Hospital Little Rock-North Little Rock-Conway, AR

Arkansas Heart Hospital-Encore

Listed in its price file as “Arkansas Heart Hospital LLC”.

Arkansas Heart Hospital-Encore in Bryant, AR publishes cash prices for 305 common procedures listed here, from its own machine-readable price file updated Nov 21, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Arkansas median for 144 of 303 procedures and above it for 144. By typical cash price it ranks #30 of 57 Arkansas hospitals and #10 of 12 hospitals in the Little Rock, AR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1901 Encore Way, Bryant AR 72019 Collected Sep 22, 2026 Source price file Check a bill from this hospital (501) 213-4500

Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 040161 · CMS hospital register NPI 1841898293

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	39% below	20%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast	$604.00	$755.00	$377.50–$566.25	39% below	20%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views Flat and Upright - Report	$204.00	$255.00	$127.50–$191.25	35% above	20%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen KUB Erect 1 View - Report	$204.00	$255.00	$127.50–$191.25	35% above	20%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen KUB Erect 1 View	$204.00	$255.00	$127.50–$191.25	35% above	20%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views Flat and Upright	$204.00	$255.00	$127.50–$191.25	35% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left	$107.20	$134.00	$26.80–$100.50	19% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right	$107.20	$134.00	$26.80–$100.50	19% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	19% below	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	19% below	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI Bilateral Upper Extremities - Report	$278.40	$348.00	$159.00–$179.85	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI Bilateral Upper Extremities	$278.40	$348.00	$159.00–$179.85	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Document ABI Worksheet	$278.40	$348.00	$159.00–$179.85	63% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI Toe Brachial Indices - Report	$278.40	$348.00	$159.00–$179.85	63% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI Toe Brachial Indices	$278.40	$348.00	$159.00–$179.85	63% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI Single Study (Rest Only) - Report	$278.40	$348.00	$159.00–$179.85	63% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI Single Study (Rest Only)	$278.40	$348.00	$159.00–$179.85	63% above	20%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right - Report	$604.00	$755.00	$377.50–$566.25	7% below	20%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right	$604.00	$755.00	$151.00–$566.25	7% below	20%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left - Report	$604.00	$755.00	$377.50–$566.25	7% below	20%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left	$604.00	$755.00	$151.00–$566.25	7% below	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body - Report	$588.00	$735.00	$367.50–$551.25	10% below	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body	$588.00	$735.00	$367.50–$551.25	10% below	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$138.53	$173.16	$34.63–$129.87	11% below	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left - Report	$138.53	$173.16	$86.58–$129.87	11% below	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$138.53	$173.16	$34.63–$129.87	11% below	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right - Report	$138.53	$173.16	$86.58–$129.87	11% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 - CT Angio Abdomen/Pelvis w/cont	$604.00	$755.00	$377.50–$566.25	51% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis - AHH Read - Report	$604.00	$755.00	$377.50–$566.25	51% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis	$604.00	$755.00	$377.50–$566.25	51% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis - Report	$604.00	$755.00	$377.50–$566.25	51% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis - AHH Read	$604.00	$755.00	$377.50–$566.25	51% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head - Report	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck - AHH Read - Report	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck - Report	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain and Neck - AHH Read	$604.00	$755.00	$377.50–$566.25	41% below	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck- AHH Read - Report	$604.00	$755.00	$377.50–$566.25	30% below	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck	$604.00	$755.00	$377.50–$566.25	30% below	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck - Report	$604.00	$755.00	$377.50–$566.25	30% below	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck- AHH Read	$604.00	$755.00	$377.50–$566.25	30% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Gated - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest TAA - AHH Read	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Abdomen and Pelvis	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Abdomen Pelvis- AHH Read - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest TAA - AHH Read - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Abdomen Pelvis - AHH Read	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest TAA	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PVI - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PVI	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Abdomen and Pelvis - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Gated	$604.00	$755.00	$377.50–$566.25	14% below	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Cardiac - Report	$604.00	$755.00	$377.50–$566.25	5% below	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Cardiac- AHH Read - Report	$604.00	$755.00	$377.50–$566.25	5% below	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Cardiac	$604.00	$755.00	$377.50–$566.25	5% below	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Cardiac - AHH Read	$604.00	$755.00	$377.50–$566.25	5% below	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Coronary Calcium Scoring- Overread	$40.00	$50.00	$25.00–$37.50	40% below	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Aortic Valve Calcium Scoring	$40.00	$50.00	$25.00–$37.50	40% below	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Coronary Calcium Scoring- Rad Read	$40.00	$50.00	$25.00–$37.50	40% below	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Aortic Valve Calcium Scoring - Report	$80.00	$100.00	$50.00–$75.00	19% above	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Coronary Calcium Scoring- Overread - Report	$80.00	$100.00	$50.00–$75.00	19% above	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Coronary Calcium Scoring- Rad Read - Report	$80.00	$100.00	$50.00–$75.00	19% above	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol	$604.00	$755.00	$377.50–$566.25	40% below	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast	$604.00	$755.00	$377.50–$566.25	40% below	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	40% below	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol - Report	$604.00	$755.00	$377.50–$566.25	40% below	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 - Ct Abdomen/Pelvis W/O Contrast	$604.00	$755.00	$377.50–$566.25	40% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis Bariatric w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	58% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - Ct Abdomen/Pelvis W/ Contrast	$604.00	$755.00	$377.50–$566.25	58% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	58% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis Bariatric w/ Contrast	$604.00	$755.00	$377.50–$566.25	58% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast	$604.00	$755.00	$377.50–$566.25	58% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	62% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Venogram	$604.00	$755.00	$377.50–$566.25	62% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Venogram - Report	$604.00	$755.00	$377.50–$566.25	62% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 - Ct Abd Pelvis W Wo Contrast	$604.00	$755.00	$377.50–$566.25	62% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$604.00	$755.00	$377.50–$566.25	62% below	20%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast	$604.00	$755.00	$377.50–$566.25	36% below	20%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	36% below	20%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	at median	20%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast	$604.00	$755.00	$377.50–$566.25	at median	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	18% below	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$604.00	$755.00	$377.50–$566.25	18% below	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast	$604.00	$755.00	$377.50–$566.25	9% below	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	9% below	20%
