE AST 889 | $42.68 | $194.00 | $4.66–$194.00 | 56% above | 78% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $46.09 | $209.52 | $4.66–$209.52 | 69% above | 78% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 L550140 TRANSFERASE AST 889 | $42.68 | $194.00 | $22.50–$155.20 | — | 78% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $46.09 | $209.52 | $24.30–$167.62 | — | 78% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $393.47 | $1,788.48 | $42.87–$1,788.48 | 175% above | 78% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute | $393.47 | $1,788.48 | $207.46–$1,430.78 | — | 78% |
| Albumin blood test CPT 82040 Albumin Level | $28.16 | $128.00 | $4.46–$128.00 | 5% below | 78% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $28.16 | $128.00 | $14.85–$102.40 | — | 78% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $71.99 | $327.24 | $4.66–$327.24 | 140% above | 78% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $71.99 | $327.24 | $37.96–$261.79 | — | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgE Gluten LC | $17.11 | $77.76 | $4.70–$77.76 | 34% above | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L139825 ALG IGE QT | $17.11 | $77.76 | $4.70–$77.76 | 34% above | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F079-IgE Gluten LC | $17.11 | $77.76 | $9.02–$62.21 | — | 78% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L139825 ALG IGE QT | $17.11 | $77.76 | $9.02–$62.21 | — | 78% |
| Ammonia blood test CPT 82140 Ammonia Level | $138.05 | $627.48 | $13.11–$627.48 | 88% above | 78% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $138.05 | $627.48 | $72.79–$501.98 | — | 78% |
| Amylase blood test CPT 82150 Amylase Blood | $56.79 | $258.12 | $5.83–$258.12 | 41% above | 78% |
| Amylase blood test inpatient CPT 82150 Amylase Blood | $56.79 | $258.12 | $29.94–$206.50 | — | 78% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive (LC) | $107.40 | $488.16 | $10.88–$488.16 | 79% above | 78% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive (LC) | $107.40 | $488.16 | $56.63–$390.53 | — | 78% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone | $50.85 | $231.12 | $26.81–$231.12 | 52% below | 78% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone | $50.85 | $231.12 | $26.81–$184.90 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain | $133.06 | $604.80 | $7.76–$604.80 | 151% above | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $133.06 | $604.80 | $70.16–$483.84 | — | 78% |
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $145.41 | $660.96 | $7.61–$660.96 | 155% above | 78% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $145.41 | $660.96 | $76.67–$528.77 | — | 78% |
| Bilirubin blood test, total CPT 82247 82247 L550140 BILIRUBIN TOTAL 889 | $65.56 | $298.00 | $4.52–$298.00 | 178% above | 78% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $70.80 | $321.84 | $4.52–$321.84 | 200% above | 78% |
| Bilirubin blood test, total inpatient CPT 82247 82247 L550140 BILIRUBIN TOTAL 889 | $65.56 | $298.00 | $34.57–$238.40 | — | 78% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $70.80 | $321.84 | $37.33–$257.47 | — | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $513.45 | $2,333.88 | $30.32–$2,333.88 | 547% above | 78% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $513.45 | $2,333.88 | $270.73–$1,867.10 | — | 78% |
| Blood culture for bacteria CPT 87040 Blood Culture | $167.27 | $760.32 | $9.29–$760.32 | 88% above | 78% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $167.27 | $760.32 | $88.20–$608.26 | — | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg | $34.69 | $157.68 | $2.70–$157.68 | 334% above | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE | $34.69 | $157.68 | $2.70–$157.68 | 334% above | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $3,460.35 | $15,728.88 | $2.99–$15,728.88 | 43154% above | 78% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE | $34.69 | $157.68 | $18.29–$126.14 | — | 78% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg | $34.69 | $157.68 | $18.29–$126.14 | — | 78% |
| Blood glucose (sugar) test CPT 82947 82947 L550140 GLUCOSE, QUANT 889 | $98.34 | $447.00 | $3.54–$447.00 | 259% above | 78% |
| Blood glucose (sugar) test CPT 82947 .Glucose POC | $106.21 | $482.76 | $3.54–$482.76 | 288% above | 78% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB | $106.21 | $482.76 | $3.54–$482.76 | 288% above | 78% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fasting | $106.21 | $482.76 | $3.54–$482.76 | 288% above | 78% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB | $106.21 | $482.76 | $3.54–$482.76 | 288% above | 78% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $106.21 | $482.76 | $3.54–$482.76 | 288% above | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 L550140 GLUCOSE, QUANT 889 | $98.34 | $447.00 | $51.85–$357.60 | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC | $106.21 | $482.76 | $56.00–$386.21 | — | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual | $68.43 | $311.04 | $6.77–$311.04 | 49% above | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ | $68.43 | $311.04 | $6.77–$311.04 | 49% above | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ | $68.43 | $311.04 | $36.08–$248.83 | — | 78% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual | $68.43 | $311.04 | $36.08–$248.83 | — | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO | $51.32 | $233.28 | $2.69–$233.28 | 5% below | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward | $51.32 | $233.28 | $2.69–$233.28 | 5% below | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse | $51.32 | $233.28 | $2.69–$233.28 | 5% below | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse | $51.32 | $233.28 | $27.06–$186.62 | — | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward | $51.32 | $233.28 | $27.06–$186.62 | — | 78% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO | $51.32 | $233.28 | $27.06–$186.62 | — | 78% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $99.08 | $450.36 | $3.56–$450.36 | 226% above | 78% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $99.08 | $450.36 | $52.24–$360.29 | — | 78% |
