Hospital Houma-Bayou Cane-Thibodaux, LA

Ochsner St Anne General Hospital

Listed in its price file as “Ochsner Bayou LLC”.

Ochsner St Anne General Hospital in Raceland, LA publishes cash prices for 349 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Louisiana median for 182 of 344 procedures and above it for 153. By typical cash price it ranks #25 of 58 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

4608 Highway 1, Raceland, LA 70394 Collected Sep 23, 2026 Source price file (985) 537-6841

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191324 · CMS hospital register NPI 1396761805

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$135.08	$307.00	$67.32–$293.80	21% above	56%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP, MINIMUM 3 VIEWS	$135.08	$307.00	—	—	56%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE BRANCHIAL INDEX	$219.56	$499.00	$94.64–$477.54	20% above	56%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE BRANCHIAL INDEX	$219.56	$499.00	—	—	56%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$271.48	$617.00	$136.13–$590.47	20% above	56%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY, ESOPH, W/ SCOUT CHEST RADIOGRAPH/IMG, W/SNGL CONTRAST	$271.48	$617.00	—	—	56%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$368.72	$838.00	$233.30–$972.44	33% below	56%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JT IMAGING WHOLE BODY	$368.72	$838.00	—	—	56%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILAT	$91.96	$209.00	$58.19–$260.96	45% below	56%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILAT	$91.96	$209.00	—	—	56%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED	$91.96	$209.00	$58.19–$200.01	45% below	56%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT LIMITED	$91.96	$209.00	—	—	56%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/ NON CORONARY	$629.64	$1,431.00	$136.13–$1,369.47	32% below	56%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/ NON CORONARY	$629.64	$1,431.00	—	—	56%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$506.00	$1,150.00	$181.55–$1,297.00	55% below	56%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD / PELVIS WO CONTRAST	$506.00	$1,150.00	—	—	56%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$688.16	$1,564.00	$284.93–$1,496.75	48% below	56%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS WITH CONTRAST	$688.16	$1,564.00	—	—	56%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$895.84	$2,036.00	$284.93–$1,948.45	38% below	56%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONTRAST	$895.84	$2,036.00	—	—	56%
CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST	$536.80	$1,220.00	$136.13–$1,297.00	40% below	56%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST	$536.80	$1,220.00	—	—	56%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$398.64	$906.00	$81.46–$1,297.00	48% below	56%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$398.64	$906.00	—	—	56%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$370.48	$842.00	$81.46–$1,297.00	44% below	56%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$370.48	$842.00	—	—	56%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$370.48	$842.00	$81.46–$1,297.00	44% below	56%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$370.48	$842.00	—	—	56%
CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONTRAST	$444.40	$1,010.00	$136.13–$1,297.00	39% below	56%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONTRAST	$444.40	$1,010.00	—	—	56%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAST	$554.84	$1,261.00	$136.13–$1,297.00	39% below	56%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAST	$554.84	$1,261.00	—	—	56%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$398.64	$906.00	$81.46–$1,297.00	47% below	56%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$398.64	$906.00	—	—	56%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$398.64	$906.00	$81.46–$1,297.00	46% below	56%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$398.64	$906.00	—	—	56%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$536.80	$1,220.00	$136.13–$1,297.00	33% below	56%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$536.80	$1,220.00	—	—	56%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$349.80	$795.00	$181.55–$763.00	—	56%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX SCAN, BILAT	$349.80	$795.00	—	—	56%
Chest X-ray, 2 views CPT 71046 HC XRAY, CHEST, 2 VIEWS	$135.08	$307.00	$67.32–$293.80	2% above	56%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY, CHEST, 2 VIEWS	$135.08	$307.00	—	—	56%
Chest X-ray, single view CPT 71045 HC XRAY, CHEST, 1 VIEW	$135.08	$307.00	$60.75–$293.80	23% above	56%
Chest X-ray, single view inpatient CPT 71045 HC XRAY, CHEST, 1 VIEW	$135.08	$307.00	—	—	56%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$155.32	$353.00	$81.46–$337.82	47% below	56%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$155.32	$353.00	—	—	56%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$74.36	$169.00	$47.05–$270.53	49% below	56%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY SPINE/HIP	$74.36	$169.00	—	—	56%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$41.36	$94.00	$26.17–$182.03	48% below	56%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY APPEN SKEL	$41.36	$94.00	—	—	56%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$299.20	$680.00	$181.55–$650.76	13% above	56%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US, OB FETAL EVAL & EXAM, TRANSABDOM,FIRST GESTATION	$299.20	$680.00	—	—	56%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$398.64	$906.00	$81.46–$1,297.00	48% below	56%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN, THORAX, DX, W/O CONTRAST	$398.64	$906.00	—	—	56%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$541.20	$1,230.00	$136.13–$1,297.00	37% below	56%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT SCAN, THORAX, DX, W/CONTRAST	$541.20	$1,230.00	—	—	56%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$135.08	$307.00	$84.31–$437.61	—	56%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$135.08	$307.00	—	—	56%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$114.84	$261.00	$65.76–$343.40	6% below	56%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$114.84	$261.00	—	—	56%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$349.80	$795.00	$181.55–$917.74	—	56%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART/BPG, BILAT	$349.80	$795.00	—	—	56%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$349.80	$795.00	$181.55–$763.00	—	56%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,COMPLETE BILAT	$349.80	$795.00	—	—	56%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$992.20	$2,255.00	$408.74–$2,158.04	38% above	56%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W/SPECT & COLOR DOPPLER	$992.20	$2,255.00	—	—	56%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$574.20	$1,305.00	$305.58–$1,248.89	at median	56%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL IMG INC GALLBLADDER	$574.20	$1,305.00	—	—	56%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$324.28	$737.00	$205.18–$4,553.00	61% above	56%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFFT	$324.28	$737.00	—	—	56%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING +4 W/CPAP	$1,626.24	$3,696.00	$774.65–$4,553.00	19% above	56%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING +4 W/CPAP	$1,626.24	$3,696.00	—	—	56%
Knee X-ray, 3 views CPT 73562 HC KNEE MIN 3 VIEWS	$135.08	$307.00	$67.32–$293.80	7% above	56%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE MIN 3 VIEWS	$135.08	$307.00	—	—	56%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$146.96	$334.00	$81.46–$319.64	46% below	56%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$146.96	$334.00	—	—	56%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$99.44	$226.00	$62.92–$1,297.00	37% below	56%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT SCAN, THORAX, LOW DOSE LUNG CANCER SCRN, W/O CONTRAST	$99.44	$226.00	—	—	56%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXT JT W/O CONTR	$739.64	$1,681.00	$181.55–$1,608.72	30% below	56%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXT JT W/O CONTR	$739.64	$1,681.00	—	—	56%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXT JT W/WO CONT	$1,072.28	$2,437.00	$284.93–$2,332.21	16% below	56%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXT JT W/WO CONT	$1,072.28	$2,437.00	—	—	56%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$986.48	$2,242.00	$181.55–$2,145.59	at median	56%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$986.48	$2,242.00	—	—	56%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$1,072.28	$2,437.00	$284.93–$2,332.21	19% below	56%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST	$1,072.28	$2,437.00	—	—	56%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$739.64	$1,681.00	$181.55–$1,608.72	34% below	56%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$739.64	$1,681.00	—	—	56%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST	$1,072.28	$2,437.00	$284.93–$2,332.21	26% below	56%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST	$1,072.28	$2,437.00	—	—	56%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$739.64	$1,681.00	$181.55–$1,608.72	35% below	56%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WITHOUT CONTRAST	$739.64	$1,681.00	—	—	56%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$1,072.28	$2,437.00	$284.93–$2,332.21	23% below	56%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMBAR W/WO CONTRA	$1,072.28	$2,437.00	—	—	56%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$739.64	$1,681.00	$181.55–$1,608.72	33% below	56%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAS	$739.64	$1,681.00	—	—	56%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$1,072.28	$2,437.00	$284.93–$2,332.21	33% below	56%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERVICAL W/WO CONTR	$1,072.28	$2,437.00	—	—	56%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$739.64	$1,681.00	$181.55–$1,608.72	30% below	56%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAS	$739.64	$1,681.00	—	—	56%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$1,072.28	$2,437.00	$284.93–$2,332.21	8% below	56%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$1,072.28	$2,437.00	—	—	56%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$739.64	$1,681.00	$181.55–$1,608.72	16% below	56%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$739.64	$1,681.00	—	—	56%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$739.64	$1,681.00	$181.55–$1,608.72	11% below	56%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UP EXT JT W/O CONTRAS	$739.64	$1,681.00	—	—	56%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT, MULTIPLE	$841.28	$1,912.00	$532.30–$2,938.37	29% below	56%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT, MULTIPLE	$841.28	$1,912.00	—	—	56%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED NON-OB	$125.40	$285.00	$79.34–$272.75	27% below	56%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED NON-OB	$125.40	$285.00	—	—	56%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$146.96	$334.00	$81.46–$319.64	49% below	56%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$146.96	$334.00	—	—	56%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$165.88	$377.00	$81.46–$360.79	40% below	56%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$165.88	$377.00	—	—	56%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$165.88	$377.00	$81.46–$360.79	32% below	56%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB <14WKS, TRANSABD, SINGLE GESTATION	$165.88	$377.00	—	—	56%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$112.20	$255.00	$70.99–$245.18	36% below	56%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR MORE GESTA	$112.20	$255.00	—	—	56%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$128.92	$293.00	$69.53–$363.03	—	56%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO W/WO CAD, SCREENING, BILAT	$128.92	$293.00	—	—	56%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER ROUTINE	$135.08	$307.00	$67.32–$293.80	9% above	56%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER ROUTINE	$135.08	$307.00	—	—	56%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$1,626.24	$3,696.00	$774.65–$4,553.00	22% above	56%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 OR MORE	$1,626.24	$3,696.00	—	—	56%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$992.20	$2,255.00	$408.74–$2,158.04	53% above	56%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/MONT & SUPERV	$992.20	$2,255.00	—	—	56%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$271.48	$617.00	$136.13–$590.47	12% above	56%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XRAY, SWALLOW FUNCT, CINE/VIDEO, W/ SCOUT NECK RADIOGRAPH/IMG, W/CONTRAST	$271.48	$617.00	—	—	56%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$146.96	$334.00	$81.46–$326.40	31% below	56%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$146.96	$334.00	—	—	56%
