Hospital St. Louis, MO-IL

St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis

St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis in Highland, IL publishes cash prices for 322 common procedures listed here, from its own machine-readable price file updated Mar 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 242 of 317 procedures and below it for 73. By typical cash price it ranks #73 of 114 Illinois hospitals and #14 of 17 hospitals in the St. Louis, MO area, cheapest first. Select a procedure to compare it with other hospitals nearby.

12866 TROXLER AVE, HIGHLAND, IL 62249 Collected Sep 23, 2026 Source price file Check a bill from this hospital (618) 651-2600

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 141336 · CMS hospital register NPI 1447352323

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$3,099.60	$4,305.00	$613.20–$4,305.00	10% above	28%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$3,099.60	$4,305.00	$613.20–$4,305.00	—	28%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$425.52	$591.00	$70.68–$591.00	29% above	28%
Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS	$425.52	$591.00	$70.68–$591.00	—	28%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XRAY ANKLE (MIN 3 V)	$425.52	$591.00	$77.26–$591.00	26% above	28%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XRAY ANKLE (MIN 3 V)	$425.52	$591.00	$77.26–$591.00	—	28%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ABI/PPG SINGLE LEVEL	$779.76	$1,083.00	$200.25–$1,083.00	88% above	28%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ABI/PPG SINGLE LEVEL	$779.76	$1,083.00	$200.25–$1,083.00	—	28%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTRM WO CONT	$1,864.80	$2,590.00	$215.26–$2,590.00	2% above	28%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTRM WO CONT	$1,864.80	$2,590.00	$215.26–$2,590.00	—	28%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XRAY ESOPHAGUS	$641.52	$891.00	$113.28–$891.00	7% above	28%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XRAY ESOPHAGUS	$641.52	$891.00	$113.28–$891.00	—	28%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY	$960.48	$1,334.00	$266.80–$1,334.00	39% below	28%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY	$960.48	$1,334.00	$266.80–$1,334.00	—	28%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMPLETE	$1,429.92	$1,986.00	$67.16–$1,986.00	176% above	28%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST COMPLETE	$1,429.92	$1,986.00	$67.16–$1,986.00	—	28%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LIMITED	$714.24	$992.00	$52.27–$992.00	63% above	28%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST LIMITED	$714.24	$992.00	$52.27–$992.00	—	28%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD/PELV W & WO CONTRAST	$3,287.52	$4,566.00	$749.22–$4,566.00	12% below	28%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD/PELV W & WO CONTRAST	$3,287.52	$4,566.00	$749.22–$4,566.00	—	28%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD W/WO	$2,396.88	$3,329.00	$665.80–$3,329.00	6% below	28%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD W/WO	$2,396.88	$3,329.00	$665.80–$3,329.00	—	28%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W/WO CONTRAST	$2,684.88	$3,729.00	$745.80–$3,729.00	3% above	28%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W/WO CONTRAST	$2,684.88	$3,729.00	$745.80–$3,729.00	—	28%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W&W/O CONTRAST	$2,903.76	$4,033.00	$749.22–$4,033.00	1% below	28%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W&W/O CONTRAST	$2,903.76	$4,033.00	$749.22–$4,033.00	—	28%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN/PELVIS W/O CONTRAST	$4,476.96	$6,218.00	$613.20–$6,218.00	23% above	28%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN/PELVIS W/O CONTRAST	$4,476.96	$6,218.00	$613.20–$6,218.00	—	28%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST	$5,075.28	$7,049.00	$613.20–$7,049.00	14% above	28%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST	$5,075.28	$7,049.00	$613.20–$7,049.00	—	28%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN/PELVIS W&W/O CONTR	$5,145.12	$7,146.00	$613.20–$7,146.00	3% above	28%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN/PELVIS W&W/O CONTR	$5,145.12	$7,146.00	$613.20–$7,146.00	—	28%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$2,356.56	$3,273.00	$613.20–$3,273.00	4% above	28%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$2,356.56	$3,273.00	$613.20–$3,273.00	—	28%
CT scan of the abdomen without contrast CPT 74150 HC CT ABD W/O CONTRAST	$2,142.72	$2,976.00	$215.26–$2,976.00	12% above	28%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD W/O CONTRAST	$2,142.72	$2,976.00	$215.26–$2,976.00	—	28%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAX/FACIAL W/O CONTRAST	$1,816.56	$2,523.00	$215.26–$2,523.00	7% above	28%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAX/FACIAL W/O CONTRAST	$1,816.56	$2,523.00	$215.26–$2,523.00	—	28%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,834.56	$2,548.00	$509.60–$2,548.00	at median	28%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,834.56	$2,548.00	$509.60–$2,548.00	—	28%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,889.28	$2,624.00	$524.80–$2,624.00	2% below	28%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,889.28	$2,624.00	$524.80–$2,624.00	—	28%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$2,587.68	$3,594.00	$613.20–$3,594.00	6% above	28%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$2,587.68	$3,594.00	$613.20–$3,594.00	—	28%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-SPINE W/O CONTRAST	$2,537.28	$3,524.00	$215.26–$3,524.00	15% above	28%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-SPINE W/O CONTRAST	$2,537.28	$3,524.00	$215.26–$3,524.00	—	28%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-SPINE W/O CONTRAST	$2,484.00	$3,450.00	$215.26–$3,450.00	7% above	28%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-SPINE W/O CONTRAST	$2,484.00	$3,450.00	$215.26–$3,450.00	—	28%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$2,362.32	$3,281.00	$613.20–$3,281.00	9% above	28%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$2,362.32	$3,281.00	$613.20–$3,281.00	—	28%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX CAROTID BILAT	$1,520.64	$2,112.00	$339.70–$2,112.00	—	28%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX CAROTID BILAT	$1,520.64	$2,112.00	$339.70–$2,112.00	—	28%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W&W/O CONTRAST	$2,741.76	$3,808.00	$613.20–$3,808.00	3% below	28%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W&W/O CONTRAST	$2,741.76	$3,808.00	$613.20–$3,808.00	—	28%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$396.00	$550.00	$23.49–$550.00	29% above	28%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$396.00	$550.00	$23.49–$550.00	—	28%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$342.00	$475.00	$17.53–$475.00	34% above	28%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$342.00	$475.00	$17.53–$475.00	—	28%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XRAY CLAVICLE	$446.40	$620.00	$65.99–$620.00	70% above	28%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XRAY CLAVICLE	$446.40	$620.00	$65.99–$620.00	—	28%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL	$361.44	$502.00	$100.40–$502.00	56% below	28%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL	$361.44	$502.00	$100.40–$502.00	—	28%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DXA	$495.36	$688.00	$78.20–$688.00	4% above	28%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DXA	$495.36	$688.00	$78.20–$688.00	—	28%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANCY DETAILED SGL	$679.68	$944.00	$188.80–$944.00	31% below	28%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANCY DETAILED SGL	$679.68	$944.00	$188.80–$944.00	—	28%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST	$2,139.12	$2,971.00	$215.26–$2,971.00	16% above	28%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST	$2,139.12	$2,971.00	$215.26–$2,971.00	—	28%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST	$2,347.20	$3,260.00	$613.20–$3,260.00	2% below	28%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/CONTRAST	$2,347.20	$3,260.00	$613.20–$3,260.00	—	28%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$529.20	$735.00	$96.33–$735.00	—	28%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$529.20	$735.00	$96.33–$735.00	—	28%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$264.96	$368.00	$73.60–$368.00	13% below	28%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI	$264.96	$368.00	$73.60–$368.00	—	28%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LWR EXT BI	$1,568.16	$2,178.00	$339.70–$2,178.00	—	28%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LWR EXT BI	$1,568.16	$2,178.00	$339.70–$2,178.00	—	28%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXT BI	$1,998.00	$2,775.00	$339.70–$2,775.00	—	28%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXT BI	$1,998.00	$2,775.00	$339.70–$2,775.00	—	28%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO/CARDIAC DOP/COLOR FLOW	$2,833.92	$3,936.00	$787.20–$3,936.00	34% above	28%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO/CARDIAC DOP/COLOR FLOW	$2,833.92	$3,936.00	$787.20–$3,936.00	—	28%
