STRHS Pulaski
STRHS Pulaski in Pulaski, TN publishes cash prices for 354 common procedures listed here, from its own machine-readable price file updated Jul 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 319 of 347 procedures and below it for 27. By typical cash price it ranks #73 of 88 Tennessee hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1265 East College Pulaski TN 38478 Collected Sep 22, 2026 Source price file Check a bill from this hospital (931) 363-7531
Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 440020 · CMS hospital register NPI 1841388519
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections | $1,939.41 | $6,619.13 | $168.03–$6,619.13 | 72% above | 71% |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views | $344.00 | $1,174.05 | $100.37–$1,174.05 | 99% above | 71% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Radiologic examination, ankle; complete, minimum of 3 views | $284.28 | $970.23 | $83.11–$970.23 | 102% above | 71% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial | $191.39 | $653.21 | $121.67–$653.21 | — | 71% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Computed tomography, upper extremity; without contrast material | $771.29 | $2,632.39 | $100.37–$2,632.39 | 11% above | 71% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $371.00 | $1,266.22 | $168.03–$1,266.22 | 69% above | 71% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $1,413.92 | $4,825.68 | $379.29–$4,825.68 | 109% above | 71% |
| Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete | $427.28 | $1,458.28 | $100.37–$1,458.28 | 146% above | 71% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited | $75.63 | $701.69 | $83.11–$701.69 | 54% below | 89% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing | $3,723.18 | $12,707.11 | $337.10–$12,707.11 | 118% above | 71% |
| CT angiography (CTA) of the head CPT 70496 Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing | $1,897.48 | $6,476.04 | $168.03–$6,476.04 | 73% above | 71% |
| CT angiography (CTA) of the neck CPT 70498 Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing | $1,897.48 | $6,476.04 | $168.03–$6,476.04 | 81% above | 71% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing | $1,886.00 | $6,436.85 | $168.03–$6,436.85 | 66% above | 71% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $1,939.41 | $6,619.13 | $228.16–$6,619.13 | 34% above | 71% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $2,989.80 | $10,204.11 | $337.10–$10,204.11 | 59% above | 71% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | $3,393.53 | $11,582.03 | $337.10–$11,582.03 | 57% above | 71% |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $1,777.46 | $6,066.43 | $168.03–$6,066.43 | 83% above | 71% |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $1,616.66 | $5,517.61 | $100.37–$5,517.61 | 108% above | 71% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $1,456.42 | $4,970.72 | $100.37–$4,970.72 | 110% above | 71% |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $1,456.42 | $4,970.72 | $100.37–$4,970.72 | 104% above | 71% |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $1,934.82 | $6,603.48 | $168.03–$6,603.48 | 118% above | 71% |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections | $2,244.36 | $7,659.93 | $168.03–$7,659.93 | 106% above | 71% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $598.42 | $2,042.39 | $100.37–$2,042.39 | 24% below | 71% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $1,662.02 | $5,672.43 | $100.37–$5,672.43 | 88% above | 71% |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $1,777.46 | $6,066.43 | $168.03–$6,066.43 | 102% above | 71% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $420.96 | $1,436.72 | $228.16–$1,436.72 | — | 71% |
| Chest CT scan without and with contrast CPT 71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections | $2,244.36 | $7,659.93 | $168.03–$7,659.93 | 135% above | 71% |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $289.45 | $987.87 | $83.11–$987.87 | 138% above | 71% |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $167.70 | $572.34 | $83.11–$572.34 | 49% above | 71% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Radiologic examination; clavicle, complete | $264.18 | $901.63 | $83.11–$901.63 | 119% above | 71% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete | $496.77 | $1,695.46 | $100.37–$1,695.46 | 81% above | 71% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $180.33 | $615.46 | $100.37–$615.46 | 3% above | 71% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) | $96.92 | $330.78 | $83.11–$330.78 | 14% above | 71% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation | $422.71 | $1,442.70 | $228.16–$1,442.70 | 16% above | 71% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $1,656.86 | $5,654.80 | $100.37–$5,654.80 | 135% above | 71% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $1,721.17 | $5,874.31 | $168.03–$5,874.31 | 82% above | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $299.79 | $1,023.17 | $140.35–$1,023.17 | — | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $251.54 | $858.50 | $111.31–$858.50 | 61% above | 71% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | $812.64 | $2,773.52 | $228.16–$2,773.52 | — | 71% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | $1,119.32 | $3,820.19 | $228.16–$3,820.19 | — | 71% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography | $1,474.23 | $5,031.49 | $517.54–$5,031.49 | 25% above | 71% |