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	31% below	20%
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast	$604.00	$755.00	$377.50–$566.25	31% below	20%
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	37% below	20%
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast	$604.00	$755.00	$377.50–$566.25	37% below	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$604.00	$755.00	$377.50–$566.25	22% below	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	22% below	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$604.00	$755.00	$377.50–$566.25	16% below	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	16% below	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$604.00	$755.00	$377.50–$566.25	29% below	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	29% below	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$360.00	$450.00	$159.00–$418.69	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral - Report	$367.20	$459.00	$159.00–$418.69	—	20%
Chest CT scan without and with contrast CPT 71270 CT Chest Abdomen Pelvis w/ + w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	35% below	20%
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	35% below	20%
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast	$604.00	$755.00	$377.50–$566.25	35% below	20%
Chest CT scan without and with contrast CPT 71270 CT Chest Abdomen Pelvis w/ + w/o Contras	$604.00	$755.00	$377.50–$566.25	35% below	20%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views - Report	$107.20	$134.00	$67.00–$100.50	25% below	20%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Apical Lordotic	$107.20	$134.00	$67.00–$100.50	25% below	20%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$107.20	$134.00	$67.00–$100.50	25% below	20%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Apical Lordotic - Report	$107.20	$134.00	$67.00–$100.50	25% below	20%
Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal	$107.20	$134.00	$67.00–$100.50	5% below	20%
Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal - Report	$107.20	$134.00	$67.00–$100.50	5% below	20%
Chest X-ray, single view CPT 71045 XR Chest Decubitus - Report	$1,352.77	$1,690.96	$845.48–$1,268.22	1095% above	20%
Chest X-ray, single view CPT 71045 XR Chest Decubitus	$1,352.77	$1,690.96	$845.48–$1,268.22	1095% above	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left - Report	$107.20	$134.00	$67.00–$100.50	2% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right - Report	$107.20	$134.00	$67.00–$100.50	2% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$107.20	$134.00	$26.80–$100.50	2% below	20%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$107.20	$134.00	$26.80–$100.50	2% below	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal (Kidneys and Bladder)	$241.60	$302.00	$151.00–$226.50	36% below	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal (Kidneys and Bladder) - Report	$241.60	$302.00	$151.00–$226.50	36% below	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton - Report	$100.00	$125.00	$62.50–$93.75	47% below	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$172.00	$215.00	$107.50–$161.25	9% below	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$144.00	$180.00	$90.00–$135.00	49% above	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Abdomen Pelvis w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution - Report	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Abdomen Pelvis w/o Contrast	$604.00	$755.00	$377.50–$566.25	5% below	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Abdomen Pelvis w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	27% below	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	27% below	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast	$604.00	$755.00	$377.50–$566.25	27% below	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Abdomen Pelvis w/ Contrast	$604.00	$755.00	$377.50–$566.25	27% below	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Arterial Lower Extremity, Bilateral	$367.20	$459.00	$159.00–$534.90	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Arterial Lower Extremity, Bilateral - Report	$367.20	$459.00	$159.00–$534.90	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Vein Mapping, Bilateral	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Lower Extremity, Bilateral	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Upper Extremity, Bilateral	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Upper Extremity, Bilateral - Report	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Lower Extremity, Bilateral - Report	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Vein Mapping, Bilateral (Clinic Only) - Report	$367.20	$459.00	$159.00–$403.70	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Preoperative Mapping Upper Extremity	$278.40	$348.00	$159.00–$403.70	46% below	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Preoperative Mapping Lower Extremity	$278.40	$348.00	$159.00–$403.70	46% below	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Preoperative Mapping Upper Extremity - Report	$278.40	$348.00	$159.00–$403.70	46% below	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Preoperative Vein Marking	$278.40	$348.00	$159.00–$403.70	46% below	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Preoperative Mapping Lower Extremity - Report	$278.40	$348.00	$159.00–$403.70	46% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo w/ Bubble Study - Report	$593.60	$742.00	$421.00–$725.73	46% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo w/ Bubble Study	$800.00	$1,000.00	$421.00–$725.73	27% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Echo (with 3D if indicated)	$800.00	$1,000.00	$421.00–$725.73	27% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Echo (with 3D if indicated) - Report	$2,221.60	$2,777.00	$421.00–$725.73	101% above	20%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$107.20	$134.00	$26.80–$100.50	19% above	20%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	19% above	20%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	19% above	20%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$107.20	$134.00	$26.80–$100.50	19% above	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left	$107.20	$134.00	$26.80–$100.50	at median	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right	$107.20	$134.00	$26.80–$100.50	at median	20%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits w/o Contrast - Report	$360.18	$450.22	$225.11–$337.67	51% below	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits w/o Contrast	$360.18	$450.22	$225.11–$337.67	51% below	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bones w/o Contrast	$360.18	$450.22	$225.11–$337.67	51% below	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bones w/ Contrast - Report	$684.16	$855.20	$427.60–$641.40	7% below	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views - Report	$107.20	$134.00	$67.00–$100.50	23% below	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views	$107.20	$134.00	$67.00–$100.50	23% below	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$107.20	$134.00	$26.80–$100.50	at median	20%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$107.20	$134.00	$26.80–$100.50	at median	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging - Report	$564.00	$705.00	$352.50–$528.75	18% below	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging	$564.00	$705.00	$352.50–$528.75	18% below	20%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	3% above	20%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$107.20	$134.00	$26.80–$100.50	3% above	20%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$107.20	$134.00	$26.80–$100.50	3% above	20%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	3% above	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left	$107.20	$134.00	$26.80–$100.50	3% above	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Right - Report	$107.20	$134.00	$67.00–$100.50	3% above	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left - Report	$107.20	$134.00	$67.00–$100.50	3% above	20%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Right	$107.20	$134.00	$26.80–$100.50	3% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 *Sleep Study Charges -> Home Sleep Study Unattended 95806	$680.00	$850.00	$599.21–$766.00	75% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges -> Polysomnography 4+ parameters w/PAP 9581	$1,503.20	$1,879.00	$766.00–$2,278.40	16% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 2 View + Patella Right - Report	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 2 View + Patella Left - Report	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$107.20	$134.00	