Hospital

Union General Hospital

Union General Hospital in Blairsville, GA publishes cash prices for 324 common procedures listed here, from its own machine-readable price file updated Mar 23, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 300 of 322 procedures and above it for 20. By typical cash price it ranks #11 of 96 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

35 HOSPITAL RD, BLAIRSVILLE, GA 305123139 Collected Sep 23, 2026 Source price file Check a bill from this hospital (706) 745-2111

Acute care hospital Government-owned hospital No emergency department CMS star rating 3 of 5 CCN 110051 · CMS hospital register NPI 1487684122

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Union General Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Union General Hospital in Blairsville, GA:

Sep 12, 2023 Corrective action plan requested
Apr 1, 2024 Case closed
Jan 16, 2026 Met requirements

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Cont	$1,323.00	$2,646.00	$164.62–$2,249.10	30% below	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Cont	$1,323.00	$2,646.00	$164.62–$2,249.10	—	50%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$205.28	$410.55	$57.24–$348.97	24% below	50%
Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS	$205.28	$410.55	$57.24–$348.97	—	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	39% below	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	39% below	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Comp Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	—	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Comp Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 TCOMS/ABI CHARGE	$124.00	$248.00	$34.58–$210.80	62% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Ankle Brachial Index	$240.00	$480.00	$66.93–$408.00	26% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 WC Doppler/tcom Single Level	$240.00	$480.00	$66.93–$408.00	26% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 TCOMS/ABI CHARGE	$124.00	$248.00	$34.58–$210.80	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Ankle Brachial Index	$240.00	$480.00	$66.93–$408.00	—	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O DYE	$976.50	$1,953.00	$98.12–$1,660.05	8% below	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O DYE	$976.50	$1,953.00	$98.12–$1,660.05	8% below	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O DYE	$976.50	$1,953.00	$98.12–$1,660.05	—	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O DYE	$976.50	$1,953.00	$98.12–$1,660.05	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$281.40	$562.80	$78.47–$478.38	18% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$281.40	$562.80	$78.47–$478.38	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Whole Body	$724.50	$1,449.00	$202.04–$1,231.65	43% below	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Whole Body	$724.50	$1,449.00	$202.04–$1,231.65	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$264.60	$529.20	$73.79–$449.82	24% below	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen Pelvis	$1,071.00	$2,142.00	$298.67–$1,820.70	53% below	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen Pelvis	$1,071.00	$2,142.00	$298.67–$1,820.70	—	50%
CT angiography (CTA) of the head CPT 70496 CT Angio Head +Neck STROKE	$1,512.00	$3,024.00	$164.62–$2,570.40	4% below	50%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head +Neck STROKE	$1,512.00	$3,024.00	$164.62–$2,570.40	—	50%
CT angiography (CTA) of the neck CPT 70498 UGH CT Angio Neck w/ Cont	$882.00	$1,764.00	$164.62–$1,499.40	48% below	50%
CT angiography (CTA) of the neck inpatient CPT 70498 UGH CT Angio Neck w/ Cont	$882.00	$1,764.00	$164.62–$1,499.40	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,102.50	$2,205.00	$164.62–$1,874.25	26% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,102.50	$2,205.00	$164.62–$1,874.25	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart +Coronary Arteries	$438.38	$876.75	$122.25–$745.24	44% below	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart +Coronary Arteries	$438.38	$876.75	$122.25–$745.24	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Calcium Score	$200.00	$400.00	$55.77–$340.00	100% above	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Calcium Score	$200.00	$400.00	$55.77–$340.00	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$945.00	$1,890.00	$223.94–$1,606.50	55% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$945.00	$1,890.00	$223.94–$1,606.50	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont	$1,185.00	$2,370.00	$327.43–$2,014.50	51% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen +Pelvis w/ Cont	$1,185.00	$2,370.00	$327.43–$2,014.50	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$1,323.00	$2,646.00	$327.43–$2,249.10	55% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$1,323.00	$2,646.00	$327.43–$2,249.10	—	50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont	$1,244.25	$2,488.50	$164.62–$2,115.23	26% below	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Cont	$1,244.25	$2,488.50	$164.62–$2,115.23	—	50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont	$866.25	$1,732.50	$98.12–$1,472.63	31% below	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Cont	$866.25	$1,732.50	$98.12–$1,472.63	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$850.50	$1,701.00	$98.12–$1,445.85	18% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$850.50	$1,701.00	$98.12–$1,445.85	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$693.00	$1,386.00	$98.12–$1,178.10	41% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$693.00	$1,386.00	$98.12–$1,178.10	—	50%
CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont	$756.00	$1,512.00	$164.62–$1,285.20	47% below	50%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Cont	$756.00	$1,512.00	$164.62–$1,285.20	—	50%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont	$1,197.00	$2,394.00	$164.62–$2,034.90	35% below	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Cont	$1,197.00	$2,394.00	$164.62–$2,034.90	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont	$945.00	$1,890.00	$98.12–$1,606.50	27% below	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Cont	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont	$882.00	$1,764.00	$98.12–$1,499.40	27% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Cont	$882.00	$1,764.00	$98.12–$1,499.40	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont	$1,134.00	$2,268.00	$164.62–$1,927.80	29% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Cont	$1,134.00	$2,268.00	$164.62–$1,927.80	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Duplex Bil	$250.00	$500.00	$69.72–$425.00	52% below	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Carotid Duplex Bil	$250.00	$500.00	$69.72–$425.00	—	50%
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Cont	$1,080.00	$2,160.00	$164.62–$1,836.00	36% below	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Cont	$1,080.00	$2,160.00	$164.62–$1,836.00	—	50%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$41.45	$82.90	$11.56–$82.90	82% below	50%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$41.45	$82.90	$11.56–$82.90	—	50%
Chest X-ray, single view CPT 71045 XR Chest 1 View Portable	$55.13	$110.25	$15.37–$93.71	67% below	50%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Portable	$55.13	$110.25	$15.37–$93.71	—	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Lt	$135.45	$270.90	$37.77–$230.27	44% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Rt	$135.45	$270.90	$37.77–$230.27	44% below	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Comp Lt	$135.45	$270.90	$37.77–$230.27	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Comp Rt	$135.45	$270.90	$37.77–$230.27	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$396.90	$793.80	$98.12–$674.73	21% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$396.90	$793.80	$98.12–$674.73	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Bone Density Scan FAMC	$231.53	$463.05	$64.57–$393.59	40% below	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD DEXA Appendicular Skeleton	$135.45	$270.90	$37.77–$230.27	27% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont	$825.00	$1,650.00	$98.12–$1,402.50	18% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Hi-Res w/o Contrast	$866.25	$1,732.50	$98.12–$1,472.63	14% below	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Cont	$825.00	$1,650.00	$98.12–$1,402.50	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Hi-Res w/o Contrast	$866.25	$1,732.50	$98.12–$1,472.63	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont	$1,005.00	$2,010.00	$164.62–$1,708.50	35% below	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Cont	$1,005.00	$2,010.00	$164.62–$1,708.50	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$115.50	$231.00	$32.21–$196.35	—	50%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI	$109.20	$218.40	$30.46–$185.64	55% below	50%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI	$109.20	$218.40	$30.46–$185.64	55% below	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US