Transvaginal ultrasound during pregnancy CPT 76817 HC US, OB, TRANSVAG APPROACH	$146.96	$334.00	$81.46–$319.64	22% below	56%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, OB, TRANSVAG APPROACH	$146.96	$334.00	—	—	56%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$155.32	$353.00	$81.46–$337.82	50% below	56%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABD, B-SCAN, COMPLETE	$155.32	$353.00	—	—	56%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$146.96	$334.00	$81.46–$319.64	31% below	56%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$146.96	$334.00	—	—	56%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$146.96	$334.00	$81.46–$323.76	47% below	56%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISS OF HEAD NECK THYR	$146.96	$334.00	—	—	56%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$271.48	$617.00	$136.13–$590.47	3% above	56%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY, UPPER GI TRACT, W/ SCOUT ABD RADIOGRAPH/IMG, W/SNGL CONTRAST	$271.48	$617.00	—	—	56%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$217.36	$494.00	$81.46–$763.00	24% below	56%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX, UPPER OR LOWER EXT VENOUS,UNILAT OR LTD	$217.36	$494.00	—	—	56%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE	$135.08	$307.00	$67.32–$293.80	19% above	56%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE	$135.08	$307.00	—	—	56%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$100.76	$229.00	$63.75–$219.15	19% below	56%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP W/PELVIS UNI 2-3 VIEWS	$100.76	$229.00	—	—	56%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$135.08	$307.00	$67.32–$293.80	6% above	56%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY, ABDOMEN, 1 VIEW	$135.08	$307.00	—	—	56%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$135.08	$307.00	$67.32–$293.80	33% above	56%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$135.08	$307.00	—	—	56%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$135.08	$307.00	$67.32–$293.80	31% above	56%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER OR FINGERS MIN 2VIEWS	$135.08	$307.00	—	—	56%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$135.08	$307.00	$67.32–$293.80	28% above	56%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$135.08	$307.00	—	—	56%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$135.08	$307.00	$67.32–$293.80	18% above	56%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMP, MINIMUM 3 VIEWS	$135.08	$307.00	—	—	56%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE	$135.08	$307.00	$67.32–$293.80	18% above	56%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE	$135.08	$307.00	—	—	56%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS	$135.08	$307.00	$67.32–$293.80	23% above	56%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS	$135.08	$307.00	—	—	56%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3V	$135.08	$307.00	$81.46–$293.80	11% below	56%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3V	$135.08	$307.00	—	—	56%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$229.68	$522.00	$81.46–$499.55	6% above	56%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP 5 VIEW	$229.68	$522.00	—	—	56%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC AP&LAT	$135.08	$307.00	$79.07–$293.80	14% below	56%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC AP&LAT	$135.08	$307.00	—	—	56%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$135.08	$307.00	$67.32–$293.80	16% above	56%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP, MINIMUM 3 VIEWS	$135.08	$307.00	—	—	56%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL, AP&LAT	$135.08	$307.00	$67.32–$293.80	6% below	56%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL, AP&LAT	$135.08	$307.00	—	—	56%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$135.08	$307.00	$72.53–$293.80	2% above	56%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$135.08	$307.00	—	—	56%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$135.08	$307.00	$67.32–$293.80	2% below	56%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2VIEWS	$135.08	$307.00	—	—	56%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$12.32	$28.00	$4.77–$26.80	41% below	56%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$12.32	$28.00	$4.77–$26.80	41% below	56%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$12.32	$28.00	—	—	56%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE-ALT (SGPT)	$12.32	$28.00	—	—	56%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$12.32	$28.00	$4.66–$26.80	40% below	56%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$12.32	$28.00	—	—	56%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL, ACUTE	$110.88	$252.00	$42.87–$241.16	at median	56%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL, ACUTE	$110.88	$252.00	—	—	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, AMMONIATED LATEX EXT	$12.32	$28.00	$4.70–$26.80	19% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SMUT WHEAT IGE	$12.32	$28.00	$4.70–$26.80	19% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, GLOVE LATEX EXT	$12.32	$28.00	$4.70–$26.80	19% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE, BUFFERED LATEX	$12.32	$28.00	$4.70–$26.80	19% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$12.76	$29.00	$4.70–$27.75	23% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$12.76	$29.00	$4.70–$27.75	23% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$14.96	$34.00	$4.70–$32.54	45% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$31.68	$72.00	$4.70–$68.90	206% above	56%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE	$37.40	$85.00	$4.70–$81.35	262% above	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, AMMONIATED LATEX EXT	$12.32	$28.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, BUFFERED LATEX	$12.32	$28.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE, GLOVE LATEX EXT	$12.32	$28.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SMUT WHEAT IGE	$12.32	$28.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PEANUT COMPONENTS-EACH	$12.76	$29.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MILK COMPONENTS-EACH	$12.76	$29.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG COMPONENTS-EACH	$14.96	$34.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST, SINGLE ALLERGEN, IGE, EACH	$31.68	$72.00	—	—	56%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE, IGE	$37.40	$85.00	—	—	56%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODIES	$25.52	$58.00	$11.66–$55.51	44% below	56%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODIES	$25.52	$58.00	—	—	56%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$28.16	$64.00	$10.88–$61.25	40% below	56%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI DFS70	$32.12	$73.00	$10.88–$69.86	31% below	56%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB(ANA)	$28.16	$64.00	—	—	56%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI DFS70	$32.12	$73.00	—	—	56%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP, S	$55.44	$126.00	$35.08–$158.07	17% below	56%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$79.20	$180.00	$35.33–$172.26	19% above	56%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP, S	$55.44	$126.00	—	—	56%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE ASSAY	$79.20	$180.00	—	—	56%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$26.84	$61.00	$7.61–$58.38	28% below	56%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL(8 TESTS)	$26.84	$61.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN	$106.04	$241.00	$40.14–$230.64	30% above	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RENAL BIOPSY	$106.04	$241.00	$40.14–$230.64	30% above	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 *HC RECTAL BX GM4	$106.04	$241.00	$40.14–$230.64	30% above	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE, G & M, LEVEL IV	$106.04	$241.00	$40.14–$230.64	30% above	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$146.52	$333.00	$40.14–$318.68	79% above	56%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$169.40	$385.00	$40.14–$368.45	107% above	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE, G & M, LEVEL IV	$106.04	$241.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 *HC RECTAL BX GM4	$106.04	$241.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RENAL BIOPSY	$106.04	$241.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SKIN, MODERATE,SINGLE SPECIMEN	$106.04	$241.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICROSCOPIC, RB - RL	$146.52	$333.00	—	—	56%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE OR NERVE TISSSUE EXAM - RL	$169.40	$385.00	—	—	56%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$24.20	$55.00	$9.29–$52.64	48% below	56%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$24.20	$55.00	—	—	56%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE/BL COLL	$3.96	$9.00	$2.51–$14.71	52% below	56%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE/BL COLL	$3.96	$9.00	—	—	56%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTATIVE	$9.24	$21.00	$3.54–$20.10	29% below	56%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, QUANTATIVE	$9.24	$21.00	—	—	56%
Blood lead test CPT 83655 HC LEAD, BLOOD	$28.16	$64.00	$10.90–$61.25	at median	56%
Blood lead test CPT 83655 HC LEAD, URINE	$28.16	$64.00	$10.90–$61.25	at median	56%
Blood lead test inpatient CPT 83655 HC LEAD, URINE	$28.16	$64.00	—	—	56%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD	$28.16	$64.00	—	—	56%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$17.60	$40.00	$6.77–$38.28	44% below	56%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG, QUALITATIVE BLOOD OR UR	$17.60	$40.00	—	—	56%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB REF ABO TYPE	$13.64	$31.00	$2.99–$94.64	70% below	56%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BB REF ABO TYPE	$13.64	$31.00	—	—	56%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$12.32	$28.00	$4.66–$26.80	48% below	56%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP	$12.32	$28.00	$4.66–$26.80	48% below	56%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$12.32	$28.00	—	—	56%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP	$12.32	$28.00	—	—	56%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$58.08	$132.00	$33.54–$150.05	8% below	56%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE TOXIN BY PCR	$58.08	$132.00	—	—	56%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$48.40	$110.00	$18.73–$105.27	at median	56%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9, BODY FLUID	$48.40	$110.00	$18.73–$105.27	at median	56%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$48.40	$110.00	—	—	56%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9, BODY FLUID	$48.40	$110.00	—	—	56%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$48.40	$110.00	$18.73–$105.27	11% below	56%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER AG 125 (CA 125)-RL	$52.80	$120.00	$18.73–$114.84	3% below	56%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 (CANCER ANTIGEN 125)	$48.40	$110.00	—	—	56%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER AG 125 (CA 125)-RL	$52.80	$120.00	—	—	56%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$81.40	$185.00	$38.48–$177.05	11% above	56%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMPLIFIED PROBE	$81.40	$185.00	—	—	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$81.84	$186.00	$31.58–$178.00	42% above	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$89.76	$204.00	$31.58–$195.23	56% above	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA T BY AMPLIFIED PROBE	$81.84	$186.00	—	—	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA CONF	$89.76	$204.00	—	—	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACH, MISC, AMPLIFIED RNA	$89.76	$204.00	—	—	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA	$89.76	$204.00	—	—	56%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$89.76	$204.00	—	—	56%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$28.16	$64.00	$12.05–$61.25	46% below	56%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPIDS	$28.16	$64.00	$12.05–$61.25	46% below	56%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$28.16	$64.00	—	—	56%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPIDS	$28.16	$64.00	—	—	56%
Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$24.64	$56.00	$6.99–$53.59	7% below	56%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W/PLT W/AUTOM DIFF	$24.64	$56.00	—	—	56%
Complete blood count (CBC), no differential CPT 85027 HC HEMATOLOGY PROFILE	$15.40	$35.00	$5.82–$33.50	46% below	56%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMATOLOGY PROFILE	$15.40	$35.00	—	—	56%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$33.88	$77.00	$9.50–$73.69	54% below	56%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PAN 14	$33.88	$77.00	—	—	56%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANT	$23.76	$54.00	$9.16–$51.68	59% below	56%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANT	$23.76	$54.00	—	—	56%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$51.92	$118.00	$20.01–$112.93	10% below	56%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$51.92	$118.00	—	—	56%
Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$25.52	$58.00	$16.15–$112.50	58% below	56%
Estradiol blood test CPT 82670 HC ESTRADIOL	$65.12	$148.00	$25.15–$141.64	8% above	56%
Estradiol blood test CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD	$65.12	$148.00	$25.15–$141.64	8% above	56%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENSITIVE, LC/MS - RL	$25.52	$58.00	—	—	56%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$65.12	$148.00	—	—	56%
Estradiol blood test inpatient CPT 82670 HC ESTROGENS, FRACT-ESTRADIOL BLD	$65.12	$148.00	—	—	56%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$43.56	$99.00	$16.72–$94.74	20% below	56%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$43.56	$99.00	—	—	56%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$38.72	$88.00	$17.67–$84.22	59% below	56%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$38.72	$88.00	—	—	56%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$31.68	$72.00	$12.27–$68.90	31% below	56%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - RL	$31.68	$72.00	$12.27–$68.90	31% below	56%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - RL	$31.68	$72.00	—	—	56%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$31.68	$72.00	—	—	56%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$34.32	$78.00	$13.23–$74.65	9% below	56%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$34.32	$78.00	—	—	56%
Free T3 thyroid hormone test CPT 84481 HC T3,FREE	$23.32	$53.00	$13.43–$68.21	53% below	56%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3,FREE	$23.32	$53.00	—	—	56%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE BY DIALYSIS	$21.12	$48.00	$8.12–$45.94	41% below	56%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$21.12	$48.00	$8.12–$45.94	41% below	56%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$21.12	$48.00	—	—	56%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE BY DIALYSIS	$21.12	$48.00	—	—	56%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE	$59.40	$135.00	$22.92–$129.20	3% below	56%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$93.72	$213.00	$22.92–$203.84	54% above	56%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE	$59.40	$135.00	—	—	56%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE BY DIALYSIS	$93.72	$213.00	—	—	56%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$11.44	$26.00	$4.28–$24.88	29% below	56%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$11.44	$26.00	—	—	56%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$29.92	$68.00	$11.58–$65.08	33% below	56%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$29.92	$68.00	$11.58–$65.08	33% below	56%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$29.92	$68.00	$11.58–$65.08	33% below	56%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 3 SPECIMENS	$29.92	$68.00	—	—	56%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$29.92	$68.00	—	—	56%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 2 HRS	$29.92	$68.00	—	—	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY AMPLIFIED PROBE	$81.84	$186.00	$31.58–$178.00	42% above	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$89.76	$204.00	$31.58–$195.23	56% above	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$89.76	$204.00	$31.58–$195.23	56% above	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY AMPLIFIED PROBE	$81.84	$186.00	—	—	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONF	$89.76	$204.00	—	—	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORR, MISC, AMPLIFIED RNA	$89.76	$204.00	—	—	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA, TMA	$89.76	$204.00	—	—	56%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA	$89.76	$204.00	—	—	56%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$27.28	$62.00	$15.17–$67.85	43% below	56%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGA	$27.28	$62.00	$15.17–$67.85	43% below	56%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM	$27.28	$62.00	$15.17–$67.85	43% below	56%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG	$27.28	$62.00	$15.17–$67.85	43% below	56%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM	$27.28	$62.00	—	—	56%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, EACH	$27.28	$62.00	—	—	56%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG	$27.28	$62.00	—	—	56%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGA	$27.28	$62.00	—	—	56%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$11.00	$25.00	$6.31–$57.88	82% below	56%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$11.00	$25.00	—	—	56%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$197.56	$449.00	$76.59–$429.69	15% above	56%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA DETECT/QUANT	$197.56	$449.00	$76.59–$429.69	15% above	56%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA DETECT/QUANT	$197.56	$449.00	—	—	56%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA ULT QUANT BY PCR	$197.56	$449.00	—	—	56%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$24.64	$56.00	$12.34–$55.21	28% below	56%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$24.64	$56.00	$12.34–$55.21	28% below	56%
HIV-1 and HIV-2 antibody test CPT 86703 HC RAPID HIV-1/2 AB	$38.72	$88.00	$12.34–$84.22	13% above	56%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 & HIV2, SGL ASSAY	$24.64	$56.00	—	—	56%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB, DONOR EVAL (BLOOD CENTER)	$24.64	$56.00	—	—	56%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC RAPID HIV-1/2 AB	$38.72	$88.00	—	—	56%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$44.88	$102.00	$21.67–$97.61	7% below	56%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/ HIV1 AB & HIV2 AB	$44.88	$102.00	—	—	56%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$67.32	$153.00	$31.58–$146.42	33% above	56%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV,HIGH RISK TYPES, POOLED RESULT	$67.32	$153.00	—	—	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C - RL	$22.88	$52.00	$8.74–$49.76	40% below	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HB	$22.88	$52.00	$8.74–$49.76	40% below	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HB	$22.88	$52.00	—	—	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C - RL	$22.88	$52.00	—	—	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TITER	$25.08	$57.00	$9.67–$54.55	25% below	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HBSAB	$25.08	$57.00	$9.67–$54.55	25% below	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$25.08	$57.00	$9.67–$54.55	25% below	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HBSAB	$25.08	$57.00	—	—	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB, DONOR EVAL (BLOOD CENTER)	$25.08	$57.00	—	—	56%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TITER	$25.08	$57.00	—	—	56%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG	$24.20	$55.00	$9.30–$52.64	36% below	56%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$24.20	$55.00	$9.30–$52.64	36% below	56%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG, DONOR EVAL (BLOOD CENTER)	$24.20	$55.00	—	—	56%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG	$24.20	$55.00	—	—	56%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$33.44	$76.00	$12.84–$72.73	30% below	56%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV-AB	$33.44	$76.00	$12.84–$72.73	30% below	56%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, DONOR EVAL (BLOOD CENTER)	$33.44	$76.00	—	—	56%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV-AB	$33.44	$76.00	—	—	56%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY BDNA	$99.44	$226.00	$38.56–$216.28	10% below	56%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$99.44	$226.00	$38.56–$216.28	10% below	56%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATION BY PCR	$99.44	$226.00	$38.56–$216.28	10% below	56%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY PCR	$99.44	$226.00	—	—	56%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA ULTRAQUANT BY PCR	$99.44	$226.00	—	—	56%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANTITATION BY BDNA	$99.44	$226.00	—	—	56%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGM	$30.80	$70.00	$11.87–$66.99	5% above	56%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 IGG	$30.80	$70.00	$11.87–$66.99	5% above	56%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM ABS IFA	$30.80	$70.00	$11.87–$66.99	5% above	56%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$33.00	$75.00	$11.87–$71.78	12% above	56%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGG	$30.80	$70.00	—	—	56%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 IGM	$30.80	$70.00	—	—	56%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM ABS IFA	$30.80	$70.00	—	—	56%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1 GLYCOPROTEIN G-SPECIFIC AB	$33.00	$75.00	—	—	56%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGG	$45.32	$103.00	$17.42–$98.57	3% above	56%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM ABS IFA	$45.32	$103.00	$17.42–$98.57	3% above	56%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGM	$45.32	$103.00	$17.42–$98.57	3% above	56%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$49.28	$112.00	$17.42–$107.18	11% above	56%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGM	$45.32	$103.00	—	—	56%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM ABS IFA	$45.32	$103.00	—	—	56%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGG	$45.32	$103.00	—	—	56%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 GLYCOPROTEIN G-SPECIFIC AB	$49.28	$112.00	—	—	56%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$30.36	$69.00	$11.66–$66.03	31% below	56%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN, HIGH SENS	$30.36	$69.00	—	—	56%
Homocysteine blood test CPT 83090 HC HOMOCYSTINES, PLASMA	$39.16	$89.00	$16.13–$85.17	32% below	56%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINES, PLASMA	$39.16	$89.00	—	—	56%