Elbow X-ray, 2 views CPT 73070 HC XRAY ELBOW (2 V)	$390.96	$543.00	$57.55–$543.00	42% above	28%
Elbow X-ray, 2 views inpatient CPT 73070 HC XRAY ELBOW (2 V)	$390.96	$543.00	$57.55–$543.00	—	28%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XRAY ELBOW (MIN 3 V)	$424.08	$589.00	$65.05–$589.00	25% above	28%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XRAY ELBOW (MIN 3 V)	$424.08	$589.00	$65.05–$589.00	—	28%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/IAC/EAR W/O CONTRAST	$1,796.40	$2,495.00	$215.26–$2,495.00	8% above	28%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/IAC/EAR W/O CONTRAST	$1,796.40	$2,495.00	$215.26–$2,495.00	—	28%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$432.72	$601.00	$95.08–$601.00	5% above	28%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$432.72	$601.00	$95.08–$601.00	—	28%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XRAY FOREARM (2 V)	$360.00	$500.00	$58.47–$500.00	13% above	28%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XRAY FOREARM (2 V)	$360.00	$500.00	$58.47–$500.00	—	28%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SCAN	$2,253.60	$3,130.00	$626.00–$3,130.00	49% above	28%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SCAN	$2,253.60	$3,130.00	$626.00–$3,130.00	—	28%
Hand X-ray, 2 views CPT 73120 HC XRAY HAND 2 VIEW	$305.28	$424.00	$63.19–$424.00	10% above	28%
Hand X-ray, 2 views inpatient CPT 73120 HC XRAY HAND 2 VIEW	$305.28	$424.00	$63.19–$424.00	—	28%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XRAY OS CALCIS HEEL	$388.80	$540.00	$57.55–$540.00	61% above	28%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XRAY OS CALCIS HEEL	$388.80	$540.00	$57.55–$540.00	—	28%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STUDY W/CPAP	$6,009.84	$8,347.00	$1,594.49–$8,347.00	28% above	28%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STUDY W/CPAP	$6,009.84	$8,347.00	$1,594.49–$8,347.00	—	28%
Knee X-ray, 3 views CPT 73562 HC XRAY KNEE (3 V)	$496.08	$689.00	$85.70–$689.00	42% above	28%
Knee X-ray, 3 views inpatient CPT 73562 HC XRAY KNEE (3 V)	$496.08	$689.00	$85.70–$689.00	—	28%
Knee X-ray, complete, 4 or more views CPT 73564 HC XRAY KNEE (MIN 4 V)	$591.12	$821.00	$96.02–$821.00	34% above	28%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XRAY KNEE (MIN 4 V)	$591.12	$821.00	$96.02–$821.00	—	28%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTRM WO CONT	$1,881.36	$2,613.00	$215.26–$2,613.00	4% above	28%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTRM WO CONT	$1,881.36	$2,613.00	$215.26–$2,613.00	—	28%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LTD	$1,209.60	$1,680.00	$172.07–$1,680.00	73% above	28%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LTD	$1,209.60	$1,680.00	$172.07–$1,680.00	—	28%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LMTD	$896.40	$1,245.00	$91.33–$1,245.00	191% above	28%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LMTD	$896.40	$1,245.00	$91.33–$1,245.00	—	28%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST	$202.32	$281.00	$56.20–$281.00	64% below	28%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST	$202.32	$281.00	$56.20–$281.00	—	28%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XRAY TIBIA/FIBULA 2 VIEW	$400.32	$556.00	$65.05–$556.00	24% above	28%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XRAY TIBIA/FIBULA 2 VIEW	$400.32	$556.00	$65.05–$556.00	—	28%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$3,017.52	$4,191.00	$838.20–$4,191.00	14% above	28%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$3,017.52	$4,191.00	$838.20–$4,191.00	—	28%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LWR EXT JOINT W/O CONTRAST	$2,946.24	$4,092.00	$486.73–$4,092.00	5% above	28%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LWR EXT JOINT W/O CONTRAST	$2,946.24	$4,092.00	$486.73–$4,092.00	—	28%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LWR EXT JOINT W&W/O CONTRAST	$4,088.88	$5,679.00	$821.22–$5,679.00	19% above	28%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LWR EXT JOINT W&W/O CONTRAST	$4,088.88	$5,679.00	$821.22–$5,679.00	—	28%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CON	$3,171.60	$4,405.00	$486.73–$4,405.00	15% above	28%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CON	$3,171.60	$4,405.00	$486.73–$4,405.00	—	28%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CON	$4,553.28	$6,324.00	$821.22–$6,324.00	22% above	28%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CON	$4,553.28	$6,324.00	$821.22–$6,324.00	—	28%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$3,221.28	$4,474.00	$486.73–$4,474.00	15% above	28%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$3,221.28	$4,474.00	$486.73–$4,474.00	—	28%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$4,523.04	$6,282.00	$821.22–$6,282.00	12% above	28%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$4,523.04	$6,282.00	$821.22–$6,282.00	—	28%
MRI of the lower back, no contrast dye CPT 72148 HC MRI L-SPINE W/O CONTRAST	$3,208.32	$4,456.00	$486.73–$4,456.00	11% above	28%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI L-SPINE W/O CONTRAST	$3,208.32	$4,456.00	$486.73–$4,456.00	—	28%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W&W/O CON	$4,680.72	$6,501.00	$821.22–$6,501.00	15% above	28%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W&W/O CON	$4,680.72	$6,501.00	$821.22–$6,501.00	—	28%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T-SPINE W/O CONTRAST	$3,329.28	$4,624.00	$486.73–$4,624.00	16% above	28%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI T-SPINE W/O CONTRAST	$3,329.28	$4,624.00	$486.73–$4,624.00	—	28%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W&W/O CON	$3,995.28	$5,549.00	$821.22–$5,549.00	at median	28%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W&W/O CON	$3,995.28	$5,549.00	$821.22–$5,549.00	—	28%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C-SPINE W/O CONTRAST	$3,187.44	$4,427.00	$486.73–$4,427.00	9% above	28%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI C-SPINE W/O CONTRAST	$3,187.44	$4,427.00	$486.73–$4,427.00	—	28%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CON	$4,853.52	$6,741.00	$821.22–$6,741.00	36% above	28%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CON	$4,853.52	$6,741.00	$821.22–$6,741.00	—	28%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CON	$3,171.60	$4,405.00	$486.73–$4,405.00	19% above	28%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CON	$3,171.60	$4,405.00	$486.73–$4,405.00	—	28%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPR EXT JOINT W/O CONTRAST	$2,946.24	$4,092.00	$486.73–$4,092.00	5% above	28%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPR EXT JOINT W/O CONTRAST	$2,946.24	$4,092.00	$486.73–$4,092.00	—	28%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR C-SPINE 4-5 VIEW	$556.56	$773.00	$108.24–$773.00	1% above	28%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR C-SPINE 4-5 VIEW	$556.56	$773.00	$108.24–$773.00	—	28%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SFT TISS W/CONTRAST	$2,376.72	$3,301.00	$613.20–$3,301.00	11% above	28%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK SFT TISS W/CONTRAST	$2,376.72	$3,301.00	$613.20–$3,301.00	—	28%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SFT TISS W/O CONTRAST	$1,974.96	$2,743.00	$215.26–$2,743.00	13% above	28%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK SFT TISS W/O CONTRAST	$1,974.96	$2,743.00	$215.26–$2,743.00	—	28%
Neck soft tissue X-ray CPT 70360 HC XRAY NECK SOFT TISSUE	$292.32	$406.00	$62.25–$406.00	11% above	28%