LE Art Duplex Bil	$463.05	$926.10	$129.13–$787.19	21% below	50%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LE Art Duplex Bil	$463.05	$926.10	$129.13–$787.19	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$496.13	$992.25	$138.35–$843.41	48% below	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$496.13	$992.25	$138.35–$843.41	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp	$750.00	$1,500.00	$209.15–$1,275.00	52% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Comp	$750.00	$1,500.00	$209.15–$1,275.00	—	50%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Lt	$132.30	$264.60	$36.89–$224.91	31% below	50%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Rt	$132.30	$264.60	$36.89–$224.91	31% below	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Rt	$132.30	$264.60	$36.89–$224.91	—	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Lt	$132.30	$264.60	$36.89–$224.91	—	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Lt	$149.10	$298.20	$41.58–$253.47	43% below	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Rt	$149.10	$298.20	$41.58–$253.47	43% below	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Comp Min 3 Views Rt	$149.10	$298.20	$41.58–$253.47	—	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Comp Min 3 Views Lt	$149.10	$298.20	$41.58–$253.47	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	12% below	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Min 3 Views	$198.45	$396.90	$55.35–$337.37	35% below	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Min 3 Views	$198.45	$396.90	$55.35–$337.37	—	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Rt	$139.13	$278.25	$38.80–$236.51	36% below	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Lt	$139.13	$278.25	$38.80–$236.51	36% below	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Rt	$139.13	$278.25	$38.80–$236.51	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Lt	$139.13	$278.25	$38.80–$236.51	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepa Duct System w/ EF	$819.00	$1,638.00	$228.39–$1,392.30	36% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepa Duct System w/ EF	$819.00	$1,638.00	$228.39–$1,392.30	—	50%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Lt	$149.10	$298.20	$41.58–$253.47	30% below	50%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Rt	$149.10	$298.20	$41.58–$253.47	30% below	50%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Rt	$149.10	$298.20	$41.58–$253.47	—	50%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Lt	$149.10	$298.20	$41.58–$253.47	—	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Lt	$129.15	$258.30	$36.02–$219.56	37% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Rt	$129.15	$258.30	$36.02–$219.56	37% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel Min 2 Views Rt	$129.15	$258.30	$36.02–$219.56	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel Min 2 Views Lt	$129.15	$258.30	$36.02–$219.56	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 HOME SLEEP TEST	$1,207.50	$2,415.00	$202.65–$2,052.75	118% above	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 95811 C-PAP/BI-PAP TITRATION	$1,207.50	$2,415.00	$336.73–$2,052.75	—	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Rt	$132.30	$264.60	$36.89–$224.91	45% below	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Lt	$132.30	$264.60	$36.89–$224.91	45% below	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Lt	$132.30	$264.60	$36.89–$224.91	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Rt	$132.30	$264.60	$36.89–$224.91	—	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Rt	$215.25	$430.50	$60.03–$365.93	21% below	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Lt	$215.25	$430.50	$60.03–$365.93	21% below	50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Comp Min 4 Views Lt	$215.25	$430.50	$60.03–$365.93	—	50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Comp Min 4 Views Rt	$215.25	$430.50	$60.03–$365.93	—	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	8% below	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	8% below	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	8% below	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$347.55	$695.10	$96.92–$590.84	29% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US Abdomen Upper Quadrant Rt	$347.55	$695.10	$96.92–$590.84	29% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$347.55	$695.10	$96.92–$590.84	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US Abdomen Upper Quadrant Rt	$347.55	$695.10	$96.92–$590.84	—	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$264.60	$529.20	$73.79–$449.82	38% below	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$264.60	$529.20	$73.79–$449.82	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Low Dose Lung Cancer Screening w/o Cont	$177.45	$354.90	$49.48–$301.67	29% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Low Dose Lung Cancer Screening w/o Cont	$177.45	$354.90	$49.48–$301.67	—	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$205.28	$410.55	$57.24–$348.97	14% below	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$205.28	$410.55	$57.24–$348.97	14% below	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$205.28	$410.55	$57.24–$348.97	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$205.28	$410.55	$57.24–$348.97	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$735.00	$1,470.00	$204.97–$1,249.50	52% below	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$735.00	$1,470.00	$204.97–$1,249.50	—	50%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Cont Bil	$1,155.00	$2,310.00	$322.10–$1,963.50	70% below	50%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast w/ + w/o Cont Bil	$1,155.00	$2,310.00	$322.10–$1,963.50	—	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Cont Lt	$992.25	$1,984.50	$223.94–$1,686.83	35% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Cont Rt	$992.25	$1,984.50	$223.94–$1,686.83	35% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	35% below	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	35% below	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Cont Rt	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Cont Lt	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$1,190.70	$2,381.40	$327.43–$2,024.19	53% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Cont Rt	$1,190.70	$2,381.40	$327.43–$2,024.19	53% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$1,190.70	$2,381.40	$327.43–$2,024.19	53% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Cont Rt	$1,190.70	$2,381.40	$327.43–$2,024.19	53% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Cont Lt	$1,190.70	$2,381.40	$327.43–$2,024.19	53% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$1,190.70	$2,381.40	$327.43–$2,024.19	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$1,190.70	$2,381.40	$327.43–$2,024.19	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Cont Rt	$1,190.70	$2,381.40	$327.43–$2,024.19	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Cont Rt	$1,190.70	$2,381.40	$327.43–$2,024.19	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Cont Lt	$1,190.70	$2,381.40	$327.43–$2,024.19	—	50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$992.25	$1,984.50	$223.94–$1,686.83	46% below	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Cont	$1,124.55	$2,249.10	$327.43–$1,911.74	47% below	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Cont	$1,124.55	$2,249.10	$327.43–$1,911.74	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont	$992.00	$1,984.00	$223.94–$1,686.40	34% below	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Cont	$992.00	$1,984.00	$223.94–$1,686.40	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$1,244.00	$2,488.00	$327.43–$2,114.80	48% below	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$1,244.00	$2,488.00	$327.43–$2,114.80	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont	$992.25	$1,984.50	$223.94–$1,686.83	42% below	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Cont	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$1,389.15	$2,778.30	$327.43–$2,361.56	41% below	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$1,389.15	$2,778.30	$327.43–$2,361.56	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont	$992.25	$1,984.50	$223.94–$1,686.83	44% below	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Cont	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Cont	$1,071.00	$2,142.00	$327.43–$1,820.70	55% below	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Cont	$1,071.00	$2,142.00	$327.43–$1,820.70	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont	$819.00	$1,638.00	$223.94–$1,392.30	53% below	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Cont	$819.00	$1,638.00	$223.94–$1,392.30	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$1,256.85	$2,513.70	$327.43–$2,136.65	41% below	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$1,256.85	$2,513.70	$327.43–$2,136.65	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum + Coccyx	$992.25	$1,984.50	$223.94–$1,686.83	42% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	42% below	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Sacrum + Coccyx	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	36% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Rt	$992.25	$1,984.50	$223.94–$1,686.83	36% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	36% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Cont Rt	$992.25	$1,984.50	$223.94–$1,686.83	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv Min 4 Views	$281.40	$562.80	$78.47–$478.38	33% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cerv Min 4 Views	$281.40	$562.80	$78.47–$478.38	—	50%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck w/ Cont	$1,008.00	$2,016.00	$164.62–$1,713.60	34% below	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck w/ Cont	$1,008.00	$2,016.00	$164.62–$1,713.60	—	50%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck w/o Contrast	$882.00	$1,764.00	$98.12–$1,499.40	11% below	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck w/o Contrast	$882.00	$1,764.00	$98.12–$1,499.40	—	50%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$129.15	$258.30	$36.02–$219.56	36% below	50%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$129.15	$258.30	$36.02–$219.56	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Perf Spect Single	$1,386.00	$2,772.00	$386.51–$2,356.20	52% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Perf Spect Single	$1,386.00	$2,772.00	$386.51–$2,356.20	—	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Skull Base to Midthigh w/ CT Scan	$1,446.00	$2,892.00	$403.25–$2,458.20	59% below	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Skull Base to Midthigh w/ CT Scan	$1,446.00	$2,892.00	$403.25–$2,458.20	—	50%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cont	$945.00	$1,890.00	$98.12–$1,606.50	26% below	50%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Cont	$945.00	$1,890.00	$98.12–$1,606.50	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$215.25	$430.50	$60.03–$365.93	35% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$215.25	$430.50	$60.03–$365.93	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non-OB Comp	$463.05	$926.10	$98.12–$787.19	4% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Non-OB Comp	$463.05	$926.10	$98.12–$787.19	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnant Complete	$299.00	$598.00	$83.39–$508.30	45% below	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnant Complete	$299.00	$598.00	$83.39–$508.30	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag	$283.50	$567.00	$79.06–$481.95	41% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest	$297.68	$595.35	$83.01–$506.05	38% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag	$283.50	$567.00	$79.06–$481.95	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant < 14 Weeks 1st Gest	$297.68	$595.35	$83.01–$506.05	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd	$173.00	$346.00	$48.25–$294.10	40% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Ltd	$173.00	$346.00	$48.25–$294.10	—	50%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 3 Views Rt	$215.25	$430.50	$60.03–$365.93	6% below	50%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 3 Views Lt	$215.25	$430.50	$60.03–$365.93	6% below	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 3 Views Lt	$215.25	$430.50	$60.03–$365.93	—	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 3 Views Rt	$215.25	$430.50	$60.03–$365.93	—	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs Min 3 Views Lt w/ PA Chest	$215.25	$430.50	$60.03–$365.93	28% below	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs Min 3 Views Rt w/ PA Chest	$215.25	$430.50	$60.03–$365.93	28% below	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs Min 3 Views Lt w/ PA Chest	$215.25	$430.50	$60.03–$365.93	—	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs Min 3 Views Rt w/ PA Chest	$215.25	$430.50	$60.03–$365.93	—	50%
Screening mammogram, both breasts CPT 77067 MA Routine Screen Digital Bil.	$106.05	$212.10	$29.57–$180.29	53% below	50%
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Implant Rt.	$106.05	$212.10	$29.57–$180.29	53% below	50%
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Implant Lt.	$106.05	$212.10	$29.57–$180.29	53% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Rt	$181.65	$363.30	$50.65–$308.81	16% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Lt	$181.65	$363.30	$50.65–$308.81	16% below	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp Min 2 Views Lt	$181.65	$363.30	$50.65–$308.81	—	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp Min 2 Views Rt	$181.65	$363.30	$50.65–$308.81	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Comp Min 3 Views	$247.80	$495.60	$69.11–$421.26	26% below	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Comp Min 3 Views	$247.80	$495.60	$69.11–$421.26	—	50%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull less than 4 Views	$181.65	$363.30	$50.65–$308.81	15% below	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull less than 4 Views	$181.65	$363.30	$50.65–$308.81	—	50%
Sleep study in a lab (polysomnography) CPT 95810 95810 INITIAL SLEEP STUDY	$1,207.50	$2,415.00	$336.73–$2,052.75	45% below	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echocardiogram	$461.50	$923.00	$128.69–$784.55	62% below	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echocardiogram	$461.50	$923.00	$128.69–$784.55	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$181.65	$363.30	$50.65–$308.81	44% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-RAY XM SWLNG FUNCJ C+	$181.65	$363.30	$50.65–$308.81	—	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Rt	$165.38	$330.75	$46.11–$281.14	27% below	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Lt	$165.38	$330.75	$46.11–$281.14	27% below	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Lt	$165.38	$330.75	$46.11–$281.14	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Rt	$165.38	$330.75	$46.11–$281.14	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Cont	$882.00	$1,764.00	$98.12–$1,499.40	32% below	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Cont	$882.00	$1,764.00	$98.12–$1,499.40	—	50%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Rt	$119.18	$238.35	$33.23–$202.60	34% below	50%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Lt	$119.18	$238.35	$33.23–$202.60	34% below	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Min 2 Views Lt	$119.18	$238.35	$33.23–$202.60	—	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Min 2 Views Rt	$119.18	$238.35	$33.23–$202.60	—	50%
Transvaginal pelvic ultrasound CPT 76830 US Pelvic Non-OB Ltd	$299.00	$598.00	$83.39–$508.30	39% below	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvic Non-OB Ltd	$299.00	$598.00	$83.39–$508.30	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 UNGH US Pregnant Transvaginal	$137.03	$274.05	$38.21–$232.94	64% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 UNGH US Pregnant Transvaginal	$137.03	$274.05	$38.21–$232.94	—	50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp	$479.85	$959.70	$98.12–$815.75	34% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Comp	$479.85	$959.70	$98.12–$815.75	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum +Contents	$347.55	$695.10	$96.92–$590.84	42% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum +Contents	$347.55	$695.10	$96.92–$590.84	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$264.60	$529.20	$73.79–$449.82	57% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$264.60	$529.20	$73.79–$449.82	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI w/ KUB	$198.45	$396.90	$55.35–$337.37	49% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI w/ KUB	$198.45	$396.90	$55.35–$337.37	—	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Rt	$149.10	$298.20	$41.58–$253.47	37% below	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Lt	$149.10	$298.20	$41.58–$253.47	37% below	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 Views Rt	$149.10	$298.20	$41.58–$253.47	—	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 Views Lt	$149.10	$298.20	$41.58–$253.47	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXTREMITY STUDY	$396.90	$793.80	$98.12–$674.73	33% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Rt	$396.90	$793.80	$98.12–$674.73	33% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXTREMITY STUDY	$396.90	$793.80	$98.12–$674.73	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Veins Duplex Rt	$396.90	$793.80	$98.12–$674.73	—	50%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Rt	$149.10	$298.20	$41.58–$253.47	22% below	50%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Lt	$149.10	$298.20	$41.58–$253.47	22% below	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Rt	$149.10	$298.20	$41.58–$253.47	—	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Lt	$149.10	$298.20	$41.58–$253.47	—	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Rt	$181.65	$363.30	$50.65–$308.81	23% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Lt	$181.65	$363.30	