| C-peptide blood test CPT 84681 C-Peptide Level LC | $72.37 | $328.94 | $18.73–$328.94 | 4% below | 78% |
| C-peptide blood test inpatient CPT 84681 C-Peptide Level LC | $72.37 | $328.94 | $38.16–$263.15 | — | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $60.11 | $273.24 | $4.66–$273.24 | 87% above | 78% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein | $60.11 | $273.24 | $31.70–$218.59 | — | 78% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE - BCE | $252.57 | $1,148.04 | $33.54–$1,148.04 | 354% above | 78% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $252.57 | $1,148.04 | $33.54–$1,148.04 | 354% above | 78% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $252.57 | $1,148.04 | $133.17–$918.43 | — | 78% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE - BCE | $252.57 | $1,148.04 | $133.17–$918.43 | — | 78% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $226.91 | $1,031.40 | $18.73–$1,031.40 | 218% above | 78% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $226.91 | $1,031.40 | $119.64–$825.12 | — | 78% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $187.47 | $852.12 | $18.73–$852.12 | 135% above | 78% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $187.47 | $852.12 | $98.85–$681.70 | — | 78% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR | $28.99 | $131.76 | $15.28–$131.76 | 35% below | 78% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR | $28.99 | $131.76 | $15.28–$105.41 | — | 78% |
| Calcium blood test, total CPT 82310 Calcium, Random Urine (CQ) | $57.50 | $261.36 | $4.64–$261.36 | 105% above | 78% |
| Calcium blood test, total CPT 82310 Calcium Level | $57.50 | $261.36 | $4.64–$261.36 | 105% above | 78% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level | $57.50 | $261.36 | $30.32–$209.09 | — | 78% |
| Calcium blood test, total inpatient CPT 82310 Calcium, Random Urine (CQ) | $57.50 | $261.36 | $30.32–$209.09 | — | 78% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC) | $118.32 | $537.84 | $17.06–$537.84 | 21% above | 78% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC) | $118.32 | $537.84 | $62.39–$430.27 | — | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH | $72.71 | $330.48 | $31.58–$330.48 | 8% above | 78% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH | $72.71 | $330.48 | $38.34–$264.38 | — | 78% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $71.52 | $325.08 | $12.05–$325.08 | 30% above | 78% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $71.52 | $325.08 | $37.71–$260.06 | — | 78% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $81.97 | $372.60 | $6.99–$372.60 | 109% above | 78% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $81.97 | $372.60 | $43.22–$298.08 | — | 78% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $71.28 | $324.00 | $5.82–$324.00 | 102% above | 78% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $71.28 | $324.00 | $5.82–$324.00 | 102% above | 78% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $71.28 | $324.00 | $37.58–$259.20 | — | 78% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $71.28 | $324.00 | $37.58–$259.20 | — | 78% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $182.24 | $828.36 | $9.50–$828.36 | 119% above | 78% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $182.24 | $828.36 | $96.09–$662.69 | — | 78% |
| Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp | $94.56 | $429.84 | $14.67–$429.84 | 78% above | 78% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp | $94.56 | $429.84 | $49.86–$343.87 | — | 78% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $81.02 | $368.28 | $5.86–$368.28 | 100% above | 78% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $81.02 | $368.28 | $42.72–$294.62 | — | 78% |
| Creatinine blood test CPT 82565 CREA | $15.44 | $70.20 | $4.61–$70.20 | 47% below | 78% |
| Creatinine blood test inpatient CPT 82565 CREA | $15.44 | $70.20 | $8.14–$56.16 | — | 78% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $173.45 | $788.40 | $9.16–$788.40 | 177% above | 78% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant | $173.45 | $788.40 | $91.45–$630.72 | — | 78% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $121.89 | $554.04 | $20.01–$554.04 | 44% above | 78% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $121.89 | $554.04 | $64.27–$443.23 | — | 78% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w Rfx Conf Meconium LC | $52.14 | $237.00 | $27.49–$237.00 | 5% below | 78% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium 5 Panel (LC) | $52.27 | $237.60 | $27.56–$237.60 | 5% below | 78% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS7QualAuto | $52.27 | $237.60 | $27.56–$237.60 | 5% below | 78% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w Rfx Conf Meconium LC | $52.14 | $237.00 | $27.49–$189.60 | — | 78% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS7QualAuto | $52.27 | $237.60 | $27.56–$190.08 | — | 78% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium 5 Panel (LC) | $52.27 | $237.60 | $27.56–$190.08 | — | 78% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Panel | $221.68 | $1,007.64 | $6.31–$1,007.64 | 261% above | 78% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Panel | $221.68 | $1,007.64 | $116.89–$806.11 | — | 78% |
| Estradiol blood test CPT 82670 Estradiol Level | $110.96 | $504.36 | $25.15–$504.36 | 31% above | 78% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $110.96 | $504.36 | $58.51–$403.49 | — | 78% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum | $115.00 | $522.72 | $16.72–$522.72 | 51% above | 78% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum | $115.00 | $522.72 | $60.64–$418.18 | — | 78% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $202.44 | $920.16 | $12.27–$920.16 | 196% above | 78% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $202.44 | $920.16 | $106.74–$736.13 | — | 78% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $80.55 | $366.12 | $8.75–$366.12 | 51% above | 78% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $80.55 | $366.12 | $42.47–$292.90 | — | 78% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $84.35 | $383.40 | $13.23–$383.40 | 59% above | 78% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $84.35 | $383.40 | $44.47–$306.72 | — | 78% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free | $157.53 | $716.04 | $12.02–$716.04 | 197% above | 78% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free | $157.53 | $716.04 | $83.06–$572.83 | — | 78% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free | $86.25 | $392.04 | $8.12–$392.04 | 144% above | 78% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free | $86.25 | $392.04 | $45.48–$313.63 | — | 78% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC) | $67.95 | $308.88 | $6.48–$308.88 | 133% above | 78% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC) | $67.95 | $308.88 | $35.83–$247.10 | — | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB | $29.70 | $135.00 | $4.28–$135.00 | 12% below | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial | $29.70 | $135.00 | $4.28–$135.00 | 12% below | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial | $29.70 | $135.00 | $4.28–$135.00 | 12% below | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB | $29.70 | $135.00 | $15.66–$108.00 | — | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial | $29.70 | $135.00 | $15.66–$108.00 | — | 78% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial | $29.70 | $135.00 | $15.66–$108.00 | — | 78% |
| Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting | $104.54 | $475.20 | $11.58–$475.20 | 57% above | 78% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting | $104.54 | $475.20 | $55.12–$380.16 | — | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN | $32.08 | $145.80 | $16.91–$145.80 | 44% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN | $32.08 | $145.80 | $16.91–$116.64 | — | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC) | $486.60 | $2,211.84 | $76.59–$2,211.84 | 146% above | 78% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC) | $486.60 | $2,211.84 | $256.57–$1,769.47 | — | 78% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 2 Ab Ag 4th Generation Auto w/Rfx | $36.12 | $164.16 | $19.04–$164.16 | 10% below | 78% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 2 Ab Ag 4th Generation Auto w/Rfx | $36.12 | $164.16 | $19.04–$131.33 | — | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $81.50 | $370.44 | $8.74–$370.44 | 78% above | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $81.50 | $370.44 | $42.97–$296.35 | — | 78% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $62.73 | $285.12 | $2.13–$285.12 | 287% above | 78% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $62.73 | $285.12 | $33.07–$228.10 | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp | $76.74 | $348.84 | $9.67–$348.84 | 76% above | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB - BCE | $76.74 | $348.84 | $9.67–$348.84 | 76% above | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp | $76.74 | $348.84 | $40.47–$279.07 | — | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB - BCE | $76.74 | $348.84 | $40.47–$279.07 | — | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG- BCE | $65.10 | $295.92 | $9.30–$295.92 | 45% above | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp | $65.10 | $295.92 | $9.30–$295.92 | 45% above | 78% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $65.10 | $295.92 | $9.30–$295.92 | 45% above | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG- BCE | $65.10 | $295.92 | $34.33–$236.74 | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $65.10 | $295.92 | $34.33–$236.74 | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp | $65.10 | $295.92 | $34.33–$236.74 | — | 78% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCAB2 | $115.00 | $522.72 | $12.84–$522.72 | 92% above | 78% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2 | $115.00 | $522.72 | $60.64–$418.18 | — | 78% |
| Insulin blood test CPT 83525 Insulin LC | $316.25 | $1,437.48 | $10.29–$1,437.48 | 569% above | 78% |
| Insulin blood test inpatient CPT 83525 Insulin LC | $316.25 | $1,437.48 | $166.75–$1,149.98 | — | 78% |
| Iron blood test (serum iron) CPT 83540 83540 IRON | $52.51 | $238.68 | $5.82–$238.68 | 50% above | 78% |
| Iron blood test (serum iron) CPT 83540 IRON | $52.51 | $238.68 | $5.82–$238.68 | 50% above | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $52.51 | $238.68 | $27.69–$190.94 | — | 78% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 IRON | $52.51 | $238.68 | $27.69–$190.94 | — | 78% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM | $65.82 | $299.16 | $7.87–$299.16 | 59% above | 78% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT | $65.82 | $299.16 | $7.87–$299.16 | 59% above | 78% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT | $65.82 | $299.16 | $34.70–$239.33 | — | 78% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM | $65.82 | $299.16 | $34.70–$239.33 | — | 78% |
| Kidney function blood test panel CPT 80069 RFP | $57.50 | $261.36 | $7.81–$261.36 | 25% below | 78% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $57.50 | $261.36 | $30.32–$209.09 | — | 78% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $110.25 | $501.12 | $16.67–$501.12 | 31% above | 78% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $110.25 | $501.12 | $58.13–$400.90 | — | 78% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex | $194.83 | $885.60 | $9.15–$885.60 | 253% above | 78% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2 | $194.83 | $885.60 | $9.15–$885.60 | 253% above | 78% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA | $194.83 | $885.60 | $9.15–$885.60 | 253% above | 78% |
| Lactate (lactic acid) blood test CPT 83605 .Lactate POC | $194.83 | $885.60 | $9.15–$885.60 | 253% above | 78% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $194.83 | $885.60 | $9.15–$885.60 | 253% above | 78% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC | $194.83 | $885.60 | $102.73–$708.48 | — | 78% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2 | $194.83 | $885.60 | $102.73–$708.48 | — | 78% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex | $194.83 | $885.60 | $102.73–$708.48 | — | 78% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $194.83 | $885.60 | $102.73–$708.48 | — | 78% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA | $194.83 | $885.60 | $102.73–$708.48 | — | 78% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $65.58 | $298.08 | $5.44–$298.08 | 114% above | 78% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $65.58 | $298.08 | $34.58–$238.46 | — | 78% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $71.28 | $324.00 | $6.20–$324.00 | 85% above | 78% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $71.28 | $324.00 | $37.58–$259.20 | — | 78% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $73.89 | $335.88 | $7.35–$335.88 | 8% above | 78% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $73.89 | $335.88 | $38.96–$268.70 | — | 78% |
| Magnesium blood test CPT 83735 Magnesium Serum | $131.16 | $596.16 | $6.03–$596.16 | 267% above | 78% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $131.16 | $596.16 | $69.15–$476.93 | — | 78% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $25.52 | $116.00 | $13.46–$116.00 | 55% below | 78% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $25.52 | $116.00 | $13.46–$92.80 | — | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $86.72 | $394.20 | $16.55–$394.20 | 14% above | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $86.72 | $394.20 | $16.55–$394.20 | 14% above | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $86.72 | $394.20 | $45.73–$315.36 | — | 78% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $86.72 | $394.20 | $45.73–$315.36 | — | 78% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $354.74 | $1,612.44 | $37.15–$1,612.44 | 181% above | 78% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $354.74 | $1,612.44 | $187.04–$1,289.95 | — | 78% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $75.79 | $344.52 | $5.41–$344.52 | 93% above | 78% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $75.79 | $344.52 | $39.96–$275.62 | — | 78% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum | $51.80 | $235.44 | $4.27–$235.44 | 92% above | 78% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum | $51.80 | $235.44 | $27.31–$188.35 | — | 78% |
| Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB | $100.98 | $459.00 | $4.28–$459.00 | 271% above | 78% |
| Potassium blood test CPT 84132 Potassium Serum | $100.98 | $459.00 | $4.28–$459.00 | 271% above | 78% |
| Potassium blood test inpatient CPT 84132 Potassium Serum | $100.98 | $459.00 | $53.24–$367.20 | — | 78% |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB | $100.98 | $459.00 | $53.24–$367.20 | — | 78% |
| Progesterone blood test CPT 84144 Progesterone Level | $102.64 | $466.56 | $18.77–$466.56 | 20% above | 78% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $102.64 | $466.56 | $54.12–$373.25 | — | 78% |
| Prolactin blood test CPT 84146 Prolactin Level | $107.40 | $488.16 | $17.44–$488.16 | 15% above | 78% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $107.40 | $488.16 | $56.63–$390.53 | — | 78% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $84.35 | $383.40 | $3.86–$383.40 | 208% above | 78% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $84.35 | $383.40 | $44.47–$306.72 | — | 78% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result | $26.85 | $122.04 | $14.16–$122.04 | 10% below | 78% |
| Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP | $26.85 | $122.04 | $14.16–$122.04 | 10% below | 78% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result | $26.85 | $122.04 | $14.16–$122.04 | 10% below | 78% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result | $26.85 | $122.04 | $14.16–$97.63 | — | 78% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP | $26.85 | $122.04 | $14.16–$97.63 | — | 78% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result | $26.85 | $122.04 | $14.16–$97.63 | — | 78% |
| Rh blood typing CPT 86901 BB Bill Rh Test | $50.37 | $228.96 | $2.69–$228.96 | 34% above | 78% |
| Rh blood typing inpatient CPT 86901 BB Bill Rh Test | $50.37 | $228.96 | $26.56–$183.17 | — | 78% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC) | $63.20 | $287.28 | $5.10–$287.28 | 88% above | 78% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC) | $63.20 | $287.28 | $33.32–$229.82 | — | 78% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp | $66.77 | $303.48 | $12.95–$303.48 | 64% above | 78% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp | $66.77 | $303.48 | $35.20–$242.78 | — | 78% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA | $59.64 | $271.08 | $2.43–$271.08 | 55% above | 78% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA | $59.64 | $271.08 | $31.45–$216.86 | — | 78% |
| Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB | $70.33 | $319.68 | $4.33–$319.68 | 112% above | 78% |
| Sodium blood test CPT 84295 Sodium Serum | $70.33 | $319.68 | $4.33–$319.68 | 112% above | 78% |
| Sodium blood test inpatient CPT 84295 Sodium Serum | $70.33 | $319.68 | $37.08–$255.74 | — | 78% |
| Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB | $70.33 | $319.68 | $37.08–$255.74 | — | 78% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody w Rfx to RPR | $96.47 | $438.48 | $11.92–$438.48 | 145% above | 78% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T pallidum Screening cascade LC | $96.47 | $438.48 | $11.92–$438.48 | 145% above | 78% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T pallidum Screening cascade LC | $96.47 | $438.48 | $50.86–$350.78 | — | 78% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody w Rfx to RPR | $96.47 | $438.48 | $50.86–$350.78 | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $54.17 | $246.24 | $3.84–$246.24 | 115% above | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $54.17 | $246.24 | $3.84–$246.24 | 115% above | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC | $66.77 | $303.48 | $3.84–$303.48 | 165% above | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $54.17 | $246.24 | $28.56–$196.99 | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $54.17 | $246.24 | $28.56–$196.99 | — | 78% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC | $66.77 | $303.48 | $35.20–$242.78 | — | 78% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $119.75 | $544.32 | $55.78–$544.32 | 14% above | 78% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $119.75 | $544.32 | $63.14–$435.46 | — | 78% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $110.96 | $504.36 | $23.23–$504.36 | 41% above | 78% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level LC | $110.96 | $504.36 | $23.23–$504.36 | 41% above | 78% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level LC | $110.96 | $504.36 | $58.51–$403.49 | — | 78% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $110.96 | $504.36 | $58.51–$403.49 | — | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC) | $63.68 | $289.44 | $13.10–$289.44 | 125% above | 78% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC) | $63.68 | $289.44 | $33.58–$231.55 | — | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $37.30 | $169.56 | $15.12–$169.56 | 30% below | 78% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $37.30 | $169.56 | $19.67–$135.65 | — | 78% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC) | $52.75 | $239.76 | $5.86–$239.76 | 41% above | 78% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC) | $52.75 | $239.76 | $27.81–$191.81 | — | 78% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC) | $105.49 | $479.52 | $7.83–$479.52 | 122% above | 78% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC) | $105.49 | $479.52 | $55.62–$383.62 | — | 78% |
| Transferrin blood test CPT 84466 Transferrin LC | $178.91 | $813.24 | $9.15–$813.24 | 298% above | 78% |
| Transferrin blood test inpatient CPT 84466 Transferrin LC | $178.91 | $813.24 | $94.34–$650.59 | — | 78% |
| Triglycerides blood test CPT 84478 84478 L550140 TRIGLYCERIDES 889 | $71.72 | $326.00 | $5.17–$326.00 | 116% above | 78% |
| Triglycerides blood test CPT 84478 Triglycerides | $77.46 | $352.08 | $5.17–$352.08 | 133% above | 78% |
| Triglycerides blood test inpatient CPT 84478 84478 L550140 TRIGLYCERIDES 889 | $71.72 | $326.00 | $37.82–$260.80 | — | 78% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $77.46 | $352.08 | $40.84–$281.66 | — | 78% |
| Troponin test, quantitative CPT 84484 Troponin I HS | $297.95 | $1,354.32 | $11.22–$1,354.32 | 282% above | 78% |
| Troponin test, quantitative CPT 84484 Troponin I Quant | $297.95 | $1,354.32 | $11.22–$1,354.32 | 282% above | 78% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I HS | $297.95 | $1,354.32 | $157.10–$1,083.46 | — | 78% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant | $297.95 | $1,354.32 | $157.10–$1,083.46 | — | 78% |
| Uric acid blood test CPT 84550 Uric Acid Level | $51.80 | $235.44 | $4.07–$235.44 | 66% above | 78% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level | $51.80 | $235.44 | $27.31–$188.35 | — | 78% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $52.51 | $238.68 | $2.85–$238.68 | 85% above | 78% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $52.51 | $238.68 | $2.85–$238.68 | 85% above | 78% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $52.51 | $238.68 | $27.69–$190.94 | — | 78% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $52.51 | $238.68 | $27.69–$190.94 | — | 78% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $92.19 | $419.04 | $3.62–$419.04 | 361% above | 78% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $92.19 | $419.04 | $48.61–$335.23 | — | 78% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $53.46 | $243.00 | $2.03–$243.00 | 254% above | 78% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $53.46 | $243.00 | $2.03–$243.00 | 254% above | 78% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $53.46 | $243.00 | $2.03–$243.00 | 254% above | 78% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $53.46 | $243.00 | $2.03–$243.00 | 254% above | 78% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $53.46 | $243.00 | $2.03–$243.00 | 254% above | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $53.46 | $243.00 | $28.19–$194.40 | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $53.46 | $243.00 | $28.19–$194.40 | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $53.46 | $243.00 | $28.19–$194.40 | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $53.46 | $243.00 | $28.19–$194.40 | — | 78% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $53.46 | $243.00 | $28.19–$194.40 | — | 78% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $13.88 | $63.10 | $3.13–$63.10 | 4% below | 78% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $13.88 | $63.10 | $3.13–$63.10 | 4% below | 78% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $13.88 | $63.10 | $7.32–$50.48 | — | 78% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $13.88 | $63.10 | $7.32–$50.48 | — | 78% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn | $81.73 | $371.52 | $7.26–$371.52 | 96% above | 78% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn | $81.73 | $371.52 | $43.10–$297.22 | — | 78% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant | $30.65 | $139.32 | $5.20–$139.32 | 3% below | 78% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant | $30.65 | $139.32 | $16.16–$111.46 | — | 78% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive | $48.00 | $218.16 | $7.75–$218.16 | 20% above | 78% |
| Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $48.00 | $218.16 | $7.75–$218.16 | 20% above | 78% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative | $48.00 | $218.16 | $7.75–$218.16 | 20% above | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive | $48.00 | $218.16 | $25.31–$174.53 | — | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $48.00 | $218.16 | $25.31–$174.53 | — | 78% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative | $48.00 | $218.16 | $25.31–$174.53 | — | 78% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $95.04 | $432.00 | $13.57–$432.00 | 50% above | 78% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $95.04 | $432.00 | $50.11–$345.60 | — | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC | $115.50 | $525.00 | $26.64–$525.00 | 67% above | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy | $115.71 | $525.96 | $26.64–$525.96 | 68% above | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $115.71 | $525.96 | $26.64–$525.96 | 68% above | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC | $115.50 | $525.00 | $60.90–$420.00 | — | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy | $115.71 | $525.96 | $61.01–$420.77 | — | 78% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $115.71 | $525.96 | $61.01–$420.77 | — | 78% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC) | $71.76 | $326.16 | $20.52–$326.16 | 42% below | 78% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC) | $71.76 | $326.16 | $37.83–$260.93 | — | 78% |
| Zinc blood test CPT 84630 Zinc, Whole Blood (LC) | $147.55 | $670.68 | $10.25–$670.68 | 159% above | 78% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood (LC) | $147.55 | $670.68 | $77.80–$536.54 | — | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant | $95.99 | $436.32 | $13.55–$436.32 | 35% above | 78% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant | $95.99 | $436.32 | $50.61–$349.06 | — | 78% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,061.08 | $13,914.02 | $436.45–$11,826.92 | 77% above | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $887.20 | $4,032.72 | $436.45–$4,032.72 | 49% below | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $887.20 | $4,032.72 | $436.45–$4,032.72 | 49% below | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $887.20 | $4,032.72 | $467.80–$3,226.18 | — | 78% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $887.20 | $4,032.72 | $467.80–$3,226.18 | — | 78% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $15,152.02 | $68,872.81 | $407.37–$58,541.89 | 529% above | 78% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $18,292.17 | $83,146.24 | $210.92–$70,674.30 | 2456% above | 78% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $7,597.81 | $34,535.49 | $271.82–$29,355.17 | 137% above | 78% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $30,073.17 | $136,696.22 | $713.32–$116,191.79 | 221% above | 78% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $14,417.84 | $65,535.65 | $609.15–$55,705.30 | 331% above | 78% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $12,132.68 | $55,148.55 | $1,797.02–$46,876.27 | 214% above | 78% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $10,834.78 | $49,249.02 | $1,140.23–$41,861.67 | 182% above | 78% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $2,234.00 | $10,154.56 | $114.27–$9,600.00 | 919% above | 78% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $18,453.26 | $83,878.46 | $555.61–$71,296.69 | 255% above | 78% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $22,070.47 | $100,320.31 | $750.43–$85,272.26 | 36% above | 78% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $20,974.08 | $95,336.72 | $844.74–$81,036.21 | 54% above | 78% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $17,014.14 | $77,337.00 | $607.84–$65,736.45 | 174% above | 78% |