Neck soft tissue X-ray inpatient CPT 70360 HC XRAY NECK SOFT TISSUE	$292.32	$406.00	$62.25–$406.00	—	28%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULTI	$4,721.04	$6,557.00	$1,100.97–$6,557.00	18% above	28%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULTI	$4,721.04	$6,557.00	$1,100.97–$6,557.00	—	28%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W/CT TUMR SKULL MID-THIGH	$5,427.36	$7,538.00	$507.00–$7,538.00	8% below	28%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W/CT TUMR SKULL MID-THIGH	$5,427.36	$7,538.00	$507.00–$7,538.00	—	28%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$2,088.00	$2,900.00	$215.26–$2,900.00	10% above	28%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$2,088.00	$2,900.00	$215.26–$2,900.00	—	28%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON-OB LTD	$604.08	$839.00	$66.94–$839.00	13% above	28%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON-OB LTD	$604.08	$839.00	$66.94–$839.00	—	28%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB	$1,235.52	$1,716.00	$72.45–$1,716.00	56% above	28%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB	$1,235.52	$1,716.00	$72.45–$1,716.00	—	28%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >14 WEEKS SGL	$1,038.96	$1,443.00	$203.10–$1,443.00	40% above	28%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >14 WEEKS SGL	$1,038.96	$1,443.00	$203.10–$1,443.00	—	28%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY <14 WEEKS SGL	$1,038.96	$1,443.00	$203.05–$1,443.00	54% above	28%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY <14 WEEKS SGL	$1,038.96	$1,443.00	$203.05–$1,443.00	—	28%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US FETAL HEART BEAT	$592.56	$823.00	$144.85–$823.00	13% above	28%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US FETAL HEART BEAT	$592.56	$823.00	$144.85–$823.00	—	28%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS 2V UNI	$472.32	$656.00	$70.68–$656.00	37% above	28%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS 2V UNI	$472.32	$656.00	$70.68–$656.00	—	28%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS W/CXR 3+V UNI	$558.00	$775.00	$80.06–$775.00	16% above	28%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS W/CXR 3+V UNI	$558.00	$775.00	$80.06–$775.00	—	28%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$280.08	$389.00	$84.26–$389.00	—	28%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$280.08	$389.00	$84.26–$389.00	—	28%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XRAY SHOULDER (MIN 2 V)	$447.12	$621.00	$68.79–$621.00	25% above	28%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XRAY SHOULDER (MIN 2 V)	$447.12	$621.00	$68.79–$621.00	—	28%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES MIN 3 VIEWS	$478.08	$664.00	$74.43–$664.00	26% above	28%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES MIN 3 VIEWS	$478.08	$664.00	$74.43–$664.00	—	28%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL LESS THAN 4 VIEWS	$236.16	$328.00	$65.60–$328.00	23% below	28%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL LESS THAN 4 VIEWS	$236.16	$328.00	$65.60–$328.00	—	28%
Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY	$4,028.40	$5,595.00	$1,119.00–$5,595.00	4% above	28%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY	$4,028.40	$5,595.00	$1,119.00–$5,595.00	—	28%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO 2D STRESS CONT MONITORING	$1,566.00	$2,175.00	$435.00–$2,175.00	5% below	28%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO 2D STRESS CONT MONITORING	$1,566.00	$2,175.00	$435.00–$2,175.00	—	28%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC VIDEO FLUORO SWALLOWING	$998.64	$1,387.00	$238.73–$1,387.00	64% above	28%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC VIDEO FLUORO SWALLOWING	$998.64	$1,387.00	$238.73–$1,387.00	—	28%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR 2+VIEWS	$221.04	$307.00	$61.40–$307.00	22% below	28%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR 2+VIEWS	$221.04	$307.00	$61.40–$307.00	—	28%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T-SPINE W/O CONTRAST	$318.24	$442.00	$88.40–$442.00	85% below	28%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T-SPINE W/O CONTRAST	$318.24	$442.00	$88.40–$442.00	—	28%
Toe X-ray, 2 or more views CPT 73660 HC XRAY TOE MIN 2 VIEW	$388.80	$540.00	$62.25–$540.00	70% above	28%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XRAY TOE MIN 2 VIEW	$388.80	$540.00	$62.25–$540.00	—	28%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$738.00	$1,025.00	$205.00–$1,025.00	15% above	28%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$738.00	$1,025.00	$205.00–$1,025.00	—	28%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL	$802.80	$1,115.00	$164.55–$1,115.00	51% above	28%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL	$802.80	$1,115.00	$164.55–$1,115.00	—	28%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN CMPL	$1,391.76	$1,933.00	$228.39–$1,933.00	35% above	28%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN CMPL	$1,391.76	$1,933.00	$228.39–$1,933.00	—	28%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$1,265.04	$1,757.00	$203.99–$1,757.00	69% above	28%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$1,265.04	$1,757.00	$203.99–$1,757.00	—	28%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$984.96	$1,368.00	$220.48–$1,368.00	45% above	28%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$984.96	$1,368.00	$220.48–$1,368.00	—	28%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI TRACT	$416.16	$578.00	$115.60–$578.00	40% below	28%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XRAY UPPER GI TRACT	$416.16	$578.00	$115.60–$578.00	—	28%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XRAY HUMERUS (2 V)	$351.36	$488.00	$65.99–$488.00	19% above	28%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XRAY HUMERUS (2 V)	$351.36	$488.00	$65.99–$488.00	—	28%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX VENOUS EXT UNI/LMTD	$1,190.88	$1,654.00	$220.48–$1,654.00	68% above	28%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX VENOUS EXT UNI/LMTD	$1,190.88	$1,654.00	$220.48–$1,654.00	—	28%
Wrist X-ray, 2 views CPT 73100 HC XRAY WRIST 2 VIEWS	$374.40	$520.00	$70.68–$520.00	40% above	28%
Wrist X-ray, 2 views inpatient CPT 73100 HC XRAY WRIST 2 VIEWS	$374.40	$520.00	$70.68–$520.00	—	28%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XRAY WRIST COMP MIN 3 V	$446.40	$620.00	$87.59–$620.00	36% above	28%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XRAY WRIST COMP MIN 3 V	$446.40	$620.00	$87.59–$620.00	—	28%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP W/PELVIS UNI 2-3VWS	$221.04	$307.00	$61.40–$307.00	27% below	28%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP W/PELVIS UNI 2-3VWS	$221.04	$307.00	$61.40–$307.00	—	28%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN 1V	$406.08	$564.00	$57.55–$564.00	52% above	28%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN 1V	$406.08	$564.00	$57.55–$564.00	—	28%
X-ray of the ankle, 2 views CPT 73600 HC XRAY ANKLE (2 V)	$332.64	$462.00	$66.94–$462.00	21% above	28%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XRAY ANKLE (2 V)	$332.64	$462.00	$66.94–$462.00	—	28%
X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY FINGER MIN 2 VIEWS	$446.40	$620.00	$83.84–$620.00	71% above	28%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY FINGER MIN 2 VIEWS	$446.40	$620.00	$83.84–$620.00	—	28%
X-ray of the foot, 2 views CPT 73620 HC XRAY FOOT (2 V)	$446.40	$620.00	$57.55–$620.00	62% above	28%
X-ray of the foot, 2 views inpatient CPT 73620 HC XRAY FOOT (2 V)	$446.40	$620.00	$57.55–$620.00	—	28%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XRAY FOOT (MIN 3 V)	$446.40	$620.00	$71.63–$620.00	29% above	28%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XRAY FOOT (MIN 3 V)	$446.40	$620.00	$71.63–$620.00	—	28%
X-ray of the hand, 3 or more views CPT 73130 HC XRAY HAND MIN 3 VIEW	$436.32	$606.00	$76.32–$606.00	26% above	28%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XRAY HAND MIN 3 VIEW	$436.32	$606.00	$76.32–$606.00	—	28%
X-ray of the knee, 1 or 2 views CPT 73560 HC XRAY KNEE (1 OR 2 V)	$402.48	$559.00	$71.63–$559.00	39% above	28%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XRAY KNEE (1 OR 2 V)	$402.48	$559.00	$71.63–$559.00	—	28%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR L-SPINE 2-3V	$618.48	$859.00	$79.15–$859.00	39% above	28%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR L-SPINE 2-3V	$618.48	$859.00	$79.15–$859.00	—	28%
X-ray of the lower back, 4 or more views CPT 72110 HC XR L-SPINE 4+V	$827.28	$1,149.00	$104.49–$1,149.00	44% above	28%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR L-SPINE 4+V	$827.28	$1,149.00	$104.49–$1,149.00	—	28%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR T-SPINE 2V	$286.56	$398.00	$62.25–$398.00	22% below	28%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR T-SPINE 2V	$286.56	$398.00	$62.25–$398.00	—	28%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$478.08	$664.00	$81.01–$664.00	60% above	28%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$478.08	$664.00	$81.01–$664.00	—	28%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR C-SPINE 2-3V	$488.16	$678.00	$78.20–$678.00	37% above	28%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR C-SPINE 2-3V	$488.16	$678.00	$78.20–$678.00	—	28%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2V	$403.92	$561.00	$52.83–$561.00	17% above	28%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2V	$403.92	$561.00	$52.83–$561.00	—	28%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+V	$438.48	$609.00	$65.05–$609.00	27% above	28%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+V	$438.48	$609.00	$65.05–$609.00	—	28%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT	$89.28	$124.00	$8.84–$124.00	62% above	28%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT	$89.28	$124.00	$8.84–$124.00	—	28%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$90.72	$126.00	$8.84–$126.00	65% above	28%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$90.72	$126.00	$8.84–$126.00	—	28%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$457.92	$636.00	$14.78–$636.00	75% above	28%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$457.92	$636.00	$14.78–$636.00	—	28%