$50.65–$308.81	23% below	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Comp Min 3 Views Rt	$181.65	$363.30	$50.65–$308.81	—	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Comp Min 3 Views Lt	$181.65	$363.30	$50.65–$308.81	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$165.38	$330.75	$46.11–$281.14	13% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$165.38	$330.75	$46.11–$281.14	13% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$79.00	$158.00	$22.03–$134.30	63% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$79.00	$158.00	$22.03–$134.30	—	50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Rt	$132.30	$264.60	$36.89–$224.91	37% below	50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Lt	$132.30	$264.60	$36.89–$224.91	37% below	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Lt	$132.30	$264.60	$36.89–$224.91	—	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Rt	$132.30	$264.60	$36.89–$224.91	—	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Lt	$135.45	$270.90	$37.77–$230.27	31% below	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Rt	$135.45	$270.90	$37.77–$230.27	31% below	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Fingers Min 2 Views Rt	$135.45	$270.90	$37.77–$230.27	—	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Fingers Min 2 Views Lt	$135.45	$270.90	$37.77–$230.27	—	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Rt	$149.10	$298.20	$41.58–$253.47	20% below	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Lt	$149.10	$298.20	$41.58–$253.47	20% below	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Rt	$149.10	$298.20	$41.58–$253.47	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Lt	$149.10	$298.20	$41.58–$253.47	—	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	36% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	36% below	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Comp Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Comp Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	22% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	22% below	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Min 3 Views Rt	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Min 3 Views Lt	$165.38	$330.75	$46.11–$281.14	—	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Lt	$102.38	$204.75	$28.55–$174.04	48% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Rt	$102.38	$204.75	$28.55–$174.04	48% below	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Lt	$102.38	$204.75	$28.55–$174.04	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Rt	$102.38	$204.75	$28.55–$174.04	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$231.53	$463.05	$64.57–$393.59	32% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$231.53	$463.05	$64.57–$393.59	—	50%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Min 4 Views	$297.68	$595.35	$83.01–$506.05	36% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Min 4 Views	$297.68	$595.35	$83.01–$506.05	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Min 3 Views	$181.65	$363.30	$50.65–$308.81	23% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Min 3 Views	$181.65	$363.30	$50.65–$308.81	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cerv 2-3 Views	$215.25	$430.50	$60.03–$365.93	25% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cerv 2-3 Views	$215.25	$430.50	$60.03–$365.93	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$139.13	$278.25	$38.80–$236.51	33% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$139.13	$278.25	$38.80–$236.51	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum +Coccyx Min 2 Views	$149.10	$298.20	$41.58–$253.47	43% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum +Coccyx Min 2 Views	$149.10	$298.20	$41.58–$253.47	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ACTH blood test CPT 82024 ASSAY OF ACTH	$66.50	$133.00	$19.83–$113.05	61% below	50%
ACTH blood test inpatient CPT 82024 ASSAY OF ACTH	$66.50	$133.00	$19.83–$113.05	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$31.50	$63.00	$2.72–$53.55	1% below	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$31.50	$63.00	$2.72–$53.55	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Calcium, Random Urine (W/Creatinine) QST	$31.50	$63.00	$2.66–$53.55	1% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$31.50	$63.00	$2.66–$53.55	1% above	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Calcium, Random Urine (W/Creatinine) QST	$31.50	$63.00	$2.66–$53.55	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$31.50	$63.00	$2.66–$53.55	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel (Refl) QST	$180.00	$360.00	$24.46–$306.00	35% below	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel (Refl) QST	$180.00	$360.00	$24.46–$306.00	—	50%
Albumin blood test CPT 82040 Albumin Level	$22.00	$44.00	$2.54–$37.40	39% below	50%
Albumin blood test inpatient CPT 82040 Albumin Level	$22.00	$44.00	$2.54–$37.40	—	50%
Aldosterone blood test CPT 82088 Aldosterone QST	$91.50	$183.00	$20.93–$155.55	44% below	50%
Aldosterone blood test inpatient CPT 82088 Aldosterone QST	$91.50	$183.00	$20.93–$155.55	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$34.00	$68.00	$2.66–$57.80	23% below	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE	$34.00	$68.00	$2.66–$57.80	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 86003-Food and Tree Nut Allergy Panel QST	$10.50	$21.00	$2.68–$17.85	63% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$12.08	$24.15	$2.68–$20.53	57% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile QST	$86.25	$172.50	$2.68–$146.63	206% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-Food and Tree Nut Allergy Panel QST	$10.50	$21.00	$2.68–$17.85	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$12.08	$24.15	$2.68–$20.53	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile QST	$86.25	$172.50	$2.68–$146.63	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker QST	$66.50	$133.00	$8.62–$113.05	24% below	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker QST	$66.50	$133.00	$8.62–$113.05	—	50%
Ammonia blood test CPT 82140 Ammonia Level	$71.00	$142.00	$7.49–$120.70	19% below	50%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$71.00	$142.00	$7.49–$120.70	—	50%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$32.50	$65.00	$3.34–$55.25	58% below	50%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$32.50	$65.00	$3.34–$55.25	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CCP) QST	$60.95	$121.90	$6.65–$103.62	35% below	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CCP) QST	$60.95	$121.90	$6.65–$103.62	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen QST	$39.10	$78.20	$6.21–$66.47	57% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere Antibody QST	$40.50	$81.00	$6.21–$68.85	56% below	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen QST	$39.10	$78.20	$6.21–$66.47	—	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Centromere Antibody QST	$40.50	$81.00	$6.21–$68.85	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT Pro-BNP	$71.00	$142.00	$20.17–$120.70	41% below	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT Pro-BNP	$71.00	$142.00	$20.17–$120.70	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$41.50	$83.00	$4.43–$70.55	46% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$41.50	$83.00	$4.43–$70.55	—	50%
Basic metabolic panel (blood test) CPT 80048 BMP Standard	$41.00	$82.00	$4.35–$69.70	65% below	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP Standard	$41.00	$82.00	$4.35–$69.70	—	50%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$24.00	$48.00	$2.58–$40.80	43% below	50%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$24.00	$48.00	$2.58–$40.80	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$81.65	$163.30	$25.47–$138.81	3% below	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$81.65	$163.30	$25.47–$138.81	—	50%
Blood culture for bacteria CPT 87040 Blood Culture	$42.50	$85.00	$5.29–$72.25	72% below	50%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$42.50	$85.00	$5.29–$72.25	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$4.08	$8.16	$3.26–$8.16	70% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab Corp Collection	$5.00	$10.00	$3.98–$9.53	63% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab Card Collection	$12.00	$24.00	$3.98–$17.41	10% below	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$4.08	$8.16	$3.26–$8.16	—	50%
Blood glucose (sugar) test CPT 82947 Glucose Level	$22.50	$45.00	$2.02–$38.25	39% below	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$22.50	$45.00	$2.02–$38.25	—	50%
Blood lead test CPT 83655 ASSAY OF LEAD	$18.50	$37.00	$6.22–$31.45	73% below	50%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$18.50	$37.00	$6.22–$31.45	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test, Serum	$22.50	$45.00	$3.86–$38.25	77% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test, Serum	$22.50	$45.00	$3.86–$38.25	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$19.00	$38.00	$1.54–$116.59	66% below	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh	$19.00	$38.00	$1.54–$116.59	—	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$21.50	$43.00	$2.03–$36.55	34% below	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$21.50	$43.00	$2.03–$36.55	—	50%