Insulin blood test CPT 83525 HC INSULIN	$26.84	$61.00	$10.29–$58.38	6% below	56%
Insulin blood test inpatient CPT 83525 HC INSULIN	$26.84	$61.00	—	—	56%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE - RL	$12.76	$29.00	$5.82–$27.75	41% below	56%
Iron blood test (serum iron) CPT 83540 HC IRON, URINE	$12.76	$29.00	$5.82–$27.75	41% below	56%
Iron blood test (serum iron) CPT 83540 HC IRON	$12.76	$29.00	$5.82–$27.75	41% below	56%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$12.76	$29.00	—	—	56%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE	$12.76	$29.00	—	—	56%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE - RL	$12.76	$29.00	—	—	56%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$20.68	$47.00	$7.87–$44.98	38% below	56%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$20.68	$47.00	—	—	56%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$20.24	$46.00	$7.81–$44.02	66% below	56%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$20.24	$46.00	—	—	56%
LH (luteinizing hormone) test CPT 83002 HC LH	$81.40	$185.00	$16.67–$177.05	51% above	56%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$81.40	$185.00	—	—	56%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID - RL	$16.28	$37.00	$6.20–$35.41	40% below	56%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$16.28	$37.00	$6.20–$35.41	40% below	56%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID - RL	$16.28	$37.00	—	—	56%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$16.28	$37.00	—	—	56%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$19.36	$44.00	$7.35–$42.11	61% below	56%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL,7 TESTS	$19.36	$44.00	—	—	56%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODIES	$79.20	$180.00	$15.33–$172.26	56% above	56%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$88.00	$200.00	$15.33–$191.40	74% above	56%
Lyme disease antibody test CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$88.00	$200.00	$15.33–$191.40	74% above	56%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODIES	$79.20	$180.00	—	—	56%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, CSF - RL	$88.00	$200.00	—	—	56%
Lyme disease antibody test inpatient CPT 86618 HC IGG INDEX, LYME AB, SERUM - RL	$88.00	$200.00	—	—	56%
Magnesium blood test CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$7.92	$18.00	$5.01–$26.96	64% below	56%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES	$15.84	$36.00	$6.03–$34.45	28% below	56%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE	$15.84	$36.00	$6.03–$34.45	28% below	56%
Magnesium blood test CPT 83735 HC MAGNESIUM	$15.84	$36.00	$6.03–$34.45	28% below	56%
Magnesium blood test CPT 83735 HC STONE/URORISK-MAGNESIUM, UR	$15.84	$36.00	$6.03–$34.45	28% below	56%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$15.84	$36.00	$6.03–$34.45	28% below	56%
Magnesium blood test CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$60.72	$138.00	$6.03–$132.07	176% above	56%
Magnesium blood test inpatient CPT 83735 HC SUPERSAT URINE, MAGNESIUM	$7.92	$18.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES	$15.84	$36.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$15.84	$36.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE	$15.84	$36.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC STONE/URORISK-MAGNESIUM, UR	$15.84	$36.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$15.84	$36.00	—	—	56%
Magnesium blood test inpatient CPT 83735 HC CATHARTIC LAXATIVE PROF - MAGNESIUM, FECES	$60.72	$138.00	—	—	56%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$29.92	$68.00	$11.59–$65.08	2% below	56%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$29.92	$68.00	$11.59–$65.08	2% below	56%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$29.92	$68.00	—	—	56%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$29.92	$68.00	—	—	56%
Mono test (heterophile antibody, Monospot) CPT 86308 *HC HETEROPHILE TITER	$12.32	$28.00	$4.66–$26.80	51% below	56%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT	$12.32	$28.00	$4.66–$26.80	51% below	56%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$12.32	$28.00	$4.66–$26.80	51% below	56%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 *HC HETEROPHILE TITER	$12.32	$28.00	—	—	56%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT	$12.32	$28.00	—	—	56%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY SCREEN	$12.32	$28.00	—	—	56%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, FREE	$43.12	$98.00	$16.55–$93.79	11% below	56%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$47.08	$107.00	$16.55–$102.40	3% below	56%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, FREE	$43.12	$98.00	—	—	56%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA, PROSTATE HEALTH INDEX (PHI), FREE	$47.08	$107.00	—	—	56%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC	$43.12	$98.00	$16.55–$93.79	4% below	56%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, SCREENING	$43.12	$98.00	$16.55–$93.79	4% below	56%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL	$43.12	$98.00	$16.55–$93.79	4% below	56%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$47.08	$107.00	$16.55–$102.40	5% above	56%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$51.92	$118.00	$16.55–$112.93	16% above	56%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, SCREENING	$43.12	$98.00	—	—	56%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL	$43.12	$98.00	—	—	56%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC	$43.12	$98.00	—	—	56%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI)	$47.08	$107.00	—	—	56%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL-REF LAB ONLY	$51.92	$118.00	—	—	56%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX	$51.48	$117.00	$23.95–$111.97	20% above	56%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$51.48	$117.00	$23.95–$111.97	20% above	56%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER SC	$51.48	$117.00	—	—	56%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR, THIN PREP IMAGER DX	$51.48	$117.00	—	—	56%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$38.72	$88.00	$18.23–$84.22	39% above	56%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$49.28	$112.00	$18.23–$107.18	77% above	56%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP SCREENING	$38.72	$88.00	—	—	56%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR, THIN PREP DIAGNOSTIC	$49.28	$112.00	—	—	56%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT	$95.92	$218.00	$37.15–$208.63	4% above	56%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTRAOPERATIVE	$95.92	$218.00	$37.15–$208.63	4% above	56%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT	$95.92	$218.00	—	—	56%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTRAOPERATIVE	$95.92	$218.00	—	—	56%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$14.08	$32.00	$5.41–$30.62	40% below	56%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT - RL	$16.28	$37.00	$5.41–$35.41	31% below	56%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME	$14.08	$32.00	—	—	56%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT - RL	$16.28	$37.00	—	—	56%
Progesterone blood test CPT 84144 HC PROGESTERONE	$48.84	$111.00	$18.77–$106.23	11% below	56%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$48.84	$111.00	—	—	56%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$23.32	$53.00	$14.76–$78.01	64% below	56%
Prolactin blood test CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$23.32	$53.00	$14.76–$78.01	64% below	56%
Prolactin blood test CPT 84146 HC PROLACTIN	$45.32	$103.00	$17.44–$98.57	29% below	56%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-UNPRECIP PROLAC	$23.32	$53.00	—	—	56%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN-TOTAL PROLACT	$23.32	$53.00	—	—	56%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$45.32	$103.00	—	—	56%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS PT - RL	$10.12	$23.00	$3.86–$22.01	35% below	56%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$12.76	$29.00	$3.86–$27.75	18% below	56%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS PT - RL	$10.12	$23.00	—	—	56%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$12.76	$29.00	—	—	56%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$26.84	$61.00	$14.90–$66.63	16% above	56%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B VIRUS TESTING	$26.84	$61.00	—	—	56%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT SCREEN	$28.16	$64.00	$14.88–$66.56	27% above	56%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$31.24	$71.00	$14.88–$67.95	41% above	56%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT SCREEN	$28.16	$64.00	—	—	56%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$31.24	$71.00	—	—	56%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT	$13.20	$30.00	$5.10–$28.71	45% below	56%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT	$13.20	$30.00	—	—	56%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$33.44	$76.00	$12.95–$72.73	at median	56%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$33.44	$76.00	$12.95–$72.73	at median	56%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$33.44	$76.00	—	—	56%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$33.44	$76.00	—	—	56%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE,AUTOMATED	$6.60	$15.00	$2.43–$14.36	71% below	56%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE,AUTOMATED	$6.60	$15.00	—	—	56%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS	$28.16	$64.00	$12.31–$61.25	40% below	56%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS	$28.16	$64.00	—	—	56%
Stool ova and parasites exam CPT 87177 HC EXAM PARA, URINE/B.F.	$20.68	$47.00	$8.01–$44.98	31% below	56%
Stool ova and parasites exam CPT 87177 HC PARASITE EXAM BODY FLUID	$20.68	$47.00	$8.01–$44.98	31% below	56%
Stool ova and parasites exam inpatient CPT 87177 HC EXAM PARA, URINE/B.F.	$20.68	$47.00	—	—	56%
Stool ova and parasites exam inpatient CPT 87177 HC PARASITE EXAM BODY FLUID	$20.68	$47.00	—	—	56%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$7.92	$18.00	$3.94–$17.62	41% below	56%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$7.92	$18.00	—	—	56%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$36.96	$84.00	$14.33–$80.39	39% above	56%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL IMMUNOASSAY OCCULT BLOOD	$36.96	$84.00	—	—	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN - RL	$10.12	$23.00	$3.84–$22.01	30% below	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL (CSF ONLY)	$10.12	$23.00	$3.84–$22.01	30% below	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER)	$10.12	$23.00	$3.84–$22.01	30% below	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$10.12	$23.00	$3.84–$22.01	30% below	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$10.12	$23.00	—	—	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL (CSF ONLY)	$10.12	$23.00	—	—	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN - RL	$10.12	$23.00	—	—	56%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR, DONOR EVAL (BLOOD CENTER)	$10.12	$23.00	—	—	56%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB TEST	$121.44	$276.00	$55.78–$264.13	at median	56%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB TEST	$121.44	$276.00	—	—	56%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$60.28	$137.00	$23.23–$131.11	1% above	56%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$60.28	$137.00	$23.23–$131.11	1% above	56%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$85.80	$195.00	$23.23–$186.62	44% above	56%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$60.28	$137.00	—	—	56%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$60.28	$137.00	—	—	56%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL LC/MS/MS	$85.80	$195.00	—	—	56%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$33.88	$77.00	$13.10–$73.69	7% below	56%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$33.88	$77.00	$13.10–$73.69	7% below	56%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$33.88	$77.00	$13.10–$73.69	7% below	56%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-LIVER-KIDNEY MICROSOME AB	$33.88	$77.00	—	—	56%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE (TPO) ABS	$33.88	$77.00	—	—	56%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC CU INDEX-MICROSOMAL AB, EACH	$33.88	$77.00	—	—	56%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$18.04	$41.00	$11.41–$67.65	56% below	56%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$39.16	$89.00	$15.12–$85.17	5% below	56%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CU INDEX-TSH ASSAY	$39.16	$89.00	$15.12–$85.17	5% below	56%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH - SENSITIVE, SERUM - RL	$18.04	$41.00	—	—	56%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$39.16	$89.00	—	—	56%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CU INDEX-TSH ASSAY	$39.16	$89.00	—	—	56%