Albumin blood test CPT 82040 HC ALBUMIN SERUM	$64.08	$89.00	$8.84–$89.00	49% above	28%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM	$64.08	$89.00	$8.84–$89.00	—	28%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$68.40	$95.00	$8.84–$95.00	24% above	28%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE	$68.40	$95.00	$8.84–$95.00	—	28%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE QN EA	$47.52	$66.00	$10.44–$66.00	73% above	28%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE QN EA	$47.52	$66.00	$10.44–$66.00	—	28%
Ammonia blood test CPT 82140 HC AMMONIA	$178.56	$248.00	$19.56–$248.00	61% above	28%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$178.56	$248.00	$19.56–$248.00	—	28%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$105.84	$147.00	$8.84–$147.00	31% above	28%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$105.84	$147.00	$8.84–$147.00	—	28%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN	$149.76	$208.00	$18.83–$208.00	62% above	28%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN	$149.76	$208.00	$18.83–$208.00	—	28%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BNP NATRIURETIC PEPTIDE	$246.96	$343.00	$46.07–$343.00	31% above	28%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BNP NATRIURETIC PEPTIDE	$246.96	$343.00	$46.07–$343.00	—	28%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$150.48	$209.00	$17.24–$209.00	72% above	28%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$150.48	$209.00	$17.24–$209.00	—	28%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA	$234.00	$325.00	$8.46–$325.00	82% above	28%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL TOTAL CA	$234.00	$325.00	$8.46–$325.00	—	28%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$76.32	$106.00	$8.84–$106.00	24% above	28%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$76.32	$106.00	$8.84–$106.00	—	28%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$306.72	$426.00	$35.73–$426.00	25% above	28%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$306.72	$426.00	$35.73–$426.00	—	28%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$241.20	$335.00	$17.24–$335.00	67% above	28%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$241.20	$335.00	$17.24–$335.00	—	28%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$25.92	$36.00	$5.50–$36.00	10% above	28%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$25.92	$36.00	$5.50–$36.00	—	28%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$79.20	$110.00	$7.86–$110.00	93% above	28%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$79.20	$110.00	$7.86–$110.00	—	28%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QL	$130.32	$181.00	$8.84–$181.00	45% above	28%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QL	$130.32	$181.00	$8.84–$181.00	—	28%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO	$144.72	$201.00	$5.98–$201.00	72% above	28%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO	$144.72	$201.00	$5.98–$201.00	—	28%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$85.68	$119.00	$3.95–$119.00	77% above	28%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$85.68	$119.00	$3.95–$119.00	—	28%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$77.04	$107.00	$10.36–$107.00	9% above	28%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$77.04	$107.00	$10.36–$107.00	—	28%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDUM DIFFICILE	$185.76	$258.00	$51.60–$258.00	1% above	28%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDUM DIFFICILE	$185.76	$258.00	$51.60–$258.00	—	28%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC TUMOR AG CA 125	$105.12	$146.00	$18.83–$146.00	35% below	28%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC TUMOR AG CA 125	$105.12	$146.00	$18.83–$146.00	—	28%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 LAB TEST - 2 DAY COMPLETION	$68.40	$95.00	$19.00–$95.00	41% below	28%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 TEST	$144.00	$200.00	$40.00–$200.00	25% above	28%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$367.20	$510.00	$51.31–$510.00	218% above	28%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 LAB TEST - 2 DAY COMPLETION	$68.40	$95.00	$19.00–$95.00	—	28%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 TEST	$144.00	$200.00	$40.00–$200.00	—	28%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$367.20	$510.00	$51.31–$510.00	—	28%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$89.28	$124.00	$8.84–$124.00	103% above	28%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM	$89.28	$124.00	$8.84–$124.00	—	28%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARBINOEMBRYONIC AG (CEA)	$103.68	$144.00	$19.56–$144.00	28% below	28%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARBINOEMBRYONIC AG (CEA)	$103.68	$144.00	$19.56–$144.00	—	28%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB	$252.00	$350.00	$18.83–$350.00	248% above	28%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB	$252.00	$350.00	$18.83–$350.00	—	28%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMP	$234.72	$326.00	$65.20–$326.00	90% above	28%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMP	$234.72	$326.00	$65.20–$326.00	—	28%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC HEALTH FAIR LIPID W/CALC LDL	$14.40	$20.00	$4.00–$20.00	89% below	28%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$229.68	$319.00	$14.78–$319.00	83% above	28%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC HEALTH FAIR LIPID W/CALC LDL	$14.40	$20.00	$4.00–$20.00	—	28%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$229.68	$319.00	$14.78–$319.00	—	28%
Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W/AUTO DIFF	$122.40	$170.00	$7.77–$170.00	49% above	28%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W/AUTO DIFF	$122.40	$170.00	$7.77–$170.00	—	28%
Complete blood count (CBC), no differential CPT 85027 HC CBC W/O DIFF	$110.16	$153.00	$6.47–$153.00	69% above	28%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/O DIFF	$110.16	$153.00	$6.47–$153.00	—	28%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOL PANEL	$296.64	$412.00	$10.56–$412.00	93% above	28%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOL PANEL	$296.64	$412.00	$10.56–$412.00	—	28%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL	$202.32	$281.00	$21.58–$281.00	80% above	28%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL	$202.32	$281.00	$21.58–$281.00	—	28%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL	$108.00	$150.00	$8.84–$150.00	76% above	28%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL	$108.00	$150.00	$8.84–$150.00	—	28%
Creatinine blood test CPT 82565 HC CREATININE	$79.20	$110.00	$5.12–$110.00	66% above	28%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$79.20	$110.00	$5.12–$110.00	—	28%
D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QN	$362.16	$503.00	$7.24–$503.00	203% above	28%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QN	$362.16	$503.00	$7.24–$503.00	—	28%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4	$269.28	$374.00	$74.80–$374.00	169% above	28%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4	$269.28	$374.00	$74.80–$374.00	—	28%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$230.40	$320.00	$14.02–$320.00	138% above	28%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$230.40	$320.00	$14.02–$320.00	—	28%