C-peptide blood test CPT 84681 C-Peptide QST	$38.00	$76.00	$10.68–$64.60	63% below	50%
C-peptide blood test inpatient CPT 84681 C-Peptide QST	$38.00	$76.00	$10.68–$64.60	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$53.48	$106.95	$2.66–$90.91	39% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$53.48	$106.95	$2.66–$90.91	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$40.00	$80.00	$19.14–$68.00	55% below	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$40.00	$80.00	$19.14–$68.00	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QST	$34.50	$69.00	$10.68–$58.65	64% below	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 QST	$34.50	$69.00	$10.68–$58.65	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QST	$63.83	$127.65	$10.68–$108.50	55% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 QST	$63.83	$127.65	$10.68–$108.50	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$150.00	$300.00	$26.35–$217.68	74% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$150.00	$300.00	$26.35–$217.68	—	50%
Calcium blood test, total CPT 82310 Calcium Level	$22.00	$44.00	$2.65–$37.40	26% below	50%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$22.00	$44.00	$2.65–$37.40	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen QST	$41.00	$82.00	$9.73–$69.70	59% below	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen QST	$41.00	$82.00	$9.73–$69.70	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG Ab QST	$57.50	$115.00	$6.62–$97.75	21% below	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgG Ab QST	$57.50	$115.00	$6.62–$97.75	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis/ N. gonorrheae DNA Probe QST	$80.00	$160.00	$18.02–$136.00	at median	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis/ N. gonorrheae DNA Probe QST	$80.00	$160.00	$18.02–$136.00	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel Standard	$34.00	$68.00	$6.89–$57.80	55% below	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel Standard	$34.00	$68.00	$6.89–$57.80	—	50%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Manual Diff.	$36.23	$72.45	$4.00–$61.58	41% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Manual Diff.	$36.23	$72.45	$4.00–$61.58	—	50%
Complete blood count (CBC), no differential CPT 85027 CBC w/Manual Diff Standard	$36.23	$72.45	$3.33–$61.58	36% below	50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/Manual Diff Standard	$36.23	$72.45	$3.33–$61.58	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel Standard	$65.00	$130.00	$5.42–$110.50	54% below	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel Standard	$65.00	$130.00	$5.42–$110.50	—	50%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$38.00	$76.00	$8.37–$64.60	63% below	50%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$38.00	$76.00	$8.37–$64.60	—	50%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$25.00	$50.00	$3.35–$42.50	51% below	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$25.00	$50.00	$3.35–$42.50	—	50%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$18.00	$36.00	$2.62–$30.60	13% below	50%
Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE	$18.00	$36.00	$2.62–$30.60	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (CMV) QST	$31.63	$63.25	$7.40–$53.76	67% below	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (CMV) QST	$31.63	$63.25	$7.40–$53.76	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$62.10	$124.20	$5.22–$105.57	36% below	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$62.10	$124.20	$5.22–$105.57	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate QST	$33.50	$67.00	$11.41–$56.95	66% below	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate QST	$33.50	$67.00	$11.41–$56.95	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Panel Commercial	$12.50	$25.00	$10.00–$28.53	90% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$25.00	$50.00	$20.00–$52.50	81% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen- DOT	$30.00	$60.00	$24.00–$63.00	77% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 DRUG SCREEN RAPID - MEDICAL	$40.00	$80.00	$31.91–$80.00	69% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$46.00	$92.00	$31.91–$92.00	64% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Panel 9, Meconium QST	$77.50	$155.00	$31.91–$131.75	40% below	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307 DRUG SCREEN RAPID - MEDICAL	$40.00	$80.00	$31.91–$80.00	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$46.00	$92.00	$31.91–$92.00	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Panel 9, Meconium QST	$77.50	$155.00	$31.91–$131.75	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Standard	$34.00	$68.00	$3.59–$57.80	62% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Standard	$34.00	$68.00	$3.59–$57.80	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$103.50	$207.00	$9.31–$175.95	44% above	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA	$103.50	$207.00	$9.31–$175.95	—	50%
Estradiol blood test CPT 82670 Estradiol QST	$66.50	$133.00	$14.34–$113.05	45% below	50%
Estradiol blood test inpatient CPT 82670 Estradiol QST	$66.50	$133.00	$14.34–$113.05	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone QST	$39.00	$78.00	$9.54–$66.30	69% below	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone QST	$39.00	$78.00	$9.54–$66.30	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin QST	$112.50	$225.00	$10.08–$191.25	49% below	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin QST	$112.50	$225.00	$10.08–$191.25	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$31.00	$62.00	$7.00–$52.70	59% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$31.00	$62.00	$7.00–$52.70	—	50%
Fibrinogen blood test CPT 85384 Fibrinogen	$37.38	$74.75	$4.99–$63.54	58% below	50%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen	$37.38	$74.75	$4.99–$63.54	—	50%
Folate (folic acid) blood test CPT 82746 Folate	$41.00	$82.00	$7.56–$69.70	53% below	50%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$41.00	$82.00	$7.56–$69.70	—	50%
Free T3 thyroid hormone test CPT 84481 Free T3 QST	$60.00	$120.00	$8.70–$102.00	38% below	50%
Free T3 thyroid hormone test inpatient CPT 84481 Free T3 QST	$60.00	$120.00	$8.70–$102.00	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$41.50	$83.00	$4.63–$70.55	45% below	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$41.50	$83.00	$4.63–$70.55	—	50%
Free testosterone test CPT 84402 Testosterone Free, Total, Bio QST	$58.00	$116.00	$13.08–$98.60	64% below	50%
Free testosterone test inpatient CPT 84402 Testosterone Free, Total, Bio QST	$58.00	$116.00	$13.08–$98.60	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$47.50	$95.00	$3.69–$80.75	2% above	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$47.50	$95.00	$3.69–$80.75	—	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel Charge	$151.00	$302.00	$16.50–$256.70	40% below	50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel Charge	$151.00	$302.00	$16.50–$256.70	—	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$50.00	$100.00	$6.61–$85.00	33% below	50%
Glucose tolerance test, 3 samples CPT 82951 GTT 2-Hour	$50.00	$100.00	$6.61–$85.00	33% below	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2-Hour	$50.00	$100.00	$6.61–$85.00	—	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$36.23	$72.45	$8.65–$61.58	72% below	50%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$36.23	$72.45	$8.65–$61.58	—	50%
H. pylori stool antigen test CPT 87338 H. Pylori Ag, Stool QST	$55.00	$110.00	$7.38–$93.50	56% below	50%
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Ag, Stool QST	$55.00	$110.00	$7.38–$93.50	—	50%
HIV-1 and HIV-2 antibody test CPT 86703 Rapid HIV 1/2	$36.23	$72.45	$7.04–$61.58	67% below	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Rapid HIV 1/2	$36.23	$72.45	$7.04–$61.58	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$41.00	$82.00	$4.99–$69.70	24% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$41.00	$82.00	$4.99–$69.70	—	50%
Hemoglobin blood test CPT 85018 Hemoglobin	$13.23	$26.45	$1.22–$22.48	43% below	50%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$13.23	$26.45	$1.22–$22.48	—	50%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total QST	$34.50	$69.00	$6.18–$58.65	62% below	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total QST	$34.50	$69.00	$6.18–$58.65	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual QST	$34.50	$69.00	$5.51–$58.65	55% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Qual QST	$34.50	$69.00	$5.51–$58.65	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$30.00	$60.00	$5.30–$51.00	54% below	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$30.00	$60.00	$5.30–$51.00	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC	$34.50	$69.00	$7.32–$58.65	71% below	50%