| Elbow X-ray, 2 views CPT 73070 Radiologic examination, elbow; 2 views | $261.31 | $891.85 | $83.11–$891.85 | 115% above | 71% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Radiologic examination, elbow; complete, minimum of 3 views | $400.29 | $1,366.17 | $83.11–$1,366.17 | 177% above | 71% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material | $1,816.50 | $6,199.67 | $100.37–$6,199.67 | 184% above | 71% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views | $346.31 | $1,181.94 | $100.37–$1,181.94 | 116% above | 71% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Radiologic examination; forearm, 2 views | $273.95 | $934.97 | $83.11–$934.97 | 121% above | 71% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present | $1,560.37 | $5,325.50 | $379.29–$5,325.50 | 141% above | 71% |
| Hand X-ray, 2 views CPT 73120 Radiologic examination, hand; 2 views | $231.45 | $789.92 | $100.37–$789.92 | 74% above | 71% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Radiologic examination; calcaneus, minimum of 2 views | $238.34 | $813.44 | $83.11–$813.44 | 89% above | 71% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) | $632.09 | $2,157.30 | $147.68–$2,157.30 | 142% above | 71% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist | $4,001.72 | $13,657.74 | $960.31–$13,657.74 | 136% above | 71% |
| Knee X-ray, 3 views CPT 73562 Radiologic examination, knee; 3 views | $116.58 | $397.90 | $83.11–$397.90 | 19% below | 71% |
| Knee X-ray, complete, 4 or more views CPT 73564 Radiologic examination, knee; complete, 4 or more views | $133.24 | $454.74 | $100.37–$454.74 | 13% below | 71% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Computed tomography, lower extremity; without contrast material | $1,118.16 | $3,816.25 | $100.37–$3,816.25 | 62% above | 71% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $478.96 | $1,634.68 | $100.37–$1,634.68 | 79% above | 71% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation | $241.78 | $825.18 | $100.37–$825.18 | 17% above | 71% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | $304.13 | $1,037.97 | $100.37–$1,037.97 | 59% above | 71% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Radiologic examination; tibia and fibula, 2 views | $311.85 | $1,064.33 | $83.11–$1,064.33 | 149% above | 71% |
| MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) | $1,510.41 | $5,154.97 | $228.16–$5,154.97 | 59% above | 71% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | $2,279.40 | $7,779.53 | $228.16–$7,779.53 | 137% above | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences | $3,065.03 | $10,460.87 | $337.10–$10,460.87 | 144% above | 71% |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $2,006.03 | $6,846.53 | $228.16–$6,846.53 | 113% above | 71% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences | $3,347.01 | $11,423.24 | $337.10–$11,423.24 | 164% above | 71% |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $1,910.70 | $6,521.15 | $228.16–$6,521.15 | 67% above | 71% |
| MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences | $2,873.79 | $9,808.17 | $337.10–$9,808.17 | 93% above | 71% |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $1,819.38 | $6,209.48 | $228.16–$6,209.48 | 85% above | 71% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar | $3,104.66 | $10,596.11 | $337.10–$10,596.11 | 118% above | 71% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material | $2,089.30 | $7,130.72 | $228.16–$7,130.72 | 114% above | 71% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical | $3,430.29 | $11,707.48 | $337.10–$11,707.48 | 135% above | 71% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material | $1,687.28 | $5,758.65 | $228.16–$5,758.65 | 71% above | 71% |
| MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences | $2,773.29 | $9,465.15 | $337.10–$9,465.15 | 108% above | 71% |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $1,545.43 | $5,274.52 | $228.16–$5,274.52 | 75% above | 71% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) | $2,325.91 | $7,938.25 | $228.16–$7,938.25 | 146% above | 71% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views | $475.52 | $1,622.93 | $100.37–$1,622.93 | 125% above | 71% |
| Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s) | $1,780.90 | $6,078.16 | $168.03–$6,078.16 | 113% above | 71% |
| Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material | $1,420.82 | $4,849.20 | $100.37–$4,849.20 | 97% above | 71% |
| Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue | $273.36 | $932.98 | $83.11–$932.98 | 123% above | 71% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or red | $3,940.84 | $13,449.96 | $1,232.24–$13,449.96 | 104% above | 71% |
| Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material | $1,616.66 | $5,517.61 | $100.37–$5,517.61 | 129% above | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) | $444.51 | $1,517.10 | $100.37–$1,517.10 | 132% above | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $526.63 | $1,797.37 | $100.37–$1,797.37 | 83% above | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | $666.75 | $2,275.61 | $100.37–$2,275.61 | 131% above | 71% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | $526.63 | $1,797.37 | $100.37–$1,797.37 | 113% above | 71% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | $491.03 | $1,675.86 | $100.37–$1,675.86 | 201% above | 71% |
| Rib X-ray, one side, 2 views one side CPT 71100 Radiologic examination, ribs, unilateral; 2 views | $414.64 | $1,415.17 | $83.11–$1,415.17 | 195% above | 71% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views | $395.12 | $1,348.52 | $100.37–$1,348.52 | 159% above | 71% |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $209.62 | $715.42 | $113.57–$715.42 | — | 71% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Radiologic examination, shoulder; complete, minimum of 2 views | $310.69 | $1,060.38 | $83.11–$1,060.38 | 134% above | 71% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views | $443.36 | $1,513.18 | $83.11–$1,513.18 | 162% above | 71% |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views | $261.31 | $891.85 | $100.37–$891.85 | 116% above | 71% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $2,148.45 | $7,332.60 | $960.31–$7,332.60 | 50% above | 71% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $264.75 | $903.57 | $168.03–$903.57 | 24% above | 71% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views | $356.07 | $1,215.25 | $83.11–$1,215.25 | 244% above | 71% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material | $598.42 | $2,042.39 | $100.37–$2,042.39 | 19% below | 71% |
| Toe X-ray, 2 or more views CPT 73660 Radiologic examination; toe(s), minimum of 2 views | $236.04 | $805.60 | $83.11–$805.60 | 97% above | 71% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $444.51 | $1,517.10 | $100.37–$1,517.10 | 60% above | 71% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $623.69 | $2,128.63 | $100.37–$2,128.63 | 177% above | 71% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $828.71 | $2,828.36 | $100.37–$2,828.36 | 127% above | 71% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $473.23 | $1,615.11 | $100.37–$1,615.11 | 77% above | 71% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation | $303.22 | $1,034.88 | $100.37–$1,034.88 | 22% above | 71% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $567.40 | $1,936.53 | $168.03–$1,936.53 | 119% above | 71% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Radiologic examination; humerus, minimum of 2 views | $273.95 | $934.97 | $83.11–$934.97 | 139% above | 71% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study | $616.79 | $2,105.10 | $100.37–$2,105.10 | 71% above | 71% |
| Wrist X-ray, 2 views CPT 73100 Radiologic examination, wrist; 2 views | $210.20 | $717.41 | $83.11–$717.41 | 79% above | 71% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Radiologic examination, wrist; complete, minimum of 3 views | $242.93 | $829.10 | $83.11–$829.10 | 78% above | 71% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views | $356.07 | $1,215.25 | $83.11–$1,215.25 | 162% above | 71% |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $250.97 | $856.55 | $83.11–$856.55 | 83% above | 71% |
| X-ray of the ankle, 2 views CPT 73600 Radiologic examination, ankle; 2 views | $261.31 | $891.85 | $83.11–$891.85 | 105% above | 71% |
| X-ray of the finger(s), 2 or more views CPT 73140 Radiologic examination, finger(s), minimum of 2 views | $209.62 | $715.42 | $83.11–$715.42 | 73% above | 71% |
| X-ray of the foot, 2 views CPT 73620 Radiologic examination, foot; 2 views | $219.39 | $748.76 | $83.11–$748.76 | 74% above | 71% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Radiologic examination, foot; complete, minimum of 3 views | $279.68 | $954.54 | $83.11–$954.54 | 99% above | 71% |
| X-ray of the hand, 3 or more views CPT 73130 Radiologic examination, hand; minimum of 3 views | $306.10 | $1,044.70 | $83.11–$1,044.70 | 116% above | 71% |
| X-ray of the knee, 1 or 2 views CPT 73560 Radiologic examination, knee; 1 or 2 views | $99.93 | $341.06 | $83.11–$341.06 | 22% below | 71% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $489.30 | $1,669.97 | $100.37–$1,669.97 | 181% above | 71% |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $535.82 | $1,828.74 | $100.37–$1,828.74 | 140% above | 71% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $346.31 | $1,181.94 | $83.11–$1,181.94 | 186% above | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $335.97 | $1,146.65 | $83.11–$1,146.65 | 145% above | 71% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $290.02 | $989.82 | $100.37–$989.82 | 125% above | 71% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $277.96 | $948.66 | $83.11–$948.66 | 96% above | 71% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) | $192.39 | $656.62 | $38.62–$656.62 | 73% above | 71% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $205.02 | $699.74 | $5.30–$699.74 | 643% above | 71% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $103.38 | $352.83 | $5.18–$352.83 | 287% above | 71% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803) | $514.57 | $1,756.22 | $47.63–$1,756.22 | 224% above | 71% |
| Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood | $65.46 | $223.42 | $4.95–$223.42 | 273% above | 71% |
| Aldosterone blood test CPT 82088 Aldosterone | $297.49 | $1,015.31 | $40.75–$1,015.31 | 288% above | 71% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline | $140.70 | $480.21 | $5.18–$480.21 | 456% above | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $129.23 | $441.05 | $5.22–$441.05 | 1064% above | 71% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP); serum | $230.29 | $785.97 | $16.77–$785.97 | 351% above | 71% |
| Ammonia blood test CPT 82140 Ammonia | $106.25 | $362.63 | $14.57–$362.63 | 118% above | 71% |
| Amylase blood test CPT 82150 Amylase | $195.26 | $666.42 | $6.48–$666.42 | 488% above | 71% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $91.32 | $311.66 | $12.95–$311.66 | 133% above | 71% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA) | $203.31 | $693.88 | $12.09–$693.88 | 450% above | 71% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $163.52 | $563.85 | $39.26–$563.85 | 83% above | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates | $123.48 | $421.42 | $8.62–$421.42 | 225% above | 71% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | $147.60 | $503.75 | $8.46–$503.75 | 100% above | 71% |
| Bilirubin blood test, total CPT 82247 Bilirubin; total | $79.83 | $272.47 | $5.02–$272.47 | 189% above | 71% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronc | $112.57 | $384.19 | $50.43–$384.19 | 49% above | 71% |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $91.89 | $313.61 | $10.32–$313.61 | 69% above | 71% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $22.98 | $78.42 | $9.09–$78.42 | 154% above | 71% |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $72.36 | $246.97 | $3.93–$246.97 | 221% above | 71% |
| Blood lead test CPT 83655 Lead | $153.90 | $525.27 | $12.11–$525.27 | 319% above | 71% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $108.71 | $374.85 | $7.52–$374.85 | 102% above | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $57.43 | $196.01 | $79.19–$196.01 | 24% below | 71% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative | $37.90 | $129.36 | $3.95–$129.36 | 59% above | 71% |
| C-peptide blood test CPT 84681 C-peptide | $121.76 | $415.56 | $20.81–$415.56 | 92% above | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $121.76 | $415.56 | $5.18–$415.56 | 472% above | 71% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $68.92 | $235.21 | $37.27–$235.21 | 21% below | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $413.50 | $1,411.25 | $20.81–$1,411.25 | 493% above | 71% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $169.43 | $578.25 | $20.81–$578.25 | 143% above | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique | $66.87 | $228.21 | $51.31–$228.21 | 21% above | 71% |
| Calcium blood test, total CPT 82310 Calcium; total | $91.32 | $311.66 | $5.16–$311.66 | 234% above | 71% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) | $147.60 | $503.75 | $18.96–$503.75 | 133% above | 71% |
| Chickenpox (varicella) immunity blood test CPT 86787 Antibody; varicella-zoster | $138.98 | $474.34 | $12.88–$474.34 | 253% above | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $110.27 | $376.35 | $35.09–$376.35 | 84% above | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $245.80 | $838.90 | $13.39–$838.90 | 434% above | 71% |
| Complete blood count (CBC) with differential CPT 85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | $178.03 | $607.61 | $7.77–$607.61 | 315% above | 71% |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $138.98 | $474.34 | $6.47–$474.34 | 435% above | 71% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium | $209.62 | $715.42 | $10.56–$715.42 | 117% above | 71% |
| Cortisol blood test, total CPT 82533 Cortisol; total | $375.60 | $1,281.90 | $16.30–$1,281.90 | 588% above | 71% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total | $82.69 | $282.23 | $6.51–$282.23 | 163% above | 71% |
| Creatinine blood test CPT 82565 Creatinine; blood | $37.90 | $129.36 | $5.12–$129.36 | 68% above | 71% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) | $216.51 | $738.94 | $14.39–$738.94 | 395% above | 71% |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $174.02 | $593.91 | $10.18–$593.91 | 235% above | 71% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $120.03 | $409.65 | $22.23–$409.65 | 67% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART | $141.85 | $484.13 | $62.14–$484.13 | 100% above | 71% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) | $97.07 | $331.28 | $7.01–$331.28 | 110% above | 71% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) | $189.52 | $646.81 | $18.14–$646.81 | 280% above | 71% |
| Estradiol blood test CPT 82670 Estradiol; total | $297.49 | $1,015.31 | $27.94–$1,015.31 | 249% above | 71% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $311.27 | $1,062.36 | $18.58–$1,062.36 | 400% above | 71% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $216.51 | $738.94 | $19.63–$738.94 | 115% above | 71% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $134.97 | $460.64 | $13.63–$460.64 | 199% above | 71% |