Estradiol blood test CPT 82670 HC ESTRADIOL	$131.04	$182.00	$21.58–$182.00	22% above	28%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$131.04	$182.00	$21.58–$182.00	—	28%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$293.04	$407.00	$21.58–$407.00	146% above	28%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$293.04	$407.00	$21.58–$407.00	—	28%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$156.24	$217.00	$19.56–$217.00	20% above	28%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$156.24	$217.00	$19.56–$217.00	—	28%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$85.68	$119.00	$7.24–$119.00	2% above	28%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$85.68	$119.00	$7.24–$119.00	—	28%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM	$157.68	$219.00	$19.56–$219.00	41% above	28%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM	$157.68	$219.00	$19.56–$219.00	—	28%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE	$97.20	$135.00	$21.58–$135.00	20% below	28%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE	$97.20	$135.00	$21.58–$135.00	—	28%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE	$136.80	$190.00	$18.04–$190.00	19% above	28%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE	$136.80	$190.00	$18.04–$190.00	—	28%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT / GGTP	$71.28	$99.00	$8.84–$99.00	23% above	28%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT / GGTP	$71.28	$99.00	$8.84–$99.00	—	28%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE SCREEN	$90.00	$125.00	$8.84–$125.00	51% above	28%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE SCREEN	$90.00	$125.00	$8.84–$125.00	—	28%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE	$156.24	$217.00	$19.56–$217.00	16% above	28%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE	$156.24	$217.00	$19.56–$217.00	—	28%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA AMP	$207.36	$288.00	$57.60–$288.00	71% above	28%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA AMP	$207.36	$288.00	$57.60–$288.00	—	28%
H. pylori antibody blood test CPT 86677 HC H PYLORI AB	$75.60	$105.00	$18.83–$105.00	35% below	28%
H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI AB	$75.60	$105.00	$18.83–$105.00	—	28%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 HIV 2 AB SGL ASSAY	$185.04	$257.00	$18.83–$257.00	57% above	28%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 HIV 2 AB SGL ASSAY	$185.04	$257.00	$18.83–$257.00	—	28%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$329.04	$457.00	$17.24–$457.00	186% above	28%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$329.04	$457.00	$17.24–$457.00	—	28%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK ALL OTHERS	$271.44	$377.00	$35.09–$377.00	87% above	28%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK ALL OTHERS	$271.44	$377.00	$35.09–$377.00	—	28%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEALTH FAIR HEMOGLOBIN A1C	$10.80	$15.00	$3.00–$15.00	88% below	28%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEALTH FAIR HEMOGLOBIN A1C	$10.80	$15.00	$3.00–$15.00	—	28%
Hemoglobin blood test CPT 85018 HC HGB	$374.40	$520.00	$2.37–$520.00	1098% above	28%
Hemoglobin blood test inpatient CPT 85018 HC HGB	$374.40	$520.00	$2.37–$520.00	—	28%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB	$90.72	$126.00	$18.83–$126.00	3% below	28%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB	$90.72	$126.00	$18.83–$126.00	—	28%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC EIA QL HEPATITIS B AG	$132.48	$184.00	$17.24–$184.00	51% above	28%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC EIA QL HEPATITIS B AG	$132.48	$184.00	$17.24–$184.00	—	28%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEP C AB	$439.20	$610.00	$18.83–$610.00	292% above	28%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEP C AB	$439.20	$610.00	$18.83–$610.00	—	28%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN (HS)	$167.04	$232.00	$18.83–$232.00	81% above	28%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN (HS)	$167.04	$232.00	$18.83–$232.00	—	28%
Iron blood test (serum iron) CPT 83540 HC IRON TOTAL	$91.44	$127.00	$8.84–$127.00	18% above	28%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON TOTAL	$91.44	$127.00	$8.84–$127.00	—	28%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$108.72	$151.00	$8.84–$151.00	38% above	28%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$108.72	$151.00	$8.84–$151.00	—	28%
Kidney function blood test panel CPT 80069 HC RENAL PANEL	$273.60	$380.00	$14.78–$380.00	84% above	28%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL	$273.60	$380.00	$14.78–$380.00	—	28%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$119.52	$166.00	$21.58–$166.00	4% above	28%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH)	$119.52	$166.00	$21.58–$166.00	—	28%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE/LACTIC ACID	$157.68	$219.00	$19.56–$219.00	76% above	28%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE/LACTIC ACID	$157.68	$219.00	$19.56–$219.00	—	28%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$101.52	$141.00	$8.84–$141.00	89% above	28%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$101.52	$141.00	$8.84–$141.00	—	28%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$135.36	$188.00	$8.84–$188.00	52% above	28%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$135.36	$188.00	$8.84–$188.00	—	28%
Liver function blood test panel CPT 80076 HC LIVER (HEPATIC) PANEL	$288.00	$400.00	$14.78–$400.00	108% above	28%
Liver function blood test panel inpatient CPT 80076 HC LIVER (HEPATIC) PANEL	$288.00	$400.00	$14.78–$400.00	—	28%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$102.24	$142.00	$8.84–$142.00	51% above	28%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$102.24	$142.00	$8.84–$142.00	—	28%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB	$93.60	$130.00	$18.83–$130.00	25% above	28%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB	$93.60	$130.00	$18.83–$130.00	—	28%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE SCR MONO	$106.56	$148.00	$10.36–$148.00	38% above	28%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE SCR MONO	$106.56	$148.00	$10.36–$148.00	—	28%
Mumps immunity blood test CPT 86735 HC MUMPS AB	$119.52	$166.00	$18.83–$166.00	59% above	28%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB	$119.52	$166.00	$18.83–$166.00	—	28%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$136.08	$189.00	$19.56–$189.00	39% above	28%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$136.08	$189.00	$19.56–$189.00	—	28%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$144.72	$201.00	$19.56–$201.00	28% above	28%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$144.72	$201.00	$19.56–$201.00	—	28%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH PAP DIAG INIT/REDO	$127.44	$177.00	$20.26–$177.00	4% below	28%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH PAP SCREEN INIT/REDO	$173.52	$241.00	$20.26–$241.00	31% above	28%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH PAP DIAG INIT/REDO	$127.44	$177.00	$20.26–$177.00	—	28%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH PAP SCREEN INIT/REDO	$173.52	$241.00	$20.26–$241.00	—	28%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THINPREP PAP	$105.12	$146.00	$20.26–$146.00	7% below	28%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THINPREP PAP	$105.12	$146.00	$20.26–$146.00	—	28%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE (PTH)	$46.08	$64.00	$12.80–$64.00	80% below	28%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE (PTH)	$46.08	$64.00	$12.80–$64.00	—	28%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$164.88	$229.00	$7.24–$229.00	153% above	28%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$164.88	$229.00	$7.24–$229.00	—	28%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$92.16	$128.00	$8.84–$128.00	57% above	28%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$92.16	$128.00	$8.84–$128.00	—	28%
Potassium blood test CPT 84132 HC POTASSIUM	$79.20	$110.00	$8.84–$110.00	83% above	28%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$79.20	$110.00	$8.84–$110.00	—	28%
Progesterone blood test CPT 84144 HC PROGESTERONE	$136.08	$189.00	$21.58–$189.00	3% below	28%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$136.08	$189.00	$21.58–$189.00	—	28%
Prolactin blood test CPT 84146 HC PROLACTIN	$138.24	$192.00	$21.58–$192.00	8% above	28%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$138.24	$192.00	$21.58–$192.00	—	28%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$108.72	$151.00	$7.24–$151.00	159% above	28%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$108.72	$151.00	$7.24–$151.00	—	28%
Rapid flu test (influenza antigen) CPT 87804 HC QL INFLUENZA A/B	$224.64	$312.00	$17.24–$312.00	214% above	28%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC QL INFLUENZA A/B	$224.64	$312.00	$17.24–$312.00	—	28%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC OPTICAL STREP	$144.72	$201.00	$17.24–$201.00	139% above	28%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC OPTICAL STREP	$144.72	$201.00	$17.24–$201.00	—	28%