Hepatitis C antibody blood test (screening) one side CPT 86803 Hepatitis C w/ Reflex to HCV, RNA, Qnt, RT PCR QST	$34.50	$69.00	$7.32–$58.65	71% below	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody LC	$34.50	$69.00	$7.32–$58.65	—	50%
Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 Hepatitis C w/ Reflex to HCV, RNA, Qnt, RT PCR QST	$34.50	$69.00	$7.32–$58.65	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, Quantitative Real Time PCR QST	$150.00	$300.00	$22.00–$255.00	46% below	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA, Quantitative Real Time PCR QST	$150.00	$300.00	$22.00–$255.00	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 IgG Ab QST	$98.90	$197.80	$6.78–$168.13	47% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1/2 IgG Ab QST	$98.90	$197.80	$6.78–$168.13	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$33.35	$66.70	$9.93–$56.70	47% below	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$33.35	$66.70	$9.93–$56.70	—	50%
Homocysteine blood test CPT 83090 Homocysteine Cardiovascular QST	$60.00	$120.00	$9.20–$102.00	56% below	50%
Homocysteine blood test inpatient CPT 83090 Homocysteine Cardiovascular QST	$60.00	$120.00	$9.20–$102.00	—	50%
Insulin blood test CPT 83525 Insulin QST	$63.50	$127.00	$5.87–$107.95	13% below	50%
Insulin blood test inpatient CPT 83525 Insulin QST	$63.50	$127.00	$5.87–$107.95	—	50%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$26.00	$52.00	$3.33–$44.20	49% below	50%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$26.00	$52.00	$3.33–$44.20	—	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total	$29.00	$58.00	$4.49–$49.30	49% below	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity Total	$29.00	$58.00	$4.49–$49.30	—	50%
Kidney function blood test panel CPT 80069 Renal Panel Standard	$41.00	$82.00	$4.46–$69.70	53% below	50%
Kidney function blood test panel inpatient CPT 80069 Renal Panel Standard	$41.00	$82.00	$4.46–$69.70	—	50%
LH (luteinizing hormone) test CPT 83002 LH. Qst	$55.00	$110.00	$9.51–$93.50	22% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 LH. Qst	$55.00	$110.00	$9.51–$93.50	—	50%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$25.00	$50.00	$5.95–$42.50	75% below	50%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$25.00	$50.00	$5.95–$42.50	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$30.00	$60.00	$3.10–$51.00	40% below	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$30.00	$60.00	$3.10–$51.00	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$41.50	$83.00	$3.54–$70.55	57% below	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$41.50	$83.00	$3.54–$70.55	—	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel Standard	$48.50	$97.00	$4.20–$82.45	54% below	50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel Standard	$48.50	$97.00	$4.20–$82.45	—	50%
Lyme disease antibody test CPT 86618 Lyme Disease Ab, Total w/Refl WB (IgG, IgM) QST	$56.93	$113.85	$8.74–$96.77	45% below	50%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab, Total w/Refl WB (IgG, IgM) QST	$56.93	$113.85	$8.74–$96.77	—	50%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$41.00	$82.00	$3.45–$69.70	9% below	50%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$41.00	$82.00	$3.45–$69.70	—	50%
Measles (rubeola) antibody test CPT 86765 MMR (IgG) Panel (Measles, Mumps, Rubella) QST	$28.75	$57.50	$6.62–$48.88	64% below	50%
Measles (rubeola) antibody test inpatient CPT 86765 MMR (IgG) Panel (Measles, Mumps, Rubella) QST	$28.75	$57.50	$6.62–$48.88	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$27.60	$55.20	$2.66–$46.92	50% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN	$27.60	$55.20	$2.66–$46.92	—	50%
Mumps immunity blood test CPT 86735 86735 QST	$55.20	$110.40	$6.70–$93.84	at median	50%
Mumps immunity blood test inpatient CPT 86735 86735 QST	$55.20	$110.40	$6.70–$93.84	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (Free and Total) QST	$56.50	$113.00	$9.45–$96.05	31% below	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (Free and Total) QST	$56.50	$113.00	$9.45–$96.05	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$42.50	$85.00	$9.45–$72.25	58% below	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$42.50	$85.00	$9.45–$72.25	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact	$84.50	$169.00	$21.21–$143.65	45% below	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact	$84.50	$169.00	$21.21–$143.65	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$34.00	$68.00	$3.08–$57.80	31% below	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$34.00	$68.00	$3.08–$57.80	—	50%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$24.00	$48.00	$2.43–$40.80	31% below	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$24.00	$48.00	$2.43–$40.80	—	50%
Potassium blood test CPT 84132 Potassium Level	$26.50	$53.00	$2.44–$45.05	22% below	50%
Potassium blood test inpatient CPT 84132 Potassium Level	$26.50	$53.00	$2.44–$45.05	—	50%
Progesterone blood test CPT 84144 Progesterone Level QST	$44.00	$88.00	$10.72–$74.80	54% below	50%
Progesterone blood test inpatient CPT 84144 Progesterone Level QST	$44.00	$88.00	$10.72–$74.80	—	50%
Prolactin blood test CPT 84146 Prolactin Level QST	$52.00	$104.00	$9.96–$88.40	56% below	50%
Prolactin blood test inpatient CPT 84146 Prolactin Level QST	$52.00	$104.00	$9.96–$88.40	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Protime/PTT	$36.23	$72.45	$2.20–$61.58	7% below	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime/PTT	$36.23	$72.45	$2.20–$61.58	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen WC	$22.50	$45.00	$6.47–$38.25	69% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$13.50	$27.00	$8.51–$22.95	81% below	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$13.50	$27.00	$8.51–$22.95	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Standard	$27.50	$55.00	$8.49–$46.75	62% below	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Standard	$27.50	$55.00	$8.49–$46.75	—	50%
Renin blood test CPT 84244 Plasma Renin Activity (PRA) QST	$62.00	$124.00	$11.30–$105.40	41% below	50%
Renin blood test inpatient CPT 84244 Plasma Renin Activity (PRA) QST	$62.00	$124.00	$11.30–$105.40	—	50%
Rh blood typing CPT 86901 Rh Type UGH	$19.00	$38.00	$1.54–$33.38	59% below	50%
Rh blood typing inpatient CPT 86901 Rh Type UGH	$19.00	$38.00	$1.54–$33.38	—	50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor QST	$35.08	$70.15	$2.91–$59.63	53% below	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor QST	$35.08	$70.15	$2.91–$59.63	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$37.38	$74.75	$7.40–$63.54	46% below	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$37.38	$74.75	$7.40–$63.54	—	50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Post Vasectomy Check	$18.50	$37.00	$6.32–$31.45	83% below	50%
Sodium blood test CPT 84295 Sodium Level	$26.50	$53.00	$2.47–$45.05	18% below	50%
Sodium blood test inpatient CPT 84295 Sodium Level	$26.50	$53.00	$2.47–$45.05	—	50%
Stool ova and parasites exam CPT 87177 Ova & Parasite Concentration & Identification QST	$32.00	$64.00	$4.58–$54.40	61% below	50%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasite Concentration & Identification QST	$32.00	$64.00	$4.58–$54.40	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$34.00	$68.00	$6.80–$57.80	49% below	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$34.00	$68.00	$6.80–$57.80	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$21.85	$43.70	$2.19–$37.15	49% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$21.85	$43.70	$2.19–$37.15	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Gold QST	$115.00	$230.00	$31.82–$195.50	31% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon-TB Gold QST	$115.00	$230.00	$31.82–$195.50	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$49.50	$99.00	$13.25–$84.15	62% below	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$49.50	$99.00	$13.25–$84.15	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$58.65	$117.30	$7.48–$99.71	36% below	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH	$58.65	$117.30	$7.48–$99.71	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$42.50	$85.00	$8.63–$72.25	52% below	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$42.50	$85.00	$8.63–$72.25	—	50%
Total IgE blood test CPT 82785 ASSAY OF IGE	$48.00	$96.00	$8.46–$81.60	37% below	50%
Total IgE blood test inpatient CPT 82785 ASSAY OF IGE	$48.00	$96.00	$8.46–$81.60	—	50%
Total cholesterol blood test CPT 82465 Cholesterol Total	$24.00	$48.00	$2.23–$40.80	17% below	50%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$24.00	$48.00	$2.23–$40.80	—	50%
Total thyroxine (T4) blood test CPT 84436 T4, Total	$29.00	$58.00	$3.53–$49.30	43% below	50%
Total thyroxine (T4) blood test inpatient CPT 84436 T4, Total	$29.00	$58.00	$3.53–$49.30	—	50%
Total triiodothyronine (T3) blood test CPT 84480 Total T3 QST	$34.00	$68.00	$7.28–$57.80	59% below	50%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) LC	$34.00	$68.00	$7.28–$57.80	59% below	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Total T3 QST	$34.00	$68.00	$7.28–$57.80	—	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) LC	$34.00	$68.00	$7.28–$57.80	—	50%