$26.80–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$107.20	$134.00	$26.80–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left - Report	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right - Report	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 2 View + Patella Right	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, 3 views one side CPT 73562 XR Knee 2 View + Patella Left	$107.20	$134.00	$67.00–$100.50	15% below	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right	$107.20	$134.00	$26.80–$100.50	26% below	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	26% below	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	26% below	20%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left	$107.20	$134.00	$26.80–$100.50	26% below	20%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Lower Extremity w/o Contrast Bilat	$604.00	$755.00	$377.50–$566.25	—	20%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Lower Extremity w/o Contrast Bilat - Report	$604.00	$755.00	$377.50–$566.25	—	20%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left - Report	$604.00	$755.00	$377.50–$566.25	1% below	20%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left	$604.00	$755.00	$151.00–$566.25	1% below	20%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right	$604.00	$755.00	$151.00–$566.25	1% below	20%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right - Report	$604.00	$755.00	$377.50–$566.25	1% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix - Report	$241.60	$302.00	$151.00–$226.50	at median	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited - Report	$241.60	$302.00	$151.00–$226.50	at median	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$336.00	$420.00	$210.00–$315.00	39% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix	$336.00	$420.00	$210.00–$315.00	39% above	20%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Soft Tissue, Bilateral - Report	$66.40	$83.00	$41.50–$62.25	—	20%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Soft Tissue, Bilateral	$112.00	$140.00	$70.00–$105.00	—	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue, Left - Report	$66.40	$83.00	$41.50–$62.25	60% below	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue, Right - Report	$66.40	$83.00	$41.50–$62.25	60% below	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue, Left	$112.00	$140.00	$28.00–$105.00	32% below	20%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue, Right	$112.00	$140.00	$28.00–$105.00	32% below	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening	$120.00	$150.00	$75.00–$112.50	57% below	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening - Report	$120.00	$150.00	$75.00–$112.50	57% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right - Report	$107.20	$134.00	$67.00–$100.50	4% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left - Report	$107.20	$134.00	$67.00–$100.50	4% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right	$107.20	$134.00	$26.80–$100.50	4% below	20%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left	$107.20	$134.00	$26.80–$100.50	4% below	20%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast - Report	$855.20	$1,069.00	$534.50–$801.75	5% below	20%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast	$855.20	$1,069.00	$534.50–$801.75	5% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	4% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	21% below	20%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	8% below	20%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	8% below	20%
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$847.20	$1,059.00	$529.50–$794.25	8% below	20%
MRI of the abdomen without contrast CPT 74181 MRI MRCP - Report	$847.20	$1,059.00	$529.50–$794.25	8% below	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP + Liver w/wo contrast - Report	$1,000.00	$1,250.00	$625.00–$937.50	18% below	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,000.00	$1,250.00	$625.00–$937.50	18% below	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast - Report	$1,000.00	$1,250.00	$625.00–$937.50	18% below	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP + Liver w/wo contrast	$1,000.00	$1,250.00	$625.00–$937.50	18% below	20%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	10% below	20%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	10% below	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	45% below	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	45% below	20%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	37% below	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	37% below	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	6% below	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	6% below	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	38% below	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	38% below	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	9% below	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	9% below	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	26% below	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	26% below	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	26% below	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	26% below	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	at median	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate w/o Contrast	$847.20	$1,059.00	$529.50–$794.25	at median	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast - Report	$847.20	$1,059.00	$529.50–$794.25	at median	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right	$847.20	$1,059.00	$211.80–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right - Report	$847.20	$1,059.00	$529.50–$794.25	5% below	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views - Report	$167.60	$209.50	$104.75–$157.13	5% below	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views	$167.60	$209.50	$104.75–$157.13	5% below	20%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast - Report	$604.00	$755.00	$377.50–$566.25	27% below	20%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast	$604.00	$755.00	$377.50–$566.25	27% below	20%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast	$604.00	$755.00	$377.50–$566.25	at median	20%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	at median	20%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$107.20	$134.00	$67.00–$100.50	1% above	20%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue - Report	$107.20	$134.00	$67.00–$100.50	1% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MPI Rest and Stress- Pharmocological	$1,476.80	$1,846.00	$923.00–$1,384.50	22% below	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MPI Rest and Stress- Exercise - Report	$1,476.80	$1,846.00	$923.00–$1,384.50	22% below	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MPI Rest and Stress- Pharmocological - Report	$1,476.80	$1,846.00	$923.00–$1,384.50	22% below	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MPI Rest and Stress- Exercise	$1,476.80	$1,846.00	$923.00–$1,384.50	22% below	20%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	7% below	20%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast	$604.00	$755.00	$377.50–$566.25	7% below	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Comp w/Transvag if indicated - Report	$241.60	$302.00	$151.00–$226.50	16% below	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Comp w/Transvag if indicated	$241.60	$302.00	$151.00–$226.50	16% below	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$172.80	$216.00	$108.00–$162.00	5% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited - Report	$172.80	$216.00	$108.00–$162.00	5% above	20%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	8% below	20%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$107.20	$134.00	$26.80–$100.50	8% below	20%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	8% below	20%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$107.20	$134.00	$26.80–$100.50	8% below	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left - Report	$107.20	$134.00	$67.00–$100.50	20% below	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right - Report	$107.20	$134.00	$67.00–$100.50	20% below	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right	$107.20	$134.00	$26.80–$100.50	20% below	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left	$107.20	$134.00	$26.80–$100.50	20% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	5% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right	$107.20	$134.00	$26.80–$100.50	5% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left	$107.20	$134.00	$26.80–$100.50	5% below	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	5% below	20%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete - Report	$107.20	$134.00	$67.00–$100.50	31% below	20%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete	$107.20	$134.00	$67.00–$100.50	31% below	20%