Trichomonas test (NAAT) CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$38.28	$87.00	$24.22–$141.27	27% below	56%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$67.32	$153.00	$31.58–$146.42	29% above	56%
Trichomonas test (NAAT) inpatient CPT 87661 HC VAG SCRN-TRICHOMONAS VAG BY AMP PROBE	$38.28	$87.00	—	—	56%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, RNA, QUAL, URINE	$67.32	$153.00	—	—	56%
Uric acid blood test CPT 84550 HC URIC ACID	$10.56	$24.00	$4.07–$22.97	43% below	56%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$10.56	$24.00	—	—	56%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO W/MICRO	$7.48	$17.00	$2.85–$16.27	70% below	56%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO W/MICRO	$7.48	$17.00	—	—	56%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$7.48	$17.00	$3.62–$16.27	14% above	56%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NON-AUTO W/MICRO	$7.48	$17.00	—	—	56%
Urinalysis without microscope exam, automated CPT 81003 HC URINE W/O MICRO, AUTO	$5.28	$12.00	$2.03–$11.48	41% below	56%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE	$5.28	$12.00	$2.03–$11.48	41% below	56%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE W/O MICRO, AUTO	$5.28	$12.00	—	—	56%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY, URINE	$5.28	$12.00	—	—	56%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$5.72	$13.00	$3.13–$14.03	23% below	56%
Urinalysis without microscope exam, manual CPT 81002 HC ACETONE/KETONE-URINE	$5.72	$13.00	$3.13–$14.03	23% below	56%
Urinalysis without microscope exam, manual CPT 81002 *HC PROTEIN, QUALI-URINE	$5.72	$13.00	$3.13–$14.03	23% below	56%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NON-AUTO	$5.72	$13.00	—	—	56%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC ACETONE/KETONE-URINE	$5.72	$13.00	—	—	56%
Urinalysis without microscope exam, manual inpatient CPT 81002 *HC PROTEIN, QUALI-URINE	$5.72	$13.00	—	—	56%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE COLONY COUNT	$18.92	$43.00	$7.26–$41.15	51% below	56%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE COLONY COUNT	$18.92	$43.00	—	—	56%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE	$14.96	$34.00	$7.75–$34.65	31% below	56%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST, URINE	$14.96	$34.00	—	—	56%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$35.20	$80.00	$13.57–$76.56	12% below	56%
Vitamin B12 (cobalamin) blood test CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$35.20	$80.00	$13.57–$76.56	12% below	56%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$35.20	$80.00	—	—	56%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC PERNICIOUS ANEMIA CASCADE, VIT B-12	$35.20	$80.00	—	—	56%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$44.00	$100.00	$26.64–$119.16	43% below	56%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$69.08	$157.00	$26.64–$150.25	11% below	56%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$44.00	$100.00	—	—	56%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$69.08	$157.00	—	—	56%
Zinc blood test CPT 84630 HC ZINC, SERUM - RL	$26.84	$61.00	$10.25–$58.38	18% below	56%
Zinc blood test CPT 84630 HC ZINC, URINE	$26.84	$61.00	$10.25–$58.38	18% below	56%
Zinc blood test CPT 84630 HC ZINC QUANTITATIVE	$26.84	$61.00	$10.25–$58.38	18% below	56%
Zinc blood test inpatient CPT 84630 HC ZINC QUANTITATIVE	$26.84	$61.00	—	—	56%
Zinc blood test inpatient CPT 84630 HC ZINC, SERUM - RL	$26.84	$61.00	—	—	56%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$26.84	$61.00	—	—	56%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$35.20	$80.00	$13.55–$76.56	28% below	56%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG BETA SUBUNIT, CSF	$35.20	$80.00	$13.55–$76.56	28% below	56%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$35.20	$80.00	$13.55–$76.56	28% below	56%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG QUANTITATIVE (TUMOR MARKER)	$35.20	$80.00	—	—	56%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG BETA SUBUNIT, CSF	$35.20	$80.00	—	—	56%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$35.20	$80.00	—	—	56%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR	$8,221.55	$18,685.34	$752.85–$16,018.58	27% below	56%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$545.60	$1,240.00	$345.22–$4,516.00	21% below	56%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST, 1ST LESION, STEREOTACTIC GUIDANCE	$545.60	$1,240.00	—	—	56%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DST FIB FX WO MAN	$214.72	$488.00	$135.86–$2,918.00	at median	56%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PR CLOSED RX DIST FIBULA FX	$214.72	$488.00	$135.86–$2,918.00	at median	56%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PR CLOSED RX DIST FIBULA FX	$214.72	$488.00	—	—	56%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DST FIB FX WO MAN	$214.72	$488.00	—	—	56%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PR CLOSED RX METATARSAL FX	$214.72	$488.00	$135.86–$2,918.00	6% above	56%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TX METATAR FX WO MAN	$214.72	$488.00	$135.86–$2,918.00	6% above	56%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TX METATAR FX WO MAN	$214.72	$488.00	—	—	56%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PR CLOSED RX METATARSAL FX	$214.72	$488.00	—	—	56%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 *HC CORRECT BUNION, DISTAL METATARSAL OSTEOTOMY	$3,415.28	$7,762.00	$535.50–$9,927.71	7% above	56%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 *HC CORRECT BUNION, DISTAL METATARSAL OSTEOTOMY	$3,415.28	$7,762.00	—	—	56%
Cardiac catheterization with coronary angiogram CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$7,788.00	$17,700.00	$2,414.30–$16,938.90	66% above	56%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHRT ARTERY/VENTRICLE ANGIO	$7,788.00	$17,700.00	—	—	56%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$935.00	$2,125.00	$482.20–$3,884.00	72% above	56%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$935.00	$2,125.00	—	—	56%
Carpal tunnel release, open surgery CPT 64721 HC CARPAL TUNNEL SURGERY	$2,159.08	$4,907.00	$468.30–$7,611.00	20% above	56%
Carpal tunnel release, open surgery inpatient CPT 64721 HC CARPAL TUNNEL SURGERY	$2,159.08	$4,907.00	—	—	56%
Cataract surgery with lens implant CPT 66984 HC REMOVAL, CATARACT, W/INSRT INTRAOC LENS, W/O ENDO CYCLO	$2,906.64	$6,606.00	$864.15–$8,449.47	38% above	56%
Cataract surgery with lens implant inpatient CPT 66984 HC REMOVAL, CATARACT, W/INSRT INTRAOC LENS, W/O ENDO CYCLO	$2,906.64	$6,606.00	—	—	56%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX	$495.00	$1,125.00	$313.20–$2,860.00	8% above	56%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX	$495.00	$1,125.00	—	—	56%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY	$2,464.44	$5,601.00	$468.30–$7,611.00	63% above	56%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 29+ DAYS OF AGE ONLY	$2,464.44	$5,601.00	—	—	56%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$2,464.44	$5,601.00	$468.30–$7,611.00	216% above	56%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION CLAMP/OTHER DEVICE, NONSURG (ANY AGE)	$2,464.44	$5,601.00	—	—	56%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$2,464.44	$5,601.00	$468.30–$7,611.00	282% above	56%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION - SURGICAL NO CLAMP/DEVICE, 0-28 DAYS ONLY (NEONATE)	$2,464.44	$5,601.00	—	—	56%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PR CLOSED RX DIST RAD/ULNA FX	$429.00	$975.00	$174.72–$2,918.00	68% above	56%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$429.00	$975.00	$174.72–$2,918.00	68% above	56%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PR CLOSED RX DIST RAD/ULNA FX	$429.00	$975.00	—	—	56%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TX OF DIST RAD FX/ES, WO MA	$429.00	$975.00	—	—	56%
Colonoscopy with polyp removal CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,067.00	$2,425.00	$468.30–$4,516.00	19% above	56%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W/REMOVAL BY SNARE TECH	$1,067.00	$2,425.00	—	—	56%
Colonoscopy with tissue sample CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,067.00	$2,425.00	$468.30–$4,516.00	20% above	56%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON W/BX SGL OR MLT-BITE/CLD	$1,067.00	$2,425.00	—	—	56%
Colonoscopy, diagnostic CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,067.00	$2,425.00	$468.30–$4,516.00	26% above	56%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DX (INCL BRUSH/WASH)	$1,067.00	$2,425.00	—	—	56%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC CERVIX EXCISION	$1,824.68	$4,147.00	$349.65–$7,611.00	41% above	56%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC CERVIX EXCISION	$1,824.68	$4,147.00	—	—	56%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERTION OF INDWELLING STENT	$2,909.28	$6,612.00	$468.30–$8,492.00	56% above	56%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERTION OF INDWELLING STENT	$2,909.28	$6,612.00	—	—	56%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTO	$865.04	$1,966.00	$349.65–$8,492.00	38% above	56%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTO	$865.04	$1,966.00	—	—	56%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C, NON-PREGNANCY	$2,119.04	$4,816.00	$468.30–$7,611.00	5% above	56%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C, NON-PREGNANCY	$2,119.04	$4,816.00	—	—	56%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PR DESTRUCTION(LASER SURGERY,CRYOSURGERY,CHEMOSURGERY),PREMALIGNANT LESIONS,FIRST LESION	$70.84	$161.00	$44.82–$2,918.00	27% below	56%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$70.84	$161.00	$44.82–$2,918.00	27% below	56%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PR DESTRUCTION(LASER SURGERY,CRYOSURGERY,CHEMOSURGERY),PREMALIGNANT LESIONS,FIRST LESION	$70.84	$161.00	—	—	56%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION ANY METHOD, INCLD LASER FOR LESIONS	$70.84	$161.00	—	—	56%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC PE TUBE	$2,003.76	$4,554.00	$535.50–$5,824.40	36% above	56%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC PE TUBE	$2,003.76	$4,554.00	—	—	56%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$117.48	$267.00	$45.32–$2,918.00	68% above	56%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRAGATION/LAVAGE, UNILATERAL	$117.48	$267.00	—	—	56%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$76.56	$174.00	$45.32–$2,918.00	18% above	56%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$76.56	$174.00	—	—	56%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$150.48	$342.00	$95.21–$2,918.00	3% below	56%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$150.48	$342.00	—	—	56%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$1,062.60	$2,415.00	$349.65–$3,088.18	38% above	56%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ CERV/THORAC,W/GUIDANCE	$1,062.60	$2,415.00	—	—	56%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$749.76	$1,704.00	$474.39–$2,860.00	47% above	56%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC MBB/INJ FACET LUM/SAC 1ST LEVEL	$749.76	$1,704.00	—	—	56%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$5,296.49	$12,037.48	$752.85–$10,378.90	7% below	56%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$2,547.99	$5,790.89	$752.85–$10,378.90	22% below	56%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$586.96	$1,334.00	$349.65–$2,860.00	25% above	56%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEXIBLE SIGMOIDOSCOPY DX	$586.96	$1,334.00	—	—	56%
Gallbladder removal, laparoscopic CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC	$5,365.80	$12,195.00	$535.50–$15,847.00	89% above	56%
Gallbladder removal, laparoscopic inpatient CPT 47562 HC CHOLECYSTECTOMY, LAPAROSCOPIC	$5,365.80	$12,195.00	—	—	56%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPAROSCOPIC CHOLECYSTECTOMY-CHOLANGIOGR	$5,365.80	$12,195.00	$535.50–$15,847.00	71% above	56%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPAROSCOPIC CHOLECYSTECTOMY-CHOLANGIOGR	$5,365.80	$12,195.00	—	—	56%
Hammertoe correction surgery CPT 28285 HC ARTHROPLASTY TOE	$2,485.12	$5,648.00	$535.50–$7,611.00	11% below	56%
Hammertoe correction surgery inpatient CPT 28285 HC ARTHROPLASTY TOE	$2,485.12	$5,648.00	—	—	56%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATION	$417.12	$948.00	$263.92–$2,860.00	16% below	56%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATION	$417.12	$948.00	—	—	56%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOIDECTOMY, INT & EXT, SINGLE COLUMN	$2,975.72	$6,763.00	$535.50–$8,650.59	109% above	56%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOIDECTOMY, INT & EXT, SINGLE COLUMN	$2,975.72	$6,763.00	—	—	56%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$88.88	$202.00	$56.24–$2,918.00	30% below	56%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGIOGRAM	$88.88	$202.00	—	—	56%
Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY W/ENDOMETRIAL ABLATION (ANY METHOD)	$4,028.20	$9,155.00	$661.50–$11,710.08	38% above	56%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY W/ENDOMETRIAL ABLATION (ANY METHOD)	$4,028.20	$9,155.00	—	—	56%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY W/BX ENDOMETRIUM W/ OR W/O D&C	$2,607.88	$5,927.00	$535.50–$7,611.00	37% above	56%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY W/BX ENDOMETRIUM W/ OR W/O D&C	$2,607.88	$5,927.00	—	—	56%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$283.36	$644.00	$41.82–$2,918.00	48% above	56%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION OF INTRAUTERINE DEVICE (IUD)	$283.36	$644.00	—	—	56%
Incision and drainage of a simple or single skin abscess CPT 10060 PR DRAIN SKIN ABSCESS SIMPLE	$246.84	$561.00	$148.33–$2,918.00	23% above	56%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE SINGLE	$246.84	$561.00	$148.33–$2,918.00	23% above	56%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PR DRAIN SKIN ABSCESS SIMPLE	$246.84	$561.00	—	—	56%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE SINGLE	$246.84	$561.00	—	—	56%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC INGUINAL HERNIA REP > 5	$3,570.16	$8,114.00	$661.50–$10,378.90	13% above	56%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC INGUINAL HERNIA REP > 5	$3,570.16	$8,114.00	—	—	56%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$269.72	$613.00	$170.66–$2,918.00	72% above	56%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$269.72	$613.00	—	—	56%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$282.92	$643.00	$179.01–$2,918.00	10% above	56%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT	$282.92	$643.00	—	—	56%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$103.84	$236.00	$65.70–$2,918.00	1% above	56%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT, BIORESORB/BIODEGR/NON-BIODEGR	$103.84	$236.00	—	—	56%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$269.72	$613.00	$170.66–$2,918.00	24% above	56%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHOCENTESIS, INTERMEDIATE JOINT/BURSA	$269.72	$613.00	—	—	56%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$269.72	$613.00	$170.66–$2,918.00	13% above	56%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHOCENTESIS, SMALL JOINT	$269.72	$613.00	—	—	56%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC KNEE ARTHOSCOPY/SURGERY W/ MENISCUS REPAIR	$3,498.88	$7,952.00	$535.50–$10,170.67	57% below	56%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC KNEE ARTHOSCOPY/SURGERY W/ MENISCUS REPAIR	$3,498.88	$7,952.00	—	—	56%
Knee arthroscopy with meniscus trim CPT 29881 HC ARTHROSCOPY - W MED OR LAT MENISEC	$3,498.88	$7,952.00	$661.50–$10,170.67	at median	56%
Knee arthroscopy with meniscus trim inpatient CPT 29881 HC ARTHROSCOPY - W MED OR LAT MENISEC	$3,498.88	$7,952.00	—	—	56%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC ARTHROSCOPY - W MED AND LAT MENISEC	$3,498.88	$7,952.00	$661.50–$10,170.67	13% below	56%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC ARTHROSCOPY - W MED AND LAT MENISEC	$3,498.88	$7,952.00	—	—	56%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC KNEE ARTHROSCOPY/SURGERY,DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE	$3,498.88	$7,952.00	$661.50–$10,170.67	at median	56%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC KNEE ARTHROSCOPY/SURGERY,DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE	$3,498.88	$7,952.00	—	—	56%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY, APPENDECTOMY	$5,365.80	$12,195.00	$752.85–$15,847.00	11% above	56%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY, APPENDECTOMY	$5,365.80	$12,195.00	—	—	56%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$5,461.29	$12,412.01	$6,392.00–$17,658.11	43% below	56%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$5,682.47	$12,914.71	$6,392.00–$17,658.11	at median	56%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP	$5,365.80	$12,195.00	$661.50–$15,847.00	16% above	56%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAPAROSCOPIC INGUINAL HERNIA REP	$5,365.80	$12,195.00	—	—	56%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAPAROSCOPY W/REMOVAL ADNEXAL STRUCTURES	$5,365.80	$12,195.00	$752.85–$15,847.00	2% below	56%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAPAROSCOPY W/REMOVAL ADNEXAL STRUCTURES	$5,365.80	$12,195.00	—	—	56%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$472.56	$1,074.00	$295.43–$2,918.00	36% above	56%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$472.56	$1,074.00	$295.43–$2,918.00	36% above	56%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/EX 2.5CM/<	$472.56	$1,074.00	—	—	56%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$472.56	$1,074.00	—	—	56%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$7,788.00	$17,700.00	$2,414.30–$16,938.90	76% above	56%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY	$7,788.00	$17,700.00	—	—	56%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$1,062.60	$2,415.00	$349.65–$3,088.18	36% above	56%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$1,062.60	$2,415.00	—	—	56%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$749.76	$1,704.00	$349.65–$2,860.00	94% above	56%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL INJ, INTERLAMINAR - LUM/SAC/CAUDAL W/OUT IMAGING	$749.76	$1,704.00	—	—	56%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$749.76	$1,704.00	$474.39–$2,860.00	61% above	56%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$749.76	$1,704.00	—	—	56%
Lumpectomy (partial mastectomy) CPT 19301 HC MASTECTOMY, PARTIAL, LUMPECTOMY	$2,422.64	$5,506.00	$535.50–$7,611.00	42% below	56%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC MASTECTOMY, PARTIAL, LUMPECTOMY	$2,422.64	$5,506.00	—	—	56%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$1,909.07	$4,338.79	$661.50–$11,407.73	48% below	56%
Miscarriage treatment with D&C, first trimester CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER	$2,178.44	$4,951.00	$752.85–$7,611.00	47% above	56%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC D&C, MISSED ABORT, 1ST TRIMESTER	$2,178.44	$4,951.00	—	—	56%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM	$517.44	$1,176.00	$327.40–$2,860.00	62% above	56%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM	$517.44	$1,176.00	—	—	56%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL	$517.44	$1,176.00	$327.40–$3,593.00	53% above	56%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM	$517.44	$1,176.00	$327.40–$3,593.00	53% above	56%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL	$517.44	$1,176.00	—	—	56%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM	$517.44	$1,176.00	—	—	56%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$132.44	$301.00	$83.80–$2,918.00	3% below	56%
Nail removal (partial or complete), one nail CPT 11730 PR REMOVAL OF NAIL PLATE	$132.44	$301.00	$83.80–$2,918.00	3% below	56%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$132.44	$301.00	—	—	56%
Nail removal (partial or complete), one nail inpatient CPT 11730 PR REMOVAL OF NAIL PLATE	$132.44	$301.00	—	—	56%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$382.80	$870.00	$219.44–$2,918.00	48% above	56%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ, ANES/STEROID, OCCIPITAL	$382.80	$870.00	—	—	56%
Pacemaker implant (dual chamber) CPT 33208 HC INS/RPL PERM PACER A&V	$10,424.04	$23,691.00	$6,595.57–$30,303.49	at median	56%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INS/RPL PERM PACER A&V	$10,424.04	$23,691.00	—	—	56%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$807.84	$1,836.00	$511.14–$4,516.00	29% above	56%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS, W/IMAGE GUIDE	$807.84	$1,836.00	—	—	56%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PR REMOVAL OF NAIL BED	$493.68	$1,122.00	$295.43–$2,918.00	38% above	56%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION INGROWN TOENAIL	$493.68	$1,122.00	$295.43–$2,918.00	38% above	56%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PR REMOVAL OF NAIL BED	$493.68	$1,122.00	—	—	56%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION INGROWN TOENAIL	$493.68	$1,122.00	—	—	56%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH	$553.96	$1,259.00	$350.51–$4,516.00	27% below	56%
Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY	$553.96	$1,259.00	$350.51–$4,516.00	27% below	56%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH	$553.96	$1,259.00	—	—	56%
Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY	$553.96	$1,259.00	—	—	56%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,877.04	$4,266.00	$1,187.65–$7,611.00	84% above	56%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC R/F FACET NERVE - LUM/SAC	$1,877.04	$4,266.00	—	—	56%
Removal of a breast lump, open surgery CPT 19120 HC BIOPSY (BREAST) EXCISIONAL	$2,422.64	$5,506.00	$535.50–$7,611.00	111% above	56%
Removal of a breast lump, open surgery inpatient CPT 19120 HC BIOPSY (BREAST) EXCISIONAL	$2,422.64	$5,506.00	—	—	56%
Removal of a foreign object under the skin, simple CPT 10120 PR REMOVE FOREIGN BODY SIMPLE	$472.56	$1,074.00	$295.43–$2,918.00	92% above	56%
Removal of a foreign object under the skin, simple CPT 10120 HC REMO F/B SUBQ SIMPLE	$472.56	$1,074.00	$295.43–$2,918.00	92% above	56%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMO F/B SUBQ SIMPLE	$472.56	$1,074.00	—	—	56%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PR REMOVE FOREIGN BODY SIMPLE	$472.56	$1,074.00	—	—	56%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC PARTIAL REMOVAL OF THYROID	$5,043.28	$11,462.00	$661.50–$15,847.00	8% below	56%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 HC PARTIAL REMOVAL OF THYROID	$5,043.28	$11,462.00	—	—	56%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$861.52	$1,958.00	$468.30–$3,593.00	41% above	56%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY - AVERAGE RISK	$861.52	$1,958.00	—	—	56%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$861.52	$1,958.00	$468.30–$3,593.00	42% above	56%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY - HIGH RISK	$861.52	$1,958.00	—	—	56%