Transferrin blood test CPT 84466 Transferrin QST	$26.00	$52.00	$6.55–$44.20	71% below	50%
Transferrin blood test inpatient CPT 84466 Transferrin QST	$26.00	$52.00	$6.55–$44.20	—	50%
Triglycerides blood test CPT 84478 Triglycerides	$34.00	$68.00	$2.95–$57.80	15% below	50%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$34.00	$68.00	$2.95–$57.80	—	50%
Troponin test, quantitative CPT 84484 Troponin I	$43.50	$87.00	$6.41–$73.95	65% below	50%
Troponin test, quantitative inpatient CPT 84484 Troponin I	$43.50	$87.00	$6.41–$73.95	—	50%
Uric acid blood test CPT 84550 Uric Acid	$26.50	$53.00	$2.32–$45.05	49% below	50%
Uric acid blood test inpatient CPT 84550 Uric Acid	$26.50	$53.00	$2.32–$45.05	—	50%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$31.05	$62.10	$2.07–$52.79	20% below	50%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/SCOPE	$31.05	$62.10	$2.07–$52.79	—	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Only Standard	$19.55	$39.10	$1.15–$33.24	46% below	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Only Standard	$19.55	$39.10	$1.15–$33.24	—	50%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$41.50	$83.00	$4.14–$70.55	52% below	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$41.50	$83.00	$4.14–$70.55	—	50%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$44.00	$88.00	$2.97–$74.80	22% below	50%
Urine microalbumin (albumin) test inpatient CPT 82043 UR ALBUMIN QUANTITATIVE	$44.00	$88.00	$2.97–$74.80	—	50%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test, Urine	$33.93	$67.85	$4.42–$57.67	57% below	50%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test, Urine	$33.93	$67.85	$4.42–$57.67	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12	$41.00	$82.00	$7.75–$69.70	49% below	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12	$41.00	$82.00	$7.75–$69.70	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total	$60.50	$121.00	$15.20–$102.85	35% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Total	$60.50	$121.00	$15.20–$102.85	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D,1,25 Dihydroxy QST	$80.00	$160.00	$19.78–$136.00	41% below	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D,1,25 Dihydroxy QST	$80.00	$160.00	$19.78–$136.00	—	50%
Zinc blood test CPT 84630 Zinc Level QST	$27.55	$55.10	$5.85–$46.84	58% below	50%
Zinc blood test inpatient CPT 84630 Zinc Level QST	$27.55	$55.10	$5.85–$46.84	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative	$40.50	$81.00	$7.72–$68.85	66% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Quantitative	$40.50	$81.00	$7.72–$68.85	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION (EXTERNAL) CHARGE	$546.00	$1,092.00	$152.27–$928.20	63% below	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 CARDIOVERSION (EXTERNAL) CHARGE	$546.00	$1,092.00	$152.27–$928.20	—	50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 CIRCUMCISION >28 DAYS CHARGE	$544.00	$1,088.00	$151.70–$1,961.90	89% below	50%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 CIRCUMCISION >28 DAYS CHARGE	$544.00	$1,088.00	$151.70–$1,961.90	—	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$544.00	$1,088.00	$151.70–$1,961.90	64% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$544.00	$1,088.00	$151.70–$1,961.90	—	50%
Circumcision, surgical, older than a newborn CPT 54160 54160 CIRCUMCISION <28 DAYS CHARGE	$494.50	$989.00	$137.90–$840.65	67% below	50%
Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 CIRCUMCISION <28 DAYS CHARGE	$494.50	$989.00	$137.90–$840.65	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ TechFee	$121.50	$243.00	$37.16–$236.14	77% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOURETHROSCOPY	$611.50	$1,223.00	$187.05–$1,039.55	62% below	50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 REMVL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$81.00	$162.00	$24.78–$137.70	21% below	50%
Earwax removal with instruments, one ear CPT 69210 69210 PF EAR LAVAGE	$48.00	$96.00	$13.38–$81.60	87% below	50%
Earwax removal with instruments, one ear one side CPT 69210 69210 WC Impacted Cerumen Removal Unilateral	$69.00	$138.00	$21.11–$117.30	81% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D ABSCESS SIMPLE OR SINGLE	$174.50	$349.00	$48.66–$296.65	71% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple/Single	$174.50	$349.00	$53.38–$296.65	71% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee	$118.50	$237.00	$36.25–$288.09	90% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee	$160.00	$320.00	$48.94–$293.85	82% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US TechFee	$160.00	$320.00	$48.94–$293.85	79% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US TechFee	$160.00	$320.00	$48.94–$293.85	68% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM	$296.50	$593.00	$90.69–$504.05	29% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION OF LESION	$609.50	$1,219.00	$169.97–$1,036.15	53% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC BEN LES FACE 0.5 OR LESS Tech Fee	$748.50	$1,497.00	$228.95–$1,272.45	17% above	50%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$231.00	$462.00	$70.66–$392.70	63% below	50%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL Clinic Charge	$231.00	$462.00	$64.42–$392.70	63% below	50%
Occipital nerve block (injection for headaches) CPT 64405 64405 INJECTION ANESTHETIC OCCIPITAL NERVE FAC TECH FEE	$342.50	$685.00	$104.76–$582.25	61% below	50%
Paracentesis with imaging guidance CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE TechFee	$671.60	$1,343.20	$205.43–$1,141.72	57% below	50%
Paracentesis with imaging guidance CPT 49083 US Guide Abdomen Paracentesis	$671.60	$1,343.20	$187.29–$1,141.72	57% below	50%
Paracentesis with imaging guidance inpatient CPT 49083 US Guide Abdomen Paracentesis	$671.60	$1,343.20	$187.29–$1,141.72	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 NAIL REMOVAL Clinic Charge	$397.00	$794.00	$110.71–$674.90	57% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL	$397.00	$794.00	$121.43–$674.90	57% below	50%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee	$388.00	$776.00	$118.68–$659.60	65% below	50%
Removal of a foreign object under the skin, simple CPT 10120 10120 WC Incision & Removal of Foreign Body	$388.00	$776.00	$108.20–$659.60	65% below	50%
Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee	$95.00	$190.00	$29.06–$161.50	75% below	50%
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT	$89.00	$178.00	$27.22–$155.56	77% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee	$89.00	$178.00	$27.22–$188.30	69% below	50%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN 1-LESION FAC	$404.50	$809.00	$112.80–$687.65	29% below	50%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee	$88.50	$177.00	$27.07–$188.30	72% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Adult 20 G - Procedure Performed.	$425.00	$850.00	$118.52–$722.50	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 ANESTH SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$425.00	$850.00	$118.52–$722.50	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$425.00	$850.00	$130.00–$722.50	66% below	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 ANESTH SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$425.00	$850.00	$118.52–$722.50	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Adult 20 G - Procedure Performed.	$425.00	$850.00	$118.52–$722.50	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 REPAIR SMPL SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$89.00	$178.00	$27.22–$188.30	78% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 REPAIR SMPL F/E/E/N/L/M 2.5CM/<	$89.00	$178.00	$27.22–$188.30	75% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN 1-LESION FAC	$86.00	$172.00	$23.98–$381.53	85% below	50%
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING TechFee	$515.50	$1,031.00	$157.68–$876.35	63% below	50%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis	$515.50	$1,031.00	$143.76–$876.35	63% below	50%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis	$515.50	$1,031.00	$143.76–$876.35	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$160.00	$320.00	$48.94–$293.85	87% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Lt.	$1,379.50	$2,759.00	$384.70–$2,345.15	37% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Rt.	$1,379.50	$2,759.00	$384.70–$2,345.15	37% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 WC Debridement, subcutaneous tissue; first 20 sq cm or less	$334.50	$669.00	$93.28–$568.65	69% below	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD ADMINISTRATION	$270.00	$540.00	$75.30–$459.00	65% below	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 BLOOD ADMINISTRATION	$270.00	$540.00	$75.30–$459.00	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$240.50	$481.00	$67.07–$408.85	27% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$240.50	$481.00	$67.07–$408.85	—	50%
Chemotherapy IV infusion, first hour CPT 96413 96413 INFUSION 1ST HOUR CHARGE	$418.60	$837.20	$131.88–$711.62	7% below	50%