Skull X-ray, fewer than 4 views CPT 70250 XR Shunt Series - Report	$107.20	$134.00	$67.00–$100.50	13% below	20%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views - Report	$107.20	$134.00	$67.00–$100.50	13% below	20%
Skull X-ray, fewer than 4 views CPT 70250 XR Shunt Series	$107.20	$134.00	$67.00–$100.50	13% below	20%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$107.20	$134.00	$67.00–$100.50	13% below	20%
Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges -> Polysomnography 4+ parameters 95810	$1,503.20	$1,879.00	$766.00–$2,170.02	8% below	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US EchoStress Echo	$560.00	$700.00	$421.00–$812.05	2% above	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US EchoStress Echo - Report	$728.00	$910.00	$421.00–$812.05	33% above	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 US EchoStress Echo	$728.00	$910.00	$421.00–$812.05	33% above	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Esophagram	$241.60	$302.00	$151.00–$226.50	14% above	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Esophagram - Report	$241.60	$302.00	$151.00–$226.50	14% above	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left	$107.20	$134.00	$26.80–$100.50	5% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	5% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right	$107.20	$134.00	$26.80–$100.50	5% below	20%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	5% below	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic/Lumbar w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast - Report	$604.00	$755.00	$377.50–$566.25	14% below	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast	$604.00	$755.00	$377.50–$566.25	14% below	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic/Lumbar w/o Contrast	$604.00	$755.00	$377.50–$566.25	14% below	20%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	7% below	20%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Left	$107.20	$134.00	$26.80–$100.50	7% below	20%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	7% below	20%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Right	$107.20	$134.00	$26.80–$100.50	7% below	20%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal	$200.00	$250.00	$125.00–$187.50	1% above	20%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal - Report	$200.00	$250.00	$125.00–$187.50	1% above	20%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$241.60	$302.00	$151.00–$226.50	36% below	20%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete - Report	$241.60	$302.00	$151.00–$226.50	36% below	20%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$241.60	$302.00	$151.00–$226.50	3% below	20%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind - Report	$241.60	$302.00	$151.00–$226.50	3% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head and Neck Soft Tissue - Report	$158.40	$198.00	$99.00–$148.50	41% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head and Neck Soft Tissue	$158.40	$198.00	$99.00–$148.50	41% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid and Neck	$158.40	$198.00	$99.00–$148.50	41% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid and Neck - Report	$158.40	$198.00	$99.00–$148.50	41% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB - Report	$241.60	$302.00	$151.00–$226.50	6% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI	$241.60	$302.00	$151.00–$226.50	6% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI - Report	$241.60	$302.00	$151.00–$226.50	6% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB	$241.60	$302.00	$151.00–$226.50	6% below	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel - Report	$333.60	$417.00	$208.50–$312.75	30% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel	$333.60	$417.00	$208.50–$312.75	30% above	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left	$107.20	$134.00	$26.80–$100.50	7% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left - Report	$107.20	$134.00	$67.00–$100.50	7% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right - Report	$107.20	$134.00	$67.00–$100.50	7% below	20%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right	$107.20	$134.00	$26.80–$100.50	7% below	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Post Ablation Follow-up (72 hour)	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Post Ablation Follow-up (72 hour) - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Upper Extremity, Right - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping, Unilateral Right (Clinic Only) - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping, Unilateral Right	$367.20	$459.00	$91.80–$344.25	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping, Unilateral Left (Clinic Only) - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping, Unilateral Left	$367.20	$459.00	$91.80–$344.25	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Lower Extremity, Left - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Lower Extremity, Right - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Upper Extremity, Left - Report	$367.20	$459.00	$159.00–$247.74	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Upper Extremity, Right	$367.20	$459.00	$91.80–$344.25	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Upper Extremity, Left	$367.20	$459.00	$91.80–$344.25	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Lower Extremity, Right	$367.20	$459.00	$91.80–$344.25	47% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Lower Extremity, Left	$367.20	$459.00	$91.80–$344.25	47% above	20%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$107.20	$134.00	$26.80–$100.50	at median	20%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$107.20	$134.00	$26.80–$100.50	at median	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	19% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right	$107.20	$134.00	$26.80–$100.50	19% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left	$107.20	$134.00	$26.80–$100.50	19% below	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	19% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	9% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 Views Left	$107.20	$134.00	$26.80–$100.50	9% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	9% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 Views Right	$107.20	$134.00	$26.80–$100.50	9% below	20%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View - Report	$107.20	$134.00	$67.00–$100.50	10% below	20%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View	$107.20	$134.00	$67.00–$100.50	10% below	20%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$107.20	$134.00	$26.80–$100.50	at median	20%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$107.20	$134.00	$26.80–$100.50	at median	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	8% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Left	$107.20	$134.00	$26.80–$100.50	8% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	8% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Right	$128.00	$160.00	$32.00–$120.00	29% above	20%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	18% above	20%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$107.20	$134.00	$26.80–$100.50	18% above	20%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$107.20	$134.00	$26.80–$100.50	18% above	20%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	18% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right	$107.20	$134.00	$26.80–$100.50	18% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left	$107.20	$134.00	$26.80–$100.50	18% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	18% below	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	18% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left	$107.20	$134.00	$26.80–$100.50	12% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left - Report	$107.20	$134.00	$67.00–$100.50	12% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right - Report	$107.20	$134.00	$67.00–$100.50	12% below	20%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right	$107.20	$134.00	$26.80–$100.50	12% below	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$107.20	$134.00	$26.80–$100.50	8% below	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right - Report	$107.20	$134.00	$67.00–$100.50	8% below	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left - Report	$107.20	$134.00	$67.00–$100.50	8% below	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$107.20	$134.00	$26.80–$100.50	8% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$107.20	$134.00	$67.00–$100.50	23% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views - Report	$107.20	$134.00	$67.00–$100.50	23% below	20%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views	$186.40	$233.00	$116.50–$174.75	at median	20%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views - Report	$186.40	$233.00	$116.50–$174.75	at median	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$107.20	$134.00	$67.00–$100.50	29% below	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views - Report	$107.20	$134.00	$67.00–$100.50	29% below	20%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views - Report	$107.20	$134.00	$67.00–$100.50	at median	20%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views	$107.20	$134.00	$67.00–$100.50	at median	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$107.20	$134.00	$67.00–$100.50	12% below	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views - Report	$107.20	$134.00	$67.00–$100.50	12% below	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views - Report	$107.20	$134.00	$67.00–$100.50	21% below	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$107.20	$134.00	$67.00–$100.50	21% below	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views	$107.20	$134.00	$67.00–$100.50	19% below	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views - Report	$107.20	$134.00	$67.00–$100.50	19% below	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