| Fibrinogen blood test CPT 85384 Fibrinogen; activity | $163.68 | $558.62 | $9.72–$558.62 | 240% above | 71% |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $112.57 | $384.19 | $14.70–$384.19 | 128% above | 71% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $103.38 | $352.83 | $16.94–$352.83 | 83% above | 71% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $155.64 | $531.19 | $9.02–$531.19 | 363% above | 71% |
| Free testosterone test CPT 84402 Testosterone; free | $354.91 | $1,211.30 | $25.47–$1,211.30 | 454% above | 71% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) | $173.45 | $591.97 | $7.20–$591.97 | 422% above | 71% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $72.36 | $246.97 | $4.75–$246.97 | 139% above | 71% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) | $225.70 | $770.30 | $12.87–$770.30 | 418% above | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $110.27 | $376.35 | $35.09–$376.35 | 79% above | 71% |
| H. pylori antibody blood test CPT 86677 Antibody; Helicobacter pylori | $183.49 | $626.23 | $16.85–$626.23 | 281% above | 71% |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool | $199.86 | $682.10 | $14.38–$682.10 | 227% above | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed | $575.33 | $1,963.58 | $85.10–$1,963.58 | 263% above | 71% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $112.57 | $384.19 | $9.71–$384.19 | 168% above | 71% |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) | $62.03 | $211.70 | $2.37–$211.70 | 221% above | 71% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total | $86.15 | $294.02 | $12.05–$294.02 | 134% above | 71% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $195.26 | $666.42 | $10.74–$666.42 | 317% above | 71% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) | $120.03 | $409.65 | $10.33–$409.65 | 215% above | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody | $97.07 | $331.28 | $14.27–$331.28 | 121% above | 71% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $705.80 | $2,408.89 | $42.84–$2,408.89 | 356% above | 71% |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 | $169.43 | $578.25 | $13.19–$578.25 | 402% above | 71% |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 | $169.43 | $578.25 | $19.35–$578.25 | 314% above | 71% |
| Homocysteine blood test CPT 83090 Homocysteine | $163.10 | $556.64 | $17.92–$556.64 | 214% above | 71% |
| Insulin blood test CPT 83525 Insulin; total | $132.66 | $452.78 | $11.43–$452.78 | 222% above | 71% |
| Iron blood test (serum iron) CPT 83540 Iron | $74.66 | $254.82 | $6.47–$254.82 | 203% above | 71% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $86.15 | $294.02 | $8.74–$294.02 | 110% above | 71% |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | $141.85 | $484.13 | $8.68–$484.13 | 111% above | 71% |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $156.21 | $533.15 | $18.52–$533.15 | 152% above | 71% |
| Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid) | $167.70 | $572.34 | $11.57–$572.34 | 346% above | 71% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (LD), (LDH) | $68.92 | $235.21 | $6.04–$235.21 | 204% above | 71% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $161.38 | $550.78 | $6.89–$550.78 | 360% above | 71% |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) | $186.07 | $635.06 | $8.17–$635.06 | 146% above | 71% |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) | $362.96 | $1,238.78 | $17.03–$1,238.78 | 777% above | 71% |
| Magnesium blood test CPT 83735 Magnesium | $79.83 | $272.47 | $6.70–$272.47 | 286% above | 71% |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola | $85.00 | $290.09 | $12.88–$290.09 | 116% above | 71% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $325.06 | $1,109.41 | $5.18–$1,109.41 | 758% above | 71% |
| Mumps immunity blood test CPT 86735 Antibody; mumps | $194.69 | $664.48 | $13.05–$664.48 | 392% above | 71% |
| Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen ( | $207.32 | $707.59 | $47.81–$707.59 | 189% above | 71% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $109.12 | $372.41 | $18.39–$372.41 | 122% above | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $109.12 | $372.41 | $18.39–$372.41 | 94% above | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) | $392.25 | $1,338.74 | $41.28–$1,338.74 | 225% above | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $100.50 | $343.02 | $6.01–$343.02 | 284% above | 71% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate) | $82.12 | $280.29 | $4.74–$280.29 | 189% above | 71% |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood | $68.92 | $235.21 | $4.76–$235.21 | 230% above | 71% |
| Progesterone blood test CPT 84144 Progesterone | $178.03 | $607.61 | $20.86–$607.61 | 179% above | 71% |
| Prolactin blood test CPT 84146 Prolactin | $273.95 | $934.97 | $19.38–$934.97 | 292% above | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $65.46 | $223.42 | $4.29–$223.42 | 222% above | 71% |
| Renin blood test CPT 84244 Renin | $286.00 | $976.10 | $21.99–$976.10 | 362% above | 71% |
| Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) | $57.43 | $196.01 | $37.05–$196.01 | 88% above | 71% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $147.60 | $503.75 | $5.67–$503.75 | 400% above | 71% |
| Rubella antibody test (immunity check) CPT 86762 Antibody; rubella | $161.38 | $550.78 | $14.39–$550.78 | 422% above | 71% |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood | $68.34 | $233.24 | $4.81–$233.24 | 154% above | 71% |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $207.32 | $707.59 | $8.90–$707.59 | 562% above | 71% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection) | $14.07 | $48.50 | $4.38–$48.50 | 26% below | 71% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $68.92 | $235.21 | $15.92–$235.21 | 124% above | 71% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Antibody; Treponema pallidum | $249.25 | $850.67 | $13.24–$850.67 | 719% above | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $75.81 | $258.73 | $4.27–$258.73 | 194% above | 71% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $325.06 | $1,109.41 | $25.81–$1,109.41 | 352% above | 71% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (eg, thyroid or liver-kidney), each | $74.09 | $252.87 | $14.55–$252.87 | 82% above | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $174.02 | $593.91 | $16.80–$593.91 | 241% above | 71% |
| Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE | $152.19 | $519.43 | $16.46–$519.43 | 159% above | 71% |
| Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total | $121.76 | $415.56 | $4.35–$415.56 | 487% above | 71% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; total | $155.64 | $531.19 | $6.87–$531.19 | 477% above | 71% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) | $75.81 | $258.73 | $14.18–$258.73 | 56% above | 71% |
| Transferrin blood test CPT 84466 Transferrin | $192.39 | $656.62 | $12.76–$656.62 | 272% above | 71% |
| Triglycerides blood test CPT 84478 Triglycerides | $98.21 | $335.18 | $5.74–$335.18 | 318% above | 71% |
| Troponin test, quantitative CPT 84484 Troponin, quantitative | $152.19 | $519.43 | $12.47–$519.43 | 231% above | 71% |
| Uric acid blood test CPT 84550 Uric acid; blood | $121.76 | $415.56 | $4.52–$415.56 | 328% above | 71% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | $93.05 | $317.56 | $3.17–$317.56 | 204% above | 71% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy | $93.05 | $317.56 | $4.02–$317.56 | 599% above | 71% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy | $10.66 | $36.75 | $2.25–$36.75 | 1% below | 71% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy | $37.90 | $129.36 | $3.48–$129.36 | 379% above | 71% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $34.71 | $119.70 | $8.07–$119.70 | 10% below | 71% |
| Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative | $66.62 | $227.38 | $5.78–$227.38 | 243% above | 71% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $173.45 | $591.97 | $8.61–$591.97 | 349% above | 71% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) | $100.50 | $343.02 | $15.08–$343.02 | 100% above | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $251.54 | $858.50 | $29.60–$858.50 | 243% above | 71% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed | $265.90 | $907.51 | $38.50–$907.51 | 142% above | 71% |
| Zinc blood test CPT 84630 Zinc | $155.64 | $531.19 | $11.39–$531.19 | 344% above | 71% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (hCG); quantitative | $186.07 | $635.06 | $15.05–$635.06 | 234% above | 71% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction | $13,588.72 | $46,377.88 | $4,186.00 | 14% above | 71% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy, shoulder, surgical; with rotator cuff repair | $11,999.52 | $40,953.98 | $4,186.00 | 33% above | 71% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance | $1,142.85 | $3,900.51 | $1,613.00 | 24% below | 71% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia; external | $733.38 | $2,503.02 | $1,691.00 | 6% above | 71% |
| Carpal tunnel release, open surgery CPT 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel | $5,475.89 | $18,689.04 | $2,590.00 | 89% above | 71% |
| Cataract surgery with lens implant CPT 66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation | $2,985.73 | $10,190.20 | $3,552.00 | at median | 71% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age | $7,090.01 | $24,197.98 | $1,613.00 | 66% above | 71% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision, using clamp or other device with regional dorsal penile or ring block | $224.93 | $767.67 | $2,590.00 | 64% below | 71% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | $4,375.10 | $14,932.08 | $1,613.00 | 247% above | 71% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, flexible; with biopsy, single or multiple | $3,839.20 | $13,103.08 | $2,260.00 | 204% above | 71% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | $3,839.20 | $13,103.08 | $2,260.00 | 204% above | 71% |
| Complex cataract surgery with lens implant CPT 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, | $2,969.38 | $10,134.39 | $2,590.00 | 14% below | 71% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) | $3,067.89 | $10,470.63 | $2,590.00 | 23% below | 71% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) | $5,403.09 | $18,440.57 | $1,613.00 | 98% above | 71% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal impacted cerumen using irrigation/lavage, unilateral | $320.94 | $1,095.37 | $56.07–$1,095.37 | 608% above | 71% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible | $11,673.22 | $39,840.33 | $2,278.00 | 109% above | 71% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible | $8,516.31 | $29,065.91 | $2,278.00 | 83% above | 71% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy, surgical; cholecystectomy | $9,503.48 | $32,435.07 | $4,186.00 | 35% above | 71% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparoscopy, surgical; cholecystectomy with cholangiography | $11,442.49 | $39,052.87 | $5,142.00 | 62% above | 71% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) | $7,628.93 | $26,037.32 | $1,845.00 | 63% above | 71% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C | $6,473.93 | $22,095.31 | $1,845.00 | 75% above | 71% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of intrauterine device (IUD) | $3,374.29 | $11,516.35 | $335.00 | 58% above | 71% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | $470.35 | $1,605.28 | $335.00 | 114% above | 71% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $430.29 | $1,468.55 | $335.00 | 32% above | 71% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance | $412.65 | $1,408.35 | $335.00 | 41% above | 71% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed | $7,323.99 | $24,996.54 | $2,278.00 | 24% above | 71% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed | $7,745.38 | $26,434.74 | $2,278.00 | 13% above | 71% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy, surgical, appendectomy | $8,713.17 | $29,737.78 | $4,186.00 | 154% above | 71% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | $19,839.85 | $67,712.81 | $4,186.00 | 90% above | 71% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy, surgical; repair initial inguinal hernia | $13,984.42 | $47,728.41 | $4,186.00 | 89% above | 71% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laparoscopy, surgical; repair recurrent inguinal hernia | $6,564.28 | $22,403.70 | $2,594.00 | 19% below | 71% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) | $8,962.80 | $30,589.76 | $2,278.00 | 59% above | 71% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) | $2,943.86 | $10,047.30 | $1,691.00 | 232% above | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluorosc | $452.93 | $1,545.83 | $1,613.00 | 8% below | 71% |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy) | $4,494.91 | $15,341.00 | $1,845.00 | 30% below | 71% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy, simple, complete | $20,601.62 | $70,312.70 | $2,278.00 | 72% above | 71% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion of nail plate, partial or complete, simple; single | $244.79 | $835.45 | $335.00 | 85% above | 71% |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $9,832.94 | $33,559.52 | $5,029.00 | 90% above | 71% |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | $494.47 | $1,687.62 | $1,613.00 | 16% below | 71% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $594.34 | $2,028.47 | $335.00 | 97% above | 71% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $3,981.65 | $13,589.26 | $1,691.00 | 218% above | 71% |
| Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static | $317.59 | $1,083.92 | $335.00 | 118% above | 71% |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot) | $53.84 | $183.75 | $335.00 | 66% below | 71% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) | $3,193.68 | $10,899.95 | $3,196.00 | 33% below | 71% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure) | $3,025.78 | $10,326.89 | $1,845.00 | 40% below | 71% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less | $587.51 | $2,005.16 | $335.00 | 172% above | 71% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic | $904.28 | $3,086.27 | $1,691.00 | 125% above | 71% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm | $605.86 | $2,067.77 | $335.00 | 161% above | 71% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less | $591.99 | $2,020.46 | $335.00 | 153% above | 71% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance | $1,404.45 | $4,842.92 | $1,691.00 | 122% above | 71% |
| Total hip replacement CPT 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft | $25,589.63 | $87,336.61 | $1,845.00 | 73% above | 71% |
| Total knee replacement CPT 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $22,556.95 | $76,986.19 | $3,602.00 | 51% above | 71% |
| Trigger finger release surgery CPT 26055 Tendon sheath incision (eg, for trigger finger) | $4,900.23 | $16,724.32 | $2,260.00 | 59% above | 71% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance | $1,050.39 | $3,584.96 | $1,772.00 | 4% above | 71% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $3,650.88 | $12,460.33 | $2,260.00 | 270% above | 71% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | $3,414.26 | $11,652.78 | $2,260.00 | 254% above | 71% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) | $5,942.09 | $20,280.16 | $1,772.00 | 10% above | 71% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) | $5,345.09 | $18,242.62 | $2,590.00 | — | 71% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less | $2,876.37 | $9,816.97 | $1,613.00 | 567% above | 71% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation | $9,361.70 | $31,951.19 | $4,186.00 | 10% above | 71% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $622.53 | $2,124.69 | $335.00 | 57% above | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device | $97.07 | $188.16 | $133.84–$331.28 | 2% below | 48% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $103.53 | $357.00 | $144.23–$357.00 | 60% below | 71% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | $1,701.08 | $5,805.72 | $795.34–$5,805.72 | 40% above | 71% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy | $356.37 | $1,216.29 | $293.93–$1,216.29 | 20% above | 71% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $302.65 | $1,032.94 | $56.07–$1,032.94 | 183% above | 71% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy (includes necessary monitoring) | $1,055.32 | $3,601.79 | $500.83–$3,601.79 | 34% above | 71% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | $85.00 | $290.09 | $83.11–$290.09 | 42% below | 71% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $279.12 | $952.62 | $149.48–$952.62 | 21% above | 71% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | $410.05 | $1,399.49 | $261.36–$1,399.49 | 8% below | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $787.94 | $2,689.23 | $401.93–$2,689.23 | 9% above | 71% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | $1,297.91 | $4,429.74 | $578.71–$4,429.74 | 31% above | 71% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report | $1,027.99 | $3,508.49 | $293.93–$3,508.49 | 145% above | 71% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $345.15 | $1,178.00 | $198.87–$1,178.00 | 133% above | 71% |
| IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour | $403.16 | $1,375.97 | $198.87–$1,375.97 | 162% above | 71% |
| IV push of a medicine, first drug CPT 96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug | $256.72 | $876.17 | $198.87–$876.17 | 129% above | 71% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | $133.82 | $456.72 | $67.18–$456.72 | 139% above | 71% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | $110.27 | $376.35 | $30.26–$376.35 | 137% above | 71% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $97.07 | $331.28 | $33.55–$331.28 | 265% above | 71% |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance | $283.81 | $968.62 | $94.86–$968.62 | 99% above | 71% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from | $299.28 | $1,021.42 | $92.54–$1,021.42 | 121% above | 71% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and | $265.74 | $906.95 | $92.54–$906.95 | 105% above | 71% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements fro | $291.54 | $995.01 | $92.54–$995.01 | 125% above | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes | $106.25 | $362.63 | $25.68–$362.63 | 128% above | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility | $110.27 | $376.35 | $27.19–$376.35 | 135% above | 71% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | $51.69 | $176.41 | $28.12–$176.41 | 85% above | 71% |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $286.37 | $977.38 | $212.05–$977.38 | 54% above | 71% |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | $296.91 | $1,013.35 | $71.27–$1,013.35 | 96% above | 71% |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation | $267.05 | $911.44 | $147.68–$911.44 | 85% above | 71% |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $520.32 | $1,775.84 | $293.93–$1,775.84 | 52% above | 71% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | $110.27 | $376.35 | $32.38–$376.35 | 138% above | 71% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) | $231.78 | $791.07 | $121.67–$791.07 | 148% above | 71% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $15.08 | $52.00 | $15.60–$52.00 | 55% below | 71% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $352.64 | $1,216.00 | $366.02–$1,216.00 | 387% above | 71% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $284.47 | $970.90 | $291.27–$970.90 | 132% above | 71% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use | $171.38 | $584.90 | $175.47–$584.90 | 208% above | 71% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $213.39 | $728.30 | $219.22–$728.30 | 84% above | 71% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use | $373.40 | $1,287.60 | $386.28–$1,287.60 | 82% above | 71% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $263.44 | $899.10 | $269.73–$899.10 | 69% above | 71% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $2,749.01 | $9,382.30 | $317.67–$9,382.30 | 403% above | 71% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $172.66 | $589.30 | $177.38–$589.30 | 198% above | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $234.84 | $801.50 | $241.25–$801.50 | 154% above | 71% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $133.82 | $456.72 | $67.18–$456.72 | 269% above | 71% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) | $80.40 | $274.41 | $82.60–$274.41 | 137% above | 71% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.