Septoplasty to straighten the nasal septum CPT 30520 HC SEPTOPLASTY	$2,905.76	$6,604.00	$661.50–$8,446.87	33% below	56%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC SEPTOPLASTY	$2,905.76	$6,604.00	—	—	56%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESW LITHOTRIPSY	$5,285.72	$12,013.00	$535.50–$15,847.00	50% above	56%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC ESW LITHOTRIPSY	$5,285.72	$12,013.00	—	—	56%
Short arm cast (elbow to hand) CPT 29075 PR APPLY FOREARM CAST	$155.76	$354.00	$98.55–$3,884.00	8% below	56%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION, CAST, SHORT ARM	$155.76	$354.00	$98.55–$3,884.00	8% below	56%
Short arm cast (elbow to hand) inpatient CPT 29075 PR APPLY FOREARM CAST	$155.76	$354.00	—	—	56%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION, CAST, SHORT ARM	$155.76	$354.00	—	—	56%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$191.40	$435.00	$94.64–$3,884.00	57% above	56%
Short arm splint (forearm and hand) CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$265.76	$604.00	$94.64–$578.03	118% above	56%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION, SPLINT, SHORT ARM, STATIC	$191.40	$435.00	—	—	56%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPL SPLINT SHRT ARM STATIC	$265.76	$604.00	—	—	56%
Short leg cast (below the knee) CPT 29405 PR APPLY SHORT LEG CAST	$155.76	$354.00	$98.55–$3,884.00	19% below	56%
Short leg cast (below the knee) CPT 29405 HC APPLICATION, CAST, SHORT LEG	$155.76	$354.00	$98.55–$3,884.00	19% below	56%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION, CAST, SHORT LEG	$155.76	$354.00	—	—	56%
Short leg cast (below the knee) inpatient CPT 29405 PR APPLY SHORT LEG CAST	$155.76	$354.00	—	—	56%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$249.92	$568.00	$116.74–$3,884.00	70% above	56%
Short leg splint (calf to foot) CPT 29515 PR APPLY LOWER LEG SPLINT	$249.92	$568.00	$116.74–$3,884.00	70% above	56%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, SPLINT, LOWER LEG	$249.92	$568.00	—	—	56%
Short leg splint (calf to foot) inpatient CPT 29515 PR APPLY LOWER LEG SPLINT	$249.92	$568.00	—	—	56%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$5,632.77	$12,801.74	$752.85–$15,847.00	3% below	56%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$246.84	$561.00	$148.33–$2,918.00	26% above	56%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PR RESUPERF WND BODY <2.5CM	$246.84	$561.00	$148.33–$2,918.00	26% above	56%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM REP S/N/A/G/TR/E <2.5CM	$246.84	$561.00	—	—	56%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PR RESUPERF WND BODY <2.5CM	$246.84	$561.00	—	—	56%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$392.04	$891.00	$248.05–$2,918.00	34% above	56%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY, SKIN, SINGLE LESION	$392.04	$891.00	—	—	56%
Skin tag removal, up to 15 tags CPT 11200 PR REMOVAL OF SKIN TAGS, UP TO 15	$126.28	$287.00	$79.90–$2,918.00	6% below	56%
Skin tag removal, up to 15 tags CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$126.28	$287.00	$79.90–$2,918.00	6% below	56%
Skin tag removal, up to 15 tags inpatient CPT 11200 PR REMOVAL OF SKIN TAGS, UP TO 15	$126.28	$287.00	—	—	56%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC EXC SKIN TAGS UP TO AND INC 15 LESIONS	$126.28	$287.00	—	—	56%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PR SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$282.92	$643.00	$179.01–$2,860.00	33% below	56%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$282.92	$643.00	$179.01–$2,860.00	33% below	56%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DX	$282.92	$643.00	—	—	56%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PR SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$282.92	$643.00	—	—	56%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PR RESUP NPTERF WND BODY 2.6-7.5 CM	$246.84	$561.00	$148.33–$3,884.00	32% above	56%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$246.84	$561.00	$148.33–$3,884.00	32% above	56%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PR RESUP NPTERF WND BODY 2.6-7.5 CM	$246.84	$561.00	—	—	56%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM REP S/N/A/G/T/E 2.6-7.5C	$246.84	$561.00	—	—	56%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PR RESUPERF WND FACE <2.5 CM	$246.84	$561.00	$148.33–$3,884.00	34% above	56%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$246.84	$561.00	$148.33–$3,884.00	34% above	56%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PR RESUPERF WND FACE <2.5 CM	$246.84	$561.00	—	—	56%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/N/L/MM <2.5CM	$246.84	$561.00	—	—	56%
TURP (transurethral resection of the prostate) CPT 52601 HC TRANSURETHRAL RESECTION OF PROSTATE	$4,187.48	$9,517.00	$661.50–$12,173.63	7% below	56%
TURP (transurethral resection of the prostate) inpatient CPT 52601 HC TRANSURETHRAL RESECTION OF PROSTATE	$4,187.48	$9,517.00	—	—	56%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION	$392.04	$891.00	$148.33–$2,918.00	119% above	56%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION	$392.04	$891.00	—	—	56%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING	$863.72	$1,963.00	$349.65–$2,860.00	34% above	56%
Thoracentesis with imaging guidance CPT 32555 PR THORACEN W/IMAG GUIDANCE	$863.72	$1,963.00	$349.65–$2,860.00	34% above	56%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING	$863.72	$1,963.00	—	—	56%
Thoracentesis with imaging guidance inpatient CPT 32555 PR THORACEN W/IMAG GUIDANCE	$863.72	$1,963.00	—	—	56%
Tonsil and adenoid removal, age 12 or older CPT 42821 HC T&A >12	$2,726.68	$6,197.00	$752.85–$7,926.82	23% below	56%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 HC T&A >12	$2,726.68	$6,197.00	—	—	56%
Tonsil and adenoid removal, child under 12 CPT 42820 HC T&A <12	$2,726.68	$6,197.00	$535.50–$7,926.82	1% below	56%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC T&A <12	$2,726.68	$6,197.00	—	—	56%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC TONSILLECTOMY >12 YEARS	$2,726.68	$6,197.00	$661.50–$7,926.82	2% below	56%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC TONSILLECTOMY >12 YEARS	$2,726.68	$6,197.00	—	—	56%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HC TONSILLECTOMY <12 YEARS	$2,726.68	$6,197.00	$661.50–$7,926.82	at median	56%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HC TONSILLECTOMY <12 YEARS	$2,726.68	$6,197.00	—	—	56%
Total thyroid removal (thyroidectomy) CPT 60240 HC THYROIDECTOMY, TOTAL OR COMPLETE	$5,043.28	$11,462.00	$1,405.95–$15,847.00	5% below	56%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 HC THYROIDECTOMY, TOTAL OR COMPLETE	$5,043.28	$11,462.00	—	—	56%
Trigger finger release surgery CPT 26055 HC TRIGGER FINGER RELEASE	$1,949.64	$4,431.00	$468.30–$5,667.02	19% above	56%
Trigger finger release surgery inpatient CPT 26055 HC TRIGGER FINGER RELEASE	$1,949.64	$4,431.00	—	—	56%
Trigger point injections, 1 or 2 muscles CPT 20552 PR INJECT TRIGGER POINT, 1 OR 2	$269.72	$613.00	$170.66–$2,918.00	103% above	56%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$269.72	$613.00	$170.66–$2,918.00	103% above	56%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PR INJECT TRIGGER POINT, 1 OR 2	$269.72	$613.00	—	—	56%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING/MULT TRIG 1 OR 2 MUS	$269.72	$613.00	—	—	56%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAPAROSCOPIC TUBAL LIGATION (FULG)	$5,365.80	$12,195.00	$535.50–$15,847.00	5% above	56%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC LAPAROSCOPIC TUBAL LIGATION (FULG)	$5,365.80	$12,195.00	—	—	56%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$545.60	$1,240.00	$345.22–$4,516.00	21% below	56%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST, 1ST LESION, US GUIDANCE	$545.60	$1,240.00	—	—	56%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,005.40	$2,285.00	$468.30–$4,516.00	18% above	56%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/DILATION BALLOON <30MM	$1,005.40	$2,285.00	—	—	56%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,005.40	$2,285.00	$468.30–$4,516.00	28% above	56%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BX SGL OR MULT (BITE/COL	$1,005.40	$2,285.00	—	—	56%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,005.40	$2,285.00	$468.30–$4,516.00	78% above	56%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUC INJECT(S)	$1,005.40	$2,285.00	—	—	56%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,005.40	$2,285.00	$468.30–$4,516.00	22% above	56%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE TECH	$1,005.40	$2,285.00	—	—	56%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,005.40	$2,285.00	$468.30–$4,516.00	52% above	56%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILAT OVER GUIDE WIRE	$1,005.40	$2,285.00	—	—	56%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,005.40	$2,285.00	$349.65–$4,516.00	22% above	56%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DX (INCL BRUSH/WASH)	$1,005.40	$2,285.00	—	—	56%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTO/URETERO/PYELO W/LITHOTRIPSY	$4,187.48	$9,517.00	$661.50–$12,173.63	38% above	56%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTO/URETERO/PYELO W/LITHOTRIPSY	$4,187.48	$9,517.00	—	—	56%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT	$3,426.28	$7,787.00	$661.50–$20,119.15	14% below	56%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY UNI OR BIL	$2,778.16	$6,314.00	$468.30–$8,460.85	120% above	56%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY UNI OR BIL	$2,778.16	$6,314.00	—	—	56%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$126.28	$287.00	$79.90–$2,918.00	7% below	56%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$126.28	$287.00	—	—	56%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$651.20	$1,480.00	$295.43–$3,593.00	66% above	56%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$651.20	$1,480.00	$295.43–$3,593.00	66% above	56%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$651.20	$1,480.00	—	—	56%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE	$651.20	$1,480.00	—	—	56%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$404.80	$920.00	$256.13–$1,319.62	15% below	56%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLD PRODUCT TRANSFUSION/ADMIN (ONE PER DAY)	$404.80	$920.00	—	—	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$62.92	$143.00	$39.81–$446.00	31% below	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$62.92	$143.00	$39.81–$446.00	31% below	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$62.92	$143.00	$39.81–$446.00	31% below	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT	$62.92	$143.00	$39.81–$446.00	31% below	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$62.92	$143.00	$39.81–$446.00	31% below	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSIVE VENTILATION THERAPY	$62.92	$143.00	—	—	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL /IPPB/MDI TREATMENT	$62.92	$143.00	—	—	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT	$62.92	$143.00	—	—	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI (METERED DOSE INHALER) TREATMENT	$62.92	$143.00	—	—	56%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB (INTERMITTENT POS PRESSURE BREATHING) TX	$62.92	$143.00	—	—	56%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$505.56	$1,149.00	$250.92–$2,954.00	64% above	56%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN-INFUSION,UP TO 1HR	$505.56	$1,149.00	—	—	56%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$1,098.68	$2,497.00	$657.46–$4,465.00	43% above	56%
Critical care, first 30 to 74 minutes CPT 99291 PR CRITICAL CARE, E/M 30-74 MINUTES	$1,098.68	$2,497.00	$657.46–$2,389.63	43% above	56%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE (30-74 MINUTES)	$1,098.68	$2,497.00	—	—	56%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PR CRITICAL CARE, E/M 30-74 MINUTES	$1,098.68	$2,497.00	—	—	56%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG: AWAKE & DROWSY	$243.32	$553.00	$153.96–$1,968.00	22% below	56%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG: AWAKE & DROWSY	$243.32	$553.00	—	—	56%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$51.92	$118.00	$32.00–$361.00	37% below	56%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$51.92	$118.00	—	—	56%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMER ROOM LEVEL I	$169.84	$386.00	$65.78–$1,178.00	43% above	56%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PR EMERGENCY DEPT VISIT,LEVEL I	$169.84	$386.00	$65.78–$369.40	43% above	56%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMER ROOM LEVEL I	$169.84	$386.00	—	—	56%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PR EMERGENCY DEPT VISIT,LEVEL I	$169.84	$386.00	—	—	56%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PR EMERGENCY DEPT VISIT,LEVEL II	$169.84	$386.00	$107.46–$369.40	3% above	56%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMER ROOM LEVEL II	$169.84	$386.00	$107.46–$1,178.00	3% above	56%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMER ROOM LEVEL II	$169.84	$386.00	—	—	56%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PR EMERGENCY DEPT VISIT,LEVEL II	$169.84	$386.00	—	—	56%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PR EMERGENCY DEPT VISIT,LEVEL III	$297.44	$676.00	$188.20–$646.93	13% above	56%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMER ROOM LEVEL III	$297.44	$676.00	$188.20–$1,911.00	13% above	56%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PR EMERGENCY DEPT VISIT,LEVEL III	$297.44	$676.00	—	—	56%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMER ROOM LEVEL III	$297.44	$676.00	—	—	56%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PR EMERGENCY DEPT VISIT,LEVEL IV	$517.00	$1,175.00	$327.12–$1,124.48	24% above	56%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMER ROOM LEVEL IV	$517.00	$1,175.00	$327.12–$2,438.00	24% above	56%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMER ROOM LEVEL IV	$517.00	$1,175.00	—	—	56%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PR EMERGENCY DEPT VISIT,LEVEL IV	$517.00	$1,175.00	—	—	56%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PR EMERGENCY DEPT VISIT,LEVEL V	$517.00	$1,175.00	$327.12–$1,124.48	2% below	56%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMER ROOM LEVEL V	$517.00	$1,175.00	$327.12–$2,770.00	2% below	56%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMER ROOM LEVEL V	$517.00	$1,175.00	—	—	56%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PR EMERGENCY DEPT VISIT,LEVEL V	$517.00	$1,175.00	—	—	56%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$340.12	$773.00	$124.98–$1,102.00	2% below	56%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST W/WO PHARM	$340.12	$773.00	—	—	56%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$55.00	$125.00	$34.80–$119.63	51% below	56%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$55.00	$125.00	—	—	56%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$140.36	$319.00	$88.81–$1,083.00	17% below	56%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION - HYDRATION, INITIAL, 31 MIN - 1 HOUR	$140.36	$319.00	—	—	56%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$110.00	$250.00	$69.60–$1,083.00	43% below	56%
IV infusion of a medicine, first hour CPT 96365 PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$110.00	$250.00	$69.60–$1,083.00	43% below	56%
IV infusion of a medicine, first hour inpatient CPT 96365 PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$110.00	$250.00	—	—	56%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THER/PROPH/DIAG - UP TO ONE HOUR	$110.00	$250.00	—	—	56%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION	$53.68	$122.00	$33.96–$1,083.00	1% above	56%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION	$53.68	$122.00	—	—	56%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$74.80	$170.00	$27.51–$320.00	93% above	56%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$74.80	$170.00	$27.51–$320.00	93% above	56%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED EA 15 MINS	$74.80	$170.00	—	—	56%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED EA 15 MINS	$74.80	$170.00	—	—	56%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$73.04	$166.00	$38.00–$295.36	2% above	56%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$73.04	$166.00	—	—	56%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$77.00	$175.00	$48.72–$429.75	2% below	56%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$77.00	$175.00	—	—	56%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$80.96	$184.00	$51.23–$429.75	17% below	56%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$80.96	$184.00	—	—	56%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$69.52	$158.00	$33.00–$256.71	27% above	56%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT VISIT, NEW, LEVL II, 15-29 MIN	$69.52	$158.00	—	—	56%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$8.80	$20.00	$5.57–$511.00	71% below	56%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRTN TH INIT 15 MIN	$8.80	$20.00	—	—	56%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$207.68	$472.00	$57.26–$451.70	83% above	56%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30 MINS	$207.68	$472.00	—	—	56%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$195.36	$444.00	$58.94–$424.91	53% above	56%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY 45 MINS	$195.36	$444.00	—	—	56%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$195.36	$444.00	$58.94–$424.91	79% above	56%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY 20 MINS	$195.36	$444.00	—	—	56%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$195.36	$444.00	$58.94–$424.91	67% above	56%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MOD COMPLEXITY 30 MINS	$195.36	$444.00	—	—	56%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$67.76	$154.00	$22.19–$320.00	74% above	56%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$73.92	$168.00	$22.19–$320.00	90% above	56%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE EA 15 MINS	$67.76	$154.00	—	—	56%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUE EA 15 MINS	$73.92	$168.00	—	—	56%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$72.60	$165.00	$11.00–$320.00	91% above	56%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$72.60	$165.00	$11.00–$320.00	91% above	56%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX EA 15MIN	$72.60	$165.00	—	—	56%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX EA 15MIN	$72.60	$165.00	—	—	56%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$67.76	$154.00	$42.87–$429.75	1% below	56%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN	$67.76	$154.00	—	—	56%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$61.16	$139.00	$38.00–$295.36	8% above	56%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$61.16	$139.00	—	—	56%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$64.24	$146.00	$40.65–$429.75	at median	56%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$64.24	$146.00	—	—	56%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$58.08	$132.00	$29.27–$256.71	18% above	56%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT VISIT, EST, LEVL II, 10-19 MIN	$58.08	$132.00	—	—	56%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$268.40	$610.00	$131.19–$583.77	44% above	56%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION	$268.40	$610.00	—	—	56%
Speech therapy session, individual CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$196.68	$447.00	$33.00–$427.78	130% above	56%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANG TX/INDIVIDUAL	$196.68	$447.00	—	—	56%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$174.68	$397.00	$110.52–$1,042.00	35% above	56%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$174.68	$397.00	—	—	56%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$174.68	$397.00	$110.52–$1,042.00	22% below	56%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL BRONCHODILATION RESPONSE, PRE/POST ADMIN	$174.68	$397.00	—	—	56%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$74.80	$170.00	$8.80–$320.00	71% above	56%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$74.80	$170.00	$8.80–$320.00	71% above	56%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$74.80	$170.00	—	—	56%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITIES, ONE ON ONE EA 15 MINS	$74.80	$170.00	—	—	56%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$102.08	$232.00	$64.59–$265.00	13% above	56%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$102.08	$232.00	—	—	56%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$115.02	$261.41	$72.78–$250.17	11% above	56%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TS 65UP-ADJMF59C(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 168)	$115.02	$261.41	$175.41	—	56%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$288.69	$656.11	$135.72–$627.90	41% above	56%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$288.69	$656.11	$440.25	—	56%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$30.07	$68.33	$16.72–$65.39	7% below	56%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 6MOS UP(PF) 45 MCG/0.5 ML IM (UMBRELLA CVX 140)	$30.07	$68.33	$45.85	—	56%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$130.07	$295.62	$77.53–$282.91	64% above	56%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRG	$130.07	$295.62	$198.36	—	56%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT : 1ML	$57.64	$131.00	$36.47–$125.37	19% below	56%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP (UIR)	$108.89	$247.47	$68.90–$236.83	53% above	56%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT : 1ML	$57.64	$131.00	$87.90	—	56%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSP (UIR)	$108.89	$247.47	$166.05	—	56%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$248.06	$563.77	$156.95–$539.53	55% above	56%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT (2 MO - 55 YO)	$248.06	$563.77	$378.29	—	56%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$426.11	$968.44	$269.61–$926.80	28% above	56%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG	$426.11	$968.44	$649.82	—	56%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$185.46	$421.50	$117.35–$403.38	35% above	56%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ SYRG (UIR)	$185.46	$421.50	$282.83	—	56%
Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE (IMOVAX)	$278.52	$633.00	$176.23–$605.78	62% below	56%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$687.16	$1,561.72	$324.74–$1,494.57	5% below	56%
Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE (IMOVAX)	$278.52	$633.00	$424.74	—	56%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLR	$687.16	$1,561.72	$1,047.91	—	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR	$23.76	$54.00	$15.03–$51.68	53% below	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$56.39	$128.17	$35.68–$122.66	13% above	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA)	$56.39	$128.17	$35.68–$122.66	13% above	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR)	$56.39	$128.17	$35.68–$122.66	13% above	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS AND DIPHTHERIA TOXOID ADULT SYR	$23.76	$54.00	$36.23	—	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UMBRELLA)	$56.39	$128.17	$86.00	—	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG (UIR)	$56.39	$128.17	$86.00	—	56%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP (UIR)	$56.39	$128.17	$86.00	—	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL	$16.72	$38.00	$10.58–$42.37	75% below	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$71.51	$162.52	$42.37–$155.53	5% above	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$72.20	$164.10	$42.37–$157.04	6% above	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TETANUS AND DIP PERTUSSIN ADULT VIAL	$16.72	$38.00	$25.50	—	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM (UMBRELLA)	$71.51	$162.52	$109.05	—	56%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH, PERTUSS(ACEL), TET VAC(PF) (ADULT) (ADACEL) 0.5 ML (UMBRELLA)	$72.20	$164.10	$110.11	—	56%

Source file: https://ochsner-craft.s3.amazonaws.com/core/204670876_ochsner-bayou-llc_standardcharges.csv.csv