ACTH blood test CPT 82024 ACTH, Plasma Quest	$210.40	$263.00	$159.00–$176.03	115% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase	$60.40	$75.50	$24.14–$159.00	185% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase	$54.40	$68.00	$23.59–$159.00	162% above	20%
Albumin blood test CPT 82040 Albumin, Body Fluid	$22.20	$27.75	$22.56–$159.00	6% below	20%
Albumin blood test CPT 82040 Albumin Level	$23.40	$29.25	$22.56–$159.00	1% below	20%
Aldosterone blood test CPT 82088 Aldosterone, LC/MS/MS Quest	$100.00	$125.00	$159.00–$185.73	at median	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Isoenzymes Quest	$41.00	$51.25	$23.59–$159.00	95% above	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$41.00	$51.25	$23.59–$159.00	95% above	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein, Tumor Marker Quest	$139.60	$174.50	$76.44–$159.00	60% above	20%
Ammonia blood test CPT 82140 Ammonia Level	$73.80	$92.25	$66.42–$159.00	36% above	20%
Amylase blood test CPT 82150 Amylase Level 24 Hour Urine	$65.60	$82.00	$29.53–$159.00	121% above	20%
Amylase blood test CPT 82150 Amylase, Peritoneal Fluid Quest	$65.60	$82.00	$29.53–$159.00	121% above	20%
Amylase blood test CPT 82150 Amylase, Pleural Fluid Quest	$65.60	$82.00	$29.53–$159.00	121% above	20%
Amylase blood test CPT 82150 Amylase Level	$65.60	$82.00	$29.53–$159.00	121% above	20%
Amylase blood test CPT 82150 Amylase Level Urine	$65.60	$82.00	$29.53–$159.00	121% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide CCP Ab IgG Quest	$92.00	$115.00	$58.98–$159.00	89% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA w/Rflx Titer and Pattern Quest	$16.00	$20.00	$55.08–$159.00	66% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide	$248.40	$310.50	$154.67–$159.00	288% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA Nares PCR	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Environmental Culture	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture with Gram Stain	$78.60	$98.25	$39.29–$159.00	104% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$78.60	$98.25	$39.29–$159.00	104% above	20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Quest	$135.20	$169.00	$38.53–$159.00	38% above	20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$135.20	$169.00	$38.53–$159.00	38% above	20%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$61.60	$77.00	$22.85–$159.00	57% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 - Tissue Exam by Pathologist 3	$60.80	$76.00	$159.00–$237.56	21% below	20%
Blood culture for bacteria CPT 87040 Blood Culture	$63.60	$79.50	$47.03–$159.00	29% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Gas Draw Type -> Venous (Puncture)	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Obs/Opt Venous Blood Collect by Venipuncture	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Of Venous Blood By Venipuncture 36415	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 MA/Nurse Blood Collect	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 MA/Nurse Collect	$25.60	$32.00	$16.00–$24.00	185% above	20%
Blood glucose (sugar) test CPT 82947 82947 - Glucose	$60.40	$75.50	$17.90–$159.00	222% above	20%
Blood glucose (sugar) test CPT 82947 Glucose Level	$60.40	$75.50	$17.90–$159.00	222% above	20%
Blood lead test CPT 83655 Lead, Urine Random	$13.69	$17.11	$55.20–$159.00	54% below	20%
Blood lead test CPT 83655 Lead Venous Quest	$56.00	$70.00	$55.20–$159.00	88% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Serum	$122.80	$153.50	$34.31–$159.00	226% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh	$112.00	$140.00	$13.62–$159.00	95% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$112.00	$140.00	$13.62–$159.00	95% above	20%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$58.60	$73.25	$18.02–$159.00	122% above	20%
C-peptide blood test CPT 84681 C-Peptide	$79.60	$99.50	$94.87–$159.00	28% above	20%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile PCR	$48.00	$60.00	$159.00–$159.98	46% below	20%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 Quest	$29.60	$37.00	$94.87–$159.00	62% below	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 Quest	$46.20	$57.75	$94.87–$159.00	34% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus (COVID-19) Screen	$200.00	$250.00	$150.34–$159.00	102% above	20%
Calcium blood test, total CPT 82310 Urine Calcium, Random (W/O Creatinine) Quest	$10.80	$13.50	$23.53–$159.00	45% below	20%
Calcium blood test, total CPT 82310 PTH, Intact And Calcium Quest	$44.29	$55.36	$23.53–$159.00	124% above	20%
Calcium blood test, total CPT 82310 Calcium Level Total	$44.29	$55.36	$23.53–$159.00	124% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA Quest	$69.20	$86.50	$86.44–$159.00	13% above	20%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Antibody IgG Quest	$76.20	$95.25	$58.69–$159.00	121% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydi/N.Gonorrhoeae RNA, TMA, Urogenital Quest	$88.00	$110.00	$159.00–$159.98	40% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$146.80	$183.50	$61.03–$159.00	105% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC with Diff and Platelet Quest	$96.40	$120.50	$35.39–$159.00	214% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC W/Auto Diff	$96.40	$120.50	$35.39–$159.00	214% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential	$96.40	$120.50	$35.39–$159.00	214% above	20%
Complete blood count (CBC), no differential CPT 85027 CBC without Differential	$67.60	$84.50	$29.45–$159.00	183% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel (Quest)	$182.80	$228.50	$48.14–$159.00	32% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$182.80	$228.50	$48.14–$159.00	32% above	20%
Cortisol blood test, total CPT 82533 Cortisol AM	$80.20	$100.25	$74.28–$159.00	38% above	20%
Cortisol blood test, total CPT 82533 Cortisol PM	$80.20	$100.25	$74.28–$159.00	38% above	20%
Cortisol blood test, total CPT 82533 ACTH Stimulation, 2 Specimens Quest	$132.00	$165.00	$74.28–$159.00	127% above	20%
Cortisol blood test, total CPT 82533 ACTH Stimulation, 3 Specimens Quest	$160.00	$200.00	$74.28–$159.00	175% above	20%
Cortisol blood test, total CPT 82533 ACTH, 3 Specimens	$160.00	$200.00	$74.28–$159.00	175% above	20%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$106.60	$133.25	$29.68–$159.00	202% above	20%
Creatinine blood test CPT 82565 Creatinine (POCT)	$67.60	$84.50	$23.38–$159.00	179% above	20%
Creatinine blood test CPT 82565 Creatinine	$67.60	$84.50	$23.38–$159.00	179% above	20%
Creatinine blood test CPT 82565 iSTAT Creatinine (POCT)	$67.60	$84.50	$23.38–$159.00	179% above	20%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovius Antibody IgG Quest	$24.21	$30.26	$65.60–$159.00	56% below	20%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$131.40	$164.25	$46.38–$159.00	161% above	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate Quest	$28.00	$35.00	$101.35–$159.00	58% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Panel 8, W/Confirm, Serum/Plasma Quest	$148.80	$186.00	$159.00–$265.19	155% above	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel Urine	$83.20	$104.00	$31.97–$159.00	30% above	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$83.20	$104.00	$31.97–$159.00	30% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Bar Viral Capsid	$35.81	$44.76	$82.68–$159.00	25% below	20%
Estradiol blood test CPT 82670 Estradiol Quest	$64.27	$80.34	$127.34–$159.00	27% below	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH Quest	$48.11	$60.14	$84.68–$159.00	27% below	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH Follicle Stimulating Hormone, Pediatrics Quest	$48.20	$60.25	$84.68–$159.00	27% below	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool Quest	$140.00	$175.00	$89.48–$159.00	45% above	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$110.80	$138.50	$62.15–$159.00	112% above	20%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$56.80	$71.00	$38.73–$159.00	93% above	20%
Fibrinogen blood test CPT 85384 Fribrogen	$56.80	$71.00	$38.73–$159.00	93% above	20%
Fibrinogen blood test CPT 85384 85384 - Fibrinogen Activity	$56.80	$71.00	$38.73–$159.00	93% above	20%
Folate (folic acid) blood test CPT 82746 Folate Level	$48.40	$60.50	$67.01–$159.00	9% below	20%
Folate (folic acid) blood test CPT 82746 Folate, Serum Quest	$48.40	$60.50	$67.01–$159.00	9% below	20%
Free T3 thyroid hormone test CPT 84481 T3, Free Quest	$67.94	$84.93	$77.23–$159.00	12% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$56.40	$70.50	$41.08–$159.00	40% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 - Free Thyroxine, FT4	$56.40	$70.50	$41.08–$159.00	40% above	20%
Free testosterone test CPT 84402 Testosterone, Free Dialysis And Total,MS Quest	$52.00	$65.00	$116.12–$159.00	31% below	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT Quest	$91.40	$114.25	$32.82–$159.00	141% above	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 80050	$67.20	$84.00	$152.98–$159.00	54% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrheae	$88.00	$110.00	$159.00–$159.98	28% above	20%
H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibody IgG	$131.40	$164.25	$66.13–$159.00	76% above	20%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, EIA, Stool Quest	$76.03	$95.04	$65.57–$159.00	39% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, Qn PCR W/Reflex To Genotype Quest	$220.00	$275.00	$159.00–$387.87	30% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, Quantitative Real Time PCR Quest	$220.00	$275.00	$159.00–$387.87	30% above	20%
HIV-1 and HIV-2 antibody test CPT 86703 Rapid HIV 1/2 Antibody Screen	$101.60	$127.00	$62.47–$159.00	56% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Antigen/Antibody, Fourth Generation w/RFL Quest	$57.60	$72.00	$109.76–$159.00	18% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$56.40	$70.50	$44.27–$159.00	64% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Quest)	$56.40	$70.50	$44.27–$159.00	64% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin	$15.40	$19.25	$10.81–$159.00	25% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin and Hematocrit	$15.40	$19.25	$10.81–$159.00	25% above	20%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis Panel Quest	$16.00	$20.00	$54.94–$159.00	52% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$114.00	$142.50	$48.96–$159.00	132% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen w/Refl Confirm Quest	$140.00	$175.00	$47.09–$159.00	278% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag W/Confirm	$156.00	$195.00	$47.09–$159.00	321% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab w/Ref to HCV RNA, QN, PCR Quest	$241.20	$301.50	$65.02–$159.00	359% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab	$241.20	$301.50	$65.02–$159.00	359% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, Quantitative Real Time PCR Quest	$160.00	$200.00	$159.00–$195.23	22% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 IgG,Type Specific Ab Quest	$52.00	$65.00	$60.09–$159.00	22% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 (IgG), TYPE SPECIFIC AB	$54.40	$68.00	$88.22–$159.00	2% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Specific Ab Quest	$54.40	$68.00	$88.22–$159.00	2% above	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$92.00	$115.00	$58.98–$159.00	111% above	20%
Homocysteine blood test CPT 83090 Homocysteine Quest	$102.40	$128.00	$76.91–$159.00	62% above	20%
Insulin blood test CPT 83525 Insulin Quest	$102.80	$128.50	$52.10–$159.00	161% above	20%
Iron blood test (serum iron) CPT 83540 Iron Level	$44.20	$55.25	$29.51–$159.00	77% above	20%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity	$22.20	$27.75	$39.85–$159.00	17% below	20%
Kidney function blood test panel CPT 80069 Renal Function Panel	$64.80	$81.00	$39.58–$159.00	16% below	20%
LH (luteinizing hormone) test CPT 83002 LH, Pediatrics Quest	$38.49	$48.11	$84.38–$159.00	41% below	20%
LH (luteinizing hormone) test CPT 83002 LH Quest	$38.49	$48.11	$84.38–$159.00	41% below	20%
Lactate (lactic acid) blood test CPT 83605 POC Lactic Acid Venous Draw Order	$131.40	$164.25	$48.70–$159.00	202% above	20%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid (Venous) (POCT)	$131.40	$164.25	$48.70–$159.00	202% above	20%
Lactate (lactic acid) blood test CPT 83605 83605 - Lactate (Lactic Acid)	$131.40	$164.25	$48.70–$159.00	202% above	20%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid (Arterial) (POCT)	$131.40	$164.25	$48.70–$159.00	202% above	20%
Lactate (lactic acid) blood test CPT 83605 POC Lactic Acid Arterial Draw Order	$131.40	$164.25	$48.70–$159.00	202% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, CSF Quest	$8.00	$10.00	$27.51–$159.00	62% below	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$51.20	$64.00	$27.51–$159.00	146% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Pericardial Fluid Quest	$51.20	$64.00	$27.51–$159.00	146% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Synovial Fluid Quest	$51.20	$64.00	$27.51–$159.00	146% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Pleural Fluid Quest	$51.20	$64.00	$27.51–$159.00	146% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Peritoneal Fluid Quest	$51.20	$64.00	$27.51–$159.00	146% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Pleural Fluid Quest	$12.64	$15.80	$31.41–$159.00	53% below	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$42.40	$53.00	$31.41–$159.00	57% above	20%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$184.80	$231.00	$37.24–$159.00	108% above	20%
Lyme disease antibody test CPT 86618 .Lyme Ab Screen Quest	$77.00	$96.25	$77.62–$159.00	26% above	20%
Lyme disease antibody test CPT 86618 Lyme Disease Ab W/Refl To Blot IgG, IgM Quest	$77.00	$96.25	$77.62–$159.00	26% above	20%
Magnesium blood test CPT 83735 Magnesium, Random Urine Quest	$15.64	$19.55	$30.53–$159.00	43% below	20%
Magnesium blood test CPT 83735 Magnesium Level (Quest)	$15.64	$19.55	$30.53–$159.00	43% below	20%
Magnesium blood test CPT 83735 Magnesium, RBC Quest	$36.00	$45.00	$30.53–$159.00	31% above	20%
Magnesium blood test CPT 83735 Magnesium Level	$63.60	$79.50	$30.53–$159.00	132% above	20%
Measles (rubeola) antibody test CPT 86765 Measles Ab IgG, Immune Status Quest	$49.20	$61.50	$58.69–$159.00	41% above	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$100.40	$125.50	$23.59–$159.00	396% above	20%
Mumps immunity blood test CPT 86735 Mumps Virus Ab IgG, Immune Status Quest	$58.20	$72.75	$59.48–$159.00	51% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total Quest	$67.60	$84.50	$83.83–$159.00	16% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total	$70.00	$87.50	$83.83–$159.00	20% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone	$92.00	$115.00	$159.00–$188.14	17% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$76.20	$95.25	$27.40–$159.00	186% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Partial Thromboplastin Time	$76.20	$95.25	$27.40–$159.00	186% above	20%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$29.60	$37.00	$21.59–$159.00	4% above	20%
Potassium blood test CPT 84132 84132 - Potassium	$55.40	$69.25	$20.98–$159.00	164% above	20%
Potassium blood test CPT 84132 Potassium Level	$55.40	$69.25	$20.98–$159.00	164% above	20%
Progesterone blood test CPT 84144 Progesterone Quest	$24.00	$30.00	$95.11–$159.00	57% below	20%
Progesterone blood test CPT 84144 Progesterone, LC/MS Quest	$28.00	$35.00	$95.11–$159.00	50% below	20%
Prolactin blood test CPT 84146 Prolactin Quest	$53.88	$67.35	$88.31–$159.00	8% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 INR (POCT)	$4.29	$5.36	$17.90–$159.00	81% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR	$67.60	$84.50	$17.90–$159.00	199% above	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine	$146.80	$183.50	$49.69–$159.00	443% above	20%
Renin blood test CPT 84244 Plasma Renin Activity, LC/MS/MS Quest	$162.40	$203.00	$100.24–$159.00	108% above	20%
Rh blood typing CPT 86901 86901	$68.00	$85.00	$13.62–$159.00	127% above	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quest	$28.80	$36.00	$25.84–$159.00	at median	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG, Immune Status Quest	$70.00	$87.50	$65.60–$159.00	89% above	20%
Sodium blood test CPT 84295 Sodium Level	$39.80	$49.75	$21.92–$159.00	70% above	20%
Sodium blood test CPT 84295 84295 - Sodium	$39.80	$49.75	$21.92–$159.00	70% above	20%