Critical care, first 30 to 74 minutes CPT 99291 99291 - FAC ED Critical Care	$933.80	$1,867.60	$260.41–$1,587.46	49% below	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG INCLUDING AWAKE & DROWSY 20-40 MIN	$425.50	$851.00	$118.66–$723.35	28% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$132.25	$264.50	$36.88–$224.83	30% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$132.25	$264.50	$36.88–$224.83	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 FAC ED Level 1 -Room Charge	$100.05	$200.10	$55.94–$170.09	57% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - FAC ED Level 2 Room Charge	$150.08	$300.15	$120.06–$255.13	58% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - FAC ED Level 3 - Room Charge	$200.10	$400.20	$160.08–$340.17	68% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - FAC ED Level 4 Room Charge	$383.53	$767.05	$306.82–$660.09	52% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - FAC ED Level 5 - Room Charge	$533.60	$1,067.20	$171.38–$907.12	52% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CV Stress Test Treadmill w/ Tracing	$251.00	$502.00	$69.99–$426.70	70% below	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CV Stress Test Treadmill w/ Tracing	$251.00	$502.00	$69.99–$426.70	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 HYDRATION 1ST HOUR CHARGE	$295.55	$591.10	$82.42–$502.44	2% above	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - ED IV INFUSION HYDRATION INITIAL HOUR	$295.55	$591.10	$90.40–$502.44	2% above	50%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION 1ST HOUR CHARGE	$295.55	$591.10	$82.42–$502.44	1% above	50%
IV infusion of a medicine, first hour CPT 96365 96365 ED IV Infusion Initial up to 1 hour	$295.55	$591.10	$90.40–$502.44	1% above	50%
IV push of a medicine, first drug CPT 96374 96374 - ED IV Injection, single/initial	$110.98	$221.95	$33.95–$203.62	47% below	50%
IV push of a medicine, first drug CPT 96374 96374 INJECTION IV PUSH, SINGLE OR INITIAL DRUG CHARGE	$110.98	$221.95	$30.95–$203.62	47% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION SUBQ IM CHARGE	$74.18	$148.35	$20.69–$126.10	25% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - ED Subq/IM Injection	$74.18	$148.35	$22.69–$126.10	25% below	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCH DIAGNOSTIC Eval	$174.50	$349.00	$54.98–$296.65	67% below	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction, 7-8 studies	$273.50	$547.00	$76.27–$464.95	81% below	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 NERVE CONDUCTION, SENSORY	$380.00	$760.00	$105.97–$646.00	74% below	50%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT LEVEL 3 CHARGE	$187.50	$375.00	$59.07–$318.75	20% above	50%
New patient office visit, about 30 minutes CPT 99203 99203 NEW PATIENT; LEVEL III CHARGE	$187.50	$375.00	$59.07–$318.75	20% above	50%
New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT LEVEL 4 CHARGE	$250.00	$500.00	$69.72–$425.00	25% above	50%
New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT; LEVEL IV CHARGE	$250.00	$500.00	$78.76–$425.00	25% above	50%
New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT LEVEL 5 CHARGE	$312.50	$625.00	$87.15–$531.25	30% above	50%
New patient office visit, about 60 minutes CPT 99205 99205 NEW PATIENT; LEVEL V CHARGE	$312.50	$625.00	$98.46–$531.25	30% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW PATIENT LEVEL 2 CHARGE	$125.00	$250.00	$34.86–$212.50	8% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW PATIENT; LEVEL II CHARGE	$125.00	$250.00	$39.39–$212.50	8% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT INITIAL ADDL 15 MIN Charge	$48.50	$97.00	$13.53–$82.45	34% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MNT INITIAL ADDL 15 MIN Charge	$48.50	$97.00	$13.53–$82.45	—	50%
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 PSYCHOTHERAPY FOR CRISIS, FIRST 60 MIN.	$145.50	$291.00	$40.58–$247.35	73% below	50%
Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY, 30 MIN W PATIENT	$145.50	$291.00	$45.85–$247.35	53% below	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION EDUCATION 3-10 MIN	$40.50	$81.00	$11.29–$68.85	15% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$40.50	$81.00	$11.29–$68.85	15% above	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$40.50	$81.00	$11.29–$68.85	—	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$462.50	$925.00	$145.71–$786.25	118% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT LEVEL III CHARGE	$150.00	$300.00	$47.26–$255.00	1% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT LEVEL 3 CHARGE	$150.00	$300.00	$47.26–$255.00	1% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT LEVEL IV CHARGE	$200.00	$400.00	$63.02–$340.00	16% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT LEVEL 4 CHARGE	$200.00	$400.00	$63.02–$340.00	16% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT LEVEL II CHARGE	$100.00	$200.00	$31.51–$170.00	20% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT LEVEL 2 CHARGE	$100.00	$200.00	$31.51–$170.00	20% below	50%
Spirometry (breathing test) CPT 94010 94010 Pulmonary Function Testing Simple	$182.00	$364.00	$50.76–$309.40	26% below	50%
Spirometry (breathing test) inpatient CPT 94010 94010 Pulmonary Function Testing Simple	$182.00	$364.00	$50.76–$309.40	—	50%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Testing Pre and Post PFT	$325.00	$650.00	$90.64–$552.50	22% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy (44)	$41.00	$82.00	$11.43–$124.87	77% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy (44)	$41.00	$82.00	$11.43–$124.87	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent vaccine Inj Sol 0.5 ML [UGH]	$252.47	$504.93	$111.08–$429.19	17% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine - Sol	$280.99	$561.98	$123.64–$477.68	8% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 13-valent conjugate vaccine - Sus UD [UGH]	$543.14	$1,086.27	$150.82–$923.33	78% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 20-valent conjugate vaccine - Sus	$609.22	$1,218.43	$150.82–$1,035.67	100% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 15-valent conjugate vaccine - Sus	$1,069.04	$2,138.08	$150.82–$1,817.37	251% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent vaccine Inj Sol 0.5 ML [UGH]	$252.47	$504.93	$111.08–$429.19	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine - Sol	$280.99	$561.98	$123.64–$477.68	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 13-valent conjugate vaccine - Sus UD [UGH]	$543.14	$1,086.27	$150.82–$923.33	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 20-valent conjugate vaccine - Sus	$609.22	$1,218.43	$150.82–$1,035.67	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 15-valent conjugate vaccine - Sus	$1,069.04	$2,138.08	$150.82–$1,817.37	—	50%
Rabies vaccine, one dose CPT 90675 rabies vaccine, human diploid cell 2.5 intl units IM Inj [UGH]	$855.24	$1,710.48	$319.75–$1,453.91	9% above	50%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, human diploid cell 2.5 intl units IM Inj [UGH]	$855.24	$1,710.48	$319.75–$1,453.91	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 ML Sus [UGH]	$111.42	$222.84	$44.04–$189.41	20% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 ML Sus	$120.25	$240.50	$44.04–$204.43	14% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 ML preservative-free Sus UD [UGH]	$165.85	$331.69	$44.04–$281.94	19% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus immune globulin 250 units IM Sol 1 EA [UGH]	$906.26	$1,812.52	$44.04–$1,540.64	552% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 ML Sus [UGH]	$111.42	$222.84	$44.04–$189.41	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 ML Sus	$120.25	$240.50	$44.04–$204.43	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 ML preservative-free Sus UD [UGH]	$165.85	$331.69	$44.04–$281.94	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus immune globulin 250 units IM Sol 1 EA [UGH]	$906.26	$1,812.52	$44.04–$1,540.64	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Newborn Vaccine Self Pay	$78.20	$156.40	$21.81–$132.94	62% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF VACCINE CHARGE	$78.20	$156.40	$21.81–$132.94	62% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Admin Newborn Vaccine Self Pay	$78.20	$156.40	$21.81–$132.94	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADMIN EA ADD VACCINE CHARGE	$31.05	$62.10	$8.66–$52.79	20% below	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 ADMIN EA ADD VACCINE CHARGE	$31.05	$62.10	$8.66–$52.79	—	50%

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

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

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

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

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

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

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

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

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

Source file: https://uniongeneralhealthsystem.com/wp-content/uploads/2026/03/586025393_union-general-hospital_standardcharges.csv