Rh blood typing CPT 86901 HC BLOOD TYPING RH	$65.52	$91.00	$5.98–$91.00	4% below	28%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH	$65.52	$91.00	$5.98–$91.00	—	28%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QN	$112.32	$156.00	$11.34–$156.00	79% above	28%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QN	$112.32	$156.00	$11.34–$156.00	—	28%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB	$95.76	$133.00	$18.83–$133.00	28% above	28%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB	$95.76	$133.00	$18.83–$133.00	—	28%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE AUTO	$164.88	$229.00	$5.40–$229.00	249% above	28%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE AUTO	$164.88	$229.00	$5.40–$229.00	—	28%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE	$283.68	$394.00	$8.11–$394.00	94% above	28%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE	$283.68	$394.00	$8.11–$394.00	—	28%
Sodium blood test CPT 84295 HC SODIUM	$79.20	$110.00	$8.84–$110.00	62% above	28%
Sodium blood test inpatient CPT 84295 HC SODIUM	$79.20	$110.00	$8.84–$110.00	—	28%
Stool ova and parasites exam CPT 87177 HC SMEAR OVA PARASITE CONC/ID	$128.16	$178.00	$17.24–$178.00	74% above	28%
Stool ova and parasites exam inpatient CPT 87177 HC SMEAR OVA PARASITE CONC/ID	$128.16	$178.00	$17.24–$178.00	—	28%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECAL SCRN	$39.60	$55.00	$8.76–$55.00	37% above	28%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECAL SCRN	$39.60	$55.00	$8.76–$55.00	—	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA P AB CONFIRM	$210.96	$293.00	$18.83–$293.00	217% above	28%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA P AB CONFIRM	$210.96	$293.00	$18.83–$293.00	—	28%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS VDRL RPR QL	$46.80	$65.00	$8.54–$65.00	8% below	28%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS VDRL RPR QL	$46.80	$65.00	$8.54–$65.00	—	28%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB QUANTIFERON GOLD	$233.28	$324.00	$64.80–$324.00	6% above	28%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB QUANTIFERON GOLD	$233.28	$324.00	$64.80–$324.00	—	28%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$157.68	$219.00	$21.58–$219.00	24% above	28%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$157.68	$219.00	$21.58–$219.00	—	28%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC HEALTH FAIR TSH	$10.80	$15.00	$3.00–$22.61	91% below	28%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORM	$132.48	$184.00	$21.58–$184.00	12% above	28%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC HEALTH FAIR TSH	$10.80	$15.00	$3.00–$22.61	—	28%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORM	$132.48	$184.00	$21.58–$184.00	—	28%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE	$154.08	$214.00	$19.56–$214.00	76% above	28%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE	$154.08	$214.00	$19.56–$214.00	—	28%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$79.20	$110.00	$8.70–$110.00	85% above	28%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$79.20	$110.00	$8.70–$110.00	—	28%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T-4) TOTAL	$133.92	$186.00	$13.74–$186.00	64% above	28%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T-4) TOTAL	$133.92	$186.00	$13.74–$186.00	—	28%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$137.52	$191.00	$19.56–$191.00	46% above	28%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$137.52	$191.00	$19.56–$191.00	—	28%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAG AMP PROBE	$193.68	$269.00	$53.80–$269.00	55% above	28%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAG AMP PROBE	$193.68	$269.00	$53.80–$269.00	—	28%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$87.84	$122.00	$8.84–$122.00	85% above	28%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$87.84	$122.00	$8.84–$122.00	—	28%
Troponin test, quantitative CPT 84484 HC TROPONIN QN	$175.68	$244.00	$19.56–$244.00	16% above	28%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QN	$175.68	$244.00	$19.56–$244.00	—	28%
Uric acid blood test CPT 84550 HC URIC ACID	$82.08	$114.00	$8.84–$114.00	17% above	28%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$82.08	$114.00	$8.84–$114.00	—	28%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO	$104.40	$145.00	$3.17–$145.00	63% above	28%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO	$104.40	$145.00	$3.17–$145.00	—	28%
Urinalysis without microscope exam, manual CPT 81002 HC URANALYSIS NON AUTO W/O MICRO	$38.16	$53.00	$4.93–$53.00	70% above	28%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URANALYSIS NON AUTO W/O MICRO	$38.16	$53.00	$4.93–$53.00	—	28%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE W/COLONY CT	$186.48	$259.00	$16.14–$259.00	103% above	28%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE W/COLONY CT	$186.48	$259.00	$16.14–$259.00	—	28%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QN	$92.16	$128.00	$4.93–$128.00	43% above	28%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QN	$92.16	$128.00	$4.93–$128.00	—	28%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$141.84	$197.00	$4.93–$197.00	91% above	28%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$141.84	$197.00	$4.93–$197.00	—	28%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$162.72	$226.00	$21.58–$226.00	26% above	28%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$162.72	$226.00	$21.58–$226.00	—	28%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$83.52	$116.00	$23.20–$116.00	55% below	28%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$83.52	$116.00	$23.20–$116.00	—	28%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QN	$167.76	$233.00	$21.58–$233.00	56% above	28%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QN	$167.76	$233.00	$21.58–$233.00	—	28%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC MAMM STER GUIDE BRST MAMMT STEREO CORE	$4,266.72	$5,926.00	$490.72–$5,926.00	38% above	28%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC MAMM STER GUIDE BRST MAMMT STEREO CORE	$4,266.72	$5,926.00	$490.72–$5,926.00	—	28%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLSD METATARSAL W/O MANIP	$446.40	$620.00	$124.00–$972.02	31% below	28%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLSD METATARSAL W/O MANIP	$446.40	$620.00	$124.00–$972.02	—	28%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$707.04	$982.00	$196.40–$1,309.53	41% below	28%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$707.04	$982.00	$196.40–$1,309.53	—	28%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD DIS.RADIUS W/O MANIP	$446.40	$620.00	$124.00–$972.02	14% below	28%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLSD DIS.RADIUS W/O MANIP	$446.40	$620.00	$124.00–$972.02	—	28%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,249.92	$1,736.00	$146.00–$3,290.45	1% below	28%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$1,249.92	$1,736.00	$146.00–$3,290.45	—	28%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$114.48	$159.00	$6.00–$159.00	1% below	28%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT	$114.48	$159.00	$6.00–$159.00	1% below	28%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT	$114.48	$159.00	$6.00–$159.00	1% below	28%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$114.48	$159.00	$6.00–$159.00	—	28%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT	$114.48	$159.00	$6.00–$159.00	—	28%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT	$114.48	$159.00	$6.00–$159.00	—	28%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$159.84	$222.00	$25.00–$222.00	28% above	28%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT	$159.84	$222.00	$25.00–$222.00	28% above	28%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT	$159.84	$222.00	$25.00–$222.00	28% above	28%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$159.84	$222.00	$25.00–$222.00	—	28%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT	$159.84	$222.00	$25.00–$222.00	—	28%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT	$159.84	$222.00	$25.00–$222.00	—	28%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ INTRLAMNR CERV/THOR W/GUIDE	$2,067.84	$2,872.00	$574.40–$2,872.00	14% above	28%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ INTRLAMNR CERV/THOR W/GUIDE	$2,067.84	$2,872.00	$574.40–$2,872.00	—	28%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC INJ PARAVERT F JNT L/S 1 LV-RT	$1,321.92	$1,836.00	$159.00–$1,836.00	15% below	28%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC INJ PARAVERT F JNT L/S 1 LV-LT	$1,321.92	$1,836.00	$159.00–$1,836.00	15% below	28%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC INJ PARAVERT F JNT L/S 1 LV-RT	$1,321.92	$1,836.00	$159.00–$1,836.00	—	28%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC INJ PARAVERT F JNT L/S 1 LV-LT	$1,321.92	$1,836.00	$159.00–$1,836.00	—	28%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$347.76	$483.00	$96.60–$483.00	12% below	28%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$347.76	