Stool ova and parasites exam CPT 87177 Ova And Parasites, Conc And Perm Smear Quest	$67.40	$84.25	$40.58–$159.00	112% above	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool (POCT)	$22.60	$28.25	$16.17–$159.00	8% above	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood (Guaiac)	$22.60	$28.25	$16.17–$159.00	8% above	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab, Particle Agglutination Quest	$20.00	$25.00	$60.33–$159.00	21% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Monitor W/Refl Titer Quest	$63.60	$79.50	$19.46–$159.00	263% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Gold Plus, 1 Tube Quest	$80.00	$100.00	$159.00–$282.51	1% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Males Adult, IA Quest	$77.80	$97.25	$117.67–$159.00	at median	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, MS Quest	$77.80	$97.25	$117.67–$159.00	at median	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,Total	$77.80	$97.25	$117.67–$159.00	at median	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies Quest	$47.40	$59.25	$66.31–$159.00	21% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (LKM-1) Ab (IgG) Quest	$60.00	$75.00	$66.31–$159.00	54% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Panel	$92.40	$115.50	$76.62–$159.00	94% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Quest)	$92.40	$115.50	$76.62–$159.00	94% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$92.40	$115.50	$76.62–$159.00	94% above	20%
Total IgE blood test CPT 82785 Immunoglobin E	$60.40	$75.50	$75.01–$159.00	40% above	20%
Total IgE blood test CPT 82785 Immunoglobulin E Quest	$60.40	$75.50	$75.01–$159.00	40% above	20%
Total cholesterol blood test CPT 82465 Cholesterol, Total Quest	$59.60	$74.50	$19.84–$159.00	113% above	20%
Total cholesterol blood test CPT 82465 Cholesterol Total	$59.60	$74.50	$19.84–$159.00	113% above	20%
Total thyroxine (T4) blood test CPT 84436 T4 Thyroxine, Total Quest	$8.00	$10.00	$31.29–$159.00	70% below	20%
Total triiodothyronine (T3) blood test CPT 84480 T3, Total Quest	$119.00	$148.75	$64.64–$159.00	162% above	20%
Transferrin blood test CPT 84466 Transferrin Quest	$32.00	$40.00	$58.19–$159.00	10% below	20%
Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid Quest	$38.00	$47.50	$26.16–$159.00	62% above	20%
Triglycerides blood test CPT 84478 Triglycerides	$38.00	$47.50	$26.16–$159.00	62% above	20%
Triglycerides blood test CPT 84478 Triglycerides, Peritoneal Fluid Quest	$38.00	$47.50	$26.16–$159.00	62% above	20%
Triglycerides blood test CPT 84478 Triglycerides Quest	$38.00	$47.50	$26.16–$159.00	62% above	20%
Troponin test, quantitative CPT 84484 Troponin I, High Sensitivity Quest	$221.60	$277.00	$46.03–$159.00	259% above	20%
Troponin test, quantitative CPT 84484 Troponin High Sensitivity	$221.60	$277.00	$46.03–$159.00	259% above	20%
Troponin test, quantitative CPT 84484 Troponin High Sensitivity 2 Hour	$221.60	$277.00	$46.03–$159.00	259% above	20%
Troponin test, quantitative CPT 84484 Troponin T Quest	$221.60	$277.00	$46.03–$159.00	259% above	20%
Uric acid blood test CPT 84550 Uric Acid	$48.20	$60.25	$20.60–$159.00	61% above	20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic if Indicated	$46.20	$57.75	$10.23–$159.00	229% above	20%
Urine culture for bacteria, with colony count CPT 87086 87086 - Culture,Bact,Quant Count Urine	$83.20	$104.00	$36.77–$159.00	191% above	20%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine	$105.60	$132.00	$31.79–$159.00	232% above	20%
Urine pregnancy test, read by color change CPT 81025 Beta hCG Urine (POCT)	$105.60	$132.00	$31.79–$159.00	232% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Quest	$25.40	$31.75	$68.71–$159.00	53% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$25.40	$31.75	$68.71–$159.00	53% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydroxyvitamin D2,D3 Quest	$77.00	$96.25	$134.93–$159.00	4% above	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 25 Hydroxy Level	$55.40	$69.25	$159.00–$175.48	45% below	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol 1,25 Dihydroxyvitamin D Quest	$55.40	$69.25	$159.00–$175.48	45% below	20%
Zinc blood test CPT 84630 Zinc Quest	$44.00	$55.00	$51.92–$159.00	17% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative	$35.55	$44.44	$68.62–$159.00	11% below	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-Distal Fibular w/o Manipulation	$280.00	$350.00	$227.27–$1,380.00	25% below	20%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc Lv/Coronary CL-93458	$5,500.00	$6,875.00	$2,734.79–$3,175.89	21% above	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Ext CL-92960	$608.00	$760.00	$380.00–$570.00	20% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Surg Bedside Procs Charge -> Cardioversion - SN	$608.00	$760.00	$380.00–$570.00	20% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion - Schedulable	$608.00	$760.00	$380.00–$570.00	20% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960-Cardioversion	$608.00	$760.00	$380.00–$570.00	20% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 RT CHARGE Cardioversion -> Yes	$608.00	$760.00	$380.00–$570.00	20% below	20%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL CL-93656	$22,800.00	$28,500.00	$3,026.00–$24,223.21	74% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation	$280.00	$350.00	$227.27–$1,380.00	12% above	20%
Coronary stent placement, one artery CPT 92928 Coronary Stent Placement w/ Angioplasty Single Vessel CL-92928	$12,540.00	$15,675.00	$3,196.00–$11,197.69	45% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess, simple of single 10060	$108.00	$135.00	$188.25–$1,380.00	56% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple	$269.60	$337.00	$188.25–$1,380.00	9% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm	$532.60	$665.75	$378.52–$1,380.00	24% above	20%
Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath Lv Only CL-93452	$3,265.60	$4,082.00	$2,734.79–$3,175.89	28% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-Excision Lesion Benign Trunk/Extremity <= 0.5 cm	$539.20	$674.00	$666.59–$1,656.00	3% above	20%
Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single	$176.00	$220.00	$188.25–$1,380.00	22% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of nail plate, partial or complete, simple, single 1173	$176.00	$220.00	$188.25–$1,380.00	22% below	20%
Pacemaker implant (dual chamber) CPT 33208 Insert Heart PM Atrial and Vent CL-33208	$8,560.00	$10,700.00	$3,026.00–$10,206.65	at median	20%
Paracentesis with imaging guidance CPT 49083 US Paracentesis	$821.60	$1,027.00	$888.26–$1,656.00	15% above	20%
Paracentesis with imaging guidance CPT 49083 US Paracentesis - Report	$821.60	$1,027.00	$888.26–$1,656.00	15% above	20%
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis With Imaging 49083	$821.60	$1,027.00	$888.26–$1,656.00	15% above	20%
Paracentesis with imaging guidance CPT 49083 49083-Abdominal Paracentesis w/ Imaging Guide	$821.60	$1,027.00	$888.26–$1,656.00	15% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix	$539.20	$674.00	$378.52–$1,656.00	9% below	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of nail and nail matrix, partial or complete, for perma	$584.00	$730.00	$378.52–$1,656.00	2% below	20%
Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple	$352.00	$440.00	$378.52–$1,380.00	14% below	20%
Short arm splint (forearm and hand) CPT 29125 29125-Short Arm	$133.40	$166.75	$83.38–$125.06	7% below	20%
Short leg splint (calf to foot) CPT 29515 29515-Short Leg	$133.40	$166.75	$83.38–$125.06	9% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm	$328.00	$410.00	$168.95–$1,013.00	58% above	20%
Skin biopsy, punch, one lesion CPT 11104 Biopsy SQ and Mucous Membrane Single Lesion 11100	$188.80	$236.00	$339.71–$1,013.00	29% below	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Dx 62270	$895.20	$1,119.00	$656.11–$1,656.00	29% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-Lumbar Puncture Diagnostic	$895.20	$1,119.00	$656.11–$1,656.00	29% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Dx	$895.20	$1,119.00	$656.11–$1,656.00	29% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm	$328.00	$410.00	$205.00–$307.50	44% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm	$213.60	$267.00	$133.50–$200.25	5% above	20%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura w/Imaging	$809.60	$1,012.00	$585.75–$1,656.00	16% below	20%
Thoracentesis with imaging guidance CPT 32555 32555-Thoracentesis w/ Imaging Guidance	$809.60	$1,012.00	$585.75–$1,656.00	16% below	20%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura w/Imaging 32555	$809.60	$1,012.00	$585.75–$1,656.00	16% below	20%
Vein ablation, radiofrequency, first vein CPT 36475 Radiofrequency Ablation(1 vein) US CL-36475	$4,620.00	$5,775.00	$1,331.00–$3,174.00	53% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 "DEBRIDEMENT, SUBCUATANEOUS TISSUE (INCLUDES EPIDERMIS AND	$588.00	$735.00	$378.52–$1,380.00	4% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm	$588.00	$735.00	$378.52–$1,380.00	4% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue, first 20 sq cm or less 11042	$588.00	$735.00	$378.52–$1,380.00	4% below	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Surg Bedside Procs Charge -> Blood Transfusion - SN	$786.40	$983.00	$414.19–$1,380.00	67% above	20%
Blood transfusion (giving blood or blood components) CPT 36430 36430 - Blood Tranfusion Administration Charge	$786.40	$983.00	$414.19–$1,380.00	67% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Neb/MDI/DPI Therapy -> Initial	$140.00	$175.00	$87.50–$131.25	78% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI -> Initial	$140.00	$175.00	$87.50–$131.25	78% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AERO,NEB,MDI,IPPB	$184.00	$230.00	$115.00–$172.50	134% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB -> Yes	$184.00	$230.00	$115.00–$172.50	134% above	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 RT CHARGE EEG -> EEG - AWAKE & DROWSY	$345.60	$432.00	$216.00–$324.00	at median	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Routine	$345.60	$432.00	$216.00–$324.00	at median	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 15 Lead	$88.00	$110.00	$27.98–$127.00	16% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Lewis Lead	$88.00	$110.00	$27.98–$127.00	16% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-ED EKG	$96.00	$120.00	$27.98–$127.00	26% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - 12 Lead CL-93005	$96.00	$120.00	$27.98–$127.00	26% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$140.00	$175.00	$83.42–$400.00	22% below	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$200.00	$250.00	$150.03–$400.00	34% below	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$328.00	$410.00	$262.33–$500.00	33% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$588.00	$735.00	$403.43–$835.00	15% below	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,202.40	$1,503.00	$580.86–$1,346.00	14% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG Treadmill Stress Test	$272.00	$340.00	$114.33–$159.00	32% below	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill	$272.00	$340.00	$114.33–$159.00	32% below	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CV Stress Trace	$976.80	$1,221.00	$114.33–$159.00	145% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 US Echo Treadmill Stress Test	$976.80	$1,221.00	$114.33–$159.00	145% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-INA IV Hydration Int'l 31 Mins-1 Hr	$255.20	$319.00	$159.50–$239.25	74% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360	$255.20	$319.00	$159.50–$239.25	74% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-IV Hydration Initial 31 min - 1 hr	$255.20	$319.00	$159.50–$239.25	74% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$255.20	$319.00	$159.50–$239.25	74% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Surg Bedside Procs Charge -> Prehydration - SN	$255.20	$319.00	$159.50–$239.25	74% above	20%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$312.00	$390.00	$195.00–$292.50	78% above	20%
IV infusion of a medicine, first hour CPT 96365 96365-INA Infus Drug Intl 15min-1Hr	$312.00	$390.00	$195.00–$292.50	78% above	20%
IV infusion of a medicine, first hour CPT 96365 Surg Bedside Procs Charge -> Iron Infusion - SN	$312.00	$390.00	$195.00–$292.50	78% above	20%
IV infusion of a medicine, first hour CPT 96365 96365-Infusion Drug Initial up to 1 hr Greater Than 15 mins	$312.00	$390.00	$195.00–$292.50	78% above	20%
IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial	$248.80	$311.00	$155.50–$233.25	106% above	20%
IV push of a medicine, first drug CPT 96374 96374-IV Push Initial Drug	$248.80	$311.00	$155.50–$233.25	106% above	20%
IV push of a medicine, first drug CPT 96374 96374-INA IV Push Initial Drug	$248.80	$311.00	$155.50–$233.25	106% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-59 SQ/IM Injection w/ Modification	$99.20	$124.00	$62.00–$93.00	105% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Surg Bedside Procs Charge -> Injection - SN	$99.20	$124.00	$62.00–$93.00	105% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-INA Inject/Subcut/IM	$99.20	$124.00	$62.00–$93.00	105% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-Injection/SQ/IM	$99.20	$124.00	$62.00–$93.00	105% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection	$99.20	$124.00	$62.00–$93.00	105% above	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791	$147.20	$184.00	$92.00–$138.00	at median	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity	$142.40	$178.00	$95.00–$207.85	at median	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity	$142.40	$178.00	$95.00–$207.85	35% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity	$142.40	$178.00	$95.00–$207.85	12% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise per 15 min incr.	$52.00	$65.00	$76.06–$131.00	20% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$52.00	$65.00	$76.06–$131.00	20% below	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est 99215	$200.00	$250.00	$50.00–$187.50	17% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est 99213	$107.80	$134.75	$26.95–$101.06	7% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est 99212	$104.00	$130.00	$26.00–$97.50	38% above	20%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$360.00	$450.00	$95.00–$519.02	106% above	20%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$200.00	$250.00	$95.00–$206.98	62% above	20%
Spirometry (breathing test) CPT 94010 RT CHARGE PFT* -> Spirometry	$148.00	$185.00	$92.50–$138.75	5% below	20%
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT* -> Spirometry before & after	$224.00	$280.00	$140.00–$210.00	12% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$51.20	$64.00	$95.00–$131.00	19% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities per 15 min	$51.20	$64.00	$95.00–$131.00	19% below	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arkansas	Off list
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/mL IM Susp 1 mL	$294.02	$367.52	$73.50–$275.64	235% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult vaccine 20 mcg/mL IM Susp 1 mL	$194.75	$243.44	$48.69–$182.58	79% above	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine IM Inj	$85.79	$107.24	$21.45–$80.43	92% above	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine - Pow	$103.54	$129.42	$25.88–$97.07	131% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine Subcut Inj	$187.23	$234.04	$46.81–$175.53	at median	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine - Pow	$313.58	$391.97	$78.39–$293.98	67% above	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW IM Inj	$381.46	$476.83	$95.37–$357.62	82% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vaccine recomb adjuv IM Susp 0.5 mL	$1,334.18	$1,667.73	$333.55–$1,250.80	251% above	20%
Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal B vaccine fully recombinant IM Susp 0.5 mL	$1,133.86	$1,417.32	$283.46–$1,062.99	270% above	20%
Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine fully recombinant Sus	$1,204.70	$1,505.88	$301.18–$1,129.41	294% above	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13-valent conjugate vaccine IM Susp 0.5 mL	$1,433.87	$1,792.34	$358.47–$1,344.26	270% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine - Sus	$1,654.78	$2,068.47	$413.69–$1,551.35	162% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine Inj Soln 0.5 mL	$741.82	$927.28	$185.46–$695.46	308% above	20%
Rabies vaccine, one dose CPT 90675 rabies vaccine purified chick embryo cell 2.5 intl units Pow	$1,260.84	$1,576.05	$788.03–$1,182.04	36% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2 units/0.5 mL IM Susp 0.5 mL	$303.27	$379.09	$75.82–$284.32	328% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Adacel Tdap) IM Susp 0.5 mL	$364.65	$455.81	$91.16–$341.86	319% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - Vaccine Administration > First Vaccine	$73.80	$92.25	$46.13–$69.19	178% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Administration -> First Vaccine 90471	$73.80	$92.25	$46.13–$69.19	178% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration	$80.00	$100.00	$50.00–$75.00	201% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> First Vaccine 90471	$80.00	$100.00	$50.00–$75.00	201% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge -> Each Additional 90472	$36.00	$45.00	$9.00–$33.75	50% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-INA Vaccine Administration Each Add'l	$36.00	$45.00	$9.00–$33.75	50% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-Vaccine Administration Each Addl	$36.00	$45.00	$9.00–$33.75	50% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Administration -> Each Additional 90472	$36.00	$45.00	$9.00–$33.75	50% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-Vaccine Administration > Each Additional	$36.00	$45.00	$9.00–$33.75	50% above	20%

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://arkansasheart.pt.panaceainc.com/MRFDownload/arkansasheart/encore