| 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/< | $8,823.36 | $40,106.17 | $233.49–$34,090.24 | 3510% above | 78% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $24,434.27 | $111,064.87 | $607.98–$94,405.14 | 795% above | 78% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $23,486.05 | $106,754.78 | $882.42–$90,741.56 | 434% above | 78% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $7,529.47 | $34,224.88 | $398.92–$29,091.15 | 199% above | 78% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $6,462.84 | $29,376.53 | $113.86–$24,970.05 | 1605% above | 78% |
| 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/< | $863.01 | $3,922.75 | $127.67–$3,922.75 | 125% above | 78% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $19,470.02 | $88,500.09 | $144.69–$75,225.08 | 5010% above | 78% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $9,285.27 | $42,205.75 | $471.17–$35,874.89 | 377% above | 78% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $16,697.08 | $75,895.80 | $653.52–$64,511.43 | 86% above | 78% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $18,376.11 | $83,527.79 | $611.04–$70,998.62 | 194% above | 78% |
| 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/< | $27,210.56 | $123,684.35 | $84.24–$105,131.70 | 14721% above | 78% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $1,179.10 | $5,359.54 | $176.16–$5,359.54 | 228% above | 78% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $1,110.16 | $5,046.19 | $82.92–$5,046.19 | 713% above | 78% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $1,220.14 | $5,546.10 | $88.71–$5,546.10 | 580% above | 78% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $13,768.15 | $62,582.52 | $275.74–$53,195.14 | 1531% above | 78% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $18,580.08 | $84,454.89 | $848.05–$71,786.66 | 256% above | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $4,048.64 | $18,402.91 | $434.09–$15,642.47 | 147% above | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $1,870.56 | $8,502.56 | $434.09–$8,502.56 | 14% above | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $1,870.56 | $8,502.56 | $434.09–$8,502.56 | 14% above | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $1,870.56 | $8,502.56 | $986.30–$6,802.05 | — | 78% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $1,870.56 | $8,502.56 | $986.30–$6,802.05 | — | 78% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $2,012.06 | $9,145.71 | $100.53–$9,145.71 | 1136% above | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $6,979.35 | $31,724.31 | $115.22–$26,965.66 | 1876% above | 78% |
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 transfusions | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor) | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor) | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee | $451.20 | $2,050.92 | $35.93–$2,050.92 | 14% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $524.70 | $2,385.00 | $35.93–$2,385.00 | 32% above | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $20,895.14 | $94,977.90 | $35.93–$80,731.21 | 5177% above | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor) | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor) | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $451.20 | $2,050.92 | $237.91–$1,640.74 | — | 78% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $524.70 | $2,385.00 | $276.66–$1,908.00 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial | $168.22 | $764.64 | $6.78–$764.64 | 153% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $168.22 | $764.64 | $88.70–$611.71 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE | $317.43 | $1,442.88 | $45.32–$1,442.88 | 243% above | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time | $317.43 | $1,442.88 | $167.37–$1,154.30 | — | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $201.48 | $915.84 | $28.32–$915.84 | 9% above | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $217.17 | $987.12 | $28.32–$987.12 | 18% above | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $201.48 | $915.84 | $106.24–$732.67 | — | 78% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $217.17 | $987.12 | $114.51–$789.70 | — | 78% |
| IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour | $220.97 | $1,004.40 | $54.24–$1,004.40 | 2% below | 78% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $220.97 | $1,004.40 | $54.24–$1,004.40 | 2% below | 78% |
| IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $246.39 | $1,119.96 | $54.24–$1,119.96 | 10% above | 78% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour | $220.97 | $1,004.40 | $116.51–$803.52 | — | 78% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $220.97 | $1,004.40 | $116.51–$803.52 | — | 78% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $246.39 | $1,119.96 | $129.92–$895.97 | — | 78% |
| IV push of a medicine, first drug CPT 96374 IV push initial | $273.72 | $1,244.16 | $32.03–$1,244.16 | 101% above | 78% |
| IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $273.72 | $1,244.16 | $32.03–$1,244.16 | 101% above | 78% |
| IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV | $305.32 | $1,387.80 | $32.03–$1,387.80 | 124% above | 78% |
| IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $273.72 | $1,244.16 | $144.32–$995.33 | — | 78% |
| IV push of a medicine, first drug inpatient CPT 96374 IV push initial | $273.72 | $1,244.16 | $144.32–$995.33 | — | 78% |
| IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV | $305.32 | $1,387.80 | $160.98–$1,110.24 | — | 78% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $256.61 | $1,166.40 | $13.00–$1,166.40 | 333% above | 78% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection | $256.61 | $1,166.40 | $13.00–$1,166.40 | 333% above | 78% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $286.07 | $1,300.32 | $13.00–$1,300.32 | 383% above | 78% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection | $256.61 | $1,166.40 | $135.30–$933.12 | — | 78% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $256.61 | $1,166.40 | $135.30–$933.12 | — | 78% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $286.07 | $1,300.32 | $150.84–$1,040.26 | — | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $83.16 | $378.00 | $27.51–$378.00 | 57% above | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges | $83.16 | $378.00 | $27.51–$378.00 | 57% above | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $83.16 | $378.00 | $27.51–$378.00 | 57% above | 78% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes | $191.40 | $870.00 | $72.35–$870.00 | 53% above | 78% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes | $191.40 | $870.00 | $100.92–$696.00 | — | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW | $237.36 | $1,078.92 | $45.00–$1,078.92 | 103% above | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes | $237.36 | $1,078.92 | $45.00–$1,078.92 | 103% above | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $237.36 | $1,078.92 | $45.00–$1,078.92 | 103% above | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $237.36 | $1,078.92 | $125.15–$863.14 | — | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW | $237.36 | $1,078.92 | $125.15–$863.14 | — | 78% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes | $237.36 | $1,078.92 | $125.15–$863.14 | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $77.00 | $350.00 | $10.96–$350.00 | 43% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $83.16 | $378.00 | $10.96–$378.00 | 55% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $83.16 | $378.00 | $10.96–$378.00 | 55% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $83.16 | $378.00 | $10.96–$378.00 | 55% above | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $77.00 | $350.00 | $40.60–$280.00 | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $83.16 | $378.00 | $43.85–$302.40 | — | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $41.82 | $190.08 | $13.61–$190.08 | 27% above | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes | $41.82 | $190.08 | $13.61–$190.08 | 27% above | 78% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $41.82 | $190.08 | $22.05–$152.06 | — | 78% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes | $41.82 | $190.08 | $22.05–$152.06 | — | 78% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient EM Charges - Level 2 EP | $110.34 | $501.54 | $29.17–$501.54 | 43% above | 78% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpatient EM Charges - Level 2 EP | $110.34 | $501.54 | $58.18–$401.23 | — | 78% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry | $297.00 | $1,350.00 | $42.60–$1,350.00 | 122% above | 78% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry | $297.00 | $1,350.00 | $156.60–$1,080.00 | — | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $98.84 | $449.28 | $8.76–$449.28 | 84% above | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge | $98.84 | $449.28 | $52.12–$359.42 | — | 78% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $169.65 | $771.12 | $18.39–$771.12 | 212% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $169.65 | $771.12 | $18.39–$771.12 | 212% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $169.65 | $771.12 | $18.39–$771.12 | 212% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE | $169.65 | $771.12 | $18.39–$771.12 | 212% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $169.65 | $771.12 | $89.45–$616.90 | — | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $169.65 | $771.12 | $89.45–$616.90 | — | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $169.65 | $771.12 | $89.45–$616.90 | — | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE | $169.65 | $771.12 | $89.45–$616.90 | — | 78% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $83.40 | $379.08 | $13.19–$379.08 | 165% above | 78% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC - BCE | $157.08 | $714.00 | $13.19–$714.00 | 399% above | 78% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $83.40 | $379.08 | $43.97–$303.26 | — | 78% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC - BCE | $157.08 | $714.00 | $82.82–$571.20 | — | 78% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $8,194.03 | $37,245.58 | $652.35–$37,245.58 | 611% above | 78% |
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.