$483.00	$96.60–$483.00	—	28%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$318.96	$443.00	$88.60–$520.23	26% below	28%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$318.96	$443.00	$88.60–$520.23	—	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	21% above	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	21% above	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	21% above	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	—	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	—	28%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$609.84	$847.00	$169.40–$847.00	—	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$542.16	$753.00	$150.60–$753.00	31% above	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT	$542.16	$753.00	$150.60–$753.00	31% above	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT	$542.16	$753.00	$150.60–$753.00	31% above	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$542.16	$753.00	$150.60–$753.00	—	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT	$542.16	$753.00	$150.60–$753.00	—	28%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT	$542.16	$753.00	$150.60–$753.00	—	28%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENT ASP/INJ JT SMALL	$542.16	$753.00	$150.60–$753.00	73% above	28%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT	$542.16	$753.00	$150.60–$753.00	73% above	28%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT	$542.16	$753.00	$150.60–$753.00	73% above	28%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENT ASP/INJ JT SMALL	$542.16	$753.00	$150.60–$753.00	—	28%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT	$542.16	$753.00	$150.60–$753.00	—	28%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT	$542.16	$753.00	$150.60–$753.00	—	28%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$431.28	$599.00	$119.80–$806.75	28% below	28%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$431.28	$599.00	$119.80–$806.75	—	28%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTRLAMNR LUM/SAC W/GUIDE	$2,615.76	$3,633.00	$726.60–$3,633.00	79% above	28%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTRLAMNR LUM/SAC W/GUIDE	$2,615.76	$3,633.00	$726.60–$3,633.00	—	28%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTRLAMNR LUM/SAC W/O GUIDE	$1,895.04	$2,632.00	$526.40–$2,632.00	30% above	28%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTRLAMNR LUM/SAC W/O GUIDE	$1,895.04	$2,632.00	$526.40–$2,632.00	—	28%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC INJ EPID LUMBAR/SACRAL SGL-LT	$1,434.24	$1,992.00	$159.00–$1,992.00	1% above	28%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC INJ EPID LUMBAR/SACRAL SGL-RT	$1,434.24	$1,992.00	$159.00–$1,992.00	1% above	28%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC INJ EPID LUMBAR/SACRAL SGL-LT	$1,434.24	$1,992.00	$159.00–$1,992.00	—	28%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC INJ EPID LUMBAR/SACRAL SGL-RT	$1,434.24	$1,992.00	$159.00–$1,992.00	—	28%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$315.36	$438.00	$87.60–$438.00	10% above	28%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$315.36	$438.00	$87.60–$438.00	—	28%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$318.96	$443.00	$88.60–$843.02	38% below	28%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV	$318.96	$443.00	$88.60–$843.02	—	28%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,650.96	$2,293.00	$458.60–$2,293.00	14% above	28%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,650.96	$2,293.00	$458.60–$2,293.00	—	28%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX	$706.32	$981.00	$146.00–$981.00	12% above	28%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL&NAIL MATRIX	$706.32	$981.00	$146.00–$981.00	—	28%
Prostate biopsy CPT 55700 HC BX PROSTATE NEEDLE/PUNCH	$2,212.56	$3,073.00	$614.60–$3,597.61	31% below	28%
Prostate biopsy inpatient CPT 55700 HC BX PROSTATE NEEDLE/PUNCH	$2,212.56	$3,073.00	$614.60–$3,597.61	—	28%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC DESTROY NERVE LUMBAR/SACRAL SGL-LT	$2,108.88	$2,929.00	$585.80–$2,929.00	25% below	28%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC DESTROY NERVE LUMBAR/SACRAL SGL-RT	$2,108.88	$2,929.00	$585.80–$2,929.00	25% below	28%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC DESTROY NERVE LUMBAR/SACRAL SGL-RT	$2,108.88	$2,929.00	$585.80–$2,929.00	—	28%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC DESTROY NERVE LUMBAR/SACRAL SGL-LT	$2,108.88	$2,929.00	$585.80–$2,929.00	—	28%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$375.12	$521.00	$104.20–$521.00	22% below	28%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$375.12	$521.00	$104.20–$521.00	—	28%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLON SCREENING HIGH RISK- G0105	$3,175.92	$4,411.00	$882.20–$4,411.00	32% above	28%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLON SCREENING HIGH RISK- G0105	$3,175.92	$4,411.00	$882.20–$4,411.00	—	28%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL	$13,629.60	$18,930.00	$3,786.00–$18,930.00	94% above	28%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL	$13,629.60	$18,930.00	$3,786.00–$18,930.00	—	28%
Short arm cast (elbow to hand) CPT 29075 HC CAST APPL; ELBOW TO FINGERS	$286.56	$398.00	$79.60–$398.00	10% below	28%
Short arm cast (elbow to hand) inpatient CPT 29075 HC CAST APPL; ELBOW TO FINGERS	$286.56	$398.00	$79.60–$398.00	—	28%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$249.12	$346.00	$69.20–$346.00	1% below	28%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPLINT STATIC	$249.12	$346.00	$69.20–$346.00	—	28%
Short leg cast (below the knee) CPT 29405 HC APPL CAST SHORT LEG	$286.56	$398.00	$79.60–$398.00	19% below	28%
Short leg cast (below the knee) inpatient CPT 29405 HC APPL CAST SHORT LEG	$286.56	$398.00	$79.60–$398.00	—	28%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$203.04	$282.00	$56.40–$282.00	23% below	28%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$203.04	$282.00	$56.40–$282.00	—	28%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <	$231.84	$322.00	$64.40–$385.17	37% below	28%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <	$231.84	$322.00	$64.40–$385.17	—	28%
Skin biopsy, punch, one lesion CPT 11104 HC BIOPSY SKIN PUNCH INIT LESN	$501.12	$696.00	$139.20–$888.55	35% above	28%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC BIOPSY SKIN PUNCH INIT LESN	$501.12	$696.00	$139.20–$888.55	—	28%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$398.16	$553.00	$110.60–$553.00	59% above	28%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$398.16	$553.00	$110.60–$553.00	—	28%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$748.08	$1,039.00	$207.80–$1,614.42	21% below	28%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$748.08	$1,039.00	$207.80–$1,614.42	—	28%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5	$254.16	$353.00	$70.60–$385.17	39% below	28%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5	$254.16	$353.00	$70.60–$385.17	—	28%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMP F/E/E/N/L/MM 2.5CM OR <	$230.40	$320.00	$64.00–$385.17	43% below	28%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMP F/E/E/N/L/MM 2.5CM OR <	$230.40	$320.00	$64.00–$385.17	—	28%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BIOPSY SKIN TANGENTIAL INIT LESN	$409.68	$569.00	$113.80–$888.55	38% above	28%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BIOPSY SKIN TANGENTIAL INIT LESN	$409.68	$569.00	$113.80–$888.55	—	28%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGING 32555	$667.44	$927.00	$185.40–$2,105.36	47% below	28%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMAGING 32555	$667.44	$927.00	$185.40–$2,105.36	—	28%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$318.96	$443.00	$88.60–$520.23	39% below	28%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$318.96	$443.00	$88.60–$520.23	—	28%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BREAST BIOPSY W/IMAG GUIDE ULTRA	$3,608.64	$5,012.00	$484.55–$5,012.00	46% above	28%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BREAST BIOPSY W/IMAG GUIDE ULTRA	$3,608.64	$5,012.00	$484.55–$5,012.00	—	28%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBR SKIN/SUBQ TISS INIT 20 SQ CM FAC	$917.28	$1,274.00	$146.00–$1,274.00	33% above	28%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBR SKIN/SUBQ TISS INIT 20 SQ CM FAC	$917.28	$1,274.00	$146.00–$1,274.00	—	28%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PROD ADMIN	$749.52	$1,041.00	$208.20–$1,041.00	15% below	28%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PROD ADMIN	$749.52	$1,041.00	$208.20–$1,041.00	—	28%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$299.52	$416.00	$83.20–$416.00	56% above	28%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$299.52	$416.00	$83.20–$416.00	—	28%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION SGL/INIT<1H	$671.04	$932.00	$186.40–$932.00	5% above	28%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION SGL/INIT<1H	$671.04	$932.00	$186.40–$932.00	—	28%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MIN	$1,881.36	$2,613.00	$522.60–$2,613.00	9% below	28%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 MIN	$1,881.36	$2,613.00	$522.60–$2,613.00	—	28%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$326.88	$454.00	$51.86–$454.00	41% above	28%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$326.88	$454.00	$51.86–$454.00	—	28%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1	$303.84	$422.00	$84.40–$422.00	36% above	28%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL 1	$303.84	$422.00	$84.40–$422.00	—	28%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2	$476.64	$662.00	$132.40–$662.00	19% above	28%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL 2	$476.64	$662.00	$132.40–$662.00	—	28%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3	$763.20	$1,060.00	$212.00–$1,060.00	9% above	28%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL 3	$763.20	$1,060.00	$212.00–$1,060.00	—	28%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4	$1,163.52	$1,616.00	$323.20–$1,616.00	2% above	28%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL 4	$1,163.52	$1,616.00	$323.20–$1,616.00	—	28%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5	$1,656.00	$2,300.00	$460.00–$2,300.00	4% above	28%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER LEVEL 5	$1,656.00	$2,300.00	$460.00–$2,300.00	—	28%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TRACING ONLY	$792.00	$1,100.00	$220.00–$1,100.00	17% below	28%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TRACING ONLY	$792.00	$1,100.00	$220.00–$1,100.00	—	28%
Family therapy with the patient, 50 minutes CPT 90847 HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN	$248.40	$345.00	$69.00–$356.18	39% above	28%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN	$248.40	$345.00	$69.00–$356.18	—	28%
Family therapy without the patient, 50 minutes CPT 90846 HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN	$227.52	$316.00	$63.20–$356.18	24% above	28%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN	$227.52	$316.00	$63.20–$356.18	—	28%
Group psychotherapy session CPT 90853 HC THERAPY GROUP PSYCH	$115.92	$161.00	$32.20–$497.77	10% below	28%
Group psychotherapy session inpatient CPT 90853 HC THERAPY GROUP PSYCH	$115.92	$161.00	$32.20–$497.77	—	28%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$493.20	$685.00	$137.00–$685.00	46% above	28%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$493.20	$685.00	$137.00–$685.00	—	28%
IV infusion of a medicine, first hour CPT 96365 HC INFUSION THERAPY 1ST HOUR	$551.52	$766.00	$153.20–$766.00	35% above	28%
IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION THERAPY 1ST HOUR	$551.52	$766.00	$153.20–$766.00	—	28%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$318.24	$442.00	$88.40–$442.00	48% above	28%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$318.24	$442.00	$88.40–$442.00	—	28%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$176.40	$245.00	$49.00–$245.00	62% above	28%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$176.40	$245.00	$49.00–$245.00	—	28%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE ED EA 15 MIN	$162.00	$225.00	$45.00–$225.00	36% above	28%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE ED EA 15 MIN	$162.00	$225.00	$45.00–$225.00	—	28%
New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT INTERM NEW	$309.60	$430.00	$86.00–$430.00	40% above	28%
New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT COMPLEX NEW	$412.56	$573.00	$114.60–$573.00	39% above	28%
New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT COMPREH NEW	$515.52	$716.00	$143.20–$716.00	32% above	28%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT LIMITED NEW	$234.72	$326.00	$65.20–$326.00	35% above	28%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITION THRPY EVAL 15 MIN	$38.16	$53.00	$14.84–$350.87	29% below	28%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTRITION THRPY EVAL 15 MIN	$38.16	$53.00	$14.84–$350.87	—	28%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$297.36	$413.00	$82.60–$438.74	16% above	28%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$297.36	$413.00	$82.60–$438.74	—	28%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$316.80	$440.00	$88.00–$440.00	8% below	28%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$316.80	$440.00	$88.00–$440.00	—	28%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$297.36	$413.00	$82.60–$413.00	32% above	28%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$297.36	$413.00	$82.60–$413.00	—	28%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$303.84	$422.00	$84.40–$422.00	1% below	28%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$303.84	$422.00	$84.40–$422.00	—	28%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY EA 15 MIN	$181.44	$252.00	$50.40–$252.00	36% above	28%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY EA 15 MIN	$181.44	$252.00	$50.40–$252.00	—	28%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERA EXER; EA 15 MIN	$91.44	$127.00	$25.40–$127.00	18% below	28%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERA EXER; EA 15 MIN	$91.44	$127.00	$25.40–$127.00	—	28%
Psychotherapy session, 30 minutes CPT 90832 HC THERAPY INDIVIDUAL PSYCH 30MIN	$154.08	$214.00	$42.80–$273.32	18% below	28%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC THERAPY INDIVIDUAL PSYCH 30MIN	$154.08	$214.00	$42.80–$273.32	—	28%
Psychotherapy session, 45 minutes CPT 90834 HC THERAPY INDIVIDUAL PSYCH 45MIN	$154.08	$214.00	$42.80–$326.59	20% below	28%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC THERAPY INDIVIDUAL PSYCH 45MIN	$154.08	$214.00	$42.80–$326.59	—	28%
Psychotherapy session, 60 minutes CPT 90837 HC THERAPY INDIVIDUAL PSYCH 60MIN	$227.52	$316.00	$63.20–$326.59	21% below	28%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC THERAPY INDIVIDUAL PSYCH 60MIN	$227.52	$316.00	$63.20–$326.59	—	28%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$424.80	$590.00	$118.00–$590.00	53% above	28%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT INTERM EST	$236.88	$329.00	$65.80–$329.00	55% above	28%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$336.24	$467.00	$93.40–$467.00	82% above	28%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT LIMIT EST	$198.00	$275.00	$55.00–$275.00	58% above	28%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$318.96	$443.00	$88.60–$481.38	8% below	28%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$318.96	$443.00	$88.60–$481.38	—	28%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$185.76	$258.00	$51.60–$481.38	8% above	28%
Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV	$185.76	$258.00	$51.60–$481.38	—	28%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY/PFT PKG	$392.40	$545.00	$109.00–$545.00	30% above	28%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY/PFT PKG	$392.40	$545.00	$109.00–$545.00	—	28%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY/PFT PRE & POST	$474.48	$659.00	$131.80–$659.00	13% below	28%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY/PFT PRE & POST	$474.48	$659.00	$131.80–$659.00	—	28%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN	$84.96	$118.00	$23.60–$118.00	32% below	28%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN	$84.96	$118.00	$23.60–$118.00	—	28%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$138.96	$193.00	$38.60–$193.00	35% below	28%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$138.96	$193.00	$38.60–$193.00	—	28%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE 0.5 ML SUSY per 0.5 mL	$71.75	$99.65	$19.93–$99.65	101% above	28%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 0.5 ML SUSY per 0.5 mL	$71.75	$99.65	$19.93–$99.65	—	28%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE SUSR per 1 mL	$1,502.03	$2,086.15	$227.00–$2,086.15	99% above	28%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE SUSR per 1 mL	$1,502.03	$2,086.15	$227.00–$2,086.15	—	28%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN ONE VACC	$109.44	$152.00	$30.40–$152.00	90% above	28%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN ONE VACC	$109.44	$152.00	$30.40–$152.00	—	28%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$87.12	$121.00	$24.20–$121.00	125% above	28%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$87.12	$121.00	$24.20–$121.00	—	28%

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://www.hshs.org/getmedia/67be3ff0-9ea7-4517-8747-0a1671edf25d/370663568_